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

Program activity: Canadian Health System

Name of recipient: Canada Health Infoway

Start date: March 31, 2003*

* 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 lump sums, whereas the 2007 allocation ($400M) and 2010 allocation ($500M) are subject to specific conditions, with funds flowing to Infoway on an as-needed basis (Infoway makes individual cash flow requests specific to those funding agreements).

End date: March 31, 2015**

**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.

Description:

Canada Health Infoway Inc. (Infoway) is an independent, not-for-profit corporation established in 2001 to accelerate the development of health information and communication 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 federal government 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 part of the Economic Action Plan, and as indicated in Budget 2009, the Government of Canada announced an additional investment of $500 million in Infoway, to support continued implementation of EHRs, implementation of electronic medical records in physicians' offices, and integration of points of service with the EHR system. Following a due diligence process, Budget 2010 announced the government's intention to move forward with the transfer of the funds. 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 (F/P/T) governments participate as equals, toward a goal of modernizing the health information system, will reduce costs and improve the quality of health care and patient safety through coordination of effort and avoidance of duplication.

($ millions)

Total Funding	Prior Years' Funding	Planned Funding 2011-12	Planned Funding 2012-13	Planned Funding 2013-14
$2,100.00	To be determined***	To be determined***	To be determined***	To be determined***

***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 2011-12 to 2013-14 requirements.

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. In its 2010-11 Corporate Business Plan, Unlocking the Clinical Value of Health Information Systems, Infoway indicated the following action areas which will continue into 2011-12 and build upon Infoway's existing business strategies:

• Accelerating activities, programs and projects that will help deliver on the December 31, 2010 goal of having an EHR available for 50% of Canadians: Infoway will continue to work closely with each jurisdiction to focus on activities to help achieve the 2010 goal.
• Expanding the interoperability of EHR solutions, especially at the points of service (e.g., physicians' offices, hospital, community pharmacies): Infoway will continue to work with jurisdictions and vendors to accelerate EHR interoperability, and to support and maintain pan-Canadian standards and their correct and consistent use.
• Increasing adoption and use of the EHR: Infoway will continue to facilitate clinical leadership, advance best practices in the clinical adoption of solutions, and support benefit measurement and realization.
• Connecting with the public and patients to inform and educate them about EHRs and their benefits: This will include implementing a comprehensive corporate communications program to keep stakeholders abreast of developments and inform the public about Infoway's activities and programs.
• Positioning for the future, including implementation of strategies for new programs related to the $500M in federal funding allocated to Infoway in Budget 2010: This will include updating and revising, as necessary, the investment strategies for EMRs, clinical systems integration and consumer health solutions, and completing the strategies and implementation plans to support the evolution of Infoway's 2015 vision.

URL of recipient site: www.infoway.ca

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

Program activity: Canadian Health System

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

Start date: 1996-97

End date: N/A

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's vision is of timely, appropriate and high-quality services that improve the health of all Canadians. Its mission is to improve the health of Canadians by:

• Capturing the best evidence about how healthcare and other services can do more to improve the health of Canadians;
• Filling gaps in evidence about how to improve the health of Canadians, by funding research; and
• Supporting policymakers and managers to develop the skills needed to apply the best evidence about services to improve the health of Canadians.

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

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

(Denomination)

Total Funding	Prior Years' Funding	Planned Funding 2011-12	Planned Funding 2012-13	Planned Funding 2013-14
151.5	1996 - 66.5 1999 - 60 2003 - 25	N/A	N/A	N/A

Summary of annual plans of recipient: (Because CHSRF's 2011 program of work and budget will be submitted for approval to its Board of Trustees on 2 December 2010, the following information is subject to any final direction approved by trustees on that date.)

CHSRF's total 2011 operating budget is $16.4 million for the ongoing implementation of its 2009 2013 strategic plan. The program of work for 2011 provides for the following under its three strategic priorities and its communications and evaluation activities:

Strategic Priority #1: Engaging and Supporting Citizens. The programming for this priority is organized around two key program areas (Patient Engagement and Supporting Citizens on Boards) that have planned a variety of initiatives for 2011 that will be targeted at key decision makers and policy makers. These initiatives include: dialogue events; funded research (e.g. research reports, intervention projects); the generation of web-based tools; the development of partnerships; and numerous training events. The two programs are intended to support decision makers through the development of evidence of innovative practices for citizen engagement in the healthcare system and accompanying capacity development initiatives.

Strategic Priority #2: Accelerating Evidence-Informed Change. Through its programs, this priority will support training, activities, programs and initiatives that are designed to boost evidence-informed leadership, organizational performance and improve health services. Programs include Executive Training for Research Application (EXTRA), Capacity for Applied and Developmental Research and Evaluation (CADRE) in Health Services and Nursing, the annual CEO Forum, the annual Leaders Survey, Picking up the Pace conference (post 2010 conference activities, and planning for 2012 conference), Network of Centre Directors in Health Services and Policy Research, and Northwest Territories Health System Transformation Project. These programs are designed to provide researchers, policy makers and healthcare managers with a clearer understanding of change and learning processes within dynamic and innovative Canadian healthcare organizations. They are also intended to support learning opportunities and initiatives that bring organizations together to address problems related to managing change within Canadian health systems.

Strategic Priority #3: Promoting Policy Dialogue. Through its programs, this priority will inform policy making to improve healthcare and the health of Canadians by developing evidence-informed options for health system financing, quality and performance and by facilitating dialogue among policy and decision makers, researchers and the public to stimulate ideas and action. Under its "healthcare financing and transformation" programming, CHSRF will synthesize the findings of its commissioned research to identify key issues, and dialogue with federal, provincial, territorial, and regional stakeholders, researchers and the public to develop tangible policy options on health system reform. Dissemination plans will also be implemented for the research papers and resulting policy options papers. Other activities will include the development of 1-2 policy briefs addressing health system financing and transformation, funding of a special issue of the Journal of Health Politics, Policy & Law featuring papers on international health reform; and funding of a special issue of the Journal of Health Politics, Policy and Law featuring papers on international health reform.

Activities under "Primary Healthcare" and "Planning for the Aging Population" programming will include developing a policy framework for primary healthcare improvement, developing 1-2 policy briefs, establishing a website to promote dissemination and exchange of evidence, research, promising practices (innovations) and evaluation, disseminating the 2010 national and regional (aging) roundtable reports and final consultation report summarizing results from all roundtables, identifying and disseminating policy innovations arising from the roundtables, and the commissioning of research projects to address aging knowledge gaps and priorities identified through the aging roundtables.

Policy collaboration activities will include CHSRF's participation in the planning of external activities and events, e.g., Taming of the Queue (Canadian Medical Association), 2011 Canadian Association of Health Services and Policy Research Conference, University of British Columbia-Canadian Health Services Policy Research Annual Conference, and The Canadian Partnership Against Cancer collaboration.

In addition, CHSRF will also focus on producing a variety of timely and accessible policy exchange tools and supports, especially Mythbusters, Evidence Boost and Researcher on Call. CHSRF will continue to recognize and reward achievements in connecting research to policy, through the Mythbusters Award (for students), the Health Services Research Advancement Award (for researchers) and the Canadian Harkness Associate Award (for mid-level career researchers, policy or decision makers, journalists and others).

Strategic Evaluation
Programming is planned around five central responsibilities: ensuring corporate accountability; providing strategic evaluative evidence and recommendations; developing & managing CHSRF's foundation-level evaluation activities and reporting; playing a leadership role in the continuous education of the program leads in the area of evaluative thinking and performance management; and producing a number of CHSRF's corporate reports.

Communications and Public Affairs
Internal programming will include the creation of a communications framework to ensure that individual communications initiatives are focused, timely, strategic and mutually reinforcing; and the provision of high quality communications support services (planning, dissemination, writing, editing, translation, etc.). External programming will focus on communicating evidence that contributes to the achievement of CHSRF's vision; raising the overall profile and relevance of CHSRF with its target audiences and demonstrating the value of its work; creating awareness of CHSRF with media; and making CHSRF a recognized source of credible information on health services and systems innovation. The Information Services component will focus on ensuring that information is available in both print and electronic formats at all staff members' desktops via the corporate intranet; providing provide proactive and on-demand information services (research services, training sessions, document delivery, media and literature monitoring, and cataloguing); ensuring ongoing usability of the corporate intranet; and creating and sustaining intersections between the intranet and key information resources for staff.

URL of recipient site: http://ww.chsrf.ca and http://www.fcrss.ca

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

Program activity: Canadian Health System

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

Start date: April 2008

End date: March 2013

Description:

As part of Budget 2008, the federal government announced its intent to provide $110 million in funding to the MHCC to support five research demonstration projects in mental health and homelessness over five years (2008 - 2013). The projects will focus on developing best practices and a broader knowledge base with respect to mental health and homelessness, and will strive to make real improvements in the lives of Canada's most vulnerable. Expected results of this initiative will be:

• the development of a knowledge-base accessible to all jurisdictions;
• the identification of effective approaches to integrating housing supports and the Basket of Necessary Services or other "prerequisites";
• the development of Best Practices and Lessons Learned; produce data that is reflective of mental health issues among Canada's homeless population;
• the identification of 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.

(Denomination)

Total Funding	Prior Years' Funding	Planned Funding 2011-12	Planned Funding 2012-13	Planned Funding 2013-14
$110M	$110M	0	0	Not applicable

Summary of annual plans of recipient: The principles, objectives, community engagement and design were outlined in the Project Précis and reiterated in the Commission's 2010/11 -2014/15 Business Plan.

As indicated in the 2009-2010 MHCC Annual Report, the At Home /Chez Soi (French)/Niapin (Cree) project was successfully launched on November 23, 2009, in the five participating cities of Vancouver, Winnipeg, Toronto, Montreal, and Moncton. A total of 2,285 homeless people living with a mental illness will participate in the study, with each project focussing on a distinct group of homeless people living with mental illness such as those who also have a substance abuse problem, Aboriginal Canadians and non-English speaking new immigrants. The Commission is working collaboratively with provincial and municipal levels of government, researchers, local service providers and people with lived experience of mental illness and homelessness. Work continues to advance on this initiative, with evaluations planned for 2011/12.

URL of recipient site: www.mentalhealthcommission.ca

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

Program activity: Canadian Health System

Name of recipient: Rick Hansen Man in Motion Foundation

Start date: April 1, 2007

End date: March 31, 2012

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 Spinal Cord Injuries Solutions Network, 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.

(Denomination)

Total Funding	Prior Years' Funding	Planned Funding 2011-12	Planned Funding 2012-13	Planned Funding 2013-14
30,000,000	30,000,000	0	Not applicable	Not applicable

Summary of annual plans of recipient: According to the Foundation's Business Plan 2008/2009-2011/2012, project work is underway in the following strategic areas: (1) developing and validating best practice guidelines for emergency response, treatment and access to primary health care; (2) supporting multi-centre clinical trials in acute care, rehabilitation and community settings; (3) Collecting and analyzing data on SCI in Canada; (4) facilitating the adoption and implementation of validated best practices as identified by translational research with the aim of improving treatment care and support.

URL of recipient site: www.rickhansen.com