Management Response and Action Plan: Evaluation of the Aboriginal Head Start in Urban and Northern Communities program at PHAC

# Report Recommendations
Management Response Management Action Plan Deliverables Expected Completion Date Responsibility Accountability Resources
1 In light of demographic shifts in Aboriginal populations, assess delivery models, site locations and partnerships to determine if reach can be expanded. Agree
  • Conduct an assessment of opportunities to expand the program reach within existing program resource parameters, inclusive of:
    • Demographic shift in off-reserve Aboriginal populations;
    • Current F/P/T  environment for Aboriginal ECD;
    • Review of existing project site locations;
    • Promising delivery models;
    • Partnerships possibilities.
  • Presentation of preliminary findings and options for PHAC Executive Committee
November  2012 DG, Centre for Health Promotion (lead) and DG, Regional Operations ADM, HPCDP Under Existing budget/resources: 1 FTE (distributed across EC and PM positions)

O&M – TBD (Analytical work on delivery models)
     
  • Develop options and recommendations for PHAC Executive Committee and for Ministerial consideration dependent on chosen recommendation(s) and /or option(s)
  • Presentation of options and recommendations to PHAC Executive Committee for review
May  2013      
       
  • Presentation of options and recommendations for Ministerial consideration dependant on chosen approach
June 2013      
2 Enhance coordination and collaboration with other federal departments, provincial/territorial governments and key stakeholders. Agree
  • Through discussions with relevant F/P/T stakeholders from the Aboriginal ECD, non-Aboriginal ECD and broader public health community develop an approach that increases coordination and collaboration that encourages KD&E across different domains of expertise at local, regional and national levels.
  • Identify common priorities and appropriate mechanisms to enhance coordination and collaboration, including knowledge development and exchange (KD&E)
  • Develop and implement a  KD&E plan for the AHSUNC program
  • Summary document of key partners, common priorities and mechanisms to enhance coordination and collaboration
February  2013 DG, CHP (lead) and  DG, Regional Operations ADM, HPCDP Under Existing budget/resources:
1 FTE (distributed across EC and PM positions)

$50 K in O&M ($25K contract and $25K for coordination with stakeholders)
  • Summary of best practices and key knowledge gaps around Aboriginal ECD
September 2013
  • Knowledge development and exchange (KD&E) plan for the AHSUNC program which includes:
    • Better coordination and collaboration with F/P/T and federal partners;
    • Strategies to strengthen site capacity development
    • Special consideration given to AHSOR
September 2013
  • Implementation of AHSUNC KD&E plan
March 2014
3 Consider the necessity and feasibility of tracking children's long term outcomes (e.g. a longitudinal cohort study or intervention research). Agree
  • Through documentation review, discussions with AHSUNC advisory bodies, stakeholders, experts, and research bodies and cost/resources analysis, identify options to track long term outcomes of children enrolled in the AHSUNC program.

    Linked with recommendation #4 and associated management action plan.
  • Identify opportunities for partnerships with CIHR (Institute of Population and Public Health & Institute of Aboriginal Peoples' Health), HRSDC, Health Canada (FNIHB), Statistics Canada and other key stakeholders.
October 2012 DG, CHP (lead) and  DG, Regional Operations ADM, HPCDP Under Existing budget/resources: 2 FTE (distributed across a number of EC positions)

Up to $75K in O&M (coordination and preliminary work with experts in longitudinal studies)
 
  • Assessment of research models and options to track AHSUNC long term outcomes
February 2013
 
  • Cost analysis of most appropriate options
June  2013
 
  • Analytical paper summarizing options, cost implications and feasibility of tracking long term outcomes of the program.
October  2013
 
  • Options and recommendations presented to PHAC Executive Committee for review.
February 2014
4 Ensure that the approach to program-level performance measurement is comprehensive yet streamlined. Agree
  • Through discussions with stakeholders, review and update existing approaches and comprehensive indicators used for performance measurement and intervention research of AHSUNC

    Linked with recommendation #3 and associated management action plan.
  • Development of recommendations for a  comprehensive performance measurement system for AHSUNC inclusive of:
    • Working indicators of Early Childhood Development and Aboriginal health
    • Aligned intermediate and long-term outcomes
    • Feasibility assessment and costing options
    • Enhanced alignment with Management, Resources and Results Structure (MRRS)
November 2012 DG, CHP(lead),  and  DG, Regional Operations ADM, HPCDP Under Existing budget/resources:
2 FTEs (distributed across PM and EC positions)
  • Implementation of comprehensive performance measurement framework for AHSUNC 
March 2013
5 Review the governance structure for the program, in particular the advisory function to ensure that the Public Health Agency has access to balanced, strategic and timely advice. Agree
  • Review the current AHSUNC national and regional governance structures to assess strengths and weaknesses 

    Identify promising models of governance structure in Health Canada (AHSOR), HRSDC and AANDC
  • Develop options for a revised governance structure and propose recommendations to HPCDP Branch ADM for review
February 2013 DG CHP (lead), and  DG, Regional Operations ADM, Health Promotion and Chronic Disease Prevention (HPCDP) Under Existing budget/resources:
1 FTE (distributed across PM and EC positions)
  • Decision on option implemented
February 2014
6 Review the objectives and eligibility of the National Strategic Fund and assess the current approach to managing the Fund. Agree
  • Within existing AHSUNC authorities, review and improve the processes used to manage and monitor the AHSUNC Strategic Fund including:
    • Objectives of the fund and eligibility requirements
    • Merits and gaps of initiatives funded to date
    • Strengths and weaknesses of existing processes
    • Engagement of existing and potential recipient organizations
    • Mechanism used to monitor the fund and measure its performance.
  • Presentation of preliminary thinking around revised approach to manage Strategic Fund
May 2012 DG, CHP (lead)  and  DG, Regional Operations ADM, Health Promotion and Chronic Disease Prevention (HPCDP) Under Existing budget/resources:

2.5  FTEs (distributed across PM and EC positions)

$25k in (analytical contract to identify priority areas)
  • Develop options for a revised approach to manage the AHSUNC Strategic Fund, for Ministerial consideration dependent on chosen recommendation(s) and /or option(s)
September 2012
  • Plan and communications strategy for updated approach to the AHSUNC Strategic Fund
December  2012
  • Decision and implementation of updated approach
February 2013
  • Launch revised approach and process
April 2013
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