Public Hospital Advisory: New Accountability Agreement for Hospitals (H-SAA)

February 20, 2018 | Karima Kanani, Kathryn M. Frelick

Pursuant to the Local Health Services Integration Act (“LHSIA”), hospitals receive operational funding through Hospital Service Accountability Agreements (“H-SAA”). The current H-SAA terminates on March 31, 2018, and a new H-SAA template is being implemented on April 1, 2018. The new template has been substantially revised from the current form.

The new H-SAA reflects recent changes to LHSIA.  It also introduces new governance obligations and standards for hospital boards, as well as requirements for hospitals to have mandated policies in place.

Each public hospital will need to consider the new H-SAA with its Board of Directors. To support Boards of Directors and senior management in understanding the new H-SAA changes and fulfilling their due diligence obligations, Miller Thomson’s Health Industry Group will be presenting a Special Edition Directors Series seminar on February 28, 2018 from 11:30 a.m. – 12:30 p.m., entitled “What Directors Need to Know: The New H-SAA”.

This session will cover the following:

  • Setting the stage: The Patients First Act and amendments to LHSIA
  • Review of key changes and requirements in the new H-SAA
  • Governance and operational compliance review.

We remain available to support your organization in meeting the new H-SAA requirements through our policy development, governance audit and Board support programs.

Many public hospitals are also engaged in providing services funded through a Multi-Sector Service Accountability Agreement (“M-SAA”). There have also been recent changes to this template, and we invite you to contact us if you have any questions.


This publication is provided as an information service and may include items reported from other sources. We do not warrant its accuracy. This information is not meant as legal opinion or advice.

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