ARCHIVED - Health Canada - Supplementary Tables

Name of Transfer Payment Program:

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	213.7	266.4	256.1	448.1	448.1	(192.0)
Total Other Types of Transfer Payments
Total Program Activity(ies)	213.7	266.4	256.1	448.1	448.1	(192.0)

Comment(s) on Variance(s):

* Due to the nature of this program, actual spending includes a total of $191.2M from other classes of contributions, as FN, under this program authority, manage funds previously identified with other classes. This authority allows FN recipients to manage funds under a single consolidated agreement as they assume more responsibility for development and management of their own health programs. As such, funds from other classes are expended under this contribution authority. Correspondingly, those classes affected by spending under Payments to First Nations and Inuit Health Services Transfer will have reference to this spending in their comments.

* It is also expected that this class grows over time as it supports the increasing desire of First Nations and Inuit to assume management of health programs and services and the opportunity to redesign these programs and services so that they are more suited to local priorities.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

Planned as part of the funding models evaluation in 2011-12.

Name of Transfer Payment Program

Contributions for First Nations and Inuit Health Governance and Infrastructure Support

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	148.6	164.2	166.8	84.3	76.9	89.9
Total Other Types of Transfer Payments
Total Program Activity(ies)	148.6	164.2	166.8	84.3	76.9	89.9

Comment(s) on Variance(s):

* Planned spending is reduced by $11.8 for transfer between branches and Supps A & C items.

* $43.6 of the Actual Spending of this contribution class is reported under 'Payments to First Nations and Inuit Health Services Transfer'" due to the desire of First Nations and Inuit to assume management of health programs and services.

* Most of the remaining variance is due to Actual Spending reported under Contribution Class "FNI Community Programs". The amount assigned to this Transfer Payment Program at its establishment in 2005 was overestimated and a realignment towards three other Transfer Payment Programs will be requested for future years.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

Evaluation of the funding models planned in 2011-12.

Name of Transfer Payment Program

Contributions for First Nations and Inuit Community Programs

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	285.1	265.9	170.0	180.7	180.0	(10.0)
Total Other Types of Transfer Payments
Total Program Activity(ies)	285.1	265.9	170.0	180.7	180.0	(10.0)

Comment(s) on Variance(s):

* Planned spending is increased by $73.5 for Supps A, B & C items.

* $89.0 of the Actual Spending of this contribution class is reported under 'Payments to First Nations and Inuit Health Services Transfer'" due to the desire of First Nations and Inuit to assume management of health programs and services.

* Most of the remaining variance is due to Actual Spending that belongs to Contribution Class "Contributions for First Nations and Inuit Health Governance and Infrastructure Support".

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

Completed for Mental Health and Addictions and Chronic Disease and Injury Prevention Clusters in 2010-11.

Name of Transfer Payment Program

Contributions for First Nations and Inuit Health Facilities and Capital Program

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	66.1	98.7	112.9	116.3	116.3	(3.4)
Total Other Types of Transfer Payments
Total Program Activity(ies)	66.1	98.7	112.9	116.3	116.3	(3.4)

Comment(s) on Variance(s):

* Actual Spending was higher than forecasted by 3% due to additional Capital pressures.

Audit Completed or Planned:

Audit of Health Facilities and Capital Program completed in 2010-11.

Evaluation Completed or Planned:

Completed in 2010-11.

Name of Transfer Payment Program

Contributions for First Nations and Inuit Health Benefits

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	150.0	166.7	168.7	168.1	168.1	0.6
Total Other Types of Transfer Payments
Total Program Activity(ies)	150.0	166.7	168.7	168.1	168.1	0.6

Comment(s) on Variance(s):

N/A

Audit Completed or Planned:

Audit of Non-Insured Health Benefits - Medical Transportation completed in 2010-11.

Evaluation Completed or Planned:

N/A

Name of Transfer Payment Program

Contributions for First Nations and Inuit Health Protection

Start Date

April 2005

End Date

March 2011

Description

Communicable Disease and Environmental Health and Research programs facilitate preparedness 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

1. Environmental health risk management contributes to improved health status of First Nations individuals, families and communities.
2. Improved access to quality well-coordinated communicable disease prevention and control programs for First Nations and Inuit individuals, families, and communities.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	24.4	27.4	12.8	21.7	21.7	(8.9)
Total Other Types of Transfer Payments
Total Program Activity(ies)	24.4	27.4	12.8	21.7	21.7	(8.9)

Comment(s) on Variance(s):

* Planned spending is increased by $5.2 for Supps A items.

* $6.8 of the Actual Spending of this contribution class is reported under 'Payments to First Nations and Inuit Health Services Transfer'" due to the desire of First Nations and Inuit to assume management of health programs and services.

* Approximately $4.0 of the variance is due to increased pressure for First Nations Water Monitoring Program.

* Remaining variance of approximately $6.0 is due to increased pressure in other Health Protection Programs.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

Communicable Disease Control, Environmental Health and Environmental Research Clusters completed in 2010-11.

Name of Transfer Payment Program

Contributions for First Nations and Inuit Primary Health Care

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	147.9	144.6	129.5	103.3	103.3	26.2
Total Other Types of Transfer Payments
Total Program Activity(ies)	147.9	144.6	129.5	103.3	103.3	26.2

Comment(s) on Variance(s):

* Planned spending is increased by $6.0 for Supps A items.

* $51.5 of the Actual Spending of this contribution class is reported under 'Payments to First Nations and Inuit Health Services Transfer'" due to the desire of First Nations and Inuit to assume management of health programs and services.

* Most of the variance of $19.3 is explained by a continued increase in Nursing costs.

Audit Completed or Planned:

Audit of Primary Care - Nursing Services completed in 2010-11.

Evaluation Completed or Planned:

Planned in 2011-12

Name of Transfer Payment Program

Contributions for Bigstone Non-Insured Health Benefits (NIHB) Pilot Project

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	10.0	10.4	9.1	10.9	10.9	(1.8)
Total Other Types of Transfer Payments
Total Program Activity(ies)	10.0	10.4	9.1	10.9	10.9	(1.8)

Comment(s) on Variance(s):

* Variance is mainly due to additional spending related to NIHB program growth.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

N/A

Name of Transfer Payment Program

Contributions to the Organization for the Advancement of Aboriginal People's Health

Start Date

April 2005

End Date

March 2011

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.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	5.0	5.0	5.0	4.4	4.4	0.6
Total Other Types of Transfer Payments
Total Program Activity(ies)	5.0	5.0	5.0	4.4	4.4	0.6

Comment(s) on Variance(s):

* Actual Spending was lower than expected by $0.6.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

N/A

Name of Transfer Payment Program

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 (IRS) 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 students 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 IRS students.

Services allow former IRS students to disclose accounts of childhood sexual and physical abuses in a safe and effective manner.

Program Activity:
First Nations and Inuit Health Programming and Services

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	18.8	24.0	5.4	33.4	33.4	(28.0)
Total Other Types of Transfer Payments
Total Program Activity(ies)	18.8	24.0	5.4	33.4	33.4	(28.0)

Comment(s) on Variance(s):

* Planned spending is increased by $26.9 for Supps B items. The remaining variance is due to a higher than expected demand that results in increased costs for this program.

Audit Completed or Planned:

N/A

Evaluation Completed or Planned:

N/A

Name of Transfer Payment Program

Contributions in support of the Federal Tobacco Control Strategy

Start Date

July 1, 2007

End Date

March 31, 2012 (Ts&Cs expire 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 Outcome

Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments

Results Achieved

With 104 projects funded since 2007, the following results are some highlights:

• National Cessation Guidelines: Development of evidence-based national cessation guidelines.
• Hospital Based Smoking Cessation: Helping recipient organizations implement a systematic approach to the treatment of tobacco dependant patients in hospital based settings.
• Smoking Cessation Counselling: Helping recipient organizations adapt and create tailored cessation programs for specific populations. Population sectors include First Nations and Inuit, pregnant women, persons with mental health issues, and reaching smokers in workplaces.
• Policy and Training: Assisting recipient organizations in exploring new policy options, developing capacity building and training initiatives.

Program Activity: Substance Use and Abuse

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	7.4	12.7	15.8	15.8	15.7	0.1
Total Other Types of Transfer Payments
Total Program Activity(ies)	7.4	12.7	15.8	15.8	15.7	0.1

Comment(s) on Variance(s):

Differences between planned spending and actual spending is minimal and is related to minor lapses from committed projects.

Audit Completed or Planned:

No audits have been performed, nor are they planned for the Federal Tobacco Control Strategy at this time.

Evaluation Completed or Planned:

The Federal Tobacco Control Strategy incorporates a full summative evaluation which includes process and impact evaluations of the contribution funding program. Final report of the process evaluation is expected in September 2011, and final report of the impact evaluation is expected in July 2011.

Name of Transfer Payment Program

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 Outcome

Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments.

Results Achieved

• The DTFP has signed contribution agreements for 14 projects in 2010-11, bringing the total number of projects being administered to 29. One contribution agreement is under negotiation. The cumulative funding value is $63.4M. Funded projects focus on all three DTFP investment areas: implementation of best practices, enhancing knowledge exchange, and strengthening performance measurement and evaluation.
• While treatment projects are in the early stages of implementation, evidence to date indicates significant progress in establishing community partnerships and linkages in support of new and enhanced treatment services, and enhanced collaboration amongst P/Ts on national level activities such as the development, collection and reporting of national treatment indicators.
• Funded projects have already helped to produce a wider range of services by developing partnerships within the community, expanding hours of service, offering different locations when working with clients and offering a range of activities to help attract youth to their services.

Program Activity: Substance Use and Abuse

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	1.4	5.9	29.9	29.9	16.5	13.4
Total Other Types of Transfer Payments
Total Program Activity(ies)	1.4	5.9	29.9	29.9	16.5	13.4

Comment(s) on Variance(s):

Actual spending of $16.5M versus total authorities and planned spending results in a variance of $13.4M. Of this, $2.2M was reallocated to the National Native Alcohol and Drug Abuse Program and the Drug Strategy Community Initiatives Fund both under the National Anti-Drug Strategy. Health Canada is exploring options to retain the remaining $10.9 M to achieve the desired program objectives.

The Report on Plans and Priorities reported planned spending at the amount of $28M. An adjustment has been made to reflect the correct amount of $29.9M.

Audit Completed or Planned:

No audits have been performed, nor are they planned for the DTFP at this time.

Evaluation Completed or Planned:

An implementation evaluation of the DTFP was conducted in 2010-11 which examined the implementation of the program, relevance of the program to federal priorities, and progress towards achievement of immediate outcomes.

Departmental Performance Measurement and Evaluation Directorate will be overseeing an evaluation of DTFP in 2012.

Name of Transfer Payment Program

Drug Strategy Community Initiatives Fund (voted contribution dollars)

Start Date

April 2004

End Date

Ts&Cs renewed effective April 1, 2010

Description

The Drug Strategy Community Initiatives Fund (DSCIF) will contribute to reducing illicit 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 DSCIF 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.

Strategic Outcome

Reduced health and environmental risks from products and substances and healthy, sustainable living and working environments

Results Achieved

During 2010-11, 35 new contribution agreements were signed.

DSCIF continues to work closely with recipients to aid in performance reporting including delivering evaluation training (regional evaluation training sessions held for most new projects in 2010-11), development of standardised instruments as part of the cluster evaluation and development of standardised quarterly reporting templates.

In 2010-11, DSCIF worked with the Department Centre of Excellence towards implementing Risk Management Tools.

In 2010-11, British Columbia, Alberta, Manitoba/Saskatchewan and Quebec held regional Showcases or Knowledge Exchange Events where funded projects were brought together to share results, lessons learned and to network.

Program Activity: Substance Use and Abuse

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	4.9	9.0	12.4	12.4	12.7	0.3
Total Other Types of Transfer Payments
Total Program Activity(ies)	4.9	9.0	12.4	12.4	12.7	0.3

Comment(s) on Variance(s):

The $0.3M variance of actual spending in excess of the total authorities and planned spending is the result of the transfer of resources from the Drug Treatment Funding Program to be spent under this program which is also related to the National Anti-Drug Strategy. The planned spending has been adjusted to reflect proper G & C planned spending amounts.

Audit Completed or Planned:

No audits have been performed, nor are they planned for the DSCIF at this time.

Evaluation Completed or Planned:

No evaluations were completed in 2010-11.

Name of Transfer Payment Program

Assessed Contribution to the Pan-American Health Organization

Start Date

April 15, 2008

End Date

March 31, 2013

Description

To support Canada's membership in the Pan-American Health Organization (PAHO).

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians.

Results Achieved

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.

The Director of PAHO annually reports the Organization's accomplishments and how it has spent its resources to meet stated objectives. Link to PAHO's website: (http://www.paho.org/English/gov/govbodies-index.htm).

Program Activity: International Health Affairs

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	12.0	13.0	12.5	13.2	13.2	-1.7
Total Other Types of Transfer Payments
Total Program Activity(ies)	12.0	13.0	12.5	13.2	13.2	-1.7

Comment(s) on Variance(s):

Variance in spending is due to increases in Canada's assessed contribution to PAHO and fluctuations in foreign exchange rates. The variance was accommodated by using funds from the overall International Health Grants Program budget under which the PAHO payment sits.

Audit Completed or Planned:

None. As per the program Terms and Conditions, Health Canada relies upon the PAHO's internal and external audit regimes to monitoraccountability.

Evaluation Completed or Planned:

None

Name of Transfer Payment Program

Grant to Canadian Blood Services

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 Outcome

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.

Program Activity:
Health Products

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	5.0	5.0	5.0	5.0	5.0	0.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	5.0	5.0	5.0	5.0	5.0	0.0

Comment(s) on Variance(s):

No variance.

Audit Completed or Planned:

None

Evaluation Completed or Planned:

None

Name of Transfer Payment Program

Official Languages Health Contribution Program

[replaces:  Contribution Program to Improve Access to Health Services for Official Language Minority Communities 2003-04 to 2008-09]

Start Date

April 1, 2009

End Date

March 31, 2013

Description

The Official Languages Health Contribution Program has the following objectives:

• improved access to health services for English-speaking communities in Quebec and French-speaking communities in other provinces and territories;
• increased use of both official languages in the provision of health services in Canada.

These objectives are realized through the following three mutually reinforcing program components:

1. The operation of Health Networks to support English and French linguistic minority communities across Canada by enabling linkages between health sector stakeholders to maintain and improve the health services available to these communities;
2. Activities for the Training and Retention of Health Professionals to provide an increased supply of health professionals who are able to provide health-related services to English and French linguistic minority communities across Canada; and
3. Official Languages Health Projects comprising specific time-limited initiatives of one to four years in each province, territory and region that aim to have lasting effects on improving the health services situations for English and French linguistic minority communities across Canada.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians.

Results Achieved

23 contribution agreements were launched with educational institutions and community-based organisations for the engagement of new program activities to address program objectives.

1,147965 students new student registrations were accepted in 20109-110 into training programs sponsored through the ten post-secondary institutions and one provincial government agency (New Brunswick) funded under the coordination of the Consortium national de formation en santé. There were 518 graduates from these same programs for the academic year ending in May/June 2010. A follow-up survey of training graduates from 2008-09 - which was released in 2010-11 - revealed that 86% of graduates surveyed were employed in health professions serving official language minority communities.

McGill University coordinated language training activities in 20109-110 for some 1,325000 health professionals in Quebec to improve their ability to service English-speaking minority communities.

Approximately 70 projects are being launched during 2010-13 in French-speaking minority communities outside Quebec. Examples of projects launched in 2010-11:

• A three-year project (2010-13) to facilitate the delivery of health care services in French in retirement homes and to provide support to family caregivers in three French-speaking communities of three regions of Newfoundland and Labrador: Avalon, Port-au-Port and Labrador City.
• Another three-year project (2010-13) to create and distribute public health education and awareness tools for French-speaking and Acadian preschool children in Nova Scotia.

A total of 38 projects have been launched in English-speaking minority communities in Quebec over 2010-13. Examples of projects launched in 2010-11:

• A project designed to co-ordinate recruiting efforts of regional stakeholders in order to fill the need for bilingual workers in the Gaspésie-Îles-de-la-Madeleine region.
• English translation of health information documents in Saguenay-Lac-Saint-Jean

New projects aimed at improving the health and health access of official language minority communities were implemented in 2009-2010. For example, a new French-language telehealth site was launched in Manitoba under the sponsorship of the Société Santé en français and an initiative to improve access to health and social services in English in the Estrie region of Quebec was launched through the Community Health and Social Services Network.

Further information regarding these projects is available from the websites of Program recipients:

• Société Santé en français
• Community Health and Social Services Network
• Consortium national de formation en santé
• McGill University

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	27.9	35.5	36.7	36.8	36.8	-0.1
Total Other Types of Transfer Payments
Total Program Activity(ies)	27.9	35.5	36.7	36.8	36.8	-0.1

Comment(s) on Variance(s):

Increased spending for 2010-11 was due to $75,000 in funds transferred from Canadian Heritage in support of a community-based public opinion research project directed by the Société Santé en français.

Audit Completed or Planned:

No.Trois bénéficiaires ont fait l'objet d'une vérification financière (déplacements et frais d'accueil) pour l'exercice 2009-2010. Nous avons reçu les ébauches des rapports vers la fin mai. Nous devons maintenant commenter pour finaliser le rapport. Il reste le suivi à faire, donc le tout n'est pas encore complété.

Evaluation Completed or Planned:

A mid-term review of the program that was initiated in 2010-11 is to be completed in 2011-12. The program's summative evaluation will be launched in 2011-12 and completed in 2012-13.

Name of Transfer Payment Program

Grant for Territorial Health System Sustainability Initiative

Start Date

April 1, 2010

End Date

March 31, 2012

Description

The Territorial Health System Sustainability Initiative (THSSI) is divided into the following three funds:

• The Territorial Health Access Fund intended to: reduce reliance over time on the health care system; strengthen community level services; and build self-reliant capacity to provide services in-territory. Territorial governments each receive $8.6 million, over two years, to support the implementation of these activities.
• The Operational Secretariat Fund which: supports the functioning of the Federal / Territorial Assistant Deputy Minister's Working Group (F/T ADM Working Group) which oversees the implementation of the THSSI; provides capacity support to territorial governments to administer THSSI; and, supports pan-territorial initiatives that address common territorial health priorities. Territorial governments share $4 million, over two years, to support these activities.
• The Medical Travel Fund which offset the costs of medical transportation in each territory. Nunavut is allotted $20.4 million, NWT $6.4 million and Yukon $3.2 million over the two years of the initiative.

Strategic Outcome

A health system responsive to the needs of Canadians

Results Achieved

The overriding goal of the two-year extended THSSI is to assist the three territories to consolidate progress made under the THSSI in reducing the reliance on outside health care systems and medical travel. For territories, consolidating projects that have achieved their goals and integrating projects with an ongoing mandate into territorial core business.

Program Activity:Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	0.0	0.0	30.0	30.0	30.0	0.0
Total Contributions
Total Other Types of TPs
Total Program Activity(ies)	0.0	0.0	30.0	30.0	30.0	0.0

Comment(s) on Variance(s):

No variance. The program was renewed for 2 additional years to the end of fiscal year 2011-12 at the same amounts ($30 million in total per year).

Audit Completed or Planned:

N/A - This program activity is a Grant.

Evaluation Completed or Planned:

N/A - the program has been renewed for an additional 2 years as stated above.

Name of Transfer Payment Program:

Health Care Policy Contribution Program (Voted)

Start Date

September 24, 2002

End Date

Ongoing

Description

The Health Care Policy Contribution Program (HCPCP) provides contribution funding for projects that address the challenges facing Canada's health care system. The Program fosters strategic and evidence-based decision-making for quality health care, and promotes innovation through pilot projects, evaluation, research, and policy development on current and emerging health care system issues. The Program has continued to evolve in response to changing health care system priorities and currently consists of three components: the Health Care System Innovation Fund, which includes the Canadian Medication Incident Reporting and Prevention System; the Health Human Resource Strategy; and the Internationally Educated Health Professionals Initiative. Two components, the National Wait Times Initiative (NWTI) and the Patient Wait Times Guarantee Pilot Project Fund (PWTGPPF), ended on March 31, 2009 and March 31, 2010, respectively.

The Health Care System Innovation Fund (HCSIF) is designed to be flexible and support projects that address a wide range of health care policy issues to encourage innovation and achieve maximum benefit for the health care system and for Canadians. 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 goal of the Health Human Resource Strategy (HHRS) is to aid in the establishment and maintenance of a stable and optimal health workforce. The HHRS is pursuing four key strategic directions: more health care providers; using human resources skills effectively; creating healthy, supportive, learning workplaces; and more effective planning and forecasting. The HHRS supports key stakeholders such as provincial/territorial governments, health professional associations, educational institutions and national non-government health care organizations, in their efforts to address health human resource issues that correspond to both federal and stakeholder goals and priorities. Currently, the distribution of physicians, particularly in underserved locations, is a priority health human resource issue for the federal government and stakeholders.

The Internationally Educated Health Professionals Initiative (IEHPI) is designed to facilitate the integration of internationally educated health professionals by assisting them in obtaining licensure and reducing barriers to practice within the Canadian health care workforce. The ultimate goal is to increase the number of internationally educated health professionals in the health care workforce. In the spring 2005 budget, the Canadian government committed $75 million to support IEHPI over its first five years and $18M annually thereafter. The IEHPI is complementary to the Pan-Canadian Framework for the Assessment and Recognition of Foreign Qualifications announced by the Forum of Labour Market Ministers in 2009.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians.

Results Achieved

The Health Care System Innovation Component directed funding toward research and knowledge transfer activities to support innovation and implementation of best practices in key policy areas such as wait times, aging and end of life care.

CMIRPS projects continued to contribute to system level changes to improve the safety of medication use in Canada. For example, through ISMP Canada's individual practitioner incident report analyses, discussions continued with pharmaceutical manufacturers to inform enhancements to labeling and packaging. Over 30 improvements have been made by manufacturers since the inception of CMIRPS. In addition, project results have led Accreditation Canada to include three additional areas of requirements related to medication safety in its 2009 Required Organizational Practices (ROPs): i) dangerous abbreviations, symbols and dose designations, ii) Heparin storage and availability, and iii) Narcotic (opioid) storage and availability. To date, more than 50 recommended system-based safeguards from medication incident analysis learning have been incorporated into Accreditation Canada standards

The 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:

• Investments in new or innovative programs across the country that help: to increase the number of qualified providers entering the health workforce; to increase productivity of health care providers by making full and appropriate use of their skills; and to improve access to health care services for all Canadians, particularly in underserved areas. In FY 2010-11, there were 23 projects focused on this investment with activities such as: identifying interventions that were effective in improving workforce utilization; addressing access to physicians in underserved settings; and modernizing medical education.
• During FY 2010-11, the Minister announced $39.5M in funding to seven jurisdictions across Canada to support approximately 100 family medicine residents to train in rural and remote areas. These residencies include those slated for rural areas of Manitoba, Nunavut and NWT through a project with the University of Manitoba which began in 2010.
• Continued work with provinces and territories, professional organizations and other key stakeholders to enable more effective health human resources planning and forecasting for an affordable, sustainable health care system. In FY 2010-11, 12 projects supported this priority through activities such as the development of tools, models and research.
• Notable accomplishments through the IEHPI include annual consultations with provincial and territorial partners to coordinate and collaborate on funding initiatives that have contributed to 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 internationally educated health professionals and internationally educated health professionals broadly. For example, funding enabled the development and implementation of a sustainable entry-to-residency assessment tool for international medical graduates. Jurisdictions have agreed, in principle, to implement the tool, pending discussions on a costing model. An online self-assessment tool was also developed to provide internationally educated physiotherapists with information on the competencies, knowledge and skills required for licensure in Canada. Other funds have supported the harmonization of nursing bridging programs across Canada to facilitate the provision of consistent skills upgrading for internationally educated nurses.

Program Activity:Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants
Total Contributions	40.6	40.9	32.7	29.6	29.2	3.5
Total Other Types of Transfer Payments
Total Program Activity(ies)	40.6	40.9	32.7	29.6	29.2	3.5

Comment(s) on Variance(s):

Planned spending estimates were impacted by many factors that are often beyond the control of funded recipients and Health Canada, including delays and/or rescheduling of activities. In some cases, projects may also be withdrawn altogether. Contributions are monitored closely and potential surpluses are identified as early as possible.

Audit Completed or Planned:

In 2008-09, the Program initiated three recipient audits that were completed in 2009-10. Two recipient audits were completed in 2010-11 for projects selected in 2009-10 and three recipient audits are planned for 2011-12. In 2010-11, the Program participated in the Horizontal Audit of the Management Control Framework for Contribution Programs led by the Audit and Accountability Bureau of Health Canada.

Evaluation Completed or Planned:

In May 2011, work began on the summative evaluation for the Program, due for completion by December 2012.

Name of Transfer Payment Program:

Named Grant to the Canadian Patient Safety Institute

Start Date

December 10, 2003

End Date

March 31, 2013

Description

The Canadian Patient Safety Institute (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.

This named grant provides financial assistance to support CPSI's efforts to implement the provisions in the 2003 First Ministers' Accord on Health Care Renewal towards improving health care quality by strengthening system co-ordination and national collaboration related to patient safety. CPSI's grant agreement was renewed in 2008 for a five-year period, beginning April 1, 2008 and ending March 31, 2013.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians

Results Achieved

To continue to fulfill its mandate, CPSI is focusing on its strategic priorities of: improving the safety of patient care in Canada through learning, sharing and implementing interventions that are known to reduce avoidable harm; building governance capability; supporting networks; and increasing capacity through evidence-informed resources and tools. For example:

• The Safer Healthcare Now! campaign now includes over 1,100 teams that are active throughout the country implementing 10 evidence-based interventions and contributing to significant reductions in areas like in-hospital death rates from heart attacks, central line blood stream infections, ventilator-associated pneumonia infection rates and surgical site infections;
• Over 1,300 participants registered to take part in Canadian Patient Safety Week 2010, a national annual campaign started in 2005 to inspire improvement in patient safety and quality by highlighting patient safety issues, sharing information about best practices, and expanding patient safety and quality initiatives.
• Training was delivered to increase capacity in local organizations through the Effective Governance for Quality and Patient Safety educational program, the Patient Safety Education Project-Canada, and webinars and workshops in areas such as the Safe Surgery Saves Lives checklist and Root Cause Analysis, as well as through the opportunities provided to participants with the hosting the Canadian Healthcare Safety Symposium (Halifax Series) and Canada's Forum on Patient Safety and Quality Improvement;
• Targeted patient safety research was funded, collaborating with partners to develop a greater understanding of patient safety issues in areas related to home care, primary care, and the economics of patient safety.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	8.0	8.0	8.0	8.0	8.0	0.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	8.0<</td>	8.0	8.0	8.0	8.0	0.0

Comment(s) on Variance(s):

 

Audit Completed or Planned:

The Institute's financial records are reviewed and audited annually by independent external accountants.

Evaluation Completed or Planned:

As per their Funding Agreement, CPSI is required to submit a final independent evaluation report to the Minister by March 31, 2012, and to make that report public.

Name of Transfer Payment Program:

Grant to the Canadian Partnership Against Cancer (Voted)

Start Date

April 1, 2007

End Date

March 31, 2012

Description

The Canadian Partnership Against Cancer (CPAC) is responsible for implementing the Canadian Strategy for Cancer Control 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.

The mandate of the Canadian Partnership Against Cancer corporation is to provide a leadership role with respect to cancer control in Canada, through the management of knowledge and the coordination of efforts among provinces and territories, cancer experts, stakeholder groups and Aboriginal organizations to champion change and improve health outcomes related to cancer. The CPAC will act as a pan-Canadian resource to provide the most up-to-date knowledge across strategic priority areas including prevention, screening/early detection, patient-centred care, guidelines, health human resources, standards, as well as supporting key research activities and facilitating the development of a pan-Canadian surveillance system.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians

Results Achieved

Since it began operating in April 2007, the CPAC has:

• Armed cancer patients and physicians across Canada with state of the art knowledge about what works best to prevent, diagnose and treat cancer;
• Improved the quality of our national cancer system by monitoring its performance and identifying gaps;
• Provided online cancer training for over 700 medical providers serving more than 215 First Nations communities and organizations with the @YourSide Colleague® Cancer Care Course;
• Improved the quality of life for cancer victims by providing information that addressed their social, emotional and financial needs;
• Implemented a large-scale effort to raise awareness of the common risk factors for cancer and other chronic diseases;
• Initiated the country's largest population health study of risk factors - the Canadian Partnership for Tomorrow Project - which will enrol 300,000 Canadians to explore why some people develop cancer and others do not;
• Expanded cancer screening programs in all provinces and encouraged hard-to-reach populations, such as women living with cervical cancer, to undergo screening - which helped doctors catch cancer earlier; and
• Developed programs to help survivors through the tremendous uncertainty following treatment.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	58.2	57.5	55.0	55.0	55.0	0.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	58.2	57.5	55.0	55.0	55.0	0.0

Comment(s) on Variance(s):

 

Audit Completed or Planned:

Health Canada's Audit and Accountability Bureau is expected to complete an Audit of the Grant to the Canadian Partnership Against Cancer in fiscal year 2011-12.

Evaluation Completed or Planned:

Health Canada completed an evaluation of the Partnership in July 2010. The results indicate that the Partnership is a relevant organization that has made good progress and has strong stakeholder support and engagement.

Name of Transfer Payment Program

Grant to the Health Council of Canada

Start Date

September 1, 2004

End Date

March 31, 2015

Description

The Health Council of Canada was established by First Ministers in the 2003 Accord on Health Care Renewal with the mandate to report on jurisdictional progress in meeting Accord commitments. The Health Council's mandate was expanded by First Ministers in the 2004 Health Accord to report on health outcomes and the health status of Canadians.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians

Results Achieved

To continue to fulfill its mandate, as reconfirmed in Spring 2010 by participating federal, provincial and territorial Ministers of Health in their role as Corporate Members of the Council, the organization undertook a wide variety of projects, released associated public reports and undertook supporting promotional activities. For example, in 2010-11 the Council:

• Developed and released three reports on primary health care including: Decisions, Decisions: Family Doctors as Gatekeepers to Prescription Drugs and Diagnostic Imaging in Canada, Beyond the Basics: The Importance of Patient-Provider Interactions in Chronic Illness Care, and At the Tipping Point: Health Leaders Share Ideas To Speed Primary Health Care Reform.
• Conducted regional consultation sessions with aboriginal leaders, groups and health care providers to identify best and promising practices in health and community-based programming that are designed to address current health disparities, leading to a report scheduled for release in Summer 2011.
• Analyzed data from the 2010 Commonwealth Fund International Health Policy Survey to create the report How Do Canadians Rate the Health Care System?
• Released two reports on pharmaceuticals: Generic Drug Pricing and Access in Canada: What are the Implications? and Keeping an Eye on Prescription Drugs, Keeping Canadians Safe.
• Reported on indicators and healthy living through A Citizen's Guide to Health Indicators and Stepping it Up: Moving the Focus from Health Care in Canada to a Healthier Canada.
• Developed a report on governments' progress in five Accord priority areas (wait times, pharmaceuticals management, electronic health and medical records, telehealth and health innovation) in consultation with experts, stakeholders and federal, provincial and territorial officials, for release in Spring 2011.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	6.2	4.8	10.0	10.0	6.4	3.6
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	6.2	4.8	10.0	10.0	6.4	3.6

Comment(s) on Variance(s):

The annual operating budget of the Health Council of Canada can be up to $10M per year. The Health Council of Canada's 2009-10 work plan, approved by Corporate Members, requested $6.4M. Payments were made accordingly.

Audit Completed or Planned:

The Health Council of Canada's financial records are reviewed and audited annually by independent external accountants. Audited financial statements can be found on the Health Council's website: http://www.healthcouncilcanada.ca

Evaluation Completed or Planned:

As per their Funding Agreement, the Health Council of Canada is required to submit a final evaluation framework to the Minister by March 31, 2013, and a final evaluation report by March 31, 2014.

Name of Transfer Payment Program:

Grant to the Canadian Agency for Drugs and Technologies in Health (Voted)

Start Date

April 1, 2008

End Date

March 31, 2013

Description

The Canadian Agency for Drugs and Technologies in Health (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). Fiscal years 2010-11 and 2011-12 will see CADTH receiving an extra $1M and $2M respectively to complete a 2 year project on Isotope.

Strategic Outcome

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.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	16.9	16.9	16.9	17.9	17.9	-1.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	16.9	16.9	16.9	17.9	17.9	-1.0

Comment(s) on Variance(s):

CADTH received a one time increase in funding of $3M ($1M in 2010-2011; $2M in 2011-20121) for a finite project on Isotope, hence the variance.

Audit completed or planned::

Per Audit Plan approved by the Health Canada Executive Committee to be reviewed by the Departmental Audit Committee (DAC), CADTH audit is planned for fiscal year 2011-12.

Evaluation Completed or Planned:

An independent evaluation of CADTH's core business activities and Isotope project 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 October 31, 2012. The evaluation is intended to assess CADTH's performance in achieving the purpose of the Grant, including CADTH's value-for-money.

Name of Transfer Payment Program:

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 (MHCC), an independent, arm's length organization, designed to focus national attention on mental health issues and to work to improve the health and social outcomes for people living with mental illness. To fulfill its mandate, the Commission has been tasked with:

• facilitating the development of a National Mental Health Strategy;
• undertaking an anti-stigma campaign to reduce the stigma associated with mental illness; and
• building a national Knowledge Exchange Centre to facilitate access to reliable information on mental health and mental illness.

In serving as a national focal point for addressing mental health and mental illness, the MHCC will undertake a more targeted approach to addressing these issues in Canada; foster improved coordination and information sharing among mental health stakeholders and the public health community; and encourage a better public understanding of mental health and mental illness nationally.

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians

Results Achieved

The MHCC has made significant headway since its inception in 2007, in its ability to build partnerships and bring national awareness to the challenges of mental health and illness. Over the past year, progress has been made on several fronts:

Progress continues to be made on the anti-stigma initiative Opening Minds which was launched in 2009. The initiative is supporting 49 anti-stigma pilot projects directed at three target groups - youth, health care providers and the workforce. Successful projects are being replicated nationally through the development of toolkits, publication of papers in reputable scientific journals, conferences and the sharing of information through an extensive network of partners.

The Knowledge Exchange Centre (KEC) has completed a scoping exercise and environmental scan to gain a better understanding of knowledge translation and exchange in the mental health field. In addition, the Commission developed the infrastructure for an online portal providing access to the work of the Commission and highlighting best practices around knowledge exchange in mental health. A launch is planned for 2011-12 fiscal year.

The framework document for the National Mental Health Strategy, Toward Recovery & Well-being, which was released in 2009, continues to be disseminated. Consultations to guide the second phase of the development of the strategy took place during summer 2010 which led to a revision of the approach. The approach is now focussing on priorities that will have the highest impact and produce the best possible return on investment. A final strategy document will be released in early 2012.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	7.5	12.0	15.0	15.0	15.0	0.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	7.5	12.0	15.0	15.0	15.0	0.0

Comment(s) on Variance(s):

n/a

Audit Completed or Planned:

As outlined in the Grant Funding Agreement, the MHCC must engage an independent auditor to conduct a full audit of its financial statements each Fiscal Year. The 2010-11 audited financial statements have now been completed and were presented to the Board of Directors for approval during their meeting on June 14, 2011.

An internal audit by Health Canada is planned for 2011-12.

Evaluation Completed or Planned:

As a requirement of the Funding Agreement with Health Canada, an independent evaluation was undertaken during 2010-11. The evaluation set out to assess the MHCC's progress between July 2007 and December 2010 in the following areas: ability to meet its mandate; effectiveness of policy and/or programs; intended and unintended impacts across the mental health system; and alternative ways to achieve expected results.

The evaluation demonstrated the organization's positive efforts to strengthen its accountability, and performance management processes and practices, and is making progress on most of its initiatives. However, the evaluation also found the MHCC needs to strengthen its outreach and establish a leadership presence within the stakeholder community, increase transparency and integration within the MHCC, and advance the Knowledge Exchange and Partners initiatives.

Progress on implementing the evaluation's recommendations will be reported on through various means, including future Business Plans, Annual Reports, and reports to the MHCC Board of Directors.

Name of Transfer Payment Program

Grant to the Canadian Institute for Health Information (Voted)

Start Date

April 1, 1999

End Date

March 31, 2012

Description

The Canadian Institute for Health Information (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 was provided with about $260 million since 1999. Budget 2005 allocated an additional $110 million over five years (2005-06 to 2009-10) 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.

Since 2007/08, the Health Information Initiative has been providing grant funding to CIHI, replacing the previous Roadmap II, II Plus, III funding and also providing additional funds for new initiatives. This funding allows CIHI to continue 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 (2007-08 to 2011-12).

Strategic Outcome

Accessible and sustainable health system responsive to the health needs of Canadians.

Results Achieved

In 2010-11 CIHI continued to make progress in producing more and better data, more relevant and actionable analysis, and improved client understanding and use of CIHI data and information products. The following are selected highlights from the Corporate Performance Reporting 2010-11.

More and Better Data

• There has been solid progress in data collection for National Ambulatory Care Reporting System (NACRS) Emergency Department data holdings as a result of focused effort on improving comprehensiveness.
• NACRS Emergency Department (ED) data holdings:
  • There has been progress in data collection for British Columbia and Quebec.
  • Alberta is now submitting complete data.
  • Saskatchewan is submitting partial data.
• NACRS Day Surgery and Ambulatory Clinics data holdings - Alberta is now submitting complete data.
• Continuing Care Reporting System (CCRS):
  • There has been progress in the number of Alberta facilities submitting data.
  • Ontario is now submitting complete data.
  • NWT is in discussions regarding data submission.
• Home Care Reporting System (HCRS):
  • There has been progress in the number of British Columbia and Alberta facilities submitting data.
  • Plans are being developed regarding PEI data submission.
• Hospital Mental Health Database (HMHDB) - Quebec is now submitting full data.
• National Physicians Database (NPDB) - The payments data in the NPDB is predominantly Fee-for Service (FFS) payments, by physician. FFS has been a declining portion of total physician remuneration and now stands at about 73% of total physician payments. CIHI is working with the jurisdictions to mitigate this situation. CIHI is starting to probe select jurisdictions for physician billing data at the patient level, rather than at the physician level. This is important in the attempt to link this data to other CIHI datasets and enrich our analytic capabilities. CIHI has patient level data for Saskatchewan and are also in the process of accessing Ontario's data. As well, they have had early discussions with Alberta. The Yukon has not sent CIHI any NPDB data this year.
• National Prescription Drug Utilization Information System (NPDUIS) - Ontario and FNIHB are now submitting complete data
• National System for Incident Reporting (NSIR) Medication Incidents data holding - four new jurisdictions - Saskatchewan, Ontario, Nova Scotia and Nunavut are now submitting partial data.
• Physiotherapists Database (PTDB) - Nova Scotia is now submitting full data.
• Progress has been made in the currency (timeliness) of data in the Hospital Morbidity (HMDB), Hospital Mental Health
  (HMHDB), Joint Replacement (CJRR) and Medical Imaging Technology (MIT) data holdings. In the case of HMDB the
  currency improved from 4-year-old data to 1-year-old data and from 4-year to 2-year old data for HMHDB.

Relevant and Actionable Analysis
Over the last year, CIHI continued to increase the overall depth and breadth of analysis and reporting across all data holdings, developing and releasing 34 analytic products. These included special analytic reports relevant to ongoing themes (e.g. access and quality of care, wait times, continuity of care) and special studies related to priority health services themes (e.g. costs, patient safety). CIHI also developed and released a number of annual reports and various other policy-relevant analytic outputs relating to health services, health expenditures, pharmaceuticals, and health human resources.

Improved Understanding and Use
CIHI completed 380 requests for data in 2010-11, the majority of which (91%) were completed within 90 days, a higher proportion than was achieved in the previous fiscal year. An area of focus for the organization is improving access to CIHI's data and reports for our clients and stakeholders through the development of better access tools. The Data Request Tracking Tool (DaRT) is a system launched early in 2008-09 that captures information on all custom data requests from external clients. In 2010-11, CIHI staff handled a total of 523 customized data requests, which is a 29% increase from 405 in the previous year. The vast majority (79%) of the data requests were from third-parties, with the remaining 21% being requests from data suppliers themselves or Ministries of Health. Effective April 1st, 2011, an automated process tool replaced the DaRT excel spreadsheets to track and report on CIHI data requests. This system is expected to improve monitoring of data requests and administrative processes related to data requests.

Media Coverage
A concerted effort was made this year to focus on quality over quantity in media products. As a result, this fiscal year saw 23 media products (16 releases, 7 advisories), compared to 28 (17 releases, 11 advisories) in 2009-10:

• While there were fewer releases, the results suggest that they were more relevant. The number of solicited (media release) mentions was slightly higher this year than last year, and 54% higher than it was two years ago.
• Broadcast coverage was up significantly when compared to the previous two fiscal years. Broadcast coverage is considered an important indicator, as audiences tend to be more "captive" and engaged in what they are hearing.
• Print mentions declined. There are two factors that may explain this:
  • newspapers are shrinking in size and market share overall across Canada, as more people turn to the web for news
  • two embargo breaches this fiscal year for La Presse and the Sun newspaper chain, both had their embargo privileges revoked for three-month periods. As a result, they stopped covering CIHI data for the period and a significant number of mentions with wide circulation were lost.

Tools to capture mentions and audience reach are constantly evolving - for web metrics in particular - making

year-over-year comparisons challenging. The large discrepancy in total reach between this year and last year is

largely driven by web reach numbers which are still being honed for greater accuracy.

Program Activity:
Canadian Health System

	2008-09 Actual Spending	2009-10 Actual Spending	2010-11 Planned Spending	2010-11 Total Authorities	2010-11 Actual Spending	Variance(s)
Total Grants	81.7	81.7	81.7	81.7	81.7	0.0
Total Contributions
Total Other Types of Transfer Payments
Total Program Activity(ies)	81.7	81.7	81.7	81.7	81.7	0.0

Comment(s) on Variance(s):

Audit Completed or Planned:

In accordance with CIHI's Funding Agreement with Health Canada, a performance audit of the Health Information Initiative (HII) was completed and provided to Health Canada by March 31, 2011. This report presented a summary of the approach followed in planning and conducting the performance audit as well as observations and recommendations for improvement.

Evaluation Completed or Planned:

Third Party Evaluation completed and provided to Health Canada in 2010-11. CIHI undertook an Independent Evaluation, as part of its obligations under the Health Information Initiative (HII) Funding Agreement with Health Canada. The overall conclusion from the evaluation is that CIHI has met the objectives of the Health Information Initiative.