Service Accountability Agreements

Ontario's Local Health Integration Networks (LHINs) are required under the Local Health Services Integration Act, 2006, to negotiate a Service Accountability Agreement (SAA) for each Health Service Provider (HSP) they fund. The LHIN works with providers from all sectors every year to produce SAAs.

Toronto Central LHIN 2019/20 Accountability Planning Submissions Timelines*: Community, Hospital and Long-Term Care (CAPS, HAPS and LAPS)


-  In an effort to streamline and improve ease of planning and reporting, we have integrated timelines for all Toronto Central LHIN SAAs.

- Your organization may need to adjust these dates for internal planning purposes and your Board meeting schedule. We will accept any reasonable adjustments. The planning dates below should be considered “last possible” dates for submissions as submissions will be considered earlier.

- Please note these dates may vary from agreements with other LHINs and that they are the planned dates currently and may be adjusted over the course of the fall/winter.


Community HSPs*




Long-Term Care Homes*


Toronto Central LHIN will conduct local CAPS, HAPS and LAPS (Planning Submissions) Schedules and Indicators Education webinar for HSPs.

October 15th – 19th, 2018

Planning Submissions (CAPS/HAPS) open in the Self Reporting Initiative (SRI) and (LAPS) on the Long-Term Care Home Portal at

HSPs can start to complete their submissions.

October 12th, 2018

CAPS/HAPS (and Q2) templates are being revised as of October 9th, any HSPs who have completed their submissions prior may have to use a new template.

October 12th, 2018

Formal 60 Day LHSIA Notices Issued to HSPs stating SAAs are being negotiated.

November 15th, 2018

Draft CAPS and HAPS must be submitted to SRI and, draft LAPS on the Long-Term Care Home Portal at for Toronto Central LHIN review.

November 19, 2018

Engagement with HSPs on submissions, local obligations, 2018/19 risks, opportunities and negotiations for 19/20 (face to face or phone).

November 2018 -January 2019

Final date for completion of LHIN negotiations with HSPs to review Planning Submissions and negotiate proposed H-M-L-SAA targets and content for schedules.

Up to February 15, 2019

Approved CAPS/HAPS submitted to SRI and LAPS to the Long-Term Care Home Portal at for Toronto Central LHIN to create agreements. (HSPs are required to manage their own internal approval processes; as of end of business this day we will assume most recent submission has received internal approvals).

February 15, 2019

Final date for H-M-L-SAA documents and Schedules to be sent to HSPs from LHIN.

Up to February 28, 2019

Final date for execution of signed H-M-L-SAAs.

March 31, 2019

2019/20 H-M-L-SAAs come into effect.

April 1, 2019



Hospital Service Accountability Agreements. 


Long-Term Care Home Service Accountability Agreements


Multi-Sector Service Accountability Agreements