Hospital Sector

The resources and information in this section are for use by the public and private hospital providers funded by the South West LHIN. 

Hospital Service Accountability Agreement 2018-19 (H-SAA) 

Hospital Service Accountability Agreement 2017-18 (H-SAA)

Click here for information on the Joint Review Framework for Early Capital Planning


Health Infrastructure Renewal Fund (HIRF)

Hospitals are responsible for planning infrastructure renewal activities to ensure that their facilities are in a good state of repair. Recognizing the need for the renewal of health care infrastructure, the Ministry of Health and Long-Term Care (Ministry) created the HIRF program. This program is intended to supplement a hospital’s existing renewal program and to help address renewal needs on a priority basis. 

The HIRF is aligned with the results of the Ministry’s Facility Condition Assessment Program (FCAP). As a result, annual HIRF allocations are determined using an evidence-based process. However, LHINs will have the opportunity to endorse urgent/emergent hospital infrastructure needs for an Exceptional Circumstance Project (ECP) Grant, which may result in the Ministry providing additional funding to a hospital whether or not the hospital received a HIRF allocation that funding year.

Health Infrastructure Renewal Fund 2017-18 (HIRF)

Post Construction Operating Plan Funding (PCOP)

A Post Construction Operating Plan (PCOP) is the documented understanding between a hospital, the Ministry, and the LHIN of the hospital’s plan for operations upon completion of a capital project and the implementation of service changes.

PCOP funding is provided for additional operating costs associated with completion of a capital project, as outlined in a project’s Functional Program:
  • Incremental service volumes and equipment amortization
  • Facility costs
  • Transition and start-up costs
PCOP funding is awarded over multiple years:
  • Service volume and amortization funding is ramped up over six years following construction completion: 25%, 50%, 62.5%, 75%, 87.5%, and 100%
  • Facility costs are awarded in the year of construction completion
  • Transition and start-up funding is provided in the year of or year prior to opening
Funding provided through PCOP is reconciled against services delivered. Any funding not employed for its intended purpose is recovered.

Improving Safety and Quality in the Stretcher Transportation Sector


In accordance with the General Performance Obligations in the Ministry-LHIN Performance Agreement, the South West LHIN now requires all hospitals in our LHIN to comply with documents below.

These documents are intended to improve the safety and quality of STS and seek to establish common expectations for passengers and health-care providers. They were developed in consultation with Local Health Integration Networks (LHINs), hospitals, STS providers and sector experts. Much of the content in these documents is based on the work and standards which are already in place here in the South West LHIN.

Hospitals will be asked to report on compliance with the following provisions in April 2016, 2017, 2018.

  • Hospitals shall ensure that any standards in written contracts with STS providers meet or exceed the baseline standards set out in the MOHLTC Standards. Where hospitals do not have written contracts with STS providers, hospitals shall ensure that the STS providers they use meet or exceed the baseline standards set out in the MOHLTC Standards.

  • Hospitals shall ensure that:
    • They have a written protocol that provides guidance to hospital staff on selecting between modes of transportation for patients; AND
    • The hospital’s protocol incorporates the following key questions and related considerations from the MOHLTC Decision Guide:
      • Requirement for a stretcher
      • Medical stability of the patient
      • Requirement for an escort

Policies and Guidelines