In a letter to Caplan, the board of directors of eHealth Ontario wrote: "Both the Board and Ms. Kramer feel that a change in leadership is required to restore public confidence in the organization's ability to our important mandate forward. Therefore, Ms. Kramer has decided to leave the organization."

"The Board thanks her for her service and dedication to ehealth in Ontario. We hereby request that you recommend to the Lieutenant Governor in Council, the revocation of the Order in Council appointing Ms. Kramer as CEO of the Corporation," the directors said.

eHealth Ontario declined to provide a statement today, but last week Kramer spoke to ITWorldCanada and defended her decision to enlist consultants without a public tender.

"There might be some public perception that we are not being responsible with the taxpayers' money. But eHealth Ontario is results-oriented. Every dollar is being spent towards patient safety and quality of service," she said.

Kramer said she was under pressure to deliver the goods within a short period and make up for shortcomings of the previous e-health initiatives.