Health System Improvement Pre-Proposal (HSIP) Process

Central West LHIN’s health system planning and funding functions are now part of Ontario Health, a government agency responsible for ensuring Ontarians continue to receive high-quality health care services where and when they need them. 


The Health System Improvement Pre-Proposal (HSIP) process has been developed collectively by Ontario Local Health Integration Networks (LHINs) to facilitate and standardize the way health system improvement requests are submitted to LHINs. 

The purpose of the HSIP process is for existing Health Service Providers (HSPs) to generate new and innovative ideas for service delivery within the LHIN.  HSIPs will be used to inform the LHIN’s Investment Strategies. Pre-proposals should address initiatives that promote accessibility and availability of services for improved health outcomes and/or health system functioning in line with the LHIN’s strategic priorities as outlined in the Integrated Health Service Plan. The HSIP will serve as precursor for a possible business case.

HSIPs may contribute to...

  • the LHIN’s intelligence gathering on care gaps, quality gaps, health system performance issues and funding priorities;
  • the LHIN’s development of strategic  and investment plans; and
  • opportunities for allocation of new funding consistent with the Central West LHIN Integrated Health Services Plan, Annual Business Plan, and Ministry of Health and Long-Term Care priorities.
HSIPs may include...

  • Service Change (Enhancement):  refers to pre-proposals to improve an existing service (e.g. introduction of new model of care,).
  • New Service (for existing organizations): refers to pre-proposals to introduce a new service that the organization has not previously provided.  The new service must align with the Central West LHIN Integrated Health Services Plan.
  • Integration: refers to pre-proposals that aim to coordinate, partner, transfer, merge or amalgamate services/operations for the improvement of health service delivery and patient flow through the local health care system. However, an HSIP including integration does not constitute a notice of proposed integration to the LHIN as contemplated by s. 27 Local Health System Integration Act, 2006.


HSPs can submit an HSIP form at any point during the year. The Central West LHIN HSIP review process will take place twice during the fiscal year.  Following which the HSP will be informed if the HSIP was retained to inform a future investment strategy. If the HSIP is retained to inform a future investment strategy, the HSP may be invited to complete a business case. 

** HSIP Submission Form (Word format) - Click Here

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