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Section II – Analysis of Program Activities

2.1 Strategic Outcome

The Agency’s Strategic Outcome is: Canada is able to promote health, reduce health inequalities, and prevent and mitigate disease and injury. The following section describes the six Program Activities (PAs) through which the Agency works to achieve the Strategic Outcome, and for each, identifies the expected results, performance indicators and targets. This section also explains how the Agency plans to achieve the expected results and presents the financial and human resources that will be dedicated to each Program Activity.

Program Activity 1.1 – Science and Technology for Public Health

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
445	60.7	439	55.0	439	48.9

The current funding profile for JC Wilt Laboratory project is $5.7M less in 2012-13 than 2011-12. The anticipated construction schedule of the JC Wilt Laboratory project is the main reason for the decrease of $6.1M from 2012-13 to 2013-14.

Expected Result(s)	Performance Indicator(s)	Target(s)
Public health decisions and interventions by public health officials are supported by research, timely and reliable reference service tests*	% of accredited reference service tests within the various specified turnaround times	80%
	% of reference service testing performed under acceptable International Organization for Standardization (ISO) accreditation standards	100%
	Research Publications Impact Factors Rating**	2000

*Reference testing performed by Agency laboratories includes specialized diagnostic testing, confirmatory testing and special testing to characterize disease-causing agents. Such reference testing is carried out both routinely and in response to emergency outbreaks.

**This rating is defined as the number of citations of PHAC laboratory research publications over the past three years. It may not include all PHAC publications.

PA Summary: This program deals with the development and application of leading edge national public health science and innovative tools, the provision of specialized diagnostic laboratory testing and reference services, and the mobilization of Canadian scientific capacity and networks to enable Canada to improve public health and better respond to emerging health risks.

Planning Highlights: To achieve the expected result, the Agency will undertake the following activities:

• Provide timely and reliable testing that complies with reference testing requirements, which include ensuring that laboratories continue to expand the number of diagnostic tests meeting ISO/IEC 17025 standards and maintain accreditation for tests that are currently ISO 17025 certified.
• Develop integrated public health science and innovative tools and technologies that address emerging infectious public health risks at the human-animal-environment interface.
• Publish research findings from applied and discovery research¹⁴ on established and emerging infectious diseases, including their characteristics, diagnosis, transmission, and treatment.
• Develop and provide leading-edge molecular-based technology and expertise for research, surveillance, and diagnostic testing on infectious diseases. Apply the latest generation of DNA sequencing technologies to enhance the capacity to analyze and interpret whole genome sequences in molecular epidemiology.
• Develop innovative approaches and integrated public health technologies for the prevention of infectious and chronic diseases based on the analysis of risk and on current knowledge about the human genome in terms of biological variability throughout the population.

Benefits for Canadians: Canadians will benefit from timely and reliable public health decisions and interventions and advances in diagnostic techniques and knowledge related to public health risks. Canadians will also be able to make personal health decisions that are based on advanced scientific knowledge. This will contribute to improved response to emerging health issues and improved public health.

Program Activity 1.2 – Surveillance and Population Health Assessment

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
408	60.1	402	58.5	402	58.5

One-time funding received to implement the recommendations made in the  Report of the Independent Investigator into the 2008 Listeriosis Outbreak is planned to sunset in 2011-12. This will decrease planned spending in 2012-13 by $1.6M.

Expected Result	Performance Indicators	Targets
Federal, provincial, and territorial jurisdictions, and health NGOs use PHAC information to make informed decisions*	% of federal, provincial, and territorial jurisdictions, and health NGO’s that indicate that PHAC's surveillance and population health assessment information is relevant and accessible*	70%*
Key stakeholders use PHAC surveillance information to support chronic disease prevention action and to monitor and evaluate the impact of actions	% of key stakeholders using chronic disease surveillance information provided by PHAC, by type of use	Establish target by March 31, 2012

* The original expected result (Federal, provincial, territorial and local jurisdictions, health care providers and health NGOs use PHAC information to make informed decisions), performance indicator (% of survey respondents [i.e., jurisdictions and stakeholders] who indicate that PHAC’s surveillance and population health assessment information is relevant and accessible), and target (30%) have been revised due to data accessibility. The target was revised upwards following a clarification of the key participating jurisdictions.

PA Summary: This program facilitates ongoing, systematic analysis, use and sharing of routinely-collected data with and among provinces, territories, local health authorities, and other federal departments and agencies so that they can be in a better position to safeguard the health of Canadians. This program is necessary because of the continuous risk to the health of Canadians from emerging infectious and chronic diseases as well as other population health risk factors present. The program is geared towards working with federal departments and agencies, other levels of government, health professionals, hospitals and laboratories across the country to facilitate the development of surveillance systems and the sharing of information.

Planning Highlights: To achieve the expected results, the Agency will undertake the following activities:

• Develop a collaborative federal/provincial/territorial pilot project for respiratory virus surveillance to serve as a model for a nationally coordinated surveillance system drawing on the experience of provincial/territorial public health agencies and other existing centres of knowledge.
• Continue to address recommendations from the  May 2008 Report of the Auditor General by maintaining a process to identify surveillance system priorities, ensuring mechanisms and tools are in place to maximize effective partnerships, facilitating the sharing of data and information, and collaborating with partners on surveillance activities.
• Implement the Agency’s Surveillance Strategic Plan. Strengthen Canadian Public Health Surveillance systems including those focused on obesity, mental illnesses, risk behaviours, chronic and infectious diseases as well as population groups such as children, youth, and seniors. Moreover, systems focused on HIV/AIDS, sexually-transmitted and bloodborne infections, vaccine safety, anti-microbial resistance, tissue and organ safety, and tuberculosis will be enhanced. This will include developing plans to address surveillance data gaps for chronic and infectious diseases; improving the effectiveness and efficiency of the Canadian Notifiable Diseases Surveillance System data collection, validation and reporting process; expanding the  Canadian Chronic Disease Surveillance System (asthma, chronic obstructive pulmonary disorder, heart diseases, osteoporosis, and arthritis); and enhancing the web-based query and analysis tools to improve information accessibility for analysis and timely dissemination of results and adding enhancements to vaccine safety surveillance through upgrades to the  Canadian Adverse Events Following Immunization Surveillance System.
• Perform testing and research on diseases that afflict vulnerable populations (e.g., tuberculosis) and participate in enhanced surveillance tracking studies of HIV and sexually transmitted infection prevalence in vulnerable populations in conjunction with provincial public health labs.
• Continue to develop and implement an integrated approach to human papillomavirus (HPV) surveillance to evaluate the effectiveness of the HPV vaccine and HPV-related outcomes.
• Use surveillance to detect, monitor and report on infectious disease sources and risk factors in order to provide best evidence that can guide decision-making for interventions at the human-animal-environment interface.
• Initiate sentinel surveillance of hypertension, diabetes, chronic obstructive pulmonary disease (COPD), depression and osteoarthritis in primary care settings using data from electronic medical records in collaboration with the  College of Family Physicians of Canada.
• Conduct ongoing data collection, analysis and reporting on the rates, patterns and circumstances of injury of Canadians, focusing on children and seniors. Contribute to the evidence base for policies, practices and programs for injury prevention and control.
• Increase capability to assess the health of the population through the development of population health analyses on complex public health issues.

Benefits for Canadians: The Agency’s surveillance and population health assessment initiatives will contribute to the timely and accurate information requirements of public health partners and stakeholders. They will also prepare the health system to respond to infectious disease outbreaks, vaccine safety concerns, and address trends in the risk factors leading to infectious and chronic diseases. Population Health Assessment activities increase capacity in assessing the health of the population by strengthening the evidence base and contributing to the development of public health policy. This ensures that Canadian decision-makers have information and tools to identify and address priority public health issues.

Program Activity 1.3 – Public Health Preparedness and Capacity

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
367	94.6	362	75.3	362	72.4

Planned spending is $19.3M higher in 2011-12 mainly as a result of expenditures related to the installation of a vaccine fill line project. This project is scheduled for completion in 2013-14.

Expected Result	Performance Indicator(s)	Targets
Canada has the capacity for public health interventions including emergency response	% completion of International Health Regulations Action Plan for addressing capacity gaps	75% (June 15, 2011) 100% (June 15, 2012)
Pan-Canadian and international agencies have interoperability and response capacity	% of capacity demonstrated in joint exercises with partners	100%
Public health organizations have the capacity to carry out their core public health functions	% federal, provincial, and territorial jurisdictions that indicate that they made progress in addressing capacity gaps as a result of Agency training and tools	50%*

* The original expected result (public health organizations have the capacity to carry out their core public health functions), performance indicator (% federal, provincial, territorial and local jurisdictions that indicate that they made progress in addressing capacity gaps as a result of Agency training and tools), and target (90%) have been revised due to data accessibility. The target was revised downwards following a clarification of the key participating jurisdictions.

PA Summary: This program increases Canada’s public health preparedness and capacity by: providing tools, training and practices that enhance the capabilities of organizations and people who have a role in Canada’s public health system; increasing public health human resource capacity; developing and maintaining Canada’s ability to prepare for public health emergencies; and establishing/maintaining networks both within and outside Canada. The program is necessary as public health skills, tools and networks are required to be able to keep Canadians healthy.

Planning Highlights: To achieve the expected results, the Agency will undertake the following activities:

• Develop an all hazards Threat and Risk Assessment with the health portfolio to identify the threats, hazards and risks for decision makers regarding emergency preparedness planning and stockpile of supplies. This will support Canada’s partnership activities such as the  Global Health Security Initiative.
• Develop and execute a trilateral action plan with the United States and Mexico for animal and pandemic influenza, guided by the principles established in the 2011 North American Plan for Avian and Pandemic Influenza.
• Build on lessons learned from the Vancouver 2010 Olympic and Paralympic Winter Games and the G8/G20 Summits to inform and enhance mass gathering planning. In 2015, Canada will host the Pan/Parapan American Games in Toronto, Ontario. The Agency will work with other government departments, and local and provincial authorities to ensure that obligations are met.
• Address key recommendations identified in the  Lessons Learned Review: Public Health Agency of Canada and Health Canada Response to the 2009 H1N1 Pandemic and the Standing Senate Committee Report entitled  Canada's Response to the 2009 H1N1 Influenza Pandemic.
• Engage provincial/territorial jurisdictions and key national stakeholders to contribute to a comprehensive review and revision of the  Canadian Pandemic Influenza Plan, which will incorporate new information including national and international experience gained during pandemic H1N1.
• Maintain and update the all-hazards Health Portfolio Emergency Response Plan based on lessons learned from exercises, real events and mass gatherings through the direction of the Joint Emergency Preparedness Committee that oversees the coordination of emergency preparedness activities of the Health Portfolio.
• Strengthen public health skills across Canada by continuing to provide a  competency-based suite of learning modules on core public health functions to enhance preparedness to respond and address risks to Canadians. Review and update the modules to ensure that they meet the needs of stakeholders.
• Continue to develop tools for federal, provincial and territorial (F/P/T) partners through the  Canadian Network for Public Health Intelligence to facilitate the dissemination of strategic intelligence and coordination of public health responses.
• Continue to develop the capacity to promote and improve the use of scientific research and other knowledge to strengthen public health practice and policy in Canada by providing support for the activities of the  National Collaborating Centres for Public Health.

Benefits for Canadians: These activities will provide increased coordination and capacity among partners and assist public health practitioners in performing public health roles that are critical to the effective preparation for public health events and in addressing trends in the risk factors leading to chronic diseases. Evidence-based, ethical, timely, and effective decision-making, coordination, and action are critical to minimizing the effects of adverse public health events on Canadians.

Program Activity 1.4 – Health Promotion

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
391	182.2	385	182.2	385	182.2

Expected Result	Performance Indicators	Targets
Supportive environments and collaborative health promotion policies are in place to reduce health inequalities and enable Canadians to maintain and improve their health	% of collaborations that result in joint action having an objective of influencing supportive environments and health promoting policies	80%
	# of communities reached	Establish baseline by March 2011
	# by type of health promotion initiatives	Establish baseline by March 2011

PA Summary: This program provides leadership and support in promoting health and reducing health inequalities among Canadians. It supports Canadians in making healthy choices during all life stages through initiatives focussed on, for example, child development, families, lifestyles, and aging. It also facilitates the conditions that support these choices by working with and through others to address factors and determinants that influence health, such as health literacy, food security, social support networks and the “built”¹⁵ environment.

Planning Highlights: To achieve the expected result, the Agency will support the development of targeted, evidence-based health promotion strategies and interventions with a special focus on:

• Vulnerable children and families through collaboration and programs such as the 8 Canada Prenatal Nutrition Program, the  Community Action Program for Children and  Aboriginal Head Start in Urban and Northern Communities. Strategic funding will be used to develop a cohesive Agency approach to child health and strengthen the Agency’s leadership in advancing child and youth health priorities.
• Adults in later life, specifically with regard to  healthy aging and Public Health Security and other health promotion interventions geared towards seniors.
•  Healthy Living, as it relates to the promotion of physical activity and healthy eating and their relationship to healthy weights, in alignment with federal and collaborative actions identified in  Curbing Childhood Obesity: an F/P/T Framework for Action to Promote Healthy Weights. Instilling the importance of a healthy lifestyle in children is essential to preventing illness in later life. PHAC will continue to develop the evidence-base and monitor and support research to supplement the existing information on physical activity. This in turn will contribute to the development of additional tools and resources to help Canadians be more active and live healthier lives. The Agency will also support community-based initiatives to promote physical activity and healthy eating opportunities in the after-school time period.
• Lead federal efforts to address family violence and provide an update of the Report on Seniors’ Falls in Canada. The Agency will also participate in federal activities related to the Canadian Year of Road Safety 2011 and the start of the UN Decade of Road Safety.
•  Mental health promotion and mental illness prevention, including the identification and documentation of effective and promising practices.
• Health inequalities, in leading initiatives such as the development and application of tools including sex- and gender-based analysis¹⁶ and health equity impact assessment to assess and more effectively reach vulnerable populations through policy and program interventions.
• Innovation in population health interventions, by designing, testing and evaluating new policies and initiatives to fill evidence gaps on how to avert and mitigate inequalities among disadvantaged populations, e.g., for mental health promotion and healthy weights via the  Innovation Strategy.

Benefits for Canadians: Health promotion is the process of enabling people to increase control over and improve their health. It is based on understanding the influence that determinants of health — such as healthy child development, gender, income, literacy, and other factors — have on health status. The Agency’s health promotion activities are moving beyond health education and personal behavioural change to address social, institutional, and community change. By enabling individual Canadians to improve their health and enabling all levels of government and institutions to better address the factors that influence and determine health and health inequalities, the Agency is supporting the development of  Healthy Canadians.

Program Activity 1.5 – Disease and Injury Prevention and Mitigation

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
348	107.3	343	102.5	343	98.6

Planned spending levels will decrease by $4.8M in 2012-13 and by $3.9M in 2013-14 mainly as a result of work on the Lung and Neurological Diseases initiative nearing completion.

Expected Result	Performance Indicators	Targets
Diseases and injury in Canada are prevented and mitigated	Rate of age-standardized new diagnoses of major diseases during a one-year period (incidence)17 • Diabetes • Cancer • Hypertension • Asthma • Chronic Obstructive Pulmonary Disease (COPD)	Baselines identified: • Diabetes: 6.7 per 1,000 population • Cancer: 4 per 1,000 population • Hypertension: 22.1 per 1,000 population
	Unintentional and intentional injury incidence rates over a one-year period	Baselines identified: All injuries (all ages): • Deaths: 45.1 per 100,000 • Hospitalizations: 659 per 100,000 Unintentional Injuries (all ages): • Deaths: 29.5 per 100,000 • Hospitalizations: 600.5 per 100,000
	Rate of reported cases of infectious diseases including health care associated infections, during a one-year period	Targets identified: • Tuberculosis: 3.6 per 100,000 by 2015 Baselines identified (2007): • Tuberculosis: 4.8 per 100,000 • HIV: 8.8 per 100,000 • Chlamydia: 224.0 per 100,000 • Gonorrhoea: 36.1 per 100,000 • Infectious syphilis: 3.7 per 100,000 • Acute hepatitis B: 0.69 per 100,000 • Acute hepatitis C incidence: 1.61 per 100,000 • MRSA (Methicillin-resistant staphylococcus aureus): 7.62 per 1,000 patient admissions • VRE (Vancomycin-resistant enterococcus): 1.20 per 1,000 patient admissions • C. difficile: 4.45 per 1,000 admissions

PA Summary: This program develops and implements strategies, undertakes prevention initiatives, and supports stakeholders to prevent and mitigate chronic disease, injury, and prevent and control infectious disease. Federal leadership and collaboration to mobilize domestic efforts characterize this program. This program is necessary given the current and potential impact of injury and chronic and infectious disease on the health of Canadians and the sustainability of the Canadian health care system.

Planning Highlights: To achieve the expected result, the Agency will undertake the following activities:

• Continue to implement measures to address the recommendations made in the  Report of the Independent Investigator into the 2008 Listeriosis Outbreak by developing: a comprehensive national Food-borne Illness Incident Response Plan; an Incident Command Structure specifically tailored to food-borne illness outbreaks; and a Pilot Infectious Disease Impact and Response System adapted to climate change impacts.
• Use decision-making tools such as risk assessment, systematic reviews, epidemiological investigations, geospatial mapping and integrated public health technologies to identify and address public health risk factors with a special focus on pathogens arising from the food chain and health conditions arising from the agro-environment.
• Engage and collaborate with other federal departments, provinces, territories, NGOs, professional groups and the private sector to determine how best to strengthen the effectiveness and efficiency of the  National Immunization Strategy (NIS).
• Continue to work in close collaboration with provinces, territories, and other partners/stakeholders on the finalization of the Canadian Tuberculosis Strategy.
• Collaborate with key diabetes stakeholders to develop and disseminate tools and resources designed to support self-management by Canadians living with or at risk of diabetes, a principal priority of the  Canadian Diabetes Strategy.
• Continue to support the renewed  Canadian HIV Vaccine Initiative (CHVI) through the establishment of a new CHVI Research and Development Alliance.
• Engage other governments, provincial/territorial partners, stakeholder groups and international partners to explore strategies towards the development of a coordinated pan-Canadian approach and an effective, cohesive response to address antimicrobial resistance (AMR) in the community and healthcare settings.
• Build on the F/P/T Ministers’ of Health endorsement of the F/P/T Declaration on Prevention and Promotion to enhance health promotion and chronic disease prevention by developing the evidence base for encouraging healthier choices.
• Work with other governments, stakeholders and international partners in expanding the work done to date related to hypertension surveillance, prevention, treatment and control, including sodium reduction, as a means of providing high quality analysis, tools and resources on cardiovascular health.
• Continue to provide Canadians with information about their respiratory health learned from successful models identified to date through work with lung health stakeholders.
• Through collaboration with the Neurological Health Charities of Canada on the  National Population Study of Neurological Conditions, continue projects to enhance knowledge of the incidence, prevalence and risk factors of neurological diseases which will inform policy and program development by governments, practitioners and health related organizations.
• Conduct risk analysis using expanded surveillance data for the prevention and control of consumer product-related injuries to provide Canadian policy makers and health professionals with information to develop and implement programs and policies in order to prevent and mitigate injuries.
• Improve evidence and information available to public health practitioners, policy-makers and Canadians by supporting the development and dissemination of clinical practice guidelines from the Canadian Task Force on Preventive Health Care and by establishing an innovative knowledge exchange platform to highlight best and promising practices in chronic disease prevention and control.
• Lead the development of Canada’s position for the United Nations High-level Meeting on Prevention and Control of Non-Communicable Diseases in September 2011.

Benefits for Canadians: Canada’s ability to prevent and manage diseases and injuries will be strengthened by these activities. For example, enhanced national food-borne illness outbreak preparedness will contribute to the protection and health and well-being of Canadians. Policies, programs and interventions will be enhanced by working in collaboration with the health portfolio and domestic and international partners. Public health practitioners, policy makers and Canadians will have information, guidelines and advice that foster prevention and management of disease and injury in Canada.

Program Activity 1.6 – Regulatory Enforcement and Emergency Response

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
150	26.0	148	24.7	148	24.7

One-time funding received to implement the recommendations made in the  Report of the Independent Investigator into the 2008 Listeriosis Outbreak is planned to sunset in 2011-12 resulting in a decrease in planned spending of $1.3M.

Expected Result	Performance Indicators	Targets
Canada has 24/7 public health emergency response capability and capacity	% of responses to national and international public health emergencies within time standards	100%
Canada is compliant with World Health Organization ( WHO) International Health Regulations (IHR)	% of Agency procedures which are compliant with WHO IHR	100%
PHAC responds to emergencies in a timely and coordinated manner	% of response compliant with the Health Portfolio Emergency Response Plan	100%

PA Summary: The program is dedicated to protecting the health and safety of Canadians through the administration and enforcement of the Human Pathogens Importation Regulations and select sections of the Human Pathogens and Toxins Act (HPTA), and by developing new regulations under the HPTA to enhance the biosafety, biosecurity and biocontainment of human pathogens and toxins across Canada. In addition, there will be increased protection from infectious diseases at ports of entry to and from Canada and for participants in mass gatherings. Activities under this program are designed to ensure that Canadians are protected against all hazards such as communicable diseases, chemical, biological and radio-nuclear as well as environmental emergencies.

Planning Highlights: To achieve the expected results, the Agency will undertake the following activities:

• Coordinate national input through a network of F/P/T IHR Champions for a submission to the WHO as part of the annual IHR report. This report consists of measures taken to ensure Canada’s compliance with the IHRs by June 2012.
• Enhance emergency operations infrastructure by strengthening operational capacity within the Health Portfolio Emergency Operations Centre (HP EOC) and by establishing a 24/7/365 Watch Officer program.
• Implement a 24/7/365 contact link at the National Microbiology Laboratory to ensure a single point of initial contact for all emergency scientific enquiries from private, regional, provincial, and federal health and safety departments.
• Engage, communicate and consult with stakeholders on the design and development of a risk-based and new regulatory framework for theHPTA.
• Establish a series of programs that will support HPTA implementation and an effective regulatory lifecycle.
• Continue to enforce the Human Pathogens Importation Regulations through compliance inspections and permit issuing processes, in order to effectively regulate Canadian laboratories handling imported human pathogens and toxins.
• Transform the original  Health Emergency Response Team (HERT) to a deployable health professional surge capacity by evaluating other relevant models and consulting with partners on the merits of a roster/reserve model. The Agency will also test the Public Health Reserve Pilot Model to support PHAC’s surge capacity.
• In collaboration with F/P/Ts, automate the inventory system and develop a five-year strategic and operational plan to renew pharmaceuticals, and medical supplies and equipment to align the  National Emergency Stockpile System with the recommendation of the internal Audit of Emergency Preparedness and Response and the evaluation.
• Develop an F/P/T Quarantine Framework to clarify roles and responsibilities during public health emergencies, in addition to developing Standard Operational Procedures and standardized training of Quarantine Officers.
• Deploy the Microbiology Emergency Response Team (MERT)¹⁸ mobile laboratories, as required, to respond to infectious disease emergencies and bioterrorism incidents in Canada and globally.
• Provide genome sequencing of pathogens and modelling, as and when required, to support timely epidemiology and rapid response research capacity for public health threats such as H1N1 and the cholera outbreak in Haiti.

Benefits for Canadians: These planning highlights will provide increased coordination and capacity among partners and assist public health practitioners in performing public health roles that are critical to the effective response to public health events. Rapid response research will increase the capacity of public health authorities to manage outbreak situations and optimize their evidence-based public health response. These efforts will also equip stakeholders with the mechanisms to exchange information and expertise so that they can become more responsive to all public health needs of their jurisdictions, and facilitate more rapid recovery from adverse public health events.

Program Activity 2.1 – Internal Services

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Human Resources (FTEs) and Planned Spending ($ M)
2011-12		2012-13		2013-14
FTEs	Planned Spending	FTEs	Planned Spending	FTEs	Planned Spending
659	91.8	650	93.9	650	93.9

$2.1M of internal allocations to support Agency priorities is planned to sunset in 2011-12 and will be reallocated to other Agency priorities in future years.

Expected Result	Performance Indicators	Targets
The communications, service operations and programs of the Agency comply with applicable laws, regulations, policies and/or plans and meet the diverse needs of the public	Compliance with the statutory time requirements of the Access to Information Act and Privacy Act (ATIP)*	“A” Rating (95% and above)
	Compliance with the Government of Canada Communications Policy	100%
	Compliance with the Government of Canada Official Languages Act, Part IV, Communications with and services to the public	100%
Strategic allocation and prudent use of resources among programs, processes and services	Compliance with the Government of Canada Employment Equity Act**	Aboriginal people: 3.4% Persons with disabilities: 4.3% Visible minorities: exceed 12.7% Women: 61.9%
	Maintain or increase number of employees in critical shortage occupational groups***	Medicine (MD): 45 Veterinary medicine (VM): 24 Nursing (NU): 63 Senior Human Resources (PE-04): 10 Senior Finance (FI-03): 9 Senior Finance (FI-04): 3
	% Year-end Agency variance of planned versus actual expenditures	5% variance or less
Information technology that supports government priorities and program and service delivery	Compliance with Government of Canada Common Look and Feel (CLF) 2.0	100%
Assets and material are managed throughout their lifecycle in a sustainable and financially responsible manner which supports Agency priorities and program delivery	% of major capital assets**** with completed asset condition reports to assess physical condition and level of criticality***** to program operations	100%
Acquisition services are timely and meet client needs	Average time required for approval of long-form contracts	15 days
	Client satisfaction	85%

* Office of the Information Commissioner's rating;
** Based on Workforce Availability 2006 census data;
***Growth will be measured based on baseline data as of April 1, 2010. Includes indeterminate and term employees >3 months;
**** Assets with an initial acquisition cost of $50,000 or more, excluding real property and related infrastructure;
***** “critical” rating high/medium/low.

PA Summary: Internal services support the Agency’s strategic outcome and all six PAs. 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 (HR) Management Services, Financial Management Services, Information Management Services, Information Technology Services, Sustainable Development, Real Property Services, Materiel Services, Acquisition Services, Security Services, and Travel and Other Administrative Services. Internal services include only those activities and resources that apply across the Agency and not those provided specifically to a program.

Planning Highlights: To achieve the expected results, the Agency will undertake the following activities:

• Consistent with commitments made in the  Strategic Plan (2007-2012), continue to strengthen evidence-informed and science-based decision-making through environmental scanning, development of partnerships, and development of the science and research plan.
• Implement the Agency’s three-year strategic approach to People Management, with a focus on revising the performance management process and developing an integrated approach to talent management for executives and feeder groups.
• Address strategic and operational HR issues through: 1) the initial implementation of a phased plan to transform HR service delivery; 2) a resourcing strategy; and 3) a Staffing Monitoring Framework.
• Continue to implement the Agency’s Values and Ethics Framework and Plan, including: the establishment of a working group to serve as an advisory body on values and ethics, and the development of a PHAC Values and Ethics Code.
• Support strategic policy development in collaboration with the Health Portfolio, other government departments and key stakeholders.
• Support the Federal Sustainable Development Strategy through the development and implementation of the PHAC 2011-2014 Departmental Sustainable Development Strategy. Key commitments relating to green buildings; surplus electronic and electrical equipment; printing units; and green procurement are identified in the  Greening Government Operations supplementary information table.
• Continue to enhance integrated security services in compliance with the Policy on Government Security by completing the Departmental Security Plan and associated Threat and Risk Assessments. Enhance the Personnel Security Screening processes to safeguard the Agency’s intellectual property and asset resources.

Benefits for Canadians:
The Agency will demonstrate sound resource management and continue to improve knowledge translation, information management, and science-based decision-making systems. Canadians will have access to current public health information to support knowledge development and informed decision-making for the well-being of themselves and their families. The Agency will also be better prepared to protect Canadians and respond to public health emergencies.

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