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Details on Transfer Payment Programs
Grant for the Territorial Medical Travel Fund - Nunavut
Start date:
April 2005
End date:
March 2010
Description:
To support the medical travel fund
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Address the significant and immediate pressures facing the Yukon, Northwest Territories and Nunavut (the territories) in the area of medical travel expenditures
- Offset a portion of the territories' medical travel costs; and
- Enable the territories to redirect resources to alternative sustainable health reform initiatives.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 10.2 | 10.2 | 10.2 | 10.2 | 10.2 | NIL |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total PA | 10.2 | 10.2 | 10.2 | 10.2 | 10.2 | NIL |
Comment(s) on Variance(s):
Audit completed or planned:
Grant for the Territorial Health Access Fund and Operational Secretariat-Yukon
Start date:
September 2005
End date:
March 2010
Description:
Grant for the territorial Health Access Fund and Operational Secretariat.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Strengthened, integrated sustainable health promotion and illness prevention strategies;
- Enhanced alcohol and drug services, programs, and treatment options;
- Improved public health services and emergency preparedness and response measures and oral health;
- Reduced frequency of acute care facilities utilization;
- Enhanced application of e-health and telehealth solutions;
- Increased out-reach services to outlying communities;
- Improved health professional recruitment and retention strategies;
- Improved access to specialized physician and diagnostic services;
- Supported territorial-based education and training for health professionals and para-professionals
- improved in-territory services to population groups with special needs; and
- Enhanced medical travel information collection and collation capacity.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 6.3 | 6.3 | 6.3 | 6.3 | 6.3 | NIL |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total PA | 6.3 | 6.3 | 6.3 | 6.3 | 6.3 | NIL |
Comment(s) on Variance(s):
Audit completed or planned:
Payments to First Nations and Inuit Health Services Transfer
Start date:
April 2007
End date:
March 2012
Description:
To increase responsibility and control by First Nations and Inuit for their own health programs and services to improve health conditions for First Nations and Inuit people
Strategic Outcome:
Better Health outcomes and reduction of Health inequalities between First Nations and Inuit and other Canadians.
Results Achieved:
- Increased control or accountability by First Nations and Inuit for their own of health care programs and services.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 0 | 0 | 233.9 | 213.7 | 213.7 | 20.2 |
| Total Other types of TPs | ||||||
| Total PA | 0 | 0 | 233.9 | 213.7 | 213.7 | 20.2 |
Comment(s) on Variance(s):
The rate at which these complex transfer agreements have been put in place has be slower than anticipated. This is occuring partly as a result of the fact that the government is in a period of rapid change in terms of the funding mechanisms being created.
Due to improvements in coding, the department is better able to identify specific program activity rather than generic Atransfer@ activities.
Audit completed or planned:
Contributions for First Nations and Inuit Health Governance and Infrastructure Support
Start date:
April 2005
End date:
March 2010
Description:
Health Governance and Infrastructure Support aims to increase First Nations and Inuit control over health programs and services. Activities include: health planning and management; health research, knowledge and information management; health consultation and liaison; health delivery and infrastructure; integration and adaptation of health services; and health human resources.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Improved health status of First Nations and Inuit through strengthened governance and infrastructure
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 87.8 | 124.3 | 191.5 | 148.6 | 148.6 | 42.9 |
| Total Other types of TPs | ||||||
| Total PA | 87.8 | 124.3 | 191.5 | 148.6 | 148.6 | 42.9 |
Comment(s) on Variance(s):
The branch received $5.5M in funds via Supps C through TB 3 834619, Transitioning Towards Better Results.
The continuation of complex Federal/Provincial/First Nations partnering has resulted in some delays in the development of these agreements.
Audit completed or planned:
Contributions for First Nations and Inuit Community Programs
Start date:
April 2005
End date:
March 2010
Description:
Community programs support child and maternal-child health; mental health promotion; addictions prevention and treatment; chronic disease prevention and health promotion services.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Increased participation of First Nations and Inuit individuals, families, and communities in programs and supports
- Improved continuum of programs and services in First Nations and Inuit communities
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 288.5 | 315.3 | 235.7 | 285.1 | 285.1 | (49.4) |
| Total Other types of TPs | ||||||
| Total PA | 288.5 | 315.3 | 235.7 | 285.1 | 285.1 | (49.4) |
Comment(s) on Variance(s):
Due to improvements in coding, the department is better able to identify specific program activity rather than generic Atransfer@ activities.
Audit completed or planned:
Contributions for First Nations and Inuit Health Facilities and Capital Program
Start date:
April 2005
End date:
March 2010
Description:
Provides funding to eligible recipients for the construction acquisition, leasing, operation and maintenance of nursing stations, health centres, health stations, health offices, treatment centres, staff residences, and operational support buildings.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Increase availability of health facilities, equipment and other moveable assets in First Nations and Inuit communities that support the provision of health services
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 41.7 | 55.7 | 46.5 | 66.1 | 66.1 | (19.6) |
| Total Other types of TPs | ||||||
| Total PA | 41.7 | 55.7 | 46.5 | 66.1 | 66.1 | (19.6) |
Comment(s) on Variance(s):
The branch received $9.9M in funds via Supps C through TB # 834619, Transitioning Towards Better Results.
The decision was made to advance some capital projects planned for future years.
Audit completed or planned:
Contributions for First Nations and Inuit Health Benefits
Start date:
April 2005
End date:
March 2010
Description:
A limited range of medically necessary health-related goods and services which supplement those provided through other private or provincial/territorial health insurance plans is provided to registered Indians and recognized Inuit. Benefits include drugs, dental care, vision care, medical supplies and equipment, short-term crisis intervention mental health services, and
transportation to access medical services not available on reserve or in the community of residence.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Access by eligible clients to Non-Insured Health benefits
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 136.5 | 148.1 | 135.4 | 150.0 | 150.0 | (14.6) |
| Total Other types of TPs | ||||||
| Total PA | 136.5 | 148.1 | 135.4 | 150.0 | 150.0 | (14.6) |
Comment(s) on Variance(s):
The branch received $12.2M in funds via Supps C through TB # 834833, Transitioning Towards Better Results.
Audit completed or planned:
Contributions for First Nations and Inuit Health Protection
Start date:
April 2005
End date:
March 2010
Description:
Communicable Disease and Environmental Health and Research programs facilitate prepardness to implement measures in the control, management and containment of outbreaks of preventable diseases and improve management and control of environmental hazards.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Environmental health risk management contributes to improved health status of First Nations individuals, families and communities
- Improved access to quality well-coordinated communicable disease prevention and control programs for First Nations and Inuit individuals, families, and communities
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 29.0 | 30.9 | 11.1 | 24.4 | 24.4 | (13.3) |
| Total Other types of TPs | ||||||
| Total PA | 29.0 | 30.9 | 11.1 | 24.4 | 24.4 | (13.3) |
Comment(s) on Variance(s):
The branch received $8M total in funds via Supps A through TB # 834258 (Water and Wastewater Plan), # 834267 (Clean Air Agenda) and # 834269 (Environmental Contaminants).
Audit completed or planned:
Contributions for First Nations and Inuit Primary Health Care
Start date:
April 2005
End date:
March 2010
Description:
Primary Health Care services include emergency and acute care health services, Community primary health care services which include illness and injury prevention and health promotion activities. These programs also include: the First Nations and Inuit Home and Community Care; and the Oral Health Strategy.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Improved access to quality well-coordinated culturally appropriate primary health care programs and services for First Nations and Inuit individuals, families and communities
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 91.7 | 92.6 | 122.2 | 147.9 | 147.9 | (25.7) |
| Total Other types of TPs | ||||||
| Total PA | 91.7 | 92.6 | 122.2 | 147.9 | 147.9 | (25.7) |
Comment(s) on Variance(s):
The branch received $12.6M funds for Nursing via Supps C. Nursing costs continue to increase beyond planned spending.
Audit completed or planned:
Contributions for Bigstone Non-Insured Health Benefits Pilot Project
Start date:
April 2005
End date:
March 2010
Description:
Administration and delivery of benefits with Bigstone Health Commission to registered Indians and recognized Inuit.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Improved access to quality well-coordinated culturally appropriate primary health care programs and services for First Nations and Inuit individuals, families and communities
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 9.0 | 9.5 | 8.8 | 10.0 | 10.0 | (1.2) |
| Total Other types of TPs | ||||||
| Total PA | 9.0 | 9.5 | 8.8 | 10.0 | 10.0 | (1.2) |
Comment(s) on Variance(s):
Audit completed or planned:
Contributions to the Organization for the Advancement of Aboriginal People=s Health (OAAPH)
Start date:
April 2005
End date:
March 2010
Description:
To support the Organization for the Advancement of Aboriginal People's Health
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Continued empowerment of Aboriginal peoples through advancements in knowledge and sharing of knowledge on Aboriginal health
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 5.0 | 5.0 | 5.0 | 5.0 | 5.0 | NIL |
| Total Other types of TPs | ||||||
| Total PA | 5.0 | 5.0 | 5.0 | 5.0 | 5.0 | NIL |
Comment(s) on Variance(s):
Audit completed or planned:
Indian Residential Schools Resolution Health Support Program
Start date:
November 2006
End date:
March 2013
Description:
This program is to support the mental wellness of former Indian Residential School students, their families and communities by providing:
- resolution health support services, delivered by Resolution Health Support Workers;
- Elder support;
- support during truth and reconciliation and commemoration events;
- research and communication activities in support of the mental wellness of former IRS
- students, and an overall increased awareness of and demand for mental health services available to former IRS
- tudents and their families during the resolution process.
(Voted)
Strategic Outcome:
Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians
Results Achieved:
- Services which are culturally sensitive, holistic, comprehensive, effective and efficient, ultimately improving emotional and mental wellness of former Indian Residential School students.
- Services allow former IRS students to disclose accounts of childhood sexual and physical abuses in a safe and effective manner.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | n/a | 8.2 | 0.0 | (18.8) | (18.8) | (18.8) |
| Total Other types of TPs | ||||||
| Total PA | n/a | 8.2 | 0.0 | (18.8) | (18.8) | (18.8) |
Comment(s) on Variance(s):
The branch received $7.2M in funding via ARLU 08-09, TB # 833196. In addition a vote realignment to vote 10, contributions, was made in the amount of $11M via Supps C.
Audit completed or planned:
Contribution Program to improve access to health services for official language minority communities
Start date:
June 18, 2003
End date:
June 30, 2009
Description:
The Contribution Program to Improve Access to Health Services for Official Language Minority Communities was created following the 2003 federal budget and the federal Action Plan for Official Languages, announced on March 12, 2003. The budget provided Health Canada with $89 million over five years (2003-2004 to 2007-2008) for the implementation of projects related to training and
retention of health professionals and for the creation of community networks designed to improve the access of Official Language Minority Communities -- English-speaking residents of Quebec and Francophones outside of Quebec -- to health services in the language of their choice.
The Program funds networking initiatives as well as health care professional training and retention measures. Within this context, 14 contribution agreements have been signed with recipients in both communities: Soci�t� Sant� en fran�ais and the Quebec Community Groups Network, which originally received $9.3 million and $4.7 million, respectively, over a five-year period to maintain and develop networks for facilitation and co-ordination of activities around health care issues. For training and retention, the Consortium national de formation en sant� (10 post-secondary institutions) received $63 million over five years to ensure the availability of health care professionals who can work in French. As well, McGill University received $12 million to organize language training activities to ensure the availability of health care professionals who can work in English in Quebec. Additional funds of $13.7M were allocated during that period.
In December 2008, the Government of Canada approved the five-year extension of this contribution program under the new name of Official Languages Health Contribution Program, for the 2008-2009 to 2012-2013 period. In addition to the ongoing funding of $23M, additional funds totalling $59.3M will be provided over the five year period, for a total commitment of $174.3M. The new funds are pursuant to the government's Roadmap for Canada's Linguistic Duality 2008-2013: Acting for the Future, which was announced in June 2008.Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
In 2008-2009, the Training and Retention component of the Contribution Program to Improve Access to Health Services for Official Language Minority Communities generated 822 French-speaking student registrations in post-secondary health care training programs outside Quebec and more than 2000 health professionals received language training in order to better serve the English-speaking community in Quebec.
Networking activities have also continued in 2008-2009, for instance through the organization of meetings and other interactions with provincial/territorial governments and various health care organizations, and through the organization of and participation in research symposiums. Moreover, work was done to develop new networks in Quebec in the Abitibi, Lower St. Lawrence, Laval and North Shore regions.
Further information regarding these projects is available from the websites of Program recipients:
- Soci�t� Sant� en fran�ais [http://santefrancais.ca/]
- Community Health and Social Services Network [http://www.chssn.org/]
- Consortium national de formation en sant� [http://www.cnfs.net/]
- McGill University [http://www.mcgill.ca/hssaccess/]
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 24.1 | 30.6 | 23.0 | 27.9 | 27.9 | (4.9) |
| Total Other types of TPs | ||||||
| Total Program Activity | 24.1 | 30.6 | 23.0 | 27.9 | 27.9 | (4.9) |
Comment(s) on Variance(s):
On March 23, 2009, the Government of Canada announced an extra $4M in federal support to the CNFS in order to help the Consortium strengthen its promotion and recruitment efforts, expand the scope of distance learning, strengthen clinical training for students through the purchase of new medical equipment, and strengthen continuous learning and teaching recruits. In 2008-2009, SSF
also received an extra $500,000 and the Entente Qu�bec-Nouveau Brunswick B Gouvernement du Nouveau-Brunswick, $390,977.
Audit completed or planned:
Drug Strategy Community Initiatives Fund (voted contribution dollars)
Start date:
April 2004
End date:
March 31, 2010
Description:
The Drug Strategy Community Initiatives Fund will contribute to reducing drug use among Canadians, particularly among vulnerable populations such as youth, by focussing on health promotion and prevention approaches to address drug abuse before it happens. The objectives of the Fund are to facilitate the development of local, provincial, territorial, national and community-based
solutions to drug use among youth and to promote public awareness of illicit drug use among youth. The Program is delivered through Health Canada's regional and national offices and the Northern region.
Strategic Outcomes:
Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments
Results Achieved:
- Received and reviewed a total of 297 applications for funding.
- As of March 31, 2009 a total of 64 new projects have been supported under the National Anti-Drug Strategy: British Columbia 6; Alberta 10; Manitoba/Saskatchewan 5; Ontario 18; Quebec 12, Atlantic 6, Northern Secretariat 3, and; National 4.
- In an effort to enhance evaluation and reporting capacity of funding recipients, new evaluation training workshops, manuals and reporting templates have been developed.
- Three program level evaluation exercises were completed: a program review; a performance measurement strategy in support of the National Anti-Drug Strategy; and a sample of case studies demonstrating project level impacts.
- A cluster evaluation plan has been developed to capture project level outcomes as contributors to the objectives/outcomes of the overall program.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | 10.7 | 8.7 | 11.4 | 4.9 | 4.9 | 6.6 |
| Total Other types of TPs | ||||||
| Total Program Activity | 10.7 | 8.7 | 11.4 | 4.9 | 4.9 | 6.6 |
Comment(s) on Variance(s):
In the fall of 2008, $3M was reprofiled from 08/09 to 10/11. Therefore, a total of $8.4M was ultimately planned spending and the program experienced a $6.6M lapse in funding in 2008-2009. Lapses were due to late project start ups (originally intended for October; most of which began in January or February of 2009) for the following reasons: significant demand on DSCIF program
staff due to high demand for fund (need to review nearly 300 applications); in the context of greater accountability and a refocused DSCIF, the proposal assessment process was redesigned to be more rigorous with an emphasis on program impact resulting in a longer review period, and the federal election caused a delay in the Health Canada review and approval process.
Audit completed or planned:
A total of 6 project level audits were planned and conducted during the 2008 2009 fiscal year.
Assessed Contribution to the Pan-American Health Organization (PAHO)
Start date:
April 15, 2008
End date:
March 31, 2013
Description:
To support Canada=s membership in PAHO
Strategic Outcomes:
Canada receives direct and indirect benefits from its membership in PAHO. Attendance at meetings of the governing bodies and at expert consultations provides a forum for the wider dissemination of Canadian-based values related to health and the provision of health care services and public health approaches. Participation by Canadian health experts ensures
bilateral linkages are created and maintained with key countries in Latin America and the Caribbean.
Results Achieved:
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | n/a | n/a | 0 | 12.0 | 12.0 | (12.0) |
| Total Other types of TPs | ||||||
| Total Program Activity | n/a | n/a | 0 | 12.0 | 12.0 | (12.0) |
Comment(s) on Variance(s):
As there was no planned spending for the contribution to PAHO in 2008-2009, there was a $12.0M variance between the planned and actual spending.
Audit completed or planned:
None
Contributions in support of the Federal Tobacco Control Strategy
Start date:
July 1, 2007
End date:
March 31, 2012
Description:
The purpose of the Federal Tobacco Control Strategy (FTCS) Contribution Program is to contribute to the achievement of FTCS objectives through assistance to provinces, non-governmental organizations, researchers and other tobacco control stakeholders. In 2007 the Government of Canada announced new goals and objectives for the Federal Tobacco Control Strategy until 2011. These
are:
Goal:
Reducing the overall smoking prevalence from 19% (2005) to 12% by 2011.
The new objectives are to:
- Reduce the prevalence of Canadian youth (15-17) who smoke from 15% to 9%;
- Increase the number of adult Canadians who quit smoking by 1.5 million;
- Reduce the prevalence of Canadians exposed daily to second-hand smoke from 28% to 20%;
- Examine the next generation of tobacco control policy in Canada
- Contribute to the global implementation of the World Health Organization's Framework Convention on Tobacco Control; and
- Monitor and assess contraband tobacco activities and enhance compliance.
Strategic Outcomes:
Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments
Results Achieved:
- Support for the coordination of a practice‑based research project which facilitates the development, testing, and implementation of hospital‑based smoking cessation programs within New Brunswick and British Columbia. The expected results of this project include improved institutional policies and systems related to the systematic identification and treatment of tobacco users at hospitals in Canada.
- Continued support to organizations to facilitate knowledge transfer and exchange and networking in tobacco control, including support for the 5th National Conference on Tobacco or Health, Edmonton, October 2007.
- Established a national practice‑based research network to facilitate research and knowledge exchange to inform on the development of tobacco cessation guidelines for use in clinical practice, as well as in population‑based strategies.
- Strengthened Canadian capacity to support global tobacco control by creating the infrastructure to allow for enhanced Canadian and international tobacco control initiatives through collaboration and information‑sharing with international organizations, and promoting and supporting the implementation of the Framework Convention on Tobacco Control.
- Support for the development of tobacco control policy including work on emerging issues.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | n/a | n/a | 0.5 | 0.5 | 0.5 | NIL |
| Total Contributions | 14.8 | 2.8 | 15.8 | 7.4 | 7.4 | 8.4 |
| Total Other types of TPs | 0 | 0 | 0 | 0 | 0 | 0 |
| Total Program Activity | 14.8 | 2.8 | 15.8 | 7.4 | 7.4 | 8.4 |
Comment(s) on Variance(s):
Lapsed funds due to delays in approval processes.
Audit completed or planned:
None
Drug Treatment Funding Program
Start date:
October 2007 - Services component
April 2008 - Systems component
End date:
March 31, 2012 (Services component)
March 31, 2013(systems component)
Description:
Drug Treatment Funding Program (DTFP), under the National Anti‑Drug Strategy, provides $111 million in financial support over five years to provincial and territorial governments to support illicit drug treatment services for at‑risk youth, and to assist in strengthening the quality of drug treatment services. An additional $10M over five years is designated support
for a project in Vancouver's Downtown Eastside.
Strategic Outcomes:
Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments
Results Achieved:
- A total of 6 proposals were funded in 2008‑2009: 4 systems projects (Nova Scotia, Canadian Centre on Substance Abuse, Newfoundland and Yukon ‑ the latter two were developmental in nature); and 2 services projects (British Columbia's Downtown Eastside and Nova Scotia).
- A national level Best Practices workshop, involving 47 participants from across the country, was held providing the opportunity for program planners, policy makers, and front line workers to network and share their experiences in early intervention treatment.
- Initiated work to develop individual, project specific performance measurement and evaluation plans.
- Partnered with HECS to build an integrated Planning and Performance Reporting System to capture and report on project and program level performance for the DTFP
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | ||||||
| Total Contributions | n/a | n/a | 28.7 | 1.4 | 1.4 | 27.3 |
| Total Other types of TPs | ||||||
| Total Program Activity | n/a | n/a | 28.7 | 1.4 | 1.4 | 27.3 |
Comment(s) on Variance(s):
While the total authorities for DTFP during the 2008‑2009 fiscal year were $28.7M, a total of $16.6M was reprofiled from 2008‑2009 into subsequent fiscal years. Therefore, planned spending for the year was reduced to $12.1M with a total of $10.8M lapsing due to delays in the rolling out of the program. Reasons for the delay include: the federal election resulted in
delays in the program's ability to conduct the required external assessments of treatment services proposals; the reality that the majority of the provincial/territorial governments required more time than planned to prepare comprehensive plans for the systems component; and provincial/territorial counterparts requiring provincial Cabinet or Treasury Board approval to enter into
funding agreements with the federal government (sometimes taking up to 4 months).
Audit completed or planned:
None
Grant to the Canadian Blood Services: Blood Safety and Effectiveness Research and Development
Start date:
April 2000
End date:
Ongoing
Description:
To support basic, applied and clinical research on blood safety and effectiveness issues through the auspices of Canadian Blood Services
Strategic Outcomes:
Access to safe and effective health products and food information for healthy choices
Results Achieved:
- Continued improvements to basic applied and clinical research on blood safety and effectiveness.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 5.0 | 5.0 | 5.0 | 5.0 | 5.0 | nil |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 5.0 | 5.0 | 5.0 | 5.0 | 5.0 | nil |
Comment(s) on Variance(s): N/A
Audit completed or planned: None
Health Care Policy Contribution Program (Voted)
Start date:
September 24, 2002
End date:
March 31, 2013
Description:
The Program provides policy analysis and advice to support the First Ministers' commitment to a more accessible, high-quality, sustainable and accountable health system that will be adaptable to the needs of Canadians. The core component of the Program was established to support research to identify, assess and promote new approaches, models and best practices that respond to
health care system priorities, both emerging and on-going, and to foster strategic and evidence-based decision-making for quality health care. The Program has evolved to include delivery of the Canadian Medication Incident Reporting and Prevention System, the Pan-Canadian Health Human Resources Strategy, the Internationally Educated Health Professionals Initiative, the National
Wait Times Initiative and the Patient Wait Times Guarantee (PWTG) Pilot Project Fund.
The Canadian Medication Incident Reporting and Prevention System (CMIRPS) aims to reduce harm caused by preventable medication incidents through activities such as the collection and analysis of standardized incident data and the development and dissemination of information including best practices in safe medication use systems.
The Pan-Canadian Health Human Resources (HHR) Strategy aims to secure and maintain a stable and optimal health workforce that supports overall health care renewal and a decrease in wait times. The federal government committed $20 million annually to joint initiatives through the pan-Canadian HHR Strategy, including: Pan-Canadian Health Human Resource Planning; Interprofessional
Education for Collaborative Patient Centred Practice; and Recruitment and Retention.
The Internationally Educated Health Professionals Initiative (IEHPI) is designed to facilitate the integration of Internationally Educated Health Professionals by reducing barriers to practice and assisting them in obtaining licensure within the Canadian health care workforce. This will result in an increased number of health providers to address workforce shortages and support
the achievement of Patient Wait Times Guarantees. In the spring 2005 budget, the Canadian government committed $75 million over five years to support IEHPI.
The Patient Wait Times Guarantee (PWTG) Pilot Project Fund is a three-year initiative (2007-08 through 2009-10) to assist provinces and territories to develop and test innovative approaches to inform the establishment of guarantees, including options for alternate care (recourse) when set time frames for specific health services have been exceeded.
The National Wait Times Initiative (NWTI) was a three-year initiative (2006-07 through 2008-2009) to support research, knowledge development and dissemination to inform the development of policies, best practices, programs, and services aimed at improving access to care and reducing wait times.Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
The core component of the Program supports contribution projects that address current and emerging priority health policy issues. In FY 2008-09, this component.......(.Two recent examples of major initiatives that had their beginning within the core component are the Canadian Strategy for Cancer Control and the Mental Health Commission of Canada.)
With funds from the core component, CMIRPS has engaged 293 hospitals and 27 long-term care centres to participate in medication safety self-assessment which has lead to a greater understanding of medication incidents occurring in our health care system which in turn has influenced more than 50 system-based safeguards incorporated in the 2008 Canadian Council on Health Services Accreditation standards.
The Pan-Canadian Health Human Resource Strategy and the Internationally Educated Health Professionals Initiative enable Health Canada to maintain a leadership role in priority areas of HHR. Some examples include:
- Mobilizing professionals, professional organizations, employers (such as regional health authorities) and research and educational institutions. For example, in FY 2008-09, 11 interprofessional learning projects across the country helped identify the key components of effective interprofessional education, create learning modules/interventions and build the capacity of educators.
- Notable accomplishments through the IEHPI include substantial gains in areas such as the development of assessment, bridging, path-finding, orientation and workplace oriented language and communication programs for specific groups of IEHPs. For example, new assessment programs for IENs have been launched in Western and Atlantic provinces, and an innovative off-shore pilot project was implemented to assess IENs prior to immigration. To address orientation needs, an interdisciplinary orientation program to the Canadian health care system is now available, and career support services have been established in new centres in Ontario and British Columbia.
- Investments in new innovative programs across the country that strengthen recruitment and retention strategies, in FY 2008-09, included 4 pilot recruitment and retention projects, that helped identify interventions that were effective in creating healthier workplaces, reducing injuries and absenteeism, and improving job satisfaction.
- Building on the F/P/T Framework for Collaborative Pan-Canadian HHR Planning, the Strategy enabled ongoing collaboration with provinces and territories, professional organizations and other key stakeholders to work towards a coordinated, robust, pan-Canadian approach to HHR planning and forecasting.
The PWTG Pilot Project Fund is currently funding 12 pilot projects in 6 provinces and 2 territories, covering a range of clinical areas and approaches to improve wait times management and inform the development of guarantees. Those projects will continue until the end of 2009/2010 and help support provincial/territorial commitments to implement guarantees in at least one clinical area by March 31, 2010.
- In its last year of operation (2008-09), the NWTI continued to support innovative projects across the country that generate and disseminate new knowledge on wait times management, develop best practices, and complement and lay important groundwork for the implementation of Patient Wait Times Guarantees. A synthesis of lessons learned from the Initiative is currently being completed and will be used to inform future policy directions in the area of wait times and the use of funding mechanisms like the NWTI to achieve federal policy objectives.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 26.7 | 43.4 | 51.9 | 40.6 | 40.6 | 11.3 |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 26.7 | 43.4 | 51.9 | 40.6 | 40.6 | 11.3 |
Comment(s) on Variance(s):
Estimates of planned spending reflected promising discussions with provincial/territorial governments and other key partners regarding potential health care policy contribution projects. Lapses resulted from the program's inability to finalize these discussions in time to launch projects during the 2008-09 year.
Audit completed or planned:
The Program initiated financial audits for 3 contribution projects in 2008/09 which are due for completion on or before Fall 2009.
Named Grant to the Canadian Patient Safety Institute (CPSI)
Start date:
December 10, 2003
End date:
March 31, 2013
Description:
CPSI is an independent not-for-profit corporation mandated to provide leadership and coordinate the work necessary to build a culture of patient safety and quality improvement throughout the Canadian health system. CPSI promotes leading ideas and best practices, raises awareness and provides advice on effective strategies to improve patient safety.
Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
Increased awareness and national co-ordination of patient safety through several major initiatives:
- Led, in collaboration with the University Health Network, the Canadian adaptation of the World Health Organization's World Alliance for Patient Safety Safe Surgery Saves Lives campaign, in partnership with a working group representing fifteen Canadian organizations. The resulting Safe Surgery Saves Lives Checklist, with a goal of reducing complications and death associated with surgical procedures in Canada, was endorsed by the Royal College of Physicians and Surgeons of Canada and made available for use in healthcare organizations across the country;
- Sponsored the fourth annual Canadian Patient Safety Week with a theme focused on medication reconciliation: Knowledge is the Best Medicine. Ask. Talk. Listen. The 2008 week's goal was to raise awareness of patient safety issues and related programs and projects related to medication reconciliation across Canada;
- Held the second Canadian Patient Safety Officer Course, a comprehensive course which teaches health care professionals and leaders who have patient safety as part of their portfolio how to build patient safety programs in their organizations;
- Introduced the first-ever framework of interprofessional patient safety competencies, in collaboration with the Royal College of Physicians and Surgeons of Canada. CPSI has undertaken a dissemination strategy to familiarize health care professionals with the Safety Competencies framework, consisting of six core competency domains that are suitable for all health professionals to incorporate into educational programs and professional development activities; and
- Expanded the number of health care teams and organizations participating in the Safer Healthcare Now! campaign to promote evidence-based strategies aimed at reducing the number of injuries and deaths related to preventable adverse events. Originally launched in 2005 with six evidence-based strategies, CPSI announced on April 2, 2008 that the campaign was moving into Phase II, with the addition of four new interventions to reduce adverse events, with two focussing on long-term care settings.
- In addition, as set out in its Strategic Plan, CPSI continued to provide leadership and coordination of efforts to prevent and reduce harm to patients, with an emphasis on four key areas: education; interventions and programs; research; and tools and resources.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | n/a | 7.6 | 8.0 | 8.0 | 8.0 | nil |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | n/a | 7.6 | 8.0 | 8.0 | 8.0 | nil |
Comment(s) on Variance(s): N/A
Audit completed or planned:
Health Canada has not completed an audit of CPSI, and none are currently planned.
Grant to the Canadian Partnership Against Cancer (Voted)
Start date:
April 1, 2007
End date:
March 31, 2012
Description:
The Canadian Partnership Against Cancer is responsible for implementing the Canadian Strategy for Cancer Control, a five-year plan with the following objectives: (1) to reduce the expected number of new cases of cancer among Canadians; (2) to enhance the quality of life of those living with cancer; and (3) to lessen the likelihood of Canadians dying from cancer.
Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
- Over the past year, the Partnership has initiated a number of landmark projects, including CAREX Canada (a project aiming to develop estimates of the number of Canadians exposed to carcinogens in their workplaces and communities), and The Canadian Partnership for Tomorrow Project (a pan-Canadian cancer cohort study involving approximately 300,000 Canadians that will explore how genetics, environment, lifestyle and behaviour contribute to the development of various cancers over time).
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 0 | 28.8 | 50.0 | 58.2 | 58.2 | (8.2) |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 0 | 28.8 | 50.0 | 58.2 | 58.2 | (8.2) |
Comment(s) on Variance(s):
Original plans for spending $50M per year were changed following the reprofiling of 2007-08 funds into future years.
Audit completed or planned:
CPACC will be in the 2011-2012 Health Care Policy Contribution Program, Audit Plan.
Grant to the Canadian Agency for Drugs and Technologies in Health (CADTH) (Voted)
Start date:
April 1, 2005
End date:
March 31, 2013
Description:
CADTH is an independent not-for-profit corporation funded by federal, provincial, and territorial governments to provide credible, impartial advice and evidence-based information about the effectiveness of drugs and other health technologies to Canadian health care decision-makers. The Named Grant's purpose is to provide financial assistance to support CADTH's core business
activities, namely: the Common Drug Review (CDR), Health Technology Assessment (HTA), and the Canadian Optimal Medication Prescribing and Utilization Service (COMPUS).
Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
- Evidence-based information that supports informed decisions on the effectiveness of drugs and health technologies, in terms of health outcomes and cost.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 17.0 | 17.2 | 16.9 | 16.9 | 16.9 | 0.0 |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 17.0 | 17.2 | 16.9 | 16.9 | 16.9 | 0.0 |
Comment(s) on Variance(s): N/A
Audit completed or planned:
An independent evaluation of CADTH's core business activities is required as part of Health Canada's 2008-13 funding agreement with CADTH. The funding agreement stipulates that this evaluation cover April 1, 2007 - March 31, 2011, and be submitted to the Minister by December 31, 2011. The evaluation is intended to assess CADTH's performance in achieving the purpose of the Grant,
including CADTH's value-for-money.
Named Grant for the Mental Health Commission of Canada (Voted)
Start date:
April 1, 2008
End date:
March 31, 2017
Description:
As part of Budget 2007, the Government of Canada announced funding for the establishment of a Mental Health Commission of Canada, an independent, arm's length organization, tasked with a mandate to conduct an anti-stigma campaign, build a pan-Canadian Knowledge Exchange Centre, and facilitate/animate a process to elaborate a national mental health strategy for Canada. The
structure and role of the Commission is based on the recommendations of the Standing Senate Committee on Social Affairs, Science and Technology, in its comprehensive report on mental health, mental illness and addiction in Canada, entitled "Out of the Shadows at Last".
Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians
Results Achieved:
The Commission has made significant headway over the course of its first year and a half in its ability to build partnerships and bring national awareness to the challenges of mental health and illness. Its organizational successes include the establishment of a Board of Directors and eight Advisory Committees (Children and Youth, Mental Health and the Law, Seniors, Aboriginal, Workplace, Family Caregivers, Service Systems, and Science), hiring a permanent staff, and securing the location of its head office in Calgary. Progress has also been made on mandated activities, specifically:
- The development of a National Strategy: A draft framework document was developed and used to guide cross-Canada consultations with governmental and non-governmental partners. Consultations were concluded in mid-April and the Commission is in the process of finalizing the document.
- The anti-stigma reduction Initiative: work to develop and launch an anti-stigma / anti-discrimination reduction initiative is well under-way. To support these efforts, two social-marketing pilot projects targeted at children and youth, and health care providers, are also in development. The Commission plans to roll out the pilot projects in 2009, with concurrent evaluations planned throughout.
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 0 | 0 | 7.5 | 7.5 | 7.5 | nil |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 0 | 0 | 7.5 | 7.5 | 7.5 | nil |
Comment(s) on Variance(s): N/A
Audit completed or planned:
As outlined in the Grant funding agreement, the Commission must engage an independent auditor to conduct a full audit of its financial statements each Fiscal Year. The 2008-09 audited financial statements have now been completed and were presented at the Board Meeting for approval on May 31, 2009.
Grant to the Canadian Institute for Health Information (Voted)
Start date:
April 1, 1999
End date:
March 31, 2012
Description:
CIHI is an independent, not-for-profit organization supported by federal, provincial and territorial governments that provides essential data and analysis on Canada's health system and the health of Canadians. CIHI was created in 1991 by the F/P/T Ministers of Health toaddress significant gaps in health information. CIHI's data and its reports inform health policies, support the
effective delivery of health services and raise awareness among Canadians about the factors that contribute to good health.
Since 1999, the federal government has provided funding to CIHI through a series of grants and conditional grants, known as the Roadmap Initiative. More recently CIHI's funding has been consolidated through the Health Information Initiative.
Through the past Roadmap Initiatives I, II and II Plus, CIHI had been provided with about $260 million since 1999. Budget 2005 allocated an additional $110 million over five years (2005-2006 to 2009-2010) to CIHI through Roadmap III. This has allowed CIHI to provide quality and timely health information, including the delivery of data on a variety of important health indicators and other health publications to support health sector decision-making and improve accountability.
Beginning as of 2007/2008, the Health Information Initiative provides grant funding to CIHI, replacing the previous Roadmap II, II Plus, III funding and also provides additional funds for new initiatives. This funding allows CIHI to continue important work under the Roadmap Initiative and to further enhance the coverage of health data systems so Canadians get information on their health care system, including information on wait times, and continued development of comparable health indicators. The funding will also enable CIHI to respond effectively to emerging priorities. Under this initiative, up to $406.49 million will be delivered to CIHI over five years (2007/2008 to 2011/2012).
Strategic Outcomes:
Accessible and sustainable health system responsive to the health needs of Canadians.
Results Achieved:
During 2008-09 CIHI achieved the key objectives of its Operational Plan. These included:
- CIHI developed a new product line - National Ambulatory Care Reporting System (NACRS) Level 1.This new database allows for the submission of a core set of demographic, administrative and wait time data elements for emergency room visits, which will substantially improve the timeliness of reporting of comparative ED wait times.
- Significant progress was made in expanding jurisdictional uptake of the home and continuing care reporting systems. Five jurisdictions are submitting data to the Home Care Reporting System (HCRS), representing an increase of 4 jurisdictions in the last year
- On the pharmaceutical front, a total of 6 jurisdictions submitted claim-level data to the National Prescription Drug Utilization Information System (NPDUIS).This enabled CIHI to conduct its first (and second) ever analyses using this data. CIHI also completed a very successful pilot of its Canadian Medication Incident Reporting and Prevention System (CMIRPS), and will be initiating deployment in fiscal 2009/2010.
- CIHI initiated work on enhancing its Canadian MIS Database (CMDB) to allow for more frequent data submissions starting in fiscal 2009/2010, thus providing jurisdictions with access to more useful and timely data for analysis
- CIHI completed the development of and launched data collection for two new Health Human Resources databases on medical laboratory technologists and medical radiation technologists
- In fiscal 2008/2009, CIHI developed a multi-pronged approach to strengthen primary health care (PHC) information in Canada.
- CIHI hosted a working conference with senior provincial/territorial wait time measurement representatives, which resulted in a renewed commitment, and the development of strategies and action plans, to improve the consistency and comparability of provincial/territorial wait time indicators, with a particular focus on emergency care waits and specialist waits
- CIHI also initiated the development of a program of work related to community mental health (CMH).
- CIHI took a leadership role in the area of data content standards and health system uses of electronic health records/electronic medical records (EHR/EMR). Following the Information Summit in February 2008, CIHI worked collaboratively with Canada Health Infoway (Infoway) and other stakeholders (e.g. CIOs) to propose a plan of action, which was approved by the Deputy Ministers and the Infoway Board of Directors.
Relevant and Actionable Analysis:
- CIHI developed and released over 60 analytical products, including special analytical reports on priority themes (e.g. access and quality of care, wait times, health outcomes, continuity of care) and special studies related to priority health services themes (e.g. costs, patient safety).
- With regards to case mix grouping methodologies, CIHI has been working closely with the jurisdictions to perform comparative analyses and providing education and workshops to allow stakeholders to understand and use these tools.
- Improved Use and Understanding:
- In order to improve access and use of its data, CIHI promoted the adoption and use of its Portal, which provides access to facility-identifiable data on the delivery of services by hospitals across the country. Uptake of the Portal increased significantly this year to include three ministries of health, nine regional health authorities and 23 facilities
- CIHI also initiated a project to enhance its public web site to make it more user-friendly and improve accessibility to its numerous data and information products, and launched a number of projects and initiatives to improve access to its existing electronic reports and increase the number and functionality of e-reports made available to provider organizations and health system managers
| Actual Spending 2006-07 |
Actual Spending 2007-08 |
Planned Spending 2008-09 |
Total Authorities 2008-09 |
Actual Spending 2008-09 |
Variance(s) Between 9 and 11 | |
|---|---|---|---|---|---|---|
| Total Grants | 19.7 | 51.1 | 81.7 | 81.7 | 81.7 | Nil |
| Total Contributions | ||||||
| Total Other types of TPs | ||||||
| Total Program Activity | 19.7 | 51.1 | 81.7 | 81.7 | 81.7 | Nil |
Comment(s) on Variance(s): N/A
Audit completed or planned: An audit was conducted by Health Canada internal auditors on the Health Information Contribution Program. Auditors concluded that, in general, the internal controls in place at CIHI to manage the Contribution Agreement were sufficient to meet the terms and conditions of the Agreement with minor exceptions. Risk exposure was not serious.
