1. Advance Notice. The LHIN will give at least sixty Days Notice to the HSP of the date by which a Community Accountability Planning Submission ("CAPS"), approved by the HSP’s governing body, must be submitted to the LHIN.
    
2. Multi-Year Planning. The CAPS will be in a form acceptable to the LHIN and will incorporate
1. prudent multi-year financial forecasts;
2. plans for the achievement of performance targets; and
3. realistic risk management strategies.
It will be aligned with the LHIN’s Integrated Health Service Plan and will reflect local LHIN priorities and initiatives. If the LHIN has provided multi-year planning targets for the HSP, the CAPS will reflect the planning targets.
 
3. Multi-year Planning Targets.  Schedule B may reflect an allocation for the first fiscal year of this Agreement as well as planning targets for up to two additional years, consistent with the Term of the Agreement. In such an event,
   1. the HSP acknowledges that if it is provided with planning targets,
      these targets are (A) targets only, (B) provided solely for the purposes of planning, (C) are subject to confirmation and (D) may be changed at the discretion of the LHIN. The HSP will proactively manage the risks associated with multi-year planning and the potential changes to the planning targets.
   2. the LHIN agrees that it will communicate any material changes to
      the planning targets as soon as reasonably possible.
       
4. Service Accountability Agreements. The HSP acknowledges that if the LHIN and the HSP enter into negotiations for a subsequent service accountability agreement, funding may be interrupted if the subsequent accountability agreement is not executed on or before the expiration date of this Agreement.

1. Community Engagement.  The HSP will engage the community of diverse persons and entities in the area where it provides health services when setting priorities for the delivery of health services and when developing plans for submission to the LHIN including but not limited to CAPS and integration proposals.
    
2. Integration. The HSP will, separately and in conjunction with the LHIN and other health service providers, identify opportunities to integrate the services available to the local health system to provide appropriate, co-coordinated, effective and efficient services.
    
3. Reporting. The HSP will report on its community engagement and integration activities as requested by the LHIN, and in any event, in its year-end report to the LHIN.

(a) General: A pre-proposal process has been developed to  (i) reduce the costs incurred by an HSP when proposing operational or service changes;  (ii) facilitate the HSP to carry out its statutory obligations; and  (iii) enable an effective and efficient response by the LHIN. Subject to specific direction from the LHIN, this pre-proposal process will be used in the following instances:

1. the HSP is considering an integration or an integration of services, as defined in the Act between the HSP and another person or entity; or
    
2. the HSP is proposing to reduce, stop, start, expand or transfer the location of Services;
    
3. to identify opportunities to integrate the services of the local health system, other than those identified in (i) or (ii) above; or
    
4. if requested by the LHIN.

(b) LHIN Evaluation of the Pre-proposal:  Use of the  pre proposal is not formal notice of a proposed integration under s. 27 of the Act.  LHIN consent to develop the project concept outlined in a pre-proposal does not constitute approval to proceed with the project. Nor does LHIN consent of a project concept presume the issuance of a favourable decision, should such a decision be required by section 25 or 27 of the Act.  Following the LHIN’s review and evaluation, the HSP may be invited to submit a detailed proposal and a business plan for further analysis. Guidelines for the development of a detailed proposal and business case will be provided by the LHIN.
 

1. "integrate" includes,
   1. to co-ordinate services and interactions between different persons and entities,
   2. to partner with another person or entity in providing services or in operating,
   3. to transfer, merge or amalgamate services, operations, persons or entities,
   4. to start or cease providing services,
   5. to cease to operate or to dissolve or wind up the operations of a person or entity,

and "integration" has a similar meaning; and

2. "service" includes,
   1. a service or program that is provided directly to people,
   2.  a service or program, other than a service or program described in
      clause (i), that supports a service or program described in that clause,
      or
   3. a function that supports the operations of a person or entity that
      provides a service or program described in clause (i) or (ii).