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Up-Front Multi-Year Funding (2012-2013)



Conditional Grant to the Rick Hansen Man in Motion Foundation

1. Strategic outcome: A Health System Responsive to the Needs of Canadians

2. Program activity: Canadian Health System

3. Name of recipient: Rick Hansen Man in Motion Foundation

4. Start date: April 1, 2007

5. End date: March 31, 2012 (possible extension to March 31, 2013)

6. Description: The Rick Hansen Man in Motion Foundation (RHF) is an independent, not-for-profit organization founded by Rick Hansen in 1988 to create solutions to improve the lives of Canadians with spinal cord injury (SCI) and to drive advances in SCI research. Funding is being used to implement the Strategy of the Rick Hansen Institute (RHI), namely to: (1) reduce the incidence and severity of permanent paralysis resulting from SCI; (2) increase the recovery of function following SCI; (3) reduce the incidence and severity of secondary complications associated with SCI; (4) increase the level of satisfaction with quality of life among Canadians with SCI; (5) enhance the customized response to the priority unmet needs of Canadians with SCI; and (6) establish a world class Canadian SCI registry and data management platform.

Funding ($ millions)
Total Funding Prior Years' Funding Planned Funding
2012-13
Planned Funding
2013-14
Planned Funding
2014-15
30,000,000 30,000,000 0 Not applicable Not applicable

7. Summary of annual plans of recipient: The current Funding Agreement with the RHF expires March 31, 2012. The RHF and RHI have requested a no-cost extension to the term of the Funding Agreement to March 31, 2013. The RHI has forecasted a projected surplus of $1,850,066 of the existing Health Canada investment, which it wants to use to continue funding to key projects that support the RHI's Strategy, as outlined in the Funding Agreement.

8. Link recipient's site: Rick Hansen Foundation; Rick Hansen Institute

Conditional Grant to Canadian Health Services Research Foundation (CHSRF)

1. Strategic outcome: A Health System Responsive to the Needs of Canadians

2. Program activity: Canadian health system

3. Name of recipient: Canadian Health Services Research Foundation (CHSRF)

4. Start date: 1996-97

5. End date: N/A

6. Description: At the time of its establishment (1996-97), CHSRF received a $66.5 million endowment. In addition, it received additional federal grants for the following purposes:

1999: $25 million to support a ten-year program to develop capacity for research on nursing recruitment, retention, management, leadership and the issues emerging from health system restructuring (Nursing Research Fund or NRF)

1999: $35 million to support the CHSRF's participation in the Canadian Institutes of Health Research (CIHR)

2003: $25 million to develop a program to equip health system managers and their organizations with the skills to find, assess, interpret and use research to better manage the Canadian health care system (Executive Training for Research Application or EXTRA) over a thirteen-year period.

CHSRF is an independent organization dedicated to accelerating healthcare improvement and transformation for Canadians. It collaborates with governments, policy makers, and health system leaders to convert evidence and innovative practices into actionable policies, programs, tools and leadership development.

CHSRF's work contributes to Health Canada's aim of strengthening the knowledge base to address current and emerging health care issues and priorities.

It should be noted that CHSRF's programs receive funding from other sources through various partnerships.

Funding ($ millions)
Total Funding Prior Years' Funding Planned Funding
2012-13
Planned Funding
2013-14
Planned Funding
2014-15
151.5 1996 - 66.5
1999 - 60
2003 - 25
Not applicable Not applicable Not applicable

7. Summary of annual plans of recipient: (Because CHSRF's 2012 program of work and budget will be submitted for approval to its Board of Trustees on 1 December 2011, the following information is subject to any final direction approved by trustees on that date.)

CHSRF will seek opportunities to work with jurisdictions and organizations which demonstrate leadership, innovation and readiness for change in how the healthcare of Canadians is delivered, financed and/or managed. Both cost-sharing and cost-recovery strategies will be pursued. The organization will work in collaboration with policy makers, health system leaders and decision makers to:

  • synthesize existing evidence and generate new, applied research and policy knowledge in select priority areas;
  • collaborate on healthcare improvement and transformation initiatives at the provincial/territorial, regional and federal levels;
  • enhance our education and training programming through changes to the EXTRA program and the development of on-line education and decision-support courses and tools;
  • bring evaluation and performance management knowledge and support to our own work as well as our collaborations with others; and
  • spread innovations and knowledge to facilitate healthcare improvement and transformation.

CHSRF's total 2012 operating budget is $11,906,142. In 2012, CHSRF's activities will be grouped into four key program areas in support of CHSRF's mission. Products and services will be offered under each of these program areas:

  • Collaboration for Innovation & Improvement
  • Applied Research & Policy Analysis
  • Education & Training
  • Evaluation & Performance Management.

Collaboration for Innovation & Improvement

This program area develops and mobilizes capacity to redesign and improve healthcare, and provides evidence-informed strategic leadership and support in:

  • improvement or system redesign projects responsive to health priorities through deploying cross-regional/P/T implementation teams;
  • tailored education and shared learning through supporting change teams with access to learning coordinators, faculty, coaches and mentors; and
  • sharing and spreading of evidence-informed, effective and sustainable solutions across organizations, regions and systems.

Activities will include:

  • conducting needs assessments to clarify an organizational or health system opportunity and the policy barriers obstructing it;
  • guiding the design of improvement strategies, and supporting cross-regional/P/T teams in undertaking improvement projects;
  • providing teams access to learning coordinators, faculty, coaches and mentors, tailored education and shared learning;
  • site-visits and hands-on guidance in measuring the health, healthcare and economic impacts of the implementation initiative; and
  • using and developing various channels to promote the exchange of evidence, innovations and ideas.

Applied Research & Policy Analysis

This program area will:

  • conduct applied research that informs: (i) the development of policies to support health system improvement and transformation; and (ii) the process of health system improvement and transformation;
  • spread research findings and innovative practices across Canada and internationally; and
  • provide forums for health system leaders and policy stakeholders to engage in focused dialogue on research findings and policy recommendations in order to support their implementation.

Activities will include:

  • meeting with policy-makers and stakeholders from within a jurisdiction and/or from several jurisdictions to assess individual and shared priorities and requirements for applied research and policy analysis;
  • working with policy-makers and stakeholders to design applied research and policy analysis projects;
  • conducting applied research to inform the development of education modules and to support implementation initiatives;
  • engaging leading health system researchers to contribute to applied research projects;
  • policy and stakeholder dialogues, CHSRF On Call webinars, preparing policy briefs and other products; and
  • partnering with other researchers and organizations to support applied research projects which advance this program.

Education & Training

This program area:

  • enhances skills and competencies of healthcare leaders, managers and organizations to better understand, lead, and implement change and improvement in the healthcare system;
  • provides education and training aimed to develop capacity to search and find evidence and to provide some hands on support to assist in the implementation of change/improvement initiative through face-to-face training and self-directed e-learning curriculum;
  • creates and develops a distance learning centre which would offer a range of policy learning modules, webinars, decision support tools, and self directed e-learning curriculum for organizations and health care managers focussed on health research literacy, health information management, improvement science and leadership tactics to initiate and manage evidence-informed improvement;
  • supports comparative learning opportunities (conferences, seminars, roundtables, etc.) for health care leaders on key system issues and challenges, quality and performance-related topics that need to be addressed for replicating or transferring these to other settings; and
  • disseminates knowledge of the why and how of performance improvement and system change goals.

Activities will include:

  • the redesign of the EXTRA training program from a 24-month to a 14-month training activity, offering a shorter and more focused training for teams in single organizations, across multi-sites, and across jurisdictions, to undertake quality improvement and system change initiatives (resulting in a more cost effective training program that is also more focused on supporting organizational improvement projects);
  • the development of a distance education and e-learning platform that offers improvement training curriculum, health system policy case studies, and workshops and seminars on quality and performance related topics to a broader group of managers and policy makers in the system; and
  • the annual CEO Forum.

Evaluation & Performance Management

In order to generate high quality evaluative evidence to demonstrate CHSRF's results, this program area provides the following services:

  • designs and conducts outcome evaluations so as to ensure corporate accountability to the Board of Trustees and Health Canada, and provide strategic evaluative evidence and recommendations to the president in support of corporate decision-making;
  • builds evaluation capacity by facilitating organizational performance management through the development and implementation of training and tools that support organizational improvement and transformation; and
  • provides outcome-focused fee-for-service evaluative services (external support, facilitation, design and conduct of evaluation and performance management services with the goal of developing high performing health services programs and organizations).

With the launch in 2012 of a series of new programs, CHSRF needs to achieve quick recognition and uptake of these programs. The organization will focus on communicating the new programs and new corporate direction to CHSRF's target audiences with the goals of: 1) creating recognition of the value of CHSRF in accelerating healthcare improvement and transformation for Canadians; and 2) articulating how CHSRF's programs are interconnected and convert evidence and innovative practices into actionable policies, programs, tools and leadership development.

8. Link recipient's site: Canadian Health Services Research Foundation

Conditional Grant to Canadian Health Infoway (Infoway)

1. Strategic outcome: A Health System Responsive to the Needs of Canadians

2. Program activity: Canadian Health System

3. Name of recipient: Canada Health Infoway (Infoway)

4. Start date: March 31, 2001(a)

5. End date: March 31, 2015(b)

6. Description: Canada Health Infoway Inc. (Infoway) is an independent, not-for-profit corporation established in 2001 to accelerate the development of electronic health technologies such as electronic health records, telehealth and public health surveillance systems on a pan-Canadian basis. Its Corporate Members are the 14 federal, provincial and territorial Deputy Ministers of Health.

Since 2001, the Government of Canada has committed the following funding allocations: $500 million in 2001 in support of the September 2000 First Ministers' Action Plan for Health System Renewal to strengthen a Canada-wide health infostructure, with the electronic health record (EHR) as a priority; $600 million in the First Ministers' Health Accord of February 2003, to accelerate implementation of the EHR and Telehealth; $100 million as part of Budget 2004 to support development of a pan-Canadian health surveillance system; and $400 million as part of Budget 2007 to support continued work on EHRs and wait times reductions. Also, as announced in Budget 2009 and confirmed in Budget 2010, Canada's Economic Action Plan allocated an additional $500 million to Infoway, to support continued implementation of EHRs, implementation of electronic medical records (EMRs) in physicians' offices, and integration of points of service with the EHR system. In March 2010, Health Canada and Infoway signed a related funding agreement, which includes enhanced accountability provisions.

It is anticipated that Infoway's approach, where federal, provincial and territorial governments participate toward a goal of modernizing electronic health information systems, will reduce costs and improve the quality of health care and patient safety in Canada through coordination of effort, avoidance of duplication and errors, and improved access to patient data.

Funding ($ millions)
Total Funding Prior Years' Funding Planned Funding
2012-13
Planned Funding
2013-14
Planned Funding
2014-15
$2,100.00 $1,580.44(c) To be determined(d) To be determined(d) To be determined(d)

7. Summary of annual plans of recipient: Infoway's overarching goal is as follows:

By 2010, every province and territory and the populations they serve will benefit from new health information systems that will help transform their health care delivery system. Further, by 2010, the electronic health records of 50 per cent of Canadians and by 2016, those of 100 per cent of Canadians, will be available to their authorized health care professional.

As of March 31, 2011, 50% of Canadians have an EHR available to their health care professionals, and electronic health tools are in place in every province and territory. Infoway is continuing to work with provincial and territorial partners towards full availability of EHRs.

In its 2011-12 Summary Corporate Plan, Infoway indicated the following four key objectives which will continue into 2012-13:

  • continue to collaborate with all jurisdictions and stakeholders to advance the availability, adoption and use of electronic health information systems so that they can enable and support health care renewal in Canada;
  • work with the provinces and territories to significantly increase the deployment and use of EMRs in physician offices across Canada;
  • work with provinces and territories to continue supporting clinicians in their quest to adopt and use new technologies with directed change management, clinical process transformation, knowledge transfer and clinical innovation activities; and
  • together with some jurisdictions, to focus on directly supporting Canadians, especially those with chronic conditions, through investment in consumer health solutions that expedite the public's access to their personal health records, and other online services.

8. Link recipient's site: Canada Health Infoway

Conditional Grant to Mental Health Commission of Canada - Conditional Grant to support Research Demonstration Projects in Mental Health and Homelessness

1. Strategic outcome: A Health System Responsive to the Needs of Canadians

2. Program activity: Canadian Health System

3. Name of recipient: Mental Health Commission of Canada -- Conditional Grant to support Research Demonstration Projects in Mental Health and Homelessness

4. Start date: March 31, 2008

5. End date: March 31, 2013

6. Description: As part of Budget 2008, the federal government provided $110 million in funding to the MHCC to support five research demonstration projects in mental health and homelessness over five years (2008 - 2013). Projects are underway in Moncton, Montreal, Toronto, Winnipeg and Vancouver and each site is exploring issues related to various sub-populations. The overall goal of this initiative is to provide evidence about what services and systems could best help people who are living with a mental illness and are homeless.

Expected outcomes:

  • the development of a knowledge-base accessible to all jurisdictions that will support more effective policy and program development and more responsive interventions;
  • determine appropriate sequencing in the provision of housing supports and the basket of necessary services (e.g. counselling, therapy, drug treatment, circles of support) that support long-term quality of life changes for this population;
  • the development of best practices and lessons learned that are applicable to future efforts with respect to mental health and homelessness across Canada, including innovative methodologies for locating, counting and providing targeted interventions to specific subpopulations;
  • data that reflects the impact and prevalence of mental health issues and substance abuse challenges among projects; data that reflects any regional and/or subset population distinction and barriers that exist with respect to mental health illness and homelessness;
  • identify the unique problems and solutions for diverse ethno-cultural groups within this population; and
  • support improvements at each project site to address fragmentation through improved system integration and support including on-the-ground information technology solutions.
Funding ($ millions)
Total Funding Prior Years' Funding Planned Funding
2012-13
Planned Funding
2013-14
Planned Funding
2014-15
$110M $110M 0 Not applicable Not applicable

Total funding of $110 M for this project was provided to the MHCC in 2008. The MHCC provides project forecast expenditures for each fiscal year in its annual business plan / corporate plan, in accordance with the terms and conditions of its funding agreement.

7. Summary of annual plans of recipient: According to MHCC's Annual Report 2010-2011, Together We Can, as of March 2011, all five project sites had nearly reached their target enrollment. As of June 2011, the MHCC reported that the recruitment phase of the project was completed with 2,277 participants, of which 1158 have been housed at least once. The MHCC is planning for the next phase of the project which includes an increased focus on supporting individuals in their recovery and ongoing research and data collection.

Over the past year, efforts were made to ensure all five sites were implementing project protocols in order to improve quality control. On-site training was put in place to help project teams deal with challenges associated with providing services to vulnerable individuals. National training events for over 200 frontline staff took place in Moncton during June 2010 and in Vancouver during May 2011.

Several activities were initiated to share information about the project. For example, members presented at local and international conferences and an Early Findings Report was published in April 2010 which provides information on the participants and the preliminary impact of the Housing First approach. The MHCC continues to work on a plan to produce a video documentary about the project and At Home / Chez Soi's Montreal team hosted a delegation from France in order to share information about the project.

The At Home / Chez Soi Team developed metrics to rate the quality of housing for participants as well as measure the impact that adverse childhood events have had on participants. This is important for understanding the path to homelessness. Project team members also developed guidelines and suggestions to help project participants and the media interact in the best way.

Sustainability planning is underway as the project funding agreement with the federal government approaches expiry in 2013. A cross-site committee is leading this work and the MHCC continues to liaise with their partners to develop a transition plan for project participants. The objective of these efforts is to ensure project participants have places to live and the necessary supports at the end of the project; and that the research findings are used to inform public policy in the area of homelessness.

8. Link recipient's site: Mental Health Commission of Canada

Footnotes

  • (a)  Infoway's original allocation (2001) was governed by a Memorandum of Understanding. Infoway is presently accountable for the provisions of four active funding agreements, signed in: March 2003 (encompasses 2001 and 2003 allocations), March 2004, March 2007, and March 2010. The first three allocations (totalling $1.2B) were provided as immediate lump sum disbursements, whereas the 2007 allocation ($400M) and 2010 allocation ($500M) are up-front multi-year funding, subject to specific conditions, with funds flowing to Infoway on an as-needed basis, at least annually (Infoway makes individual cash flow requests specific to those funding agreements).

  • (b)  As per the 2010 funding agreement, the duration of the agreement is until the later of: the date upon which all Up-Front Multi-Year Funding provided has been expended, or March 31, 2015. The duration of the 2007 funding agreement is until the later of: the date upon which all Grant Funding provided has been expended, or March 31, 2012.

  • (c)  This figure represents funds disbursed to Infoway since its creation in 2001 up to November 2011, including the immediate lump sum disbursements in 2001, 2003 and 2004 totalling $1.2 B, as well as funds disbursed through cash flow requests under the 2007 and 2010 funding agreements. This figure does not reflect additional cash flow requests that Infoway may submit between December 2011 and March 2012.

  • (d)  As per both the 2007 and 2010 funding agreements, funds are to be disbursed according to the annual cash flow requirements identified by Infoway. These requirements are to be submitted to the Department no later than March 30, in advance of the upcoming fiscal year to which that cash flow statement applies. Also, Infoway can submit additional cash flow requests within a fiscal year, should the need for additional funding arise. Infoway has not provided an advance estimate of its 2012-13 to 2014-15 requirements.