A unique feature of the LHINs is their ability to enable organizations, health professionals and consumers to work together ‘on the ground’ to solve problems and improve local health care services. Through the LHIN’s legislation, Local Health System Integration Act (LHSIA) the LHINs have a number of tools to create a more integrated and well functioning health care system for health care providers and, most importantly, for the consumers they serve.

Section 27(3)(A) of the Local Health System Integration Act, 2006 (LHSIA) requires a health service provider (HSP) to give notice to a LHIN of any integration that relates to services that are funded, in whole or in part, by the LHIN.

Under the LHSIA, the definition of ‘integration’ includes (but is not limited to) the following kinds of activities:

  • Coordination of services and interactions
  • Partnering with others in providing services or in operating
  • Transferring, merging, or amalgamating services, operations, or entities
  • Starting or ceasing to provide services
  • Ceasing to operate

FAQ - Community Engagement Integration

Voluntary Integration

Voluntary integrations are those initiated by health service providers and submitted to the LHIN for review. The LHIN’s goal is to facilitate and enable voluntary integrations that will improve quality of care and value for money. In its review of voluntary integrations, the LHIN’s Board applies a standard set of criteria based on voluntary integration obligations under LHSIA to evaluate proposals. Proposals must:

  • Improve quality and accessibility of care
  • Be consistent with LHIN’s IHSP and the Ministry’s overall directions
  • Be cost-effective and the savings realized are directed to increase frontline services

Under the LHSIA, the LHIN has the authority to stop a Voluntary Integration within 60 days of being given formal notification.