The LHINs have built a strong foundation of transparency, performance and accountability as these are fundamental expectations of what Ontarians want from their health care system. The LHINs strive to ensure that health care dollars are spent efficiently and effectively, yielding the best results possible.

The Local Health System Integration Act, 2006 (LHSIA), the Memorandum of Understanding (MOU) and the MOHLTC-LHIN Agreement (Agreement) are the key elements of the accountability framework between the MOHLTC and the LHINs.

The purpose of the Agreement is to establish the respective performance obligations of the MOHLTC and LHINs relating to key operational and funding expectations that are not already addressed in LHSIA or the MOU.

The Agreement identifies the MOHLTC’s strategic priorities for the health system and reflects the continued evolution of the LHIN model as well as the LHINs’ maturity in managing the local health system. It recognizes that the MOHLTC and the LHINs have a joint responsibility to achieve better health outcomes for Ontarians and to effectively oversee the use of public funds in a fiscally sustainable manner. The Agreement acknowledges the MOHLTC’s responsibility to apply appropriate scrutiny of fiscal management and health services delivery managed by the LHINs.

Memorandum of Understanding

Memorandum of Understanding (November 2017)

Ministry-LHIN Accountability Agreement 

Ministry-LHIN Accountability Agreement 2018-2021

Minister’s Order for Health System Integration                    

In May 2017, home care services and staff will begin to transfer from Community Care Access Centres (CCACs) to Local Health Integration Networks (LHINs). This is a structural system change that will help the Patients First: Action Plan for Health Care move forward.

The process will be seamless for patients and home care clients. There will be no disruption to care or patient experience, and there will be no need to change health care providers.

Mississauga Halton CCAC will transfer to Mississauga Halton LHIN on May 31, 2017.

Learn more:

Order made under part V.1 of the Local Health System Integration Act, 2006, S.O. 2006, c. 4

Mandate Letter: Mississauga Halton LHIN

On November 24, 2017, the Honourable Dr. Eric Hoskins, Minister of Health and Long-Term Care sent the 2018-2019 mandate letter to the LHINs. The mandate letter focuses on collective key priorities and outlines the broad service and performance expectations for LHINs in 2018-2019. 

2018-2019 Mandate Letter

Compliance Attestations – Section 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 attests 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).

BPSAA Compliance Attestation -  October 1, 2018 - December 31, 2018

BPSAA Compliance Attestation - July 1, 2018 - October 31, 2018

BPSAA Compliance Attestation - April 1, 2018 - June 30, 3028