Multi-Sector Service Accountability Agreements

This page has been developed to provide information and linkages for the benefit of health services providers, their associations, ministry and LHINs on the CAPS and M-SAA processes.   

CAPS & M-SAA 2011-2014

It is a requirement of the Local Health System Integration Act, 2006 that LHINs have a service accountability agreement (SAA) in place with each health service provider (HSP) that it funds. All 14 Local Health Integration Networks (LHINs) were required to enter into a new Multi-Sector Service Accountability Agreements (M-SAA) with community health service providers effective April 1, 2011. The current M-SAA between LHINs and their community care access centres (CCAC) community health centres (CHC), community mental health and addictions provider (CMH&A) and community support service providers (CSS) covers a three-year term ending March 31, 2014. 

In order to facilitate the development of the M-SAAs, each health service provider was required to submit a planning document known as the Community Accountability Planning Submission (CAPS). The CAPS together with the M-SAA form the basis of a multi-year funding and planning framework.  This framework supports the province's efforts to facilitate alignment of the provision of health services across health sectors and in line with the Ministry and LHIN priorities. 

CAPS & M-SAA 2013/14 Refresh

In the absence of definitive ministry funding targets in 2011, HSPs completed the CAPS based on a planning assumption of a 0% base adjustment for the first two years of the Agreement. Year 3 of the M-SAA was marked "TBD" in anticipation of further information on planning targets from the ministry. M-SAA Schedules have now been refreshed to update the planning assumptions, financial and service information and performance expectation for Year 3 (2013/14) of the current M-SAA. 

Key Documents: 2013/14 CAPS & M-SAA Refresh

• 2013/14 CAPS & M-SAA Refresh Communiques 

  • Communiqué #5 - April 2012 
  • Communiqué #6 - August 2012 
  • Communiqué #7 - October 2012 
  • Communiqué #8 - November 2012 
  • Communiqué #9 -February 2013 

• 2013/14 CAPS Refresh

  • 2013 14 CAPS Guidelines 
  • 2013 14 CAPS User Guide 
  • 2013 14 CAPS Refresh Education - Slide Deck 

• 2013/14 M-SAA Refresh

  • 2013 14 Technical Specifications 
  • 2013 14 M-SAA Refresh Education - Slide Deck 
  • 2013 14 Supplemental Schedule E 
  • 2013 14 Target Setting Guidelines 
  • Community Health Centre Guidelines 

Key Documents: 2011-2014 CAPS & M-SAA

Below is the final version of the 2011-14 M-SAA template, schedules and supporting documents: 

•  Communiqués 

  • Communiqué #1 - November 2010 
  • Communiqué #2 - December 2010 
  • Communiqué #3 - January 2011 
  • Communiqué #4 - March 2011 

• 2011-14 M-SAA Template & Schedules

  • 2011-14 M-SAA Template
  • MHA Schedules 
  • CCAC Schedules
  • CSS Schedules
  • CHC Schedules

•  2011-14 Planning Process 

  • CAPS Guidelines 2011-14
  • CAPS User Guide 
  • 2011-14 CAPS Provincial Orientation Session – Slide Deck

• 2011-14 Additional Tools and Resources

  • 2011-14 M-SAA Provincial Orientation Session – Slide Deck 
  • Health System Indicator Initiative: 2011-14 M-SAA Indicators 
  • LHIN Indicator Framework Background Document 
  • 2011-14 M-SAA Indicator Technical Specifications (English only)