Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector
Multi-Service Accountability Agreements (MSAAs) have been put in place to hold Community Sector Service (CSS) agencies to account for services receiving public funding in Ontario. The MSAA seeks to support financial and performance accountability, requiring CSS agencies to report on their performanc...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
McMaster University Library Press
2014-02-01
|
| Series: | Health Reform Observer - Observatoire des Réformes de Santé |
| Subjects: | |
| Online Access: | https://mulpress.mcmaster.ca/hro-ors/article/view/1185/1224 |
| _version_ | 1818120536229675008 |
|---|---|
| author | Carolyn Steele Gray Whitney Berta Raisa Deber Janet Lum |
| author_facet | Carolyn Steele Gray Whitney Berta Raisa Deber Janet Lum |
| author_sort | Carolyn Steele Gray |
| collection | DOAJ |
| description | Multi-Service Accountability Agreements (MSAAs) have been put in place to hold Community Sector Service (CSS) agencies to account for services receiving public funding in Ontario. The MSAA seeks to support financial and performance accountability, requiring CSS agencies to report on their performance quarterly. The MSAA is an expenditure policy tool that has undergone several iterations, each informed by negotiations between the Ontario Ministry of Health and Long-Term Care (MOHLTC), the province’s regional authorities—known as Local Health Integration Networks (LHINs)—and organizations/associations representing CSS agency interests. This approach to accountability is consistent with a broader focus on the government role as ‘steering’ service delivery rather than ‘rowing.’ The MSAA offers a standardized, politically acceptable approach to accountability. However, the MSAA relies heavily on performance indicators that may not adequately reflect quality care. The MSAA exemplifies the tension between the need for strong standardized accountability requirements for publicly-funded health service providers and the need for services that meet the needs of their communities. |
| first_indexed | 2024-12-11T05:27:39Z |
| format | Article |
| id | doaj.art-5289f93d4f2d4f93a26a2695855162bf |
| institution | Directory Open Access Journal |
| issn | 2291-6369 |
| language | English |
| last_indexed | 2024-12-11T05:27:39Z |
| publishDate | 2014-02-01 |
| publisher | McMaster University Library Press |
| record_format | Article |
| series | Health Reform Observer - Observatoire des Réformes de Santé |
| spelling | doaj.art-5289f93d4f2d4f93a26a2695855162bf2022-12-22T01:19:31ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692014-02-012110.13162/hro-ors.02.01.02Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support SectorCarolyn Steele Gray0Whitney Berta1Raisa Deber2Janet Lum3Bridgeport Collaboratory for Research and InnovationUniversity of TorontoUniversity of TorontoRyerson UniversityMulti-Service Accountability Agreements (MSAAs) have been put in place to hold Community Sector Service (CSS) agencies to account for services receiving public funding in Ontario. The MSAA seeks to support financial and performance accountability, requiring CSS agencies to report on their performance quarterly. The MSAA is an expenditure policy tool that has undergone several iterations, each informed by negotiations between the Ontario Ministry of Health and Long-Term Care (MOHLTC), the province’s regional authorities—known as Local Health Integration Networks (LHINs)—and organizations/associations representing CSS agency interests. This approach to accountability is consistent with a broader focus on the government role as ‘steering’ service delivery rather than ‘rowing.’ The MSAA offers a standardized, politically acceptable approach to accountability. However, the MSAA relies heavily on performance indicators that may not adequately reflect quality care. The MSAA exemplifies the tension between the need for strong standardized accountability requirements for publicly-funded health service providers and the need for services that meet the needs of their communities.https://mulpress.mcmaster.ca/hro-ors/article/view/1185/1224accountabilitygovernment agreementscommunity care serviceshealth policy |
| spellingShingle | Carolyn Steele Gray Whitney Berta Raisa Deber Janet Lum Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector Health Reform Observer - Observatoire des Réformes de Santé accountability government agreements community care services health policy |
| title | Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector |
| title_full | Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector |
| title_fullStr | Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector |
| title_full_unstemmed | Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector |
| title_short | Seeking Accountability: Multi-Service Accountability Agreements (MSAAs) in Ontario’s Community Support Sector |
| title_sort | seeking accountability multi service accountability agreements msaas in ontario s community support sector |
| topic | accountability government agreements community care services health policy |
| url | https://mulpress.mcmaster.ca/hro-ors/article/view/1185/1224 |
| work_keys_str_mv | AT carolynsteelegray seekingaccountabilitymultiserviceaccountabilityagreementsmsaasinontarioscommunitysupportsector AT whitneyberta seekingaccountabilitymultiserviceaccountabilityagreementsmsaasinontarioscommunitysupportsector AT raisadeber seekingaccountabilitymultiserviceaccountabilityagreementsmsaasinontarioscommunitysupportsector AT janetlum seekingaccountabilitymultiserviceaccountabilityagreementsmsaasinontarioscommunitysupportsector |