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Name of Recipient: Canada Health Infoway Inc. (Infoway) | ||
Start Date: March 9, 2001 | End Date: not applicable | Total Funding: 1.2 Billion |
Description: Canada Health Infoway is a federally-funded independent not-for-profit organization with a mandate to foster and accelerate the development and adoption of electronic health information systems with compatible standards and communications technologies on a pan-Canadian basis. It is widely accepted that health information and communications technologies such as electronic health records (EHRs), telehealth and public health surveillance systems will significantly improve access to health care services, patient safety, quality of care and productivity. A recent study estimated that potential savings from a Canada-wide electronic health record similar to Infoway's model would be $6.1 billion annually. Infoway collaborates with the federal, provincial and territorial governments towards a common goal of modernizing Canada's health information systems. This collaborative approach reduces overall costs by coordinating efforts, avoiding duplication, taking advantage of economies of scale, replicating successful initiatives across the country, and sharing best practices. For example, Infoway's EHR Blueprint Architecture is being adopted across Canada by jurisdictions and vendors, saving time, effort, and dollars, and helping to ensure all systems will be interoperable; as well, some jurisdictions have saved both time and money by acquiring vendor solutions together, rather than individually. While Infoway provides advice and some funding to them, the provinces and territories are responsible for the actual system development, implementation and overall funding, including on-going operational costs. Electronic Health Record - Infoway's goal, endorsed by all jurisdictions, is to put in place the basic elements - i.e. patient and health professional registries; drug, laboratory and diagnotic imaging systems - of an interoperable EHR for 50% of Canadians by the end of 2009. Over 140 projects are completed or underway across Canada and it is expected that an active pace will continue to be maintained in 2006/07. The following provides examples of such projects: the Registries program comprises 10 completed and 14 active projects in 10 of 13 jurisdictions; approximately 30% of physicians have now been uniquely identified, a prerequisite for EHR use; with respect to Diagnostic Imaging, there are 4 completed and 9 active projects in 7 jurisdictions; the British Columbia Fraser Health Authority plans to have all of its twelve hospitals connected to its shared diagnostic imaging system by the end of 2005/06; in Southwestern Ontario, The Thames Valley Hospital Planning and Partnership is making significant headway as seven of its eight hospitals are now able to share diagnostic images; late in the summer of 2005, the Alberta government and Infoway announced a $189 million initiative to allow hospitals and clinics throughout Alberta to electronically capture and share patient X-rays and CT and MRI scans. Telehealth - Infoway is investing in projects to expand and sustain telehealth initiatives, particularly in rural and remote communities, including Aboriginal and official language minority communities. It is also working on linkages between telehealth and the EHR and increasing the integration of telemedicine activities into mainstream healthcare service delivery. Telehealth strategic plans have been put in place with most jurisdictions and telehealth solutions will be implemented in all jurisdictions by December 31, 2009. Health Surveillance Systems - Infoway conducted a comprehensive needs assessment and developed an implementation strategy. Based on this, they will invest in the implementation of a pan-Canadian health surveillance system focussed on infectious diseases, in particular on case, outbreak, immunization, and alerts management, building upon surveillance systems already in place in Canada. A national steering committee, made up of experts in both information technologies and public health representing all FPT jurisdictions, has completed the solution planning work and three streams of work are underway: solution procurement and integration, to be completed end of February 2006; public health surveillance standards review and development; and jurisdiction implementation planning sessions. |
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Strategic Outcome(s): Strengthened knowledge base to address health and health care priorities. | ||
Summary of Annual Plans of Recipient: In 2005/06, Infoway updated three-year joint technology and investment plans with the jurisdictions, providing a consolidated long-term 'road map' that aligns national and provincial e-health strategies. This national three-year plan will be updated annually by Infoway and the Deputy Ministers, and will serve to more tightly align the joint investments made by Infoway with the provinces and territories. As of March 31, 2006, it is expected that Infoway will have approved approximately $650 million in project investments, with additional downstream commitments of approximately $420 million. |
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Planned Audit(s) and Evaluation(s): In 2005/06, independent third parties completed a financial audit, a compliance audit, and an evaluation to measure performance against outcomes set out in the Infoway Funding Agreement. In addition, Infoway prepared a Progress Report on surveillance systems. In 2006/07, independent third party financial and compliance audits will be undertaken. Independent performance evaluations are scheduled every five years. Infoway initiatives must generate value - measurable benefits - for the patients, providers and health care system. Therefore, Infoway's EHR solutions will be evaluated in the field to determine benefits, as well as utilization and satisfaction levels. The benefits evaluation framework is being enhanced and primary research will be stimulated in this area. |
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URL to Recipient site: Canada Health Infoway |
Name of Foundation: Canadian Institute for Health Information (CIHI) | ||
Start Date: |
End Date: Roadmap I March 31, 2003 Roadmap II March 31, 2007 Roadmap II+ March 31, 2007 Roadmap III, March 31, 2010 |
Total Funding: Roadmap I $95M Roadmap II $95M Roadmap II+ $70M Roadmap III $110M |
Description: The Roadmap Initiative provides the financial support for the Canadian Institute for Health Information to:
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Strategic outcomes: CIHI plays a major role in supporting the reporting commitments of various First Ministers Meetings and the First Ministers Accords on Health Care Reform. The key areas identified for action under the original Health Information Roadmap were:
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Summary of Annual Plans: The 2005-06 Operational Plan and Budget was presented for approval to the Board of Directors at the June 2005 meeting, and then submitted to the Minister of Health. Some of the key projects include:
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Planned audit(s) and evaluation (s): CIHI will be conducted a complete third-party evaluation within one year of the completion of the project (i.e., 2008). | ||
URL to Foundation site: The Canadian Institute for Health Information (CIHI) |
Name of Recipient: Canadian Health Services Research Foundation | ||
Start Date: 1996-97 | End Date: | Total Funding: approx $151.5 M |
Description: Total federal funding for the CHSRF is as follows (CHSRF's programs also receive funding from other sources):
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Strategic Outcome(s): The NRF will support research personnel, research dissemination, and research projects on nursing management, organization, and policy at a level of $2.5 million per year for 10 years. The aim is to create high quality new knowledge; increase knowledge exchange between researchers and decision makers; and increase the capacity for evidencebased decisions. EXTRA aims to equip health service professionals and their organizations with the skills to find, assess, interpret and use research to better manage the Canadian health care system. CHSRF will continue to enrol 24 senior fellows annually in the two-year EXTRA training program designed to achieve: knowledge of research evidence; capacity to draw on system thinking; development of collaborative professional relationships; and the ability to introduce and manage evidence-based change. CHSRF's work contributes to Health Canada's aim of strengthening the knowledge base to address health and health care priorities. CHSRF's programs further the development of health human resources, provide health managers with tools to improve primary and continuing care, and support research on nursing issues from a health system perspective. |
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Summary of Annual Plans of Recipient: CHSRF will continue its efforts on its four strategic objectives:
CHSRF will move to consolidate and add value to its research funding activity; this will include positioning more activities in relation to its four "flagship" programs:
Emphasis will be placed on creative knowledge transfer and providing increased support to decision makers, as well as on organizational excellence. CHSRF's partnership work is expected to change due to the increasing number of national healthrelated knowledge agencies and the drive to identify opportunities and common objectives; and the provision of more direct assistance to grant and award applicants to help acquire matching co-sponsorship funding. |
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Planned Audit and Evaluation: Financial statements are audited annually. CHSRF commissioned an International Review Panel Report in 2002 and is currently preparing the background work and the process for the 2nd international review in 2007. As part of the preparations for this international review in 2007, CHSRF created a comprehensive logic model in 2004/05 for its overall impact on evidence-based decision-making in the health sector. This model will guide the overall evaluation and has already been used, in adapted form, by other organizations in Canada to guide their activities and evaluations in the area of evidence-based decision-making in health systems. A compliance audit of funded research projects was conducted in 1999 and another compliance audit will be conducted in 2006. The foundation also commissioned an internal controls review in April 2005 with the implementation of the recommendations occurring in 2005 and 2006. Finally, the foundation drafted an enterprise risk management framework in 2005 with the final version being completed in 2006. | ||
URL to Recipient site: The Canadian Health Services Research Foundation |