2015-16 Supplementary Information Table - Details on Transfer Payment Programs of $5 Million or More

Anti-Drug Strategy Initiatives (Voted)

Name of transfer payment program

Anti-Drug Strategy Initiatives (Voted)

Start date

December 4, 2014

End date

Ongoing

Fiscal year for terms and conditions

2014-15

Strategic Outcome

Health risks and benefits associated with food, products, substances, and environmental factors are appropriately managed and communicated to Canadians

Link to department's Program Alignment Architecture

Program 2.5 Substance Use and Abuse
Sub-Program 2.5.2 Controlled Substances

Description

The Anti-Drug Strategy Initiatives (ADSI) consolidates two previous Health Canada contribution funding programs, the Drug Strategy Community Initiatives Fund (DSCIF) and the Drug Treatment Funding Program (DTFP), into one joint fund and continues to deliver the National Anti-Drug Strategy (NADS) Prevention and Treatment Action Plan mandates.

Health Canada will deliver the ADSI to support substance abuse initiatives in health promotion, prevention, treatment and recovery for key target groups.

The overall objective of the ADSI is to facilitate the development of solutions to substance abuse problems along the continuum of care from health promotion and prevention to treatment and recovery by: preventing substance abuse issues and related problems; facilitating improvements to the treatment continuum of care; and improving awareness, knowledge and skills of key stakeholders.

Expected results

ADSI will focus on enhancing collaboration and knowledge exchange within and amongst stakeholders, making evidence-informed information and resources available to stakeholders, strengthening community and provincial/territorial capacity to address substance abuse, improving the capacity of target populations to make informed decisions about substance use and promoting the uptake of evidence-informed information on substance abuse.  Under ADSI, activities will contribute to results including reduced risk-taking behaviour associated with substance abuse and increased efficiency and effectiveness of treatment and prevention programs, services and systems.

Fiscal year of last completed evaluation

DSCIF - 2014-15
DTFP - 2013-14

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2017-18

General targeted recipient groups

Canadian not-for-profit health organizations such as regional health councils, public health units and community health organizations, Canadian not-for-profit organizations and registered not-for-profit charitable organizations (where there will be a preference for those that have historically dealt with problematic substance use), Canadian institutions including universities, boards of education and other centres of education in Canada, other levels of government including provinces, territories and municipalities, and their agencies, Métis, Inuit and off-reserve First Nations not-for-profit organizations; business sector associations, ad hoc groups or steering committees representing organizations that purposefully come together to address drug issues in their communities.

Initiatives to engage applicants and recipients

ADSI engages applicants and recipients by responding to inquiries and regular monitoring activities such as performance measurement and evaluation training and reporting, site visits and knowledge exchange meetings and other mechanisms to share project strategies and lessons learned.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 22,787,514 22,787,514 22,787,514 22,787,514
Total other types of transfer payments        
Total transfer payments 22,787,514 22,787,514 22,787,514 22,787,514

Canada Brain Research Fund to Advance Knowledge for the Treatment of Brain Disorders (Voted)

Name of transfer payment program

Canada Brain Research Fund to Advance Knowledge for the Treatment of Brain Disorders (Voted)

Start date

April 1, 2011 (actual funding received Supplementary Estimates C 2012)

End date

March 31, 2017

Fiscal year for terms and conditions

2011-12 (No standalone terms and conditions (Ts & Cs) were developed, Ts & Cs are included within the Agreement)

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

Funding of up to $100M over 6 years for Brain Canada to establish a Canada Brain Research Fund, which will support Canadian neuroscience, and accelerate discoveries in this field. Brain Canada will raise resources from the private sector to match the Government's contribution to the Fund.

Expected results

An increase in the number of multidisciplinary, networked researchers and research projects in universities and teaching hospitals within Canada. This will lead to advanced knowledge of and new research on the brain.

Fiscal year of last completed evaluation

N/A

Decision following the results of last evaluation

N/A

Fiscal year of planned completion of next evaluation

An independent evaluation will be conducted in 2015-16 (due to time-limited funding).

General targeted recipient groups

Other (university and research hospital-based neuroscientists from across Canada)

Initiatives to engage applicants and recipients

N/A

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 5,404,909 20,000,000 44,192,744  
Total other types of transfer payments        
Total transfer payments 5,404,909 20,000,000 44,192,744  

Canadian Blood Services: Blood Research and Development Program (Voted)

Name of transfer payment program

Canadian Blood Services: Blood Research and Development Program (Voted)

Start date

May 9, 2013

End date

Ongoing

Fiscal year for terms and conditions

Terms and conditions (Ts & Cs) for this contribution program became effective April 1, 2013

Strategic Outcome

Health risks and benefits associated with food, products, substances, and environmental factors are appropriately managed and communicated to Canadians

Link to department's Program Alignment Architecture

Program 2.1 Health Products
Sub-Program 2.1.2 Biologics and Radiopharmaceuticals

Description

To support basic, applied and clinical research on blood safety and blood product safety and effectiveness issues under the auspices of Canadian Blood Services.

Expected results

A strong research and development program that supports safety, quality and supply of blood and blood products.

Fiscal year of last completed evaluation

2012-13

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2017-18

General targeted recipient groups

Canadian Blood Services is the sole recipient under the Terms and Conditions.

Initiatives to engage applicants and recipients

Meetings with recipients; knowledge transfer activities; site visits; analysis and follow-up of progress and financial reporting; and monitoring performance and results.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 5,000,000 5,000,000 5,000,000 5,000,000
Total other types of transfer payments        
Total transfer payments 5,000,000 5,000,000 5,000,000 5,000,000

Contribution to the Canadian Agency for Drugs and Technologies in Health (Voted)

Name of transfer payment program

Contribution to the Canadian Agency for Drugs and Technologies in Health (CADTH) (Voted)

Start date

May 17, 2013

End date

Ongoing

Fiscal year for terms and conditions

Terms and Conditions as approved for the Contribution Agreement will apply to future CADTH agreements until such time as they are superseded. The fiscal year for those Terms and Conditions follows the traditional fiscal year calendar, from April 1 through March 31 of the following calendar year.

Effective April 1, 2013, the CADTH funding was transitioned to a Contribution Agreement from a Named Grant. The change allows Health Canada to augment monitoring and managements of the funds.  Prior to 31 March 2018 CADTH will need to request a renewal of funding.

The previous Named Grant covered the period of 2008 to 2013.

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

The CADTH is an independent, not-for-profit agency funded by Canadian federal, provincial, territorial governments and Canada's Research-Based Pharmaceutical Companies to provide credible, impartial advice and evidence-based information about the clinical and cost effectiveness of drugs and other health technologies to Canadian health care decision makers.

Expected results

The purpose of the current Contribution Agreement is to provide financial assistance to support CADTH's core business activities, namely, the Common Drug Review (CDR) and the Health Technology Management (HTM) activities comprised under Health Technology Assessment (HTA) and Optimal Use (OU).

Expected results are: creation and dissemination of evidence-based information that supports informed decisions on the adoption and appropriate utilization of drugs and non-drug technologies, in terms of both effectiveness and cost.

Fiscal year of last completed evaluation

  • 2013-14;
  • An external evaluation of CADTH was conducted in 2012-13; and
  • Health Canada conducted a synthesis evaluation involving this program that was completed in 2013-14.

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2016-17

General targeted recipient groups

Non-Profit Organizations

Initiatives to engage applicants and recipients

  • Policy Forum;
  • Pharmaceutical Directors' Forum;
  • Health Technology Analysis Exchange;
  • CDR recommendations and Optimal Use working groups; and
  • HTA analyses and rapid responses.
Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 16,058,769 16,058,769 16,058,769 16,058,769
Total other types of transfer payments        
Total transfer payments 16,058,769 16,058,769 16,058,769 16,058,769

Contribution to the Canadian Institute for Health Information (Voted)

Name of transfer payment program

Contribution to the Canadian Institute for Health Information (CIHI) (Voted)

Start date

May 1, 2012

End date

Ongoing

Fiscal year for terms and conditions

A Treasury Board Submission to establish new Ts & Cs for the Health Information Initiative (HII) was approved by Treasury Board on March 29, 2012. These new Ts & Cs provide the Federal Minister of Health the authority to renew Funding Agreements with the recipient without returning to Treasury Board Secretariat. There is no expiry date for the HII's Ts & Cs.

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

CIHI is an independent, not-for-profit organization supported by federal, provincial and territorial governments (F/P/T) that provides essential data and analysis on Canada's health system and the health of Canadians. CIHI was created in 1994 by the F/P/T Ministers of Health to address significant gaps in health information. CIHI's data and its reports inform health policies, support the effective delivery of health services and raise awareness among Canadians about the factors that contribute to good health.

Since 1994, the Government of Canada has provided approximately $757 million in total to CIHI through a series of funding agreements. Under the current agreement, up to $238.7 million will be delivered to CIHI over 3 years (2012-13 to 2014-15). Presently, Health Canada funds 77% of CIHI's total budget, while the provincial and territorial governments contribute 15%. The remaining funds are generated through product sales.

This funding allows CIHI to provide quality, timely health information, and to continue important work to further enhance the coverage of health data systems to improve the information available to Canadians on their health care system, including information on wait times, and comparable health indicators. The funding also enables CIHI to respond effectively to emerging health data priorities.

Expected results

The expected results are as follows:

Improve the comprehensiveness, quality and availability of data

  • Provide timely and accessible data connected across health sectors;
  • Support new and emerging sources of data, including electronic records; and
  • Provide more complete data in priority areas.

Support population health and health system decision-making

  • Produce relevant, appropriate and actionable analysis;
  • Offer leading-edge performance management products, services and tools; and
  • Respond to emerging needs while considering local context.

Deliver organizational excellence

  • Promote continuous learning and development;
  • Champion a culture of innovation; and
  • Strengthen transparency and accountability.

Fiscal year of last completed evaluation

2014-15

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2019-2020

General targeted recipient groups

The HII was developed to support only CIHI; as such CIHI is the only recipient of HII funding. This caveat is noted in the Terms and Conditions for the HII, which stipulates that CIHI is, and only ever will be, the recipient of HII funding.

Initiatives to engage applicants and recipients

None needed. CIHI is the sole recipient of HII funding.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 77,758,979 78,508,979 78,748,979 78,748,979
Total other types of transfer payments        
Total transfer payments 77,758,979 78,508,979 78,748,979 78,748,979

Contribution to the Canadian Patient Safety Institute (Voted)

Name of transfer payment program

Contribution to the Canadian Patient Safety Institute (CPSI) (Voted)

Start date

April 1, 2013

End date

Ongoing

Fiscal year for terms and conditions

2012-13

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

The contribution to the Canadian Patient Safety Institute (CPSI) supports the federal government's interest (in a federal, provincial and territorial partnership context) in achieving an accessible, high quality, sustainable and accountable health system adaptable to the needs of Canadians. It is designed to improve the quality of health care services by providing a leadership role in building a culture of patient safety and quality improvement in the Canadian health care system through coordination across sectors, promotion of best practices, and advice on effective strategies to improve patient safety. The first five-year grant funding agreement with CPSI ended on March 31, 2008, and was renewed for an additional five years, starting April 1, 2008 and ending March 31, 2013. A new five-year contribution agreement began on April 1, 2013.

Expected results

CPSI provides leadership and coordination of efforts to prevent and reduce harm to patients, with an emphasis on four key areas: education, with a focus on developing curriculum and training programs; interventions and programs, with a focus on coordinating and supporting evidence-informed clinical interventions and programs; research, to increase the scope and scale of patient safety research; and tools and resources, with a focus on creating tools and resources that can be applied by healthcare organizations. For 2013-18, CPSI will focus and align its activities with a new emphasis on the strategic goals that are most likely to drive further system-level transformation over the five-year period, and beyond. This includes an overarching goal to develop a National Integrated Patient Safety Action Plan, which will provide a framework to identify patient safety priorities and align CPSI's work with the activities of other organizations working to achieve patient safety improvement in Canada.

Fiscal year of last completed evaluation

  • An external evaluation of CPSI was conducted in 2012-13; and
  • Health Canada conducted a synthesis evaluation involving this program that was completed in 2013-14.

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2017-18

General targeted recipient groups

Non-Profit Organizations

Initiatives to engage applicants and recipients

Health Canada works with CPSI to establish activities to be carried out under the funding agreement and maintains regular contact with CPSI to monitor progress and compliance under the funding agreement.

Details of Transfer Payment Program (dollars)
Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 7,600,000 7,600,000 7,600,000 7,600,000
Total other types of transfer payments        
Total transfer payments 7,600,000 7,600,000 7,600,000 7,600,000

Contribution to the Canadian Partnership Against Cancer (Voted)

Name of transfer payment program

Contribution to the Canadian Partnership Against Cancer (The Partnership) (Voted)

Start date

April 1, 2007

End date

Ongoing

Fiscal year for terms and conditions

N/A (Ts & Cs are embedded in the funding agreement)

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

The Partnership is an independent, not-for-profit corporation established to implement the Canadian Strategy for Cancer Control (CSCC). The CSCC was developed in consultation with more than 700 cancer experts and stakeholders with the following objectives: (1) to reduce the expected number of new cases of cancer among Canadians; (2) to enhance the quality of life of those living with cancer; and (3) to lessen the likelihood of Canadians dying from cancer. Health Canada is responsible for managing the funding to the corporation. The Partnership's initial five-year grant provided $250 million for 2007-12, and a named contribution agreement will provide an additional five years and $241 million for 2012-17.

Expected results

The Partnership will become a leader in cancer control through knowledge management and the coordination of efforts among the provinces and territories, cancer experts, stakeholder groups, and Aboriginal organizations to champion change, improve health outcomes related to cancer, and leverage existing investments. A coordinated, knowledge-centered approach to cancer control is expected to significantly reduce the economic burden of cancer, alleviate current pressures on the health care system, and bring together information for all Canadians, no matter where they live.

Fiscal year of last completed evaluation

2010-11

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2015-16

General targeted recipient groups

Non-Profit Organizations

Initiatives to engage applicants and recipients

Health Canada works with the Partnership to establish activities to be carried out under the funding agreement. This also includes maintaining regular contact with the Partnership to monitor progress and compliance under the funding agreement.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 47,500,000 47,500,000 47,500,000 47,500,000
Total other types of transfer payments        
Total transfer payments 47,500,000 47,500,000 47,500,000 47,500,000

Contributions for First Nations and Inuit Health Infrastructure Support (Voted)

Name of transfer payment program

Contributions for First Nations and Inuit Health Infrastructure Support (Voted)

Start date

April 1, 2011

End date

Ongoing

Fiscal year for terms and conditions

2013-14

Strategic Outcome

First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status

Link to department's Program Alignment Architecture

Program 3.3 Health Infrastructure Support for First Nations and Inuit

Sub-Program 3.3.1 First Nations and Inuit Health System Capacity
Sub-Sub-Program 3.3.1.1 Health Planning and Quality Management
Sub-Sub-Program 3.3.1.2 Health Human Resources
Sub-Sub-Program 3.3.1.3 Health Facilities

Sub-Program 3.3.2 First Nations and Inuit Health System Transformation
Sub-Sub-Program 3.3.2.2 e-Health Infostructure

Sub-Program 3.3.3 Tripartite Health Governance

Description

The Health Infrastructure Support Authority underpins the long-term vision of an integrated health system with greater First Nations and Inuit control by enhancing their capacity to design, manage, deliver and evaluate quality health programs and services. It provides the foundation to support the delivery of programs and services in First Nations communities and for individuals, and to promote innovation and partnerships in health care delivery to better meet the unique health needs of First Nations and Inuit. The funds are used for: planning and management for the delivery of quality health services; construction and maintenance of health facilities; research activities; encouraging Aboriginal people to pursue health careers; investments in technologies to modernize health services; and integrating and realigning the governance of existing health services.

Expected results

  • Innovative and integrated health governance relationships are increased ;
  • The capacity of First Nations and Inuit to influence and/or control (design, deliver, and manage) health programs and services is improved;
  • Quality in the delivery of programs and services is improved;
  • Health facilities managed by First Nations and Inuit are safe;
  • The capacity to deliver health programs and services is increased;
  • Greater participation of Aboriginal people in post-secondary education leading to health careers;
  • Health facilities that support program delivery are safe;
  • Health programs and services are supported through effective community capacity to manage their health plans;
  • Key stakeholders in Aboriginal health are engaged in the integration of health services;
  • Access to e-Health Infostructure service is improved;
  • Integration of the health systems serving First Nations and Inuit; and
  • Reciprocal accountability amongst tripartite governance partners, as stated in section 2.2 of the British Columbia Tripartite Framework Agreement on First Nations Health Governance.

Fiscal year of last completed evaluation

  • Health Planning and Quality Management:  2011-12;
  • Health Facilities and Capital: 2011-12;
  • e-Health Infostructure: 2011-12;
  • BC Tripartite contributions: 2012-13;
  • First Nations Nursing Innovation Strategy: 2013-14; and
  • First Nations and Inuit Health Human Resources: 2013-14.

Decision following the results of last evaluation

  • Health Planning and Quality Management:  Continuation;
  • Health Facilities and Capital: Continuation;
  • e-Health Infostructure: Continuation;
  • BC Tripartite contributions: Continuation;
  • First Nations Nursing Innovation Strategy: Continuation; and
  • First Nations and Inuit Health Human Resources: Pending.

Fiscal year of planned completion of next evaluation

  • Health Planning and Quality Management: 2016-17;
  • Health Facilities: 2016-17;
  • First Nations and Inuit Health Services Integration Fund: 2015-16;
  • e-Health Infostructure: 2016-17; and
  • BC Tripartite Governance: 2017-18.

General targeted recipient groups

First Nations in Canada (i.e., Communities, Bands, District, Tribal Councils and Associations), Inuit Associations, Councils and Hamlets, Canadian National Aboriginal Organizations, non-governmental and voluntary associations and organizations, including non-profit corporations, educational institutions, hospitals and treatment centres, municipal, provincial and territorial governments, Health Authorities and Health Agencies.

Initiatives to engage applicants and recipients

The Health Canada-First Nations and Inuit Health Branch Strategic Plan provides overall guidance on where efforts need to be focused in the short-, medium-, and long-term to improve First Nations and Inuit health outcomes over time. More specifically, the Strategic Goal 2: Working together will include better mechanisms for First Nations and Inuit to feed into the Branch's planning and decisions including contribution programs management and delivery. Goal 2 includes two key elements:

  • 2.1 Improve health outcomes by strengthening partnerships with First Nations, Inuit, provinces, territories and other government departments - finding new, better and culturally appropriate ways to collaborate, plan and work together; and
  • 2.2 Continue to support First Nations and Inuit in their aim to influence, manage and/or control health programs and services that affect them.

It is a priority of Health Canada to advance collaborative efforts with provinces/territories and First Nations and Inuit to ensure quality service delivery. Much of the ongoing work under this program activity involves engagement and coordination of health infrastructure initiatives with partners, particularly the Assembly of First Nations, the Inuit Tapiriit Kanatami, the Public Health Agency of Canada and Aboriginal Affairs and Northern Development Canada. Through collaboration efforts, partners explore and develop approaches in areas of mutual interest for advancing First Nations and Inuit health, guide health survey research and analysis, and seek to harmonize or improve the practices and systems that departments use to manage contribution agreements.

In order to streamline and reduce reporting and administrative burden associated with grants and contributions, the Branch will continue its efforts to standardize recipient reporting, multi-departmental contribution agreements, and standardization of processes, procedures requirements, and tools for transfer payment programs through the joint Grants and Contributions Information Management System project initiative between Health Canada, Public Health Agency of Canada and Aboriginal Affairs and Northern Development Canada.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 594,520,653 598,167,682 627,110,937 657,847,644
Total other types of transfer payments        
Total transfer payments 594,520,653 598,167,682 627,110,937 657,847,644

Contributions for First Nations and Inuit Primary Health Care (Voted)

Name of transfer payment program

Contributions for First Nations and Inuit Primary Health Care (Voted)

Start date

April 1, 2011

End date

Ongoing

Fiscal year for terms and conditions

2010-11

Strategic Outcome

First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status

Link to department's Program Alignment Architecture

Program 3.1 First Nations and Inuit Primary Health Care

Sub-Program 3.1.1 First Nations and Inuit Health Promotion and Disease Prevention
Sub-Sub-Program 3.1.1.1 Healthy Child Development
Sub-Sub-Program 3.1.1.2 Mental Wellness
Sub-Sub-Program 3.1.1.3 Healthy Living

Sub-Program 3.1.2 First Nations and Inuit Public Health Protection
Sub-Sub-Program 3.1.2.1 Communicable Disease Control and Management
Sub-Sub-Program 3.1.2.2 Environmental Public Health

Sub-Program 3.1.3 First Nations and Inuit Primary Care
Sub-Sub-Program 3.1.3.1 Clinical and Client Care
Sub-Sub-Program 3.1.3.2 Home and Community Care

Description

The Primary Health Care Authority funds a suite of programs, services and strategies provided primarily to First Nations and Inuit individuals, families, and communities living on-reserve or in Inuit communities. It encompasses health promotion and disease prevention programs to improve health outcomes and reduce health risks; public health protection, including surveillance, to prevent and/or mitigate human health risks associated with communicable diseases and exposure to environmental hazards; and primary care where individuals are provided diagnostic, curative, rehabilitative, supportive, palliative/end-of-life care, and referral services.

Expected results

  • Health and safety of First Nations and Inuit are improved;
  • the capacity of First Nations and Inuit communities to deliver community-based health promotion and disease prevention programs and services is maintained;
  • First Nations and Inuit have access to healthy child development  programs and services;
  • abstinence from drug and alcohol use after addictions treatment;
  • reduced substance use following treatment;
  • First Nations and Inuit have access to mental wellness programs and services;
  • First Nations and Inuit have access to healthy living programs and services;
  • the community capacity to respond to health emergencies is improved;
  • environmental health risks relating to water quality are reduced;
  • improved rates of treatment adherence;
  • public awareness and knowledge of vaccine preventable diseases and immunization is improved;
  • decision makers have access to information about environmental public health hazards, with a focus on risk identification and mitigation;
  • primary care services based on assessed need are provided to First Nations and Inuit communities;
  • coordinated responses to primary care services;
  • First Nations and Inuit populations have access to clinical and client care services;
  • home and community care services are provided in First Nations and Inuit communities; and
  • service delivery arrangements with internal and external delivery partners are provided in First Nations and Inuit communities.

Fiscal year of last completed evaluation

  • Environmental Health and Environmental Research: 2011-12;
  • Mental Health and Addictions: 2012-13;
  • Clinical and Client Care:  2013-14;
  • Home and Community Care:  2013-14;
  • First Nations Water and Wastewater Action Plan: 2013-14;
  • Protect Human Health from Environmental Contaminates: 2013-14;
  • Healthy Living and Healthy Child: 2014-15; and
  • Communicable Disease Control and Management: 2014-15.

Decision following the results of last evaluation

  • Environmental Health and Environmental Research: Continuation;
  • Mental Health and Addictions: Continuation;
  • Clinical and Client Care: Continuation;
  • Home and Community Care: Continuation;
  • First Nations Water and Wastewater Action Plan: Continuation;
  • Protect Human Health from Environmental Contaminates: Continuation;
  • Healthy Living and Healthy Child: Pending; and
  • Communicable Disease Control and Management: Pending.

Fiscal year of planned completion of next evaluation

  • Mental Wellness: 2015-16;
  • Environmental Health: 2016-17;
  • Clinical and Client Care: 2016-17;
  • Home and Community Care: 2017-18; and
  • First Nations Water and Wastewater Action Plan: 2018-19.

General targeted recipient groups

One or more of the following recipient groups as established under the approved terms and conditions: First Nations and Inuit organizations or communities in Canada; non-governmental and voluntary associations and organizations; municipal, provincial and territorial governments; Health Authorities; and Health Agencies.

Initiatives to engage applicants and recipients

The Health Canada First Nations and Inuit Health Branch Strategic Plan provides overall guidance on where efforts need to be focused in the short-, medium-, and long-term to improve First Nations and Inuit health outcomes over time. More specifically, the Strategic Goal 2: Working together will include better mechanisms for First Nations and Inuit to feed into the Branch's planning and decisions including contribution programs management and delivery. Goal 2 includes two key elements:

  • 2.1 Improve health outcomes by strengthening partnerships with First Nations, Inuit, provinces, territories and other government departments - finding new, better and culturally appropriate ways to collaborate, plan and work together; and
  • 2.2 Continue to support First Nations and Inuit in their aim to influence, manage and/or control health programs and services that affect them.

A priority for Health Canada is the advancement of collaborative efforts with provinces/territories and First Nations and Inuit to ensure quality service delivery. Through these collaborative relationships, Health Canada is also managing risks related to health systems transformation.

In order to streamline and reduce reporting and administrative burden associated with grants and contributions, the Branch will continue its efforts to standardize recipient reporting, multi-departmental contribution agreements, and standardization of processes, procedures requirements, and tools for transfer payment programs through the joint Grants and Contributions Information Management System project initiative between Health Canada, Public Health Agency of Canada and Aboriginal Affairs and Northern Development Canada.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 650,576,954 570,922,419 535,470,177 548,283,972
Total other types of transfer payments        
Total transfer payments 650,576,954 570,922,419 535,470,177 548,283,972

Contributions for First Nations and Inuit Supplementary Health Benefits (Voted)

Name of transfer payment program

Contributions for First Nations and Inuit Supplementary Health Benefits (Voted)

Start date

April 1, 2011

End date

Ongoing

Fiscal year for terms and conditions

2010-11

Strategic Outcome

First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status

Link to department's Program Alignment Architecture

Program 3.2 Supplementary Health Benefits for First Nations and Inuit

Description

The Non-Insured Health Benefits (NIHB) Program provides a specified range of medically necessary health-related goods and services to registered Indians (according to the Indian Act) and Inuit (recognized by one of the Inuit Land Claim Organizations) regardless of residency in Canada where not otherwise covered under a separate agreement (e.g. a self-government agreement) with federal, provincial or territorial governments. The benefits under the NIHB Program include the following, where not otherwise provided to eligible clients through other private or provincial/territorial programs: pharmacy benefits (prescription drugs and some over-the-counter medication), medical supplies and equipment, dental care, vision care, short-term crisis intervention mental health counselling, and medical transportation benefits to access medically required health services not available on reserve or in the community of residence.

Expected results

First Nations and Inuit have access to non-insured health benefits

Fiscal year of last completed evaluation

Non-Insured Health Benefits: 2010-11

Decision following the results of last evaluation

Non-Insured Health Benefits: Continuation

Fiscal year of planned completion of next evaluation

First Nations and Inuit Supplementary Health Benefits:  2016-17

General targeted recipient groups

First Nations in Canada (i.e., Communities, Bands, District, Tribal Councils and Associations), Inuit Associations, Councils and Hamlets, Canadian National Aboriginal Organizations, non-governmental and voluntary associations and organizations, including non-profit corporations, educational institutions, hospitals and treatment centres, municipal, provincial and territorial governments, Health Authorities and Health Agencies.

Initiatives to engage applicants and recipients

The Health Canada-First Nations and Inuit Health Branch Strategic Plan provides overall guidance on where efforts need to be focused in the short-, medium-, and long-term to improve First Nations and Inuit health outcomes over time. More specifically, the Strategic Goal 2: Working together will include better mechanisms for First Nations and Inuit to feed into the Branch's planning and decisions including contribution programs management and delivery. Goal 2 includes two key elements:

  • 2.1 Improve health outcomes by strengthening partnerships with First Nations, Inuit, provinces, territories and other government departments - finding new, better and culturally appropriate ways to collaborate, plan and work together; and
  • 2.2 Continue to support First Nations and Inuit in their aim to influence, manage and/or control health programs and services that affect them.

A key initiative is to work collaboratively with stakeholders and regions to develop and implement a five-year management plan for the NIHB Program. As part of this initiative, some regional offices, such as Québec, will be consulting First Nations on a 5 year Operational Framework and Action Plan, as well as collaborating with headquarters in Ottawa on the development of an Inuit-specific engagement process on NIHB.

In order to streamline and reduce reporting and administrative burden associated with grants and contributions, the Branch will continue its efforts to standardize recipient reporting, multi-departmental contribution agreements, and standardization of processes, procedures requirements, and tools for transfer payment programs through the joint Grants and Contributions Information Management System project initiative between Health Canada, Public Health Agency of Canada and Aboriginal Affairs and Northern Development Canada.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 194,165,464 202,486,815 189,849,921 189,845,430
Total other types of transfer payments        
Total transfer payments 194,165,464 202,486,815 189,849,921 189,845,430

Grant to support the Mental Health Commission of Canada (Voted)

Name of transfer payment program

Grant to support the Mental Health Commission of Canada (MHCC) (Voted)

Start date

April 1, 2008

End date

March 31, 2017

Fiscal year for terms and conditions

2008-09 to 2016-17

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

In Budget 2007, the federal government committed $130M over 10 years to establish the MHCC, an arm's length, not-for profit organization designed to improve health and social outcomes for people and their families living with mental illness.

Expected results

Over the course of this grant, the Commission is expected to develop a national mental health strategy, a knowledge exchange centre, and undertake anti-stigma public awareness and educational initiatives.

Fiscal year of last completed evaluation

  • 2010-11 (independent formative evaluation managed by the MHCC); and
  • Health Canada conducted a synthesis evaluation involving this program that was completed in 2013-14.

Decision following the results of last evaluation

N/A

Fiscal year of planned completion of next evaluation

A Health Portfolio evaluation to examine relevance/performance of mental health activities was initiated in 2014-15; a final report is expected in January 2016.

General targeted recipient groups

Non-Profit Organizations

Initiatives to engage applicants and recipients

N/A

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants 14,250,000 14,250,000 14,250,000  
Total contributions        
Total other types of transfer payments        
Total transfer payments 14,250,000 14,250,000 14,250,000  

Health Care Policy Contribution Program (Voted)

Name of transfer payment program

Health Care Policy Contribution Program (HCPCP) (Voted)

Start date

September 24, 2002

End date

Ongoing

Fiscal year for terms and conditions

2010-11

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System Policy
Sub-Program 1.1.1 Health System Priorities

Description

The HCPCP uses contributions to fund non-profit, non-government organizations, including professional associations and educational institutions, and provincial, territorial and local governments.

The Program enables the federal government to respond to emerging health policy priorities, establish collaborative working arrangements with provincial/territorial governments to contribute to improvements in the health care system on a Pan-Canadian scale; and support organizations in achieving health care policy goals.

The Program fosters strategic and evidence based decision-making for quality health care, and promotes innovation through pilot projects, evaluation, policy research and analysis, and policy development on current and emerging priorities. Currently, the Program funds projects in priority health care policy areas such as access to health care; chronic and continuing care (including home and community care); health human resources, including assessment and integration of internationally educated health professionals (IEHPs); patient safety; and palliative/end-of-life care.

Expected results

The Program will support projects contributing to improvements in health care system policies and/or practices.  Projects, funded through the Family Medicine Residencies Initiative, will support family medicine residency positions and advanced training in under-served communities across the country.  Projects supporting internationally educated health professionals will enable these individuals to access assessments, training, and other supports needed to join the health workforce. Health care innovation projects will support activities that develop, implement, and evaluate tools, models, and practices that address identified health care system priorities.  Other projects will produce resources that enable health providers to maximize their roles in a range of settings; provide system managers and decision makers with data and decision making tools to enhance system planning and performance; and engage key stakeholders in collaborative efforts that contribute to improvements in the accessibility, responsiveness, quality, sustainability and accountability of the health care system.

Fiscal year of last completed evaluation

2013-14

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2018-19

General targeted recipient groups

Non-Profit Organizations, Other Level of Government and Other-National organizations

Initiatives to engage applicants and recipients

The Program engages recipients, potential recipients, and the public in various ways, for example, through stakeholder meetings and project site visits and by providing opportunities for stakeholder input in the development of program tools and templates.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 26,359,000 25,709,000 25,709,000 25,709,000
Total other types of transfer payments        
Total transfer payments 26,359,000 25,709,000 25,709,000 25,709,000

Official Languages Health Contribution Program (Voted)

Name of transfer payment program

Official Languages Health Contribution Program (Voted)

Start date

April 1, 2009

End date

Ongoing

Fiscal year for terms and conditions

Expected 2012-13

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.3 Official Language Minority Community Development

Description

The Official Languages Health Contribution Program, under the Roadmap for Canada's Official Languages 2013-2018, Education, Immigration, Communities was approved for a five-year period (2013-14 to 2017-18) with a total budget of $174.3 million, to support three mutually reinforcing components: 1) Integrating health professionals for official language minority communities (OLMCs)($106.5 million); 2) Strengthening local health networking capacity ($25 million); and 3) Health services access and retention projects ($38.5 million). Funding is also used to strengthen Health Canada's capacity to administer the Program ($4.3 million).

The "Integrating health professionals for official language minority communities" component funds French-language academic health programs in 11 colleges and universities outside of Québec to generate additional health professionals in French minority language communities. Funding supports student/teacher recruitment, French language training tools, teaching equipment purchases, and support to professors and students within each institution (e.g., bursaries and internships). Health Canada also supports a national secretariat for promoting and coordinating health professional training initiatives across French language post-secondary institutions outside Québec. The strategy in Québec is to provide funding to one coordinating organization for English and French language courses to health professionals and intake personnel (such as medical secretaries) who are already working in the health system in all administrative regions of Québec.

The "Strengthening local health networking capacity" component provides funding so that some 40 existing community-based health networks across Canada continue operating and making improvements in health and health services access for official language minority communities. The networks located in English and French linguistic minority communities are engaging local and regional health planning authorities to help ensure that they are responsive to the needs of official language minority communities and are integrating bilingual health professionals.

The "Health services access and retention projects" component provides funding for activities aimed at encouraging bilingual health professionals to practice in official language minority communities, engaging front-line health service providers in providing services in the second official language, supporting health human resource retention strategies, and addressing health needs specific to the demographics of official language minority communities.

Expected results

Increased access to bilingual health professionals and intake staff in official language minority communities.

Indicator: Number of health graduates working in official language minority communities (target year: 2016-17).

Increased offering of services in the minority language within health institutions and communities.

Indicator: Number of health institutions and communities where bilingual health services are available for official language minority communities (target year: 2016-17).

Fiscal year of last completed evaluation

2012-13

Decision following the results of last evaluation

Continuation

Fiscal year of planned completion of next evaluation

2016-17

General targeted recipient groups

Eligible recipients under the Program are non-profit entities and provincially accredited postsecondary institutions, all of which are working to improve the health of OLMCs and to promote linguistic duality in Canadian society. Provincial and territorial government bodies (with the exception of federal government departments, agencies and corporations) are also eligible for funding.

Initiatives to engage applicants and recipients

Health Canada analysis and review of financial cash flows and outcomes for each recipient, accompanied by bilateral discussions on the nature of the outcomes and their pertinence to meeting program objectives for improving health and health services in both official languages.

Regular meetings between Health Canada officials and recipient organizations, including management meetings, community-based events (conferences, consultations, research fora), face-to-face meetings, and site visits.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 36,400,000 36,400,000 36,400,000 33,800,000
Total other types of transfer payments        
Total transfer payments 36,400,000 36,400,000 36,400,000 33,800,000

Territorial Health Investment Fund (Voted)

Name of transfer payment program

Territorial Health Investment Fund (Voted)

Start date

April 1, 2014

End date

March 31, 2017

Fiscal year for terms and conditions

2014 to 2017

Strategic Outcome

A health system responsive to the needs of Canadians

Link to department's Program Alignment Architecture

Program 1.1 Canadian Health System
Sub-Program 1.1.1 Health System Priorities

Description

The Territorial Health Investment Fund (THIF) is a three-year investment of $70M to support territorial health systems, starting in 2014.

The THIF targets priority health areas (children's oral health, mental health and chronic disease) and is intended to strengthen territorial capacity to manage and deliver health services in those targeted areas, which in turn can lead to a reduced reliance on medical travel. Its design features three streams, Territorial, Pan-Territorial and Medical travel.

The territorial stream ($13M per fiscal year, $4.33M per territory) funds projects to strengthen health services in-territory in the targeted areas that have persistent challenges and poor health outcomes. The Pan-territorial stream provides $2M per fiscal year for collaboratively developed projects that offer innovative solutions to health systems problems. The territories may also leverage Pan-territorial Stream investments to reform medical travel. The Medical Travel Stream ($12M in 2014-15, $8M in 2015-16, $5M in 2016-17) is a declining subsidy to offset territories eligible medical transportation costs in the short term, incenting immediate measures to reform medical travel programs and protocols and increase service capacity in-territory.

Expected results

  • Acts as a catalyst to address current and emerging health issues and priorities; and
  • Improved and maintained strategic partnerships with key national Provincial/Territorial (P/T) regional partners (e.g., through funding such as Grants & Contributions) to advance health system priorities.

Fiscal year of last completed evaluation

N/A

Decision following the results of last evaluation

N/A

Fiscal year of planned completion of next evaluation

2017-18

General targeted recipient groups

Territorial governments (Government of Northwest Territories, Government of Yukon, Government of Nunavut)

Initiatives to engage applicants and recipients

The Health Canada-First Nations and Inuit Health Branch Strategic Plan provides overall guidance on where efforts need to be focused in the short-, medium-, and long-term to improve First Nations and Inuit health outcomes over time. More specifically, the Strategic Goal 2: Working together will include better mechanisms for First Nations and Inuit to feed into the Branch's planning and decisions including contribution programs management and delivery. Goal 2 includes two key elements:

  • 2.1 Improve health outcomes by strengthening partnerships with First Nations, Inuit, provinces, territories and other government departments - finding new, better and culturally appropriate ways to collaborate, plan and work together; and
  • 2.2 Continue to support First Nations and Inuit in their aim to influence, manage and/or control health programs and services that affect them.

It is a priority of Health Canada to advance collaborative efforts with provinces/territories and First Nations and Inuit to ensure quality service delivery. Much of the ongoing work under this program activity involves engagement and coordination of health infrastructure initiatives with partners. In order to streamline and reduce reporting and administrative burden associated with grants and contributions, the Branch will continue its efforts to standardize recipient reporting, multi-departmental contribution agreements, and standardization of processes, procedures requirements, and tools for transfer payment programs through the joint Grants and Contributions Information Management System project initiative between Health Canada, Public Health Agency of Canada and Aboriginal Affairs and Northern Development Canada.

Details of Transfer Payment Program (dollars)
  Forecast Spending
2014-15 ($)
Planned Spending ($)
2015-16 2016-17 2017-18
Total grants        
Total contributions 27,000,000 23,000,000 20,000,000 0
Total other types of transfer payments        
Total transfer payments 27,000,000 23,000,000 20,000,000 0
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