ARCHIVED - Assisted Human Reproduction Canada

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Section II - Analysis of Program Activities by Strategic Outcome

2.1 Strategic Outcome

Protection and promotion of human health, safety, dignity and rights in relation to assisted human reproduction and related research within a sound ethical framework.

The following section describes Assisted Human Reproduction Canada (AHRC)'s program activities and identifies the expected result, performance indicators and targets for each. It also explains how AHRC plans to achieve the expected results, and identifies the financial and non-financial resources that will be dedicated to each program activity:

• Licencing and Enforcement of a Regulatory Framework for Assisted Human Reproduction;
• Health Information and Knowledge Management for Assisted Human Reproduction; and
• Internal Services

2.1.1 Program Activity: Licencing and Enforcement of a Regulatory Framework for Assisted Human Reproduction

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Program Activity 1: Licensing and Enforcement of a Regulatory Framework for Assisted Human Reproduction

Human Resources (FTEs) and Planned Spending ($ millions)
2010-11		2011-12		2012-13
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
14	4.2	14	4.2	14	4.2

The program activity consists of issuing licences for controlled activities and for facilities used by qualified persons or organizations; assessing applications against licence requirements, including scientific and ethical considerations; conducting periodic inspections of AHR clinics, service providers or research to ensure compliance; and enlisting the participation or support of other recognized organizations in the development of other supporting policy instruments for example, standards, guidelines and accreditation models.

Benefits for Canadians

Through this program activity, AHRC will help to ensure the health and safety of donors, patients and offspring born of AHR technologies.

Expected Results of Program Activity

Program Activity Expected Results	Performance Indicators	Targets
An effective and efficient licencing and inspection framework.	As the regulations come into force, develop a documented licencing and inspection framework which is communicated to clinics and stakeholders and which sees inspections carried out on the basis consistent with the framework.	In advance of the regulations coming into force, and in collaboration with stakeholders, AHRC will focus on: developing guidelines, processes and systems to support a licencing system developing an inspection strategy that will ensure compliance with the AHR Act and regulations addressing complaints and possible contraventions to the AHR Act and regulations
A well-informed and engaged stakeholder community.	Prior to the regulations coming into force, communicating the framework to the stakeholders by various means including direct contact, presentations at professional forums, literature and electronic means such as a web site.	In advance of the regulations coming into force, AHRC is concentrating on: communicating the vision for the framework to key stakeholders through the website, newsletter, conferences and other outreach initiatives. conducting baseline assessments, horizon scanning and established practice updates, to produce reliable evidence that will inform decision -making by the Board of Directors. working with international stakeholders to facilitate information exchange and identify and address issues of mutual concern.

Planning Highlights

In order to achieve the expected result, the Agency is putting in place the systems and processes required to implement the regulations currently under development by Health Canada. This includes:

• Planning for the development of a licencing system to effectively manage the applications expected for licencing of controlled activities and premises in the AHR industry, based on best practices. A model system will be in place when regulations are completed.
• Continuing to respond to and refine the methodology for handling concerns brought to the attention of the Agency.
• Developing an inspection strategy to ensure compliance with the AHR Act and regulations.
• Working with national stakeholder organizations to support the development of the planned regulatory framework, and the necessary instruments, including guidelines for AHR.
• Working with national and international partners to identify and formulate strategies to address issues of common concern, such as the health and safety of individuals who choose to leave Canada for treatment.
• Developing plans for the implementation of the regulations, including appropriate stakeholder consultations.
• Working with national partners on a framework to prevent multiple births related to AHR.

2.1.2 Program Activity: Health Information and Knowledge Management for Assisted Human Reproduction Technologies

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Program Activity 2: Health Information and Knowledge Management for Assisted Human Reproduction

Human Resources (FTEs) and Planned Spending ($ millions)
2010-11		2011-12		2012-13
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
11	2.6	11	2.6	11	2.6

The program activity includes: the establishment and maintenance of a Personal Health Information Registry to consolidate health reporting information concerning donors, patients and offspring born of assisted human reproduction procedures to allow for a look-back and trace-back mechanism; providing ongoing reports of assisted human reproduction controlled activities, including success rates, that can be used by individuals to make informed choices about care, and by professionals to improve practices; and providing public information on assisted human reproduction matters or issues via a public web site and other information products.

Benefits for Canadians

Continued information dissemination on a regular basis through various print or electronic products (e.g., newsletter, annual report, patient brochures, etc.) to increase access by Canadians to AHR information, and promote greater awareness of the Agency, its mandate and its initiatives.

Expected Results of Program Activity

Program Activity Expected Results	Performance Indicators	Targets
A Personal Health Information Registry that complements an AHR surveillance network.	The successful development of a Personal Health Information Registry that is integrated into an overall surveillance network, once the regulations come into force.	In advance of the regulations coming into force, AHRC is concentrating on: initiating a pilot project using voluntary information to build the foundation for a Personal Health Information Registry.
Policy makers, health professionals, patients, children born of AHR procedures, researchers and the Canadian public have access to information regarding AHR.	Total number of information items produced Total number information requests responded to by type. Volume and Pattern of Website Use Website enhancements completed Results of periodic surveys to gauge utility of products	6 information items produced per year 100 percent of information requests are responded to within 48 working hours of receipt 10 percent increase in website visits per year Report of enhancements prepared annually

Planning Highlights

In order to achieve the expected results, AHRC plans to undertake the following activities:

• A pilot project in 2010-11, using voluntary information to build the foundation for a Personal Health Information Registry. The Agency will also work on establishing partnerships for the collection and dissemination of the information, as the basis for an eventual health surveillance network.
• Continued enhancement of the web site to include more information on AHR, and developing complementary links to stakeholder sites to provide more comprehensive access to AHR information.
• Continued information dissemination on a regular basis through various print or electronic products (e.g., newsletter, annual report, patient brochures, etc.) to increase access by Canadians to AHR information, and promote greater awareness of the Agency, its mandate and its initiatives.

2.1.3 Program Activity: Internal Services

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Program Activity 3: Internal Services

Human Resources (FTEs) and Planned Spending ($ millions)
2010-11		2011-12		2012-13
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
19	3.7	19	3.7	19	3.7

Internal Services are groups of related activities and resources that are administered to support the needs of programs and other corporate obligations of an organization. These groups are: Management and Oversight Services; Communications Services; Legal Services; Human Resources Management Services; Financial Management Services; Information Management Services; Information Technology Services; Real Property Services; Material Services; Acquisition Services; and Travel and Other Administrative Services. Internal Services include only those activities and resources that apply across an organization and not to those provided specifically to a program.

AHRC, as a small Agency, receives its Internal Services through a combination of Agency-supplied corporate services and services provided through a Memorandum of Understanding (MOU) with Health Canada.

Planning Highlights

AHRC responds to the challenge of providing sustainable Internal Services through its establishment of policies, processes and service delivery in the areas of finance, procurement, human resources, information management (including Access to Information and Privacy), and information technology. Wherever practical, this includes consideration and use of best practice models including alternative service provision methods. The Agency continues to review its Internal Services performance to ensure delivery of service in a transparent, cost effective, and timely manner.

In the area of human resources, AHRC has integrated its business planning and human resource planning and will continue to integrate its resourcing strategy in accordance with Public Service Commission and other relevant Central Agency policies, as the Agency evolves. As regulations come into force, resourcing plans will be implemented to ensure that AHRC has the appropriate resources required to fulfil its mandate.

In order to achieve Internal Services objectives, planning highlights include:

• Implementing an integrated management system that covers such areas as human resources, risk management, performance management, and financial management.
• Renegotiating MOU's with service providers to offer a wider range of services to staff.
• Acting on feedback from employees related to their satisfaction with the Agency work environment to sustain a workplace of choice.
• Continued creation of an Internal Financial Control Framework to encompass financial management, risk management, financial delegation and contracting.

The highlights of the Internal Services program activity can be linked to AHRC's management priorities, which include Internal Management, Human Resources, and Risk Management.

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