Hospital Service Accountability Agreements

Every hospital in Ontario is required to negotiate a Hospital Service Accountability Agreement (HSAA) with their Local Health Integration Network (LHIN).

The HSAA is typically a two-year contract that stipulates accountability and performance obligations for planning, integration and delivery of programs and services.

The Multi Service Accountability Agreement (M-SAA) includes the contractual performance targets. The programs and services being provided at Four Counties Health Services are the Adult Day Program and the Supportive Housing Program.

The Middlesex Hospital Alliance HSAAs and the FCHS Multi-Sector Service Accountability Agreement (MSAA) with the South West LHIN are available below:

Hospital Service Accountability Agreement

Four Counties Multi Service Accountability Agreement

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