Behavioural Insights in Ontario

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"By properly deploying both incentives and nudges, we can improve our ability to improve people's lives, and help solve many of society's major problems. And we can do so while still insisting on everyone's freedom to choose."

RICHARD H. THALER & CASS R. SUNSTEIN

Table of Contents

Minister's Message

2

Executive Summary

3

Most Notable Accomplishments

4

Introduction

5

The Behavioural Insights Unit

5

Methodology

6

Accomplishments

10

Increasing Organ Donation Consent Rates

10

Shifting Licence Plate Sticker Renewals from Paper to Online ? #1

15

Shifting Licence Plate Sticker Renewals from Paper to Online ? #2

20

Modifying Bin Labels to Increase Accurate Recycling Behaviour

23

Increasing Timely Collection of Employer Health Tax

28

Promoting Uptake of Photo Health Insurance Card

30

Increase Consumer Protection Against Underground Roofing Economy 32

Behavioural Insights Projects Underway

34

Increasing Hand Hygiene in Hospitals

34

Increasing Cervical Cancer Screening Rates for Eligible Women

34

Decrease Inappropriate Opioid Prescribing by Physicians

35

Shifting to Online Health Card Renewal

35

Increasing Online Vaccination Reporting for Children

35

Increasing Municipal Fine Payment

36

Increasing Child Care Centre Compliance

36

Increasing Use of Family Mediation Services

36

Towards a More Balanced Parental Involvement in Childcare

37

Select Advisory Work

38

Increasing Clarity and Simplicity of Client Letters and Forms

38

Decreasing Unnecessary Antibiotic Prescribing

38

Increasing Adoption of Reloadable Payment Card

38

Increasing Resilience Against Phishing Attacks

39

Creating an Online Immunization Scheduling Tool

39

Education and Outreach

40

Conclusion

42

References

43

Minister's Message

It is with great pleasure that I present the first ever report back on the use of behavioural insights in Ontario.

Ontario is one of the first jurisdictions in Canada to leverage behavioural sciences to improve outcomes and deliver better services. By seeking to understand how people make decisions and act upon those decisions, governments can design and re-design public services that better reflect how people respond to, engage with and use these services.

Applying behavioural science insights can mean making public services easier to access, by simplifying forms and processes, as well as helping citizens make more informed choices by clearly presenting options and offering timely reminders. Programs and services work best when they are designed with the people who use them in mind.

"By testing what works and just as importantly what doesn't, through pilot projects, experts in behavioural science are helping design programs that are made to work for Ontarians."

The use of these insights in Ontario and other jurisdictions have been shown to result in public services that deliver better outcomes, often at a lower cost. By testing what works and just as importantly what doesn't, through pilot projects, experts in behavioural science are helping design programs that are made to work for Ontarians.

Over the past three years, there have been a number of notable accomplishments which are outlined in this report. I am eager to build on our success and harness the full potential of behavioural insights.

To date, we have focused on implementing behavioural insights in four priority areas: health promotion, digital government, reducing poverty and streamlining government regulations. However, behavioural insights can be applied to a diverse range of policy challenges and we will continue to pursue these opportunities as well. I believe that with small changes we can achieve big results.

I would like to thank the members of Ontario's Behavioural Insights Unit for their continuing commitment to doing a job not many people know about, but many people benefit from.

Eleanor McMahon President of the Treasury Board Minister Responsible for Digital Government

24

Behavioural Insights in Ontario: Update Report 2018

Executive Summary

Many of the public policy challenges the province faces are best met by changing human decisions and behaviours for the better. Whether the objective is to make it easier for Ontarians to stay healthy, recycle, or use government services, bringing about changes in their behaviour is fundamental. Behavioural science research provides insights into how people make decisions and act on them, and suggests strategies for changing behaviour through behaviourally informed design.

The Behavioural Insights Unit (BIU) was the first of its kind in Canada. The BIU utilizes cutting-edge behavioural sciences knowledge and methodology to provide effective solutions across different policy areas in the Ontario government, and with broader public sector partners.

Since its official inception in 2015, the BIU has used the scientific method to generate evidence to improve outcomes in health, environment, and government services.

The BIU's current focus is to continue working in these areas as well as to expand the use of the behavioural insights approach in domains such as education, child care, and increasing equitable access to the labour market.

Behavioural Insights in Ontario: Update Report 2018

3

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