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 (Nov 2012)

Ministry-LHIN Accountability Agreement 

Ministry-LHIN Accountability Agreement 2015-2018