Treasury Board of Canada Secretariat
Symbol of the Government of Canada

ARCHIVED - Health Canada


Warning This page has been archived.

Archived Content

Information identified as archived on the Web is for reference, research or recordkeeping purposes. It has not been altered or updated after the date of archiving. Web pages that are archived on the Web are not subject to the Government of Canada Web Standards. As per the Communications Policy of the Government of Canada, you can request alternate formats on the "Contact Us" page.

Table 13 : Details on Transfer Payment Programs (TPPs) (2006-2007)

1. Table not to be included in printed DPR : include a listing of your completed TPP tables. Please include the following instruction to guide the reader to the tables available on-line:

"Supplementary information on Transfer Payment Programs can be found at http://www.tbs-sct.gc.ca/est-pre/estime.asp

Please complete the following table:


1) Name of Transfer Payment Program Grant for Nunavut Medical Travel Fund

2) Start Date June 27, 2005 

3) End Date March 2010

4) Description To support the Nunavut medical travel fund

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved Initiatives to address the significant and immediate pressures facing the Yukon, Northwest Territories and Nunavut (the territories) in the area of medical travel expenditures

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

10.2

 10.2

 10.2

 10.2

NIL

14) Total Contributions

 

 

 

 

 

 

15) Total PA

 

10.2

10.2

10.2

10.2

NIL

16) Comment(s) on Variance(s) N/A

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation

Audit Findings and URL 

Evaluation Findings and URL



1) Name of Transfer Payment Program

Grant to the Government of Yukon for the Territorial Health Access Fund and Operational Secretariat

2) Start Date September 2005  3) End Date March 2010
4) Description Grant to the Government of Yukon for the territorial Health Access Fund and Operational Secretariat
5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved

  • Enhanced alcohol and drug services, programs and treatment options;
  • Improved public health services, emergency preparedness and response measures and oral health;
  • Strengthened, integrated sustainable health promotion and illness prevention strategies.
  7) Actual Spending 2004-05 8) Actual Spending
2005-06
9) Planned Spending 2006-07 10) Total Authorities
2006-07
11) Actual Spending
2006-07
12) Variance(s) Between 9 and 11
13) Program Activity (PA) First Nations and Inuit Health            
14) Total Grants  

 6.3

 6.3

 6.3

 6.3

 NIL

14) Total Contributions            
14) Total Other Types of TPs            
15) Total PA  

 6.3

 6.3

 6.3

 6.3

 NIL

16) Comment(s) on Variance(s)
17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:
 Audit Findings and URL 
Evaluation Findings and URL


1) Name of Transfer Payment Program

Payments to Indian bands, associations or groups for the control and provision of health services

2) Start Date June 1989 

3) End Date 2006

4) Description This transfer payment represents payments made to Indian bands, associations or groups for the control and provision of health services.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved Contributed to increased control and accountability by First Nations communities of health care services.

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

205.2

202.3

217.9

204.3

204.3

13.6

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

205.2

202.3

217.9

204.3


204.3

13.6

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL 

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Health Governance and Infrastructure Support (HG/IS)

2) Start Date April 2005 

3) End Date March 2010

4) Description Governance and Infrastructure Support to the First Nations and Inuit Health System

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canaians

6) Results Achieved

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

76.9

167.6

95.0

87.8

79.8

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

76.9

167.6

95.0

87.8

79.8

16) Comment(s) on Variance(s)

An amount of $19.5 was reprofiled to FY 2007-08.

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Community Programs

2) Start Date April 2005 

3) End Date March 2010

4) Description This transfer payment represents contributions made towards the Aboriginal Head Start On-Reserve Program.

5) Strategic OutcomeBetter health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved Contributed to the developmental needs of FN/I children through activities that encouraged learning, healthy eating and hygiene and provided access to health services.

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

  

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

209.0

211.3

288.5

288.5

-77.2

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

209.0

211.3

288.5

288.5

-77.2

16) Comment(s) on Variance(s)

variance explanation removed

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Health Facilities and Capital Program

2) Start Date April 2005 

3) End Date March 2010

4) Description This transfer payment represents contributions made on behalf of, or to, Indians or Inuit towards the cost of construction, extension or renovation of hospitals and other health care delivery facilities and institutions, as well as of hospital and health care equipment.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved Provision of appropriate health care facilities for First Nations and Inuit clients on-reserve and modern, safe and secure functional office and living accommodations for staff.

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

41.4

51.9

41.7

41.7

10.2

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

41.4

51.9

41.7

41.7

10.2

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL

Canada Prenatal Nutrition Program - First Nations and Inuit Health Branch - Evaluation Report 2006, 12 February 2007.

http://www.hc-sc.gc.ca/ahc-asc/performance/eval/index_e.html



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Health Benefits

2) Start Date April 2005 

3) End Date March 2010

4) 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.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

 146.5

1 18.2

136.5

 136.5

 -18.3

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

 146.5

   1 18.2

136.5

 136.5

 -18.3

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Health Protection

2) Start Date April 2005

3) End Date March 2010

4) Description Communicable Disease and Environmental Health and Research programs facilitate prepardness to implement measures in the control, management and containment of outbreaks of preventable diseases and improve management and control of environmental hazards.

5) Strategic OutcomeBetter health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

15.9

9.7

29.0

29.0

-19.3

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

15.9

9.7

29.0

29.0

-19.3

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for First Nations and Inuit Primary Health Care

2) Start Date April 2005 

3) End Date March 2010

4) 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.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

134.0

119.7

95.1

91.7

28.0

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

134.0

119.7

95.1

91.7


28.0

16) Comment(s) on Variance(s)

Funds were reallocated from within Branch to address identified funding pressures.

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL 

Evaluation Findings and URL



1) Name of Transfer Payment Program Contributions for Bigstone Non-Insured Health Benefits Pilot Project

2) Start Date April 2005 

3) End Date March 2010

4) Description Administration and delivery of benefits with Bigstone Health Commission to registered Indians and recognized Inuit.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities
2006-07

11) Actual Spending
2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

8.5

8.2

9.0

9.0

-.8

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

8.5

8.2

9.0

9.0

-.8

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL

The Bigstone Cree Nation has taken on full administrative control of all but one of the non-insured health benefits after eight years.

2. It was felt that the pilot project was meeting the general goal of delivering non-insured health benefits in an effective, efficient and appropriate manner.

3. It was also felt that the NIHB pilot project was needed by the Bigstone Cree Nation and that it was very important that certain non-insured health benefits be administered locally.

4. The majority of respondents from the Bigstone Cree Nation's NIHB pilot project felt that administration had stayed the same or improved.

5. The Bigstone Cree Nation's pilot project was characterized by a strong, cooperative relationship between the Bigstone Health Commission and the FNIHB regional office.

6. A substantial part of the success of the Bigstone NIHB pilot project appears to have resulted from the support that the pilot project received from the regional FNIHB office, the expertise provided by FNIHB's knowledgeable personnel, and the support and commitment from the Bigstone Cree Nation's leadership. There was a large amount of satisfaction with the level of support provided to the pilot project by the regional FNIHB office. Both the Bigstone Cree Nation Pilot Project and FNIHB felt that the management structure had proved to be flexible, viable, efficient, effective and satisfactory.

7. Both the Bigstone Cree Nation and FNIHB were satisfied that the technological resources of the pilot project were sufficient to facilitate the administration of the benefits and both were somewhat satisfied with the adequacy of the human resources available to deliver benefits. FNIHB felt that additional staff training should be provided to cover staff turnover. The Bigstone Cree Nation Pilot Project noted that Bigstone had substantial human resources to draw on (such as the Chief and Band Council, the Bigstone Health Commission, consultants, and FNIHB staff), but had to develop their own local capacity.

8. It was felt that the pilot project had been affected by several external influences, including general inflation and cost/price increases, the shifting priorities and management focus of the Bigstone Health Commission, staffing changes at FNIHB, and the impact of new privacy laws which necessitated revised consent approaches.

9. Both the Bigstone Cree Nation Pilot Project and FNIHB felt that there was sufficient capacity to conduct the pilot. In addition, both felt that training needed to be ongoing in order to plan for staff replacements and program expansion and to develop new and/or enhanced skills and expertise in areas such as electronic record-keeping, utilization review and outcome evaluation.

10. It was suggested that the objectives of the pilot project should be reviewed to ensure that they are accurate and reasonable, the timelines for development and implementation should be extended substantially, and stronger monitoring/outcome evaluation processes should be developed for all First Nations health programs.



1) Name of Transfer Payment Program Contributions to the Organization for the Advancement of Aboriginal People's Health (OAAPH)

2) Start Date April 2005 

3) End Date March 2010

4) Description This transfer payment represents payments made to the Aboriginal Health Institute/Centre for the Advancement of Aboriginal Peoples' Health.

5) Strategic Outcome Better health outcomes and reduction of health inequalities between FN/I and other Canadians

6) Results Achieved The advancements in knowledge and the sharing of knowledge on aboriginal health contributed to continued empowerment of Aboriginal peoples.

 

7) Actual Spending 2004-05

8) Actual Spending 2005-06

9) Planned Spending 2006-07

10) Total Authorities 2006-07

11) Actual Spending 2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) First Nations and Inuit Health

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 

5.0

5.0

5.0

5.0

NIL

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 

5.0

5.0

5.0

5.0

NIL

16) Comment(s) on Variance(s)

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:

Audit Findings and URL  

Evaluation Findings and URL


Table 13 : Details on Transfer Payment Programs (TPPs)


1) Name of Transfer Payment Program

The Alcohol and Drug Treatment and Rehabilitation Contribution Program

2) Start Date
April 1, 1997

3) End Date
Ongoing

4) DescriptionThe ADTR Contribution Program is an A-base component of the CDS which supports the federal government's efforts to reduce substance use and the harm associated with the abuse of alcohol and other drugs to individuals, families and communities. It provides cost-shared funding to participating provinces and territories through negotiated bi-lateral federal/provincial/territorial (FPT) contribution agreements.

5) Strategic OutcomesIncreased access to and utilization of alcohol and drug treatment and rehabilitation services by women and youth.

6) Results AchievedA review of the ADTR Program was completed in 2006-07. The review, along with other studies and consultations, concluded that systemic change was needed to move substance abuse treatment systems toward more evidence-informed practices, while increasing systems' capacity to evaluate practices for their efficiency and effectiveness. As a result, the ADTR Program will be refocused in 2008-09 to invest in activities that strengthen provincial/territorial substance abuse treatment systems. The refocused ADTR funding will invest in the following areas: 1) implementation of evidence-informed practices, 2) strengthening evaluation and performance measurement, and 3) linkage and exchange as it relates to 1) and 2).

 

7) Actual Spending 2004-05

8) Actual Spending
2005-06

9) Planned Spending 2006-07

10) Total Authorities 2006-07

11) Actual Spending 2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) - Healthy Environments and Consumer Safety

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

17.2

Includes redistribution spending

14.2

Includes redistribution spending 13.3

 14

 13.3

 13.2

 .8

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 17.2

 14.2

 14

 13.3

 13.2

 .8

16) Comment(s) on Variance(s)The program budget was reduced by $800K as part of the $1B budget reduction exercise.

17) Audit/Evaluation Findings

The CDS Interim evaluation did not examine the ADTR Program in any detail, therefore, no new evaluation findings are available. It should be noted that a performance measurement and evaluation plan are being developed in conjunction with the refocused ADTR Program.




1) Name of Transfer Payment ProgramDrug Strategy Community Initiatives Fund (voted contributions dollars)

2) Start Date
April 2004

3) End Date
Ongoing

4) DescriptionThe Drug Strategy Community Initiative Fund (DSCIF) was established under Canada's Drug Strategy (CDS) to provide support for community-based initiatives at the national, regional, provincial/territorial and local levels to facilitate community-based solutions to substance abuse problems and promote public awareness of substance abuse issues. Funding is provided in two main areas: Promotion and Prevention, and Harm Reduction. The Program is delivered through Health Canada's regional and national offices and the Northern region.

*DSCIF will be transitioning to better reflect the new priorities under the National Anti-Drug Strategy.

5) Strategic Outcomes

  • Increased awareness and knowledge about the DSCIF program and funded projects
  • Greater awareness of health promotion/prevention initiatives and those initiatives that reduce harm
  • Greater awareness of effective intervention models to respond to problematic substance use
  • Increased understanding of substance use/abuse issues and related harms
  • Enhanced program decision making around project funding
  • Improved capacity of community organizations to address current and emerging needs of Canadians related to problematic substance use

6) Results Achieved

  • Within the program: staffed in national and regional offices; held 2 planning meetings with regional/national staff; held a DSCS evaluation training for national and regional staff; hired a program evaluation consulting company, hired consultant to develop project gap analysis
  • Strategic initiatives identified and funding commenced in 2006-07
  • As of March 31 2007 a total of 175 projects have been supported: British Columbia 21; Alberta 24; Manitoba/Saskatchewan 16; Ontario 30; Quebec 32, Atlantic 18, Northern Secretariat 9; National 25

 

7) Actual Spending 2004-05

8) Actual Spending 2005-06

9) Planned Spending 2006-07

10) Total Authorities 2006-07

11) Actual Spending 2006-07

12) Variance(s) Between 9 and 11

13) Program Activity (PA) -Healthy Environments and Consumer Safety

 

 

 

 

 

 

14) Total Grants

 

 

 

 

 

 

14) Total Contributions

 2.7

 9.3

 9.9

10.8

10.7

 -.9

14) Total Other Types of TPs

 

 

 

 

 

 

15) Total PA

 2.7

 9.3

9.9

10.8

10.7

-.9

16) Comment(s) on Variance(s)Lapsed funds include monies that were unspent in the National component and the Regional components (with the exception of Ontario and Manitoba/ Saskatchewan) of the fund ($223,104.94). Monies lapsed due to reasons including: unspent funds at year-end under contribution agreements; monies not dedicated to specific projects; and monies that were unspent due to projects not receiving ministerial approval. The figures also represent the total allocation including the 182K reduction from the $1 billion reduction exercise and transfers from other departments.

17) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or EvaluationThe DSCIF is evaluated as part of the Horizontal RMAF for Canada's Drug Strategy. The Interim Year-Two Risk-Based Evaluation of Canada's Drug Strategy shows that, with the exception of demand for funding exceeding supply, no potential risks identified for the DSCIF have arisen. The DSCIF successes identified in the report include: program implementation in a short time frame; strong partnerships with provincial/territorial partners; and, high number of applications. No audit of DSCIF has been conducted to date. Audit processes for funded projects have been undertaken, with no full audits required to date and two full audits have been conducted to date. (No URL available.)

19) Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation

The Contribution Program was evaluated in 2006-07 as part of the renewal of the Federal Tobacco Control Strategy.

An audit of the FTCS Contribution Program was undertaken in 2003-04 as part of an overall Audit of Grants and Contributions Programs within the Healthy Environments and Consumer Safety Branch.


Table 13


Name of Transfer Payment Program:
Named Grant to the Health Council of Canada
Start Date:
September 1, 2004
End Date:
Ongoing
Description:
The mandate of the Health Council of Canada is to monitor and report annually on the implementation of the 2003 First Ministers Accord on Health Care Renewal, the 2004 Health Accord and on the health outcomes of Canadians.
Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.
Results Achieved:
The Health Council published Annual Reports in 2005, 2006 and 2007as well as a number of special reports which comment on the progress of health care renewal in Canada. The Council holds regular meetings and special events such as conferences and roundtables, and is supported by a small secretariat.
 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA)
Health Policy, Planning & Information

     

Total Grants

4.7

3.1

10.0

6.0

4.6

5.4

Total Contributions

           

Total Other Types of TPs

           

Total PA

4.7

3.1

10.0

6.0

4.6

5.4

Comment(s) on Variance(s):
Launch of the Council, staffing and planning took longer than anticipated.  As a result, budgets and work plans for the first two years of the Council, although approved, could not be fully completed.   

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:
The Council has not undergone a formal evaluation of its operations and performance.  However, a review focussed on policy relevance is underway and due for completion by Fall 2007.  Furthermore, the Grant Agreement requires that an independent evaluation for the period April 1, 2004 to March 31, 2007 be submitted no later than March 31, 2008.  The Council’s financial records are reviewed and audited by independent external accountants.


 


Name of Transfer Payment Program:
Grant to the Canadian Agency for Drugs and Technology in Health (CADTH)
Start Date:
April 1, 2005
End Date:
Ongoing
Description:
CADTH is an independent not-for-profit corporation established under the Canada Corporations Act, Part II.  Its purpose is to facilitate the analysis, creation and dissemination of information concerning the effectiveness and cost of technologies and drugs, their impact on health and the appropriateness of their use.  This named grant provides financial assistance to support CADTH's core business activities, namely: federal-provincial-territorial Common Drug Review (CDR), Health Technology Assessment (HTA) and Canadian Optimal Medication Prescribing and Utilization Service (COMPUS).
Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.
Results Achieved:
Evidence-based information that supports informed decisions on health technologies, including drugs, devices, medical and surgical procedures and health care systems.
 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA)
Health Policy, Planning & Information

     

Total Grants

-

7.4

17.4

17.4

17.0

0.4

Total Contributions

           

Total Other Types of TPs

           

Total PA

-

7.4

17.4

17.4

17.0

0.4

Comment(s) on Variance(s):

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:



Name of Transfer Payment Program:
Grant to the Canadian Patient Safety Institute (CPSI)
Start Date:
February 6, 2004
End Date:
Ongoing
Description:
CPSI is an independent not-for-profit corporation established under the Canada Corporations Act, Part II.  Its purpose is to provide leadership and co-ordination in building a culture of patient safety and quality improvement throughout the Canadian health care system. CPSI works to: promote best practices; share information; offer advice to governments, stakeholders and the public on effective strategies to improve patient safety; and raise awareness with stakeholders, patients and the general public about patient safety.

This named grant provides financial assistance to support CPSI's efforts to implement the provisions in the 2003 First Ministers' Accord towards improving health care quality by strengthening system co-ordination and national collaboration related to patient safety.
Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.

Results Achieved:
Increased awareness and national co-ordination of patient safety through several major initiatives:

  • Developed draft National Guidelines for the Disclosure of adverse events and a Patient Safety Education Framework;
  • Held several training programs including the first Canadian Root Cause Analysis Train-the-Trainer workshop and a series of Executive Patient Safety learning programs aimed at CEOs, Board Chairs, Chief Medical Officers and Chief Nursing Officers;
  • Sponsored Canadian Patient Safety Week with a theme of hand hygiene and the valuable role that it plays in reducing healthcare associated infections;
  • Completed an independent evaluation of CPSI’s programs and activities;
  • Supported patient safety research through a second annual research competition and announced nine studentships; and,
  • Expanded the number of healthcare teams participating in the Safer Healthcare Now!  campaign to promote evidence-based strategies aimed at reducing the number of injuries and deaths related to adverse events.  Publicly released the results of Phase I, which indicate measurable reductions in adverse events, such as the reduction of ventilator-associated pneumonia by 50% or more.
 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA)
Health Policy, Planning & Information

     

Total Grants

8.0

7.1

8.0

8.0

-

8.0

Total Contributions

           

Total Other Types of TPs

           

Total PA

8.0

7.1

8.0

8.0

-

8.0

Comment(s) on Variance(s):

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:




Name of Transfer Payment Program:
Health Care Strategies and Policy Contribution Program
Start Date:
October 21, 2002
End Date:
Ongoing
Description:
The Program will provide policy analysis and advice to support the First Ministers’ commitment to a more accessible, high-quality, sustainable and accountable health system that will be adaptable to the needs of Canadians.  The Program has evolved to include delivery of the Pan-Canadian Health Human Resource Strategy, the National Wait Times Initiative and the Internationally Educated Health Professionals Initiative.

The Pan-Canadian Health Human Resources (HHR) Strategy aims to secure and maintain a stable and optimal health workforce that supports overall health care renewal and a decrease in wait times.  The federal government committed $20 million annually to joint initiatives through the pan-Canadian HHR Strategy, including: Pan-Canadian Health Human Resource Planning; Interprofessional Education for Collaborative Patient Centred Practice; and Recruitment and Retention.

The Internationally Educated Health Professionals Initiative (IEHPI) is also part of the HHR Strategy.  It is designed to facilitate the integration of Internationally Educated Health Professionals (IEHPs) by reducing barriers to practice and assisting them in obtaining licensure within the Canadian health care workforce. This will result in an increased number of health providers to address current and looming workforce shortages and support the achievement of Patient Wait Times Guarantees. In the spring 2005 budget, the Canadian government committed $75 million over five years to support IEHPI.
Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.

Results Achieved:
Health Canada has played a key leadership role in developing and implementing the Pan-Canadian HHR Strategy, including HHR Planning and co-ordination, the Interprofessional Education for Collaborative Patient-Centered Practice initiative, the IEHPI and the recruitment and retention of HHR, by:

  • Facilitating and strengthening linkages and collaboration between provinces and territories to promote regional (e.g. the Western & Northern Health Human Resources (HHR) Planning Forum) and national approaches, and increase their efficacy and efficiency;
  • Mobilizing professionals, professional organizations, employers (such as regional health authorities) and research and educational institutions.  This has generated momentum to collaboratively address various HHR issues that concern groups such as internationally educated health professionals (IEHP);
  • Investing in new innovative programs across the country that enhance pan-Canadian evidence-based planning, support interprofessional education and practice and strengthen recruitment and retention strategies, (e.g. the Healthy Workplace Initiative).  
  • Minimizing costly duplication and increasing the ability to respond efficiently to common issues through the development and implementation of the Framework for Collaborative Pan-Canadian HHR Planning and ongoing collaboration with provinces and territories, professional organizations and other key stakeholders.
 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA):
Health Policy, Planning & Information

     

Total Grants

9.4

23.2

29.1

27.5

26.7

2.4

Total Contributions

           

Total Other Types of TPs

           

Total PA

9.4

23.2

29.1

27.5

26.7

2.4

Comment(s) on Variance(s):

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:



Name of Transfer Payment Program:
Contributions for the Primary Health Care Transition Fund (PHCTF)
Start Date:
June 13, 2001
End Date:
March 31, 2007
Description:
The $800 million PHCTF was established in response to the First Ministers' Meeting 2000 commitment and recognition that improvements to primary health care are crucial to the renewal of the overall health care system.
Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.

Results Achieved:
A total of 65 initiatives were completed by March 31, 2007. The following results have been achieved:

  • Establishment of new models of chronic disease management and prevention demonstrating positive clinical outcomes;
  • Culture shift towards a more collaborative, team approach by health professionals, leading to the development of tools and charters to assist health professionals;
  • Improved integration of federally funded health systems in First Nations/Inuit communities with provincial/territorial delivery of health services;
  • Increased use of technologies including the introduction of: tele-triage and telephone advisory lines in several jurisdictions; telehealth services particularly in the North and remote areas and electronic record keeping for efficiency and continuity of care;
  • Development of education and training programs to support professionals in their full scope of practice and to recruit and retain more professionals, e.g. Aboriginal Midwifery degree program;
  • Development of policies, tools, research and evaluation frameworks to support evidence-based practice and effective deployment of providers; and,
  • Development of primary health care indicators with which to compare and measure primary health care across various levels and jurisdictions.
 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA)
Health Policy, Planning & Information

     

Total Grants

           

Total Contributions

210.8

184.8

75.6

74.1

72.7

2.9

Total Other Types of TPs

           

Total PA

210.8

184.8

75.6

74.1

72.7

2.9

Comment(s) on Variance(s):

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:



Name of Transfer Payment Program:
Contribution Program to improve access to health services for official language minority communities
Start Date:
June 18, 2003
End Date:
Ongoing

Description:
The Contribution Program to Improve Access to Health Services for Official Language Minority Communities was created following the 2003 federal budget and the federal Action Plan for Official Languages, announced on March 12, 2003. The budget provided Health Canada with $89 million over five years (2003-2004 to 2007-2008) for the implementation of projects related to training and retention of health professionals and for the creation of community networks designed to improve the access of Official Language Minority Communities — English-speaking residents of Quebec and Francophones outside of Quebec — to health services in the language of their choice.

The program funds networking initiatives as well as health care professional training and retention measures. Within this context, 14 contribution agreements have been signed with recipients in both communities: Socit Sant en franais and the Quebec Community Groups Network, which will receive $9.3 million and $4.7 million, respectively, over a five-year period to maintain and develop networks for facilitation and co-ordination of activities around health care issues. For training and retention, the Consortium national de formation en sant (10 post-secondary institutions) will receive $63 million over five years to ensure the availability of health care professionals who can work in French. As well, McGill University will receive $12 million to organize training activities to ensure the availability of health care professionals who can work in English in Quebec.

Strategic Outcomes:
Strengthen knowledge base to address health and health care priorities.

Results Achieved:

(1) Community Networking Support

French-Speaking Official Language Minority Communities

The Formative Evaluation of the Community Networking Program for French-speaking minority communities was completed in May 2006 and presented the following observations:

  • Seventeen (17) networks were established and operational in all provinces and territories. Each network comprises most, if not all, of the relevant health care partner groups: health care professionals, health administrators, government authorities, training centres, and communities.
  • Three networks have received formal recognition by their respective provincial departments of health. Over half of the networks have established informal relations with the provincial/territorial governments in their jurisdictions, and with other health partners.
  • All networks have launched planning initiatives for the provision of health services in French and taken steps to engage and build consensus among stakeholders through mechanisms such as conferences, training workshops, formal meetings, and consultations in collaboration with their provincial or territorial health departments and other regional health authorities.
  • The Socit Sant en franais and its networks have recruited, selected and supported projects for improving access to health services in French under the Primary Health Care Transition Fund.

English-Speaking Official Language Minority Communities

The Preliminary Evaluation Report of the Health and Social Services Networking and Partnership Initiative (HSSNPI) of the Quebec Community Groups Network (QCGN) was released in October 2006.  Outputs and short-term outcomes include the creation of networking units and the development of knowledge about the Anglophone communities.

(2) Training and Retention of Health Professionals

French-Speaking Official Language Minority Communities

Data collected for the Formative Evaluation of the Health Care Training and Research Project of the Consortium national de formation en sant (CNFS) reveal an increasing number of candidates undertake health studies in French.

The primary objective set forth by the ten member institutions of the Consortium was to accept 2500 new students over a five-year period, 2003-2008.  As of the project's fourth year, 2135 candidates were registered in member institutions' health programs, which exceeds by 34% the goal set by the CNFS for 2006-2007.  This finding suggests that the Consortium and its partners could achieve or surpass the original objective of 2500 new students.

In the project’s third year of operation, the ten member institutions of the CNFS had generated 574 graduates, which constitutes a 55% increase over the project's objective for 2005-2006. The number of graduates to date suggests that the five-year target of 1200 graduates will be achieved.

English-Speaking Official Language Minority Communities

Over a three-year period — 2005-2006, 2006-2007, and 2007-2008 — four measures are being implemented under the McGill Training and Human Resources Development Project: a language training program ($4.8M), initiatives for labour market retention and distance support ($2.4M), seminars and conferences (($0.4M) and the creation of an innovation fund. McGill University is responsible for planning, implementation and evaluation of the Project ($4.0M).

The Language Training Program trained health professionals in each region of Quebec through a significant number of course hours.  The development of different teaching modes was met with varying levels of satisfaction among participants.  It has been estimated that 1599 persons were trained in 2005-2006 and 1925 were trained in 2006-2007.
Further information regarding these projects is available from the websites of program promoters:

 

Actual Spending 2004-05

Actual Spending 2005-06

Planned Spending 2006-07

Total Authorities 2006-07

Actual Spending 2006-07

Variance(s) Between Planned and Actual Spending

Program Activity (PA)
Health Policy, Planning & Information

     

Total Grants

           

Total Contributions

14.8

21.0

23.0

24.1

24.1

-1.1

Total Other Types of TPs

           

Total PA

14.8

21.0

23.0

24.1

24.1

-1.1

Comment(s) on Variance(s):

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation:


Table 13


Name of Transfer Payment Program
Grant to the Canadian Blood Services : Blood Safety and Effectiveness and Research and Development

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 Outcomes
Access to safe and effective health products and food and information for healthy choices

Results Achieved

 

Actual
Spending
2004-05

Actual
Spending
2005-06

Planned Spending
2006-07

Total Authorities
2006-07

Actual
Spending
2006-07

Variance(s) Between
Planned and Actual Spending

Program Activity (PA)
Health Products and Food

 

 

 

Total Grants

5.0

5.0

5.0

5.0

5.0

-

Total Contributions

 

 

 

 

 

 

Total Other Types of TPs

 

 

 

 

 

 

Total PA

5.0

5.0

5.0

5.0

5.0

-

Comment(s) on Variance(s) N/A

Significant Audit and Evaluation Findings and URL (s) to Last Audit and / or Evaluation