Health System Accountability

Through the development and execution of Service Accountability Agreements with our health service providers, and through the Ministry-LHIN Performance Agreements with the Ministry of Health and Long-Term Care, LHINs enhance system accountability for public funds. These agreements set out funding and performance deliverables for local services that are aligned with LHIN and Ministry of Health and Long-Term Care priorities. 

For 2018-19, Central LHIN has 99 Service Accountability Agreements across all sectors and providers. Ultimately, these agreements support system collaboration to enhance stability and accountability in the health system. They also help us to build a better local health care system – one that emphasizes quality care for people and their families and is delivered within available resources.

Ministry Mandate Letter 

The 2018-19 Local Health Integration Network (LHIN) mandate letter issued by the Minister of Health and Long-Term Care, on November 24, 2017. The LHIN mandate letter focuses on key ministry initiatives and outlines the broad service and performance expectations for the LHIN in 2018-19.

Ministry-LHIN Performance Agreement (also known as Ministry-LHIN Accountability Agreement)

The Ministry of Health and Long-Term Care and the Local Health Integration Networks (LHINs) are each responsible for developing and fulfilling clear and achievable performance obligations, and to identify any risks to performance. Both parties are committed to work collaboratively, by establishing clear lines of communication and responsibility, and by working diligently to resolve issues in a proactive and timely manner.  

This agreement between Central LHIN and the Ministry of Health and Long-Term Care sets out obligations on the part of both the Ministry and the LHIN in fulfilling our mandate to plan, integrate and fund local health care services.


Current and Past Performance and Accountability Agreements

Health Service Provider Accountability Agreements

As health system planners, part of Central LHIN's role is to work with local health service providers to develop a framework for accountability that encourages transparency and ensures the best possible quality of care is available to all residents in the Central LHIN region.

The accountability agreements below outline the responsibilities of local health service providers and the LHIN, set activity and financial targets, detail expectations for ongoing development and service delivery and provide benchmarks so that providers and the LHIN can measure performance year over year. 

Click on the links below to view the accountability agreements of Central LHIN’s health service providers.

Affirmation of Memorandum of Understanding Between Her Majesty The Queen in Right of Ontario
and Central LHIN

Additional Updates on System Accountability and Performance

Additional updates on system accountability and performance can be found in Board Packages which are presented to the Central LHIN Board of Directors at their open board meetings. For more information, please see the Board Meetings page on our website.