Local Health Integration Network
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Hospital Service Accountability Agreements (H-SAA)


Hospital Service Accountability Agreements for 2008-2010 and Amending Agreements

2013-2014 Hospital Accountability Planning Submission (HAPS)

Please see documents below for information regarding the 2013-2014 Hospital Accountability Planning Submission (HAPS) process.

WWLHIN Hospital Performance Dashboard - NEW

The WWLHIN has developed a new performance dashboard that focuses on individual hospital indicators related to emergency department (ED), surgical and diagnostic imaging wait times as well as alternate level of care (ALC) days. The hospital dashboard expands on the Network's Integrated Health Service Plan (IHSP) performance report.

The hospital performance dashboard provides data on 11 indicators for fiscal year-to-date and the last completed month.  The dashboard reflects individual hospital's performance targets outlined in the Ministry-LHIN Performance Agreement (MLPA). The dashboard is used to regularly review hospital performance against their obligations identified in thehospital's individual service accountability agreements. The data assists in local decision making between the hospitals and the Network to support continual performance improvement and improved access to care.Through this performance accountability discussion, providers in the local health care system can work together to improve access to quality care for local residents and are held accountable for the taxpayer dollars they are given.

2012 - 2013 H-SAA

In Fall 2011, hospitals from across the WWLHIN developed and approved operating plans for the 2012 -2013 fiscal year based on quality, access and safety performance targets that provided for balanced budgets and ongoing service provision. These operating plans were to  form the basis of the 2012 - 2013 Hospital Service Accountability Agreements. 

Since that time, the government has introduced Ontario's Action Plan for Health Care and a new funding model - Health System Funding Reform (HSFR)  - that will move Ontario's health care system away from the current global funding system towards what is 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. 

Hospitals are currently engaging their stakeholders - physicians, nurses, staff, volunteers, patients and their communities - as they and the  WWLHIN work together to finalize the 2012 - 2013 Accountability Agreements that will reflect this new funding model. 

Please continue to watch this page for more information as it becomes available.

Hospital Accountability Planning Submission 2010 - 2012

The Hospital Accountability Planning Submission (HAPS) Guidelines describe how hospitals and LHINs will work to deliver on the overarching strategy of designing and delivering hospital services.  The Guidelines document includes a timeline for the submission of documentation leading to the completion of Hospital Service Accountability Agreements.

Letter from the Joint Chairs, H-SAA Steering Committee (English)

HAPS Guidelines 2010 - 2012 (English)

Letter from the Joint Chairs, H-SAA Steering Committee (French)

HAPS Guidelines 2010 - 2012 (French)

H-SAA 2008 - 2010 (Extended to March 31, 2011)

As of April 1, 2008, local hospitals were required to sign an accountability agreement with the WWLHIN. The original agreements covered a two year period from April 1, 2008 to March 31, 2010. 

Due to the current economic climate and unknown funding allocations, all H-SAAs are being extended for a one-year period (April 1, 2010 - March 31, 2011).  During this time extension, hospitals are expected to maintain current, agreed upon patient service delivery volumes within the approved, known funding allocations.  

The full text of the agreements for 2008 - 2010 with the extensions for 2010 - 2011 can be accessed through the links provided below.

Hospital Service Accountability Agreements for 2008-10 - see Archive.

Guidelines for Hospital Audits and Reviews

The guidelines for health service provider audits and reviews are intended to provide tools to support the LHINs in identifying HSP issues such as financial and performance and responding in a manner that is consistent and effective.

Click here to view the Guidelines for Health Service Provider Audits and Reviews.