Health Service Providers' Annual Planning Submissions and Accountability Agreements 

On April 1, 2007 the LHINs assumed full responsibility for planning, funding and integrating health services.  This includes developing and negotiating Service Accountability Agreements with providers from all sectors including hospitals, multi sector agencies and the long-term care home sector.  Please click on the links below for more information:

CCIM - Information Management Systems - updated October 10, 2011   

The Central East LHIN and Community Care Information Management (CCIM) are working together to support health service providers from across the Central East region to implement a number of standardized tools that will help to provide improved services and measure the improvements in the quality of care in the Central East LHIN.  Community Care Information Management (CCIM) plays an integral role in improving the health care system by enhancing access to information for community-based care providers to deliver the right health service, at the right time.  For more information on these initiatives and opportunties to participate in work groups, please click here.  

Health Service Providers Audits and Reviews

The Guidelines for Hospitals Audits and Reviews has been finalized and approved. As is the case with the Guidelines for Community Health Service Providers Audits and Reviews, both sets of guidelines were developed to assist Local Health Integration Networks (LHINs) in undertaking a transparent process in identifying and responding effectively and consistently to Health Service Providers (HSPs) issues, such as organizational and financial health or performance.  

In addition to the Ministry of Health and Long Term Care Guidelines, the Central East LHIN has also developed a Process for Review and Remediation.

MLPA - Ministry LHIN Performance Agreements updated February 24, 2014

The Central East Local Health Integration Network (LHIN) and the Ministry of Health and Long-Term Care negotiate and sign performance agreements.  The agreement defines the obligations and responsibilities of both the LHIN and the ministry over a defined period of time.  The Ministry of Health and Long-Term Care (MOHLTC) and the Local Health Integration Networks (LHINs) first began developing these  Agreements in Fall 2006.  Attached below are links to the current and past Performance and Accountability Agreements.  

The Ministry-LHIN Accountability Agreement (MLAA) includes an obligation for the Ministry and LHINs to review selected schedules annually and update as necessary within 120 days of the government's budget announcement. These schedules are: Schedule 3 (Local Health System Management); Schedule 9 (Allocations) and Schedule 10 (Local Health System Performance).  The agreements, signed in 2007 by the Minister and each LHIN Board Chair, have been revised effective April 1, 2009.  You will find a PDF of the signed agreement below.

Central East LHIN Certificates of Compliance

Ontario’s 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 attest 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).

The Central East LHIN is committed to being open and transparent with its stakeholders and the general public.  To support this commitment, the Central East LHIN's Certificate of Compliance is presented quarterly at the Board of Directors Meeting – Open Sessions and posted below. 

LHIN Annual Business Plans

LHINs develop Annual Business Plans (ABP), which outlines how they will implement the health care strategies and objectives for its communities. The ABP is aligned with the Ministry's vision and mutually agreed-upon Ministry-LHIN Performance and Accountability Agreements as well as the Integrated Health Service Plan (IHSP).

2013 - 14 Annual Business Plan - submitted March 31, 2013

2012- 13 Annual Business Plan - posted September 27, 2012 

2011 - 2012 Annual Business Planposted September 1, 2011 

2010 - 2011 Annual Business Planposted February 25, 2011  

2009-2012 Annual Business Planposted October 14, 2009  

If you have any questions or require additional information, please contact the Central East LHIN via email at 

Ministry-LHIN Effectiveness Review - posted November 11, 2008 

In 2005, the Ministry of Health and Long-Term Care established 14 LHINs (local health integration networks) to increase local decision-making with respect to health care and to improve access and equity, system integration and coordination, as well as quality, sustainability and the overall health of the province. LHINs are responsible for managing their local health systems with a focus on planning, funding and integrating local health services to meet the needs of the residents within their LHIN.

As set out in the Ministry-LHIN Accountability Agreements, the Ministry and the LHINs completed an ‘effectiveness review’ conducted by third-party consultants KPMG. The purpose of the review was to evaluate the efficacy of the transition and devolution of authority from the Ministry to the LHINs and also sought input from provincial associations and a sample of health service providers.

Through December 2008 and January 2009, a Ministry/LHIN committee will develop an action plan to address the recommendations in the report.

View the Effectiveness Review