Accountability

The Middlesex Hospital Alliance is dedicated to providing the care that we expect for our own families to all our patients, and we are proud to be part of a system that is focused on quality, transparency and results.This section of our website has been developed to demonstrate our commitment to these values and to the communities we serve.

Quality Improvement PLAN (QIP)

Quality improvement is an ongoing priority that helps us continually find new and better ways of doing things so that we can enhance care for patients, increase satisfaction and achieve even better clinical outcomes. Our Quality Improvement Plan, or QIP, is one tool that we are using to help us document and review our current performance in a variety of areas. With this plan, we will be able to very clearly see our targeted areas for improvement and chart our progress.

Executive Compensation Framework

In the fall of 2016, new provincial legislation was put in place that requires Ontario public sector organizations to develop an executive compensation plan. The legislation, called the Broader Public Sector Executive Compensation Act of 2014 (BPSECA), applies to all public sectors designated employers including universities, colleges, school boards and hospitals.

The Middlesex Hospital Alliance (MHA) Board of Directors has undertaken a comprehensive process to create a plan that sets out a rational, balanced compensation approach for executive positions, following the significant requirements of the legislation. One of these requirements was to compare our executive positions to others in organizations of similar size and scope. We looked at 12 hospitals in Ontario with a similar executive structure and based our compensation plan on these comparators.

We know that in order for our organization to continue to deliver the quality of care our patients need and deserve, it is essential to recruit and retain the very best leadership talent. This is especially true for a complex organization like MHA with two separate hospital sites serving a wide rural area. This is a challenging time of transition in health care and we know that our communities depend on us to provide high quality and compassionate care to their loved ones.

To this end, the board is committed to providing a fair and competitive executive compensation program that will attract, retain and reward senior leaders in balance with the need to be a fiscally responsible publicly funded institution.

Key sections in our proposed Executive Compensation Program include:

  • Compensation Philosophy
  • Designated Executive Positions
  • Comparator Selection and Analysis
  • Salary and Performance Related Pay

Middlesex Hospital Alliance will continue to work with government, understanding that this is a time of accountability, transparency and consistency in compensation for executives throughout the Broader Public Sector. We welcome this opportunity to address executive pay, which has been frozen since 2009.

The attached draft of our Executive Compensation Framework has received initial approval from the Ministry of Health and Long-Term Care and as required by the legislation, MHA  has provided 30 days for public consultation and feedback on the Executive Compensation Program.

Public Sector Salary Disclosure

Middlesex Hospital Alliance is committed to being the best place for patient-centred care; providing excellence in quality, people, service and financial performance. We are proud to be part of a health care system that is focused on results and demonstrate our commitment to accountability by publicly disclosing the salaries and taxable benefits of those in our organization who earn more than $100,000 per year. You will also find links to our proactive disclosure of executive compensation contracts.

RFP, Bids and Tenders

View current request for proposals (RFP), bids and tenders for the Middlesex Hospital Alliance. You can also see MHA Procurement Policies and related documents.

Financial Information

See Financial Information including Audited Financial Statements, Performance Based Compensation and Executive Contracts, Public Sector Salary Disclosure , BPSAA Accountability and Attestation and Hospital Report on Consultant Use.

Performance Based Compensation and Executive Contracts

The Excellent Care For All Act (ECFAA) requires that the compensation of CEOs and other executives be linked to the achievement of performance improvement targets laid out in the Quality Improvement Plan of every health care organization (beginning with hospitals) in Ontario. See our Performance Based Compensation and Executive Contracts documents and information.

Hospital Service Accountability Agreement (HSAA)

See the MHA’s Hospital Service Accountability Agreements with the South West Local Health Integration Network (SW LHIN). Our financial plan reflects our commitment to fiscal accountability and organizational performance while allowing us to continue providing current levels of service to our region across our areas of care.

Expense and Travel

The Broader Public Sector Accountability Act (BPSAA) outlines the rules and accountability standards for hospitals in Ontario including the Travel and Expense reporting information of the Middlesex Hospital Alliance.

Multi-Sector Service Accountability Agreement (FCHS)

View the MHA’s Multi-Sector Service Accountability Agreement for Four Counties Health Services site.

Freedom of Information and Protection of Privacy

The purpose of our Freedom of Information and Protection of Privacy (FIPPA) section is to provide you with a wide-range of resources and information to assist you in learning more about the legislation and making requests to the Middlesex Hospital Alliance Freedom of Information (FOI) Office.