Hospital Capital Planning

In November 2010, the Ministry of Health and Long-Term Care and all Ontario LHINs released a new Joint Review Framework for early capital planning. Under this Framework, LHINs play a critical role in advising on, and endorsing, the program and service elements of all capital projects in the early capital planning stages.

The new Joint Review Framework has been developed to fulfill provisions of the Ministry/LHIN Accountability Agreement (MLAA) which requires local needs and LHIN advice to be considered in the review of capital planning submissions. It will place an emphasis on local health system needs as the primary driver for capital initiatives.

The Framework was developed by the MOHLTC/LHIN Capital Working Group in consultation with stakeholders. The Capital Working Group will continue to work with and support stakeholders as they implement and apply the new Framework.



Health Infrastructure Renewal Fund

Hospitals are responsible for ensuring that their facilities are in a good state of repair by managing their capital assets and planning renewal activities.

The Health Infrastructure Renewal Fund (HIRF) provides funds to supplement a hospital's existing capital renewal program and help address renewal needs (e.g., roofing systems, boilers, windows) on a priority basis.

Hospitals can receive a HIRF grant for eligible projects regardless of their own ability to raise a local share of the project costs. There is no cost-sharing requirement and 100% of the grant can be used on a single project.
Hospitals can select projects based on their renewal priorities, subject to the program eligibility criteria as indicated in the HIRF Guidelines.  Each hospital is responsible for ensuring that it undertakes work of the highest priority.





Hospital Energy Efficiency Program (HEEP) 

In support of Ontario’s Five Year Climate Change Action Plan, the ministry launched an evidence-based Hospital Energy Efficiency Program (HEEP) in 2017-18 to improve the energy efficiency of Ontario’s public hospitals to reduce Greenhouse Gas (GHG) emissions and redirect energy-related cost savings back into direct patient care.

Pending confirmation of funds through the Cap and Trade program, hospitals will again have the opportunity to apply for 2018-19 financial support through a dedicated grants-based fund to retrofit their facilities with energy efficient technologies including but not limited to improving or replacing building climate controls; efficient lighting systems; and building envelope upgrades. While not eligible for funding through HEEP, hospitals should also consider building recommissioning activities as part of their energy management conservation plans.

HEEP will be fully aligned with the results of the ministry’s Facility Condition Assessment Program (FCAP). Any requirement or collection of requirements that have energy savings potential as indicated in the FCAP database, and meet defined eligibility criteria, will be considered eligible for 2018-19 funding consideration through a Business Case application process outlined in the Guidelines.

Applications for 2018-19 are to be submitted th the Toronto Central LHIN by June 13, 2018.

For more information, hospitals and interested stakeholders are encouraged to click on the links below to download current documents associated with this process.

  • 2018-19 HEEP Guidelines English  Français
  • 2018-19 HEEP Business Case Form


For any inquiries relating to HIRF or HEEP please contact Krista Cauz,