The 2008-10 Agreement is the first public Hospital Service Accountability Agreement (H-SAA) and it succeeds the 2007/08 HAA that was assigned by the MOHLTC to the LHIN in April 2007.   Under the Local Health System Integration Act (the Act), the LHIN is required to enter into a service accountability agreement with each of the health service providers that it funds.

The purpose of the Act is to provide for an integrated health system to improve the health of Ontarians through: (i) better access to high quality health services; (ii) coordinated health care in local health systems and across the province; and (ii) effective and efficient management of the health system at the local level by LHINs.