Health Service Providers' Annual Planning Submissions and Accountability Agreements

On April 1, 2007 the LHINs assumed full responsibility for planning, funding and integrating health services. This includes developing and negotiating Service Accountability Agreements with providers from all sectors including hospitals, multi sector agencies and the long-term care home sector. 

Using the current funding model called HSFR (Health System Funding Reform), Ontario's health care system has moved away from a global funding system towards what is now known as Patient-Based Funding. 

To learn more about Patient-Based Funding, please click here to visit the Ministry of Health and Long-Term Care website. 

From the beginning of HSFR implementation in 2012-13, the Central East LHIN has pursued the strategic objective of moving Ontario’s health care system away from global funding towards an equitable and sustainable funding model that will also standardize care, minimize practice variation and encourage investments in quality improvement and patient safety.

For more information on HSP planning submissions and accountability agreements, please click on the sector links below:

MLAA - Ministry LHIN Accountability Agreements - updated February 16, 2016

The Central East Local Health Integration Network (LHIN) and the Ministry of Health and Long-Term Care negotiate and sign accountability agreements. The agreement defines the obligations and responsibilities of both the LHIN and the ministry over a defined period of time. The Ministry of Health and Long-Term Care (MOHLTC) and the Local Health Integration Networks (LHINs) first began developing these Agreements in Fall 2006. 

Please click on the link below to access the current MLAA.

Below are links to past Performance and Accountability Agreements.

The Ministry-LHIN Accountability Agreement (MLAA) includes an obligation for the Ministry and LHINs to review selected schedules annually and update as necessary within 120 days of the government's budget announcement. These schedules are: Schedule 3 (Local Health System Management); Schedule 9 (Allocations) and Schedule 10 (Local Health System Performance). The agreements, signed in 2007 by the Minister and each LHIN Board Chair, have been revised effective April 1, 2009. You will find a PDF of the signed agreement below.

MOU - Memorandum of Understanding

The Central East Local Health Integration Network (LHIN) and the Ministry of Health and Long-Term Care also establish an MOU, the purpose of which is to set out the accountability relationship between the Minister and the Central East LHIN; clarify the roles and responsibilities of the Minister, the Chair, the Deputy Minister, the CEO, and the Board; and set out the expectations for the operational, administrative, financial, staffing, auditing and reporting arrangements between the LHIN and the Ministry.

Central East LHIN Certificates of Compliance

Ontario’s 14 Local Health Integration Networks (LHINs) through their individual Ministry-LHIN Performance Agreements (MLPAs) are required to sign Certificates of Compliance as part of the General Performance Obligations. These Certificates of Compliance are completed on a quarterly basis and attest to the LHIN’s compliance with applicable legislation; provincial policies; standards; operating manuals; directives; and guidelines available to the LHINs, as required by the Ministry of Health and Long-Term Care (MOHLTC).

The Central East LHIN is committed to being open and transparent with its stakeholders and the general public. To support this commitment, the Central East LHIN's Certificate of Compliance is presented quarterly at the Board of Directors Meeting – Open Sessions and posted below.