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The Hamilton Niagara Haldimand Brant Local Health Integration Network, like all LHINs, is accountable not only to the Ministry of Health and Long-Term Care, but also to its health service providers, and ultimately the people who live in the LHIN. The following diagram outlines the core elements of the LHINs accountability relationships.


The Ministry of Health and Long-Term Care, the LHINs, and the Service Providers are each responsible for developing and fulfilling clear and achievable performance obligations, and to identify any risks to performance. All parties are expected to work collaboratively and cooperatively by establishing clear lines of communication and responsibility, and by working diligently to resolve issues in a proactive and timely manner.

If you are interested in learning more about the roles and responsibilities of the LHINs, please read the Memorandum of Understanding and the 2015-18 Ministry-LHIN Accountability Agreement (MLAA) between the Ministry of Health and Long-Term Care and the HNHB LHIN.

Certificates of Compliance

Ontario’s 14 Local Health Integration Networks (LHINs) through their individual Ministry-LHIN Accountability Agreements (MLAAs) are required to sign Certificates of Compliance as part of the General Performance Obligations. These Certificates of Compliance are completed on a quarterly basis and attests to the LHIN’s compliance with applicable legislation; provincial policies; standards; operating manuals; directives; and guidelines available to the LHINs, as required by the Ministry of Health and Long-Term Care (MOHLTC).

The HNHB LHIN is committed to being open and transparent with its stakeholders and the general public. To support this commitment, the HNHB LHIN's Certificate of Compliance is presented quarterly at the Board of Directors Meeting – Open Sessions and posted below.