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Wait Time Canada
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Wait Time Canada

A health systems observatory auditing emergency room wait times across Canada with methodological transparency.

Data from official provincial health authorities.

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© 2026 Wait Time Canada. MIT License.

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Understanding Wait Time Metrics

Canadian provinces measure emergency department wait times using different methodologies. Direct comparison requires understanding these differences.

Provincial Comparability Matrix

This matrix shows which provinces can be directly compared. Click any cell to see detailed methodology differences.

AlbertaBritish ColumbiaManitobaOntarioOntarioQuebec
Alberta✓⚠✗⚠⚠⚠
British Columbia⚠✓✗⚠✓⚠
Manitoba✗✗✓✗✗✗
Ontario⚠⚠✗✓⚠⚠
Ontario⚠✓✗⚠✓⚠
Quebec⚠⚠✗⚠⚠✓
✓
Directly comparable
⚠
Partially comparable (2-3 matches)
✗
Not comparable (0-1 matches)

Pairwise Verdicts

Each province pair is broken down field by field so you can see exactly which ontology dimensions match and which ones invalidate direct comparison.

Alberta vs British Columbia

3 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
POINT_ESTIMATE vs P90
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Alberta vs Manitoba

1 of 4 dimensions match

✗ Not comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs UNKNOWN
Mismatch
End Event
PHYSICIAN vs FIRST_ASSESSMENT
Mismatch
Statistic Type
POINT_ESTIMATE vs ALGORITHMIC
Mismatch

These sources diverge on most core ontology dimensions. Ranking or treating them as equivalent would be misleading.

Alberta vs Ontario

3 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
POINT_ESTIMATE vs MEAN
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Alberta vs Ontario

3 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
POINT_ESTIMATE vs P90
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Alberta vs Quebec

2 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs REGISTRATION
Mismatch
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
POINT_ESTIMATE vs ROLLING_AVG
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

British Columbia vs Manitoba

1 of 4 dimensions match

✗ Not comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs UNKNOWN
Mismatch
End Event
PHYSICIAN vs FIRST_ASSESSMENT
Mismatch
Statistic Type
P90 vs ALGORITHMIC
Mismatch

These sources diverge on most core ontology dimensions. Ranking or treating them as equivalent would be misleading.

British Columbia vs Ontario

3 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
P90 vs MEAN
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

British Columbia vs Ontario

4 of 4 dimensions match

✓ Directly comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
P90 vs P90
Match

These sources align on all four ontology dimensions, so direct cross-province comparison is methodologically valid.

British Columbia vs Quebec

2 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs REGISTRATION
Mismatch
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
P90 vs ROLLING_AVG
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Manitoba vs Ontario

1 of 4 dimensions match

✗ Not comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
UNKNOWN vs TRIAGE
Mismatch
End Event
FIRST_ASSESSMENT vs PHYSICIAN
Mismatch
Statistic Type
ALGORITHMIC vs MEAN
Mismatch

These sources diverge on most core ontology dimensions. Ranking or treating them as equivalent would be misleading.

Manitoba vs Ontario

1 of 4 dimensions match

✗ Not comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
UNKNOWN vs TRIAGE
Mismatch
End Event
FIRST_ASSESSMENT vs PHYSICIAN
Mismatch
Statistic Type
ALGORITHMIC vs P90
Mismatch

These sources diverge on most core ontology dimensions. Ranking or treating them as equivalent would be misleading.

Manitoba vs Quebec

1 of 4 dimensions match

✗ Not comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
UNKNOWN vs REGISTRATION
Mismatch
End Event
FIRST_ASSESSMENT vs PHYSICIAN
Mismatch
Statistic Type
ALGORITHMIC vs ROLLING_AVG
Mismatch

These sources diverge on most core ontology dimensions. Ranking or treating them as equivalent would be misleading.

Ontario vs Ontario

3 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs TRIAGE
Match
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
MEAN vs P90
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Ontario vs Quebec

2 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs REGISTRATION
Mismatch
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
MEAN vs ROLLING_AVG
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Ontario vs Quebec

2 of 4 dimensions match

⚠ Partially comparable
Metric Family
TIME_TO_PROVIDER vs TIME_TO_PROVIDER
Match
Start Event
TRIAGE vs REGISTRATION
Mismatch
End Event
PHYSICIAN vs PHYSICIAN
Match
Statistic Type
P90 vs ROLLING_AVG
Mismatch

These sources share some ontology dimensions, but the remaining mismatches still make direct comparison unsafe without qualification.

Provincial Methodologies

Each province has chosen different measurement approaches based on their health system priorities and data infrastructure.

Alberta

Alberta Health Services

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventTRIAGE

Clock starts when patient completes triage assessment

End EventPHYSICIAN

Clock stops at first physician contact

Statistic TypePOINT_ESTIMATE

Real-time snapshot of current wait

View Official Methodology

British Columbia

Provincial Health Services Authority

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventTRIAGE

Clock starts when patient completes triage assessment

End EventPHYSICIAN

Clock stops at first physician contact

Statistic TypeP90

90th percentile - 9 out of 10 patients seen faster than this

View Official Methodology

Manitoba

Shared Health Manitoba

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventUNKNOWN

Start point varies or is not standardized

End EventFIRST_ASSESSMENT

Clock stops at initial clinical assessment

Statistic TypeALGORITHMIC

Calculated estimate based on current conditions

Official methodology documentation not available

Ontario

Health Quality Ontario

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventTRIAGE

Clock starts when patient completes triage assessment

End EventPHYSICIAN

Clock stops at first physician contact

Statistic TypeMEAN

Average of all wait times

View Official Methodology

Ontario

Ontario Health

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventTRIAGE

Clock starts when patient completes triage assessment

End EventPHYSICIAN

Clock stops at first physician contact

Statistic TypeP90

90th percentile - 9 out of 10 patients seen faster than this

Official methodology documentation not available

Quebec

Ministère de la Santé et des Services sociaux

Metric FamilyTIME_TO_PROVIDER

Time until first contact with physician or healthcare provider

Start EventREGISTRATION

Clock starts when patient registers at ED

End EventPHYSICIAN

Clock stops at first physician contact

Statistic TypeROLLING_AVG

Moving average over recent time period

Official methodology documentation not available

Methodology Change History

This timeline shows detected changes in how provinces calculate wait times. Our system monitors for distributional shifts that may indicate methodology updates.

The Four Dimensions of Wait Time Measurement

For two measurements to be comparable, all four dimensions must match. Understanding these dimensions is crucial for interpreting published wait times.

The fundamental category of measurement. Different metric families answer different clinical questions.

Time to ProviderTIME_TO_PROVIDER

How long until a patient is first assessed by a healthcare provider

Total Length of StayTOTAL_LOS

Complete duration from arrival to discharge from the ED

Stretcher OccupancySTRETCHER_OCCUPANCY

Percentage of available stretcher beds currently occupied

Why This Matters

A 60-minute wait in Ontario (Mean, Triage→Physician) is fundamentally different from a 60-minute wait in Quebec (Rolling Avg, Registration→Provider). Our platform automatically detects these differences and warns you when comparing incompatible measurements.

Frequently Asked Questions

Common questions about wait time data and methodology

Have more questions?

We're continuously improving our methodology documentation and data sources. If you have questions or feedback, we'd love to hear from you.

Submit feedback on GitHub

Data for Researchers

Download wait time data with full methodology tags for research use. All exports include our metric ontology columns to ensure proper attribution and comparability analysis.

Download Data

Export wait time data with full methodology tags for research use. All exports include metric ontology columns for proper attribution.

Raw data is available for the last 30 days. For longer ranges, use aggregated data.

Format:

Suggested Citation:

Wait Time Canada. (2026). Canadian ER Wait Time Data [Data set]. https://wait-time.ca

License: CC-BY-4.0 (Attribution Required)

Ready to explore wait times?

Now that you understand how measurements differ, browse the interactive map with confidence.

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Wait Time Canada - A Health Systems Observatory