2a Key System Players Flashcards
What are two major levels of authorities?
Federal
Provincial
What is the Federal level of health authority in Canada called?
Health Canada
What are the levels of authority on the Provincial level? (Names)
Ministry of Health
Health Authorities
Individual agencies
What are the three branches of Canada’s Parliamentary System?
Executive Branch
Legislative Branch
Judicial Branch
What makes up the executive branch of Canada’s parliamentary system?
Prime Minister and Cabinet
What makes up the legislative branch of Canada’s parliamentary system?
Queen (represented by the Governor General)
Senate
House of Commons
Who decides on who is in the Senate?
Appointed on the Prime Minister’s recommendation
Who decides on who is in the House of Commons?
Elected by voters
What makes up the judicial branch of Canada’s parliamentary system?
Supreme Court of Canada
Federal Court of Canada
Provincial Courts
What are four instruments of policy?
Treasure
Nodality/information
Authority
Organization
What things are exclusively provincial jurisdiction?
Anything local or private in nature Direct taxation Crown lands and natural resources Hospitals (health sector) Education Welfare Municipalities Local works Intra-provincial transportation and business Administration of justice Property and civil rights Cooperative and savings banks
What things are exclusively federal jurisdiction?
Peace, order and good government Any form of taxation International/interprovincial trade and commerce, communications and transportation Banking and currency Foreign affairs (treaties) Militia and defense Criminal law and penitentiaries Naturalization Weights, measures, copyrights, patents First Nations Residual powers Declaratory power Disallowance and reservation Unemployment insurance and old age pensions
What are joint federal and provincial powers? (specific things)
Immigration
Agriculture
Pensions
Which activities does Health Canada support that help Canadians maintain and improve their health?
Preserve and modernize Canada’s health care system
Enhance and protect the health of Canadians
Work in partnership with others
Communicate health promotion and disease prevention
Which department was responsible for Canada’s health care policies in 1872?
Department of Agriculture
Which department was created to be responsible for Canada’s health care policies in 1919?
Department of Health
Which department was created in 1929 that was the first shared cost federal and provincial program.
Department of Pensions and National Health
What split in departments occurred in 1945?
Health and Welfare Canada
Department of Veteran’s Affairs
What occurred in 1993 regarding Welfare?
Welfare moved to Human Resources Development
What is the role of Health Products and Food Branch (HPFB)?
HPFB’s mandate is to take an integrated approach to the management of the risks and benefits to health to health related products and food.
How does the Health Products and Food Branch manage the risks and benefits to health related to health products and food?
Minimizing health risk factors to Canadians while maximizing the safety provided by the regulatory system for health products and food.
Promoting conditions that enable Canadians to make healthy choices.
Providing information so that they can make informed decisions about their health.
What are the major programs of the Health Products and Food Branch (HPFB)?
Therapeutic products (medical devices and drugs).
Food, including all Health Canada nutrition activities.
Natural health products.
Biologics and genetics.
Office of Consumer and Public Involvement (OCAPI).
Office of Biotechnology and Science
Health Products and Food Litigation Secretariat
What materials are included under “biologics and genetics” program (by the Health Products and Food Branch)
Blood and blood products, viral and bacterial.
Vaccines, genetic therapies and diagnostics, tissues, organs.
Xenotransplants, radiopharmaceuticals, and reproductive technologies
What is the role of the Health Policy Branch? (HPB)
This branch plays a lead role in health policy and consultations.
What are the major responsibilities of the Health Policy Branch (HPB)?
Policy, planning and priorities
Administration of the Canada Health Act
Intergovernmental and international affairs.
Women’s health.
Nursing policy.
Assessments of the impact of Health Canada policies, programs, and legislation on provinces and territories.
Analysis of provincial and territorial developments and trends, and their impact on Health Canada.
What are some agencies of the Federal Government regarding health?
Canadian Institutes of Health Research
Hazardous Materials Information Review Commission
Patented Medicine Prices Review Board
Public Health Agency of Canada
What is the Canadian Institutes of Health Resources?
Canada’s premier federal agency for health research
What is the Hazardous Materials Information Review Commission?
Trade secret protection/balance the right of industry to protect trade secrets and the need of workers to have accurate health and safety information about hazardous chemicals used in the workplace.
What is the Patented Medicine Prices Review Board?
A quasi-judicial body, protects consumers and contributes to health care by ensuring that the manufacturers’ prices of patented medicines are not excessive.
What is the Public Health Agency of Canada?
Preventing chronic diseases, like cancer and heart disease, preventing injuries and responding to public health emergencies and infectious disease outbreaks.
What are the acts administered by Health Canada?
Canada Health Act Canadian Centre on Substance Abuse Act Canadian Environmental Protection Act Canadian Institutes of Health Research Act Controlled Drugs and Substances Act Department of Health Act Financial Administration Act Fitness and Amateur Sport Act
What is the Canada Health Act?
This Act establishes the criteria and conditions which provincial health insurance plans or for extended health care services must meet to receive the full cash contributions under the Canada Health and Social Transfer.
What is the Canadian Centre on Substance Abuse Act?
This Act created an independent centre under the auspices of the Minister of Health to promote increased awareness of drug and alcohol abuse through a variety of information and educational programs.
What is the Canadian Environmental Protection Act (1999)?
The potential risks of environmental pollutants and toxic substances are evaluated under this Act that addresses pollution prevention and the protection of the environment and human health in order to contribute to sustainable development.
What is the Canadian Institutes of Health Research Act?
This Act establishes the Canadian Institutes of Health Research responsible for the creation of new knowledge and its translation into improved health for Canadians.
What is the Controlled Drugs and Substances Act?
This Act, passed on May 19, 1997, controls the import, production, export, distribution and possession of substances classified as narcotic and controlled substances.
What is the Department of Health Act?
This Act sets out the powers, duties and functions of the Minister which extend to all matters covering the promotion or preservation of the health of Canadians over which Parliament has jurisdiction.
What is the Financial Administration Act?
An Order adopted under this Act authorizes the Minister of Health to charge fees for processing drug submissions and establishes fees for providing dosimetry services.
What is the Fitness and Amateur Sport Act?
This Act provides for the authority of the Minister to enter into agreements with any province in respect of costs incurred by the province in undertaking programs designed to encourage, promote or develop fitness in Canada.
What is the primary objective of Canadian health care policy, as laid out by the Canada Health Act?
To protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers.
What is Intergovernmental Connection I?
As of 2004, the following four advisory committees report to the Conference of F/P/T Deputy Ministers of Health
Which committees are included in Intergovernmental connection I?
Advisory Committee on Health Delivery and Human Resources
Advisory Committee on Population Health and Health Security
Advisory Committee on Information and Emerging Technologies
Advisory Committee on Governance and Accountability
What is Intergovernmental Connection II?
The Conference of F/P.T Deputy Ministers of Health appoints one of their members to act as liason with some intergovernmental agencies.
Which intergovernmental agencies are involved in Intergovernmental Connection II?
Canada Health Infoway Inc.
Canadian Agency for Drugs and Technologies in Health
Canadian Council for Donation and Transplantation
Canadian Health Services Research Foundation
Canadian Institute for Health Information
Canadian Patient Safety Institute
Health Council of Canada
What are intergovernmental agencies?
All are non-profit organizations with representatives from sponsoring governments sitting on their governing boards.
Who provides funding for intergovernmental agencies?
In all cases, the federal government provides a significant share of the funding and in some cases almost all of the funding for their operations.
What is CADTH I? When was it established and what did it used to be called?
The Canadian Agency for Drugs and Technologies in Health (CADTH) was first established in 1989 as the Canadian Coordinating Office for Health Technology Assessment
What is the mandate of CADITH I?
To encourage the appropriate use of health technology by influencing decision-makers through the collection, analysis, creation, and dissemination of analyses concerning the effectiveness and cost of technology and its impact on health care.
What does CADTH I do that is different from provincial health technology assessment organizations?
there are provincial health technology assessment organizations; CADTH coordinates the dissemination of existing studies throughout the country as well as providing original health technology assessments in areas not covered by the provinces.
What are the three programs under CADTH I?
Health Technology Assessment
Common Drug Review
Canadian Optimal Medication Prescribing and Utilization Service
What is Health Technology Assesement (part of CADTH I)
The Health Technology Assessment (HTA) program conducts impartial, rigorous, evidence-based reviews of the clinical effectiveness, cost effectiveness and broader impact of drugs, health technologies and health systems.
What is Common Drug Review (part of CADTH I)
The Common Drug Review (CDR) conducts objective, rigorous reviews of the clinical and cost effectiveness of drugs and provides formulary listing recommendations to the publicly funded drug plans in Canada (except Quebec).
What is Canadian Optimal Medication Prescribing Utilization Service (part of CADTH I)
The Canadian Optimal Medication Prescribing and Utilization Service (COMPUS) identifies and promotes evidence-based, clinical and cost-effectiveness information on optimal drug therapy. Strategies, tools, and services are provided to encourage the use of this information among health care providers and consumers.
What is CADTH II? (what does it do)
CADTH examines both the clinical effectiveness and the cost-effectiveness of medical devices and drugs in an effort to extend and improve evidence-based decision-making, and is currently responsible for the Common Drug Review (CDR).
What is the Common Drug Review (CDR)? (Part of CADTH II)
The CDR is a single national alternative to separate provincial processes for reviewing new drugs. Since it began in 2003, all participating provinces and territories consider the CDR analyses in determining whether to include the pharmaceuticals reviewed in their respective formularies.
Who funds CADTH II?
Funded by Health Canada and, in proportion to population, by the provinces.
When and why was CIHI (Canadian Institute for Health Information) established, and why?
established in 1994 in response to the desire of the provinces, territories and central government for a nationally coordinated approach to gathering and analysing health information.
What are the core functions of Canadian Institute for Health Information (CIHI)?
Its core functions include: identifying national health indicators, coordinating the development and maintenance of national information standards, developing and managing health databases and registries, conducting research and analysis, and disseminating health information.
Who does Canadian Institute for Health Information work with? (Which department)
CIHI ongoing working relationship with Statistics Canada
Who funds the Canadian Institute for Health Information (CIHI)?
F/P/T ministries of health as well as individual health care institutions provide funding for CIHI
What was the impact of the 2003 First Ministers Accord on funding arrangements for health care?
All funding arrangements require that jurisdictions comply with the reporting provisions of this comminuqué
How does the 2003 First Ministers Accord affect the Health Council? (what does it require for them)
First Ministers of jurisdictions participating in the Health Council agree that the Council prepare an annual report to all Canadians, on the health status of Canadians and health outcomes. The Council will report on progress of elements set out in this communiqué.
What is the Health Council’s vision?
An informed and healthy Canadian public, confident in the effectiveness, sustainability and capacity of the Canadian health care system to promote their health and meet their health care needs.
What is the Health Council’s mission?
The Health Council of Canada fosters accountability and transparency by assessing progress in improving the quality, effectiveness and sustainability of the health care system. Through insightful monitoring, public reporting and facilitating informed discussion, the Council shines a light on what helps or hinders health care renewal and the well-being of Canadians.
What kind of funding changes has the federal government guaranteed until 2016-2017?
The federal government is guaranteeing six per cent health-care funding increases until the 2016-17
After that, the annual increase will be tied to nominal GDP, but is guaranteed to be at least three per cent
What is nominal GDP?
Nominal GDP is the monetary value of all goods and services produced within the country annually, including inflation. If nominal GDP risesfour per cent and inflation istwo per cent, the economy’s real GDP growth istwo per cent.
What are BC’s Five Great Goals?
Make B.C. the best-educated, most literate jurisdiction on the continent.
Lead the way in North America in healthy living and physical fitness.
Build the best system of support in Canada for persons with disabilities, those with special needs, children at risk and seniors.
Lead the world in sustainable environmental management, with the best air and water quality, and the best fisheries management, bar none.
Create more jobs per capita than anywhere else in Canada.
What are the Ministry of Health’s primary responsibilities?
developing provincial goals and province-wide standards;
holding health authorities accountable for fulfilling their responsibilities; and,
ensuring appropriate health outcomes are achieved province-wide.
What is Stewardship and Corporate Management under the Ministry of Health? (what does it involve)
Provide leadership and support to B.C.’s health authorities and other partners in delivering health services
Establish funding, performance agreements for health authorities, and performance measures for B.C.’s health system
Managing ministry budgets, human resources and information needs .
What are some services delivered by the Ministry of Health?
Administer BC’s PharmaCare and Medical Services Plan (MSP)
Provide vital statistics for the province
What are services delivered by partners?
Support and evaluate health services delivered by health authorities, care providers and other partners.
What are some Acts administered by the Ministry of Health?
Access to Abortion Services Act Anatomy Act BC Benefits (Income Assistance), insofar as it authorizes the Healthy Kids Orthodontia Program Community Care Facility Act Continuing Care Act Drinking Water Protection Act Forensic Psychiatry Act Health Act, except ss. 2 to 7 Health and Social Services Delivery Improvement Act, except Part 3 Health Authorities Act Health Care (Consent) & Care Facility (Admission) Act Health Emergency Act, except ss. 6-9, 14 (2) (a) and (b) Health Special Account Act Hospital Act Hospital District Act Hospital Insurance Act Human Tissue Gift Act Meant Inspection Act Medicare Protection Act, except ss. 3-6 Mental Health Act Milk Industry Act, s. 12, except in respect of tank milk receiver licences Ministry of Health Act Pharmacists, Pharmacy Operations and Drug Scheduling Act, ss. 37-39 Public Toilete Act Venereal Disease Act
What were British Columbia’s Health Authorities before 1990s?
Hospitals, care centres, municipal health departments, government services (LTC, MH centres)
What were British Columbia’s Health Authorities in the mid 1990s?
British Columbia had 52 health authorities
11 regional health councils
34 community health councils
7 community health services societies
What are British Columbia’s health authorities 2007-present?
5 regional health authorities
16 health service delivery areas
1 provincial health authority responsible for province-wide services
What is horizontal integration?
Among like providers (eg. hospitals)
What is vertical integration?
Primary/secondary/tertiary/community care
What are the roles of Health Authorities?
Identifying regional health needs, and planning appropriate programs and services;
Ensuring that programs and services are properly funded and managed; and
Hiring a regional CEO to manage the delivery of health care services within thehealth authority’s health service delivery areas.
Deliver services
Health Authorities organize and operate a ‘system for health’ and delivers prevention, hospital, residential, community-based, and primary health care services.
What area does Fraser Health?
Burnaby to Boston Bar
How many people does Fraser Health serve?
1.6 million people
How many First Nations people and bands does Fraser Health serve?
Approximately 38 100 First Nations people, associated with 32 bands
What is the annual operating budget for Fraser Health (2014/2015)
$3.3 billion annual operating budget
How many acute care hospitals are included in Fraser Health?
12 acute care hospitals
How many residential care beds are included in Fraser Health?
7 760 residential care beds
What other types of health care services does Fraser Health provide?
Mental health care, public health, home and community care
How many staff are employed by Fraser Health Authority (daily)
22 000 staff
How many physicians are employed by Fraser Health?
2500 physicians
How many volunteers work with Fraser Health?
6500 volunteers
How many babies are born on average daily in Fraser Health?
42 babies born
How many childhood immunizations are done daily (on average) by Fraser Health?
900 childhood immunizations
How many hearing evaluations are done daily by Fraser Health (on average)
125 hearing evaluations
How many InterRai assessments are done on a daily basis by Fraser Health (on average)
46 InterRai assessments
How many emergency department visits are there on a daily basis in Fraser Health Authority (average)?
1208 Emergency Department visits
How many patients are in acute care beds in Fraser Health (on average day)?
2065 patients in acute care beds
How many patients have surgery per day in Fraser Health Authority?
457 patients have surgery
How many clients are in adult day programs within Fraser Health?
290 clients in adult day programs
How many home care nursing visits are done in Fraser Health on a daily basis (on average)
630 home care nursing visits
How many residents are living in long term care facilities in Fraser Health?
7760 residents in long term care facilities
How many clients access mental health community services daily in Fraser Health? (average)
740 clients access mental health community services
How many mental health residents and clients are in addictions/treatment housing in Fraser Health?
1547 mental health residents and 371 clients in addictions/treatment housing
How many deaths occur in Fraser Health on a daily basis (on average)?
27 deaths
Who reports to the Board on matters of medical quality?
Health Authority Medical Advisory Committee
What do MD’s belong to? (What authority)
MDs belong to their “Doctor Service”
What are some issues for Health Authorities?
Waitlist management Emergency overcrowding Funding Allocation among programs HR planning/vacancies
What is Fraser Health’s mission?
Better Health, Best in Health Care
What is Fraser Health’s purpose?
To improve the health of the population and the quality of life of the people we serve.
What are the values of Fraser Health?
Respect, caring and trust characterize our relationships.
What is the commitment of Fraser Health?
To be passionate in pursuit of quality and safe health care.
To inspire individual and collective contribution.
To be focused on outcomes, open to evidence, new ideas and innovation.
To embrace new partners as team members and collaborators.
To be accountable.
What does Fraser Health do?
Fraser Health provides hospital care, residential care, home support, home care nursing, public health, environmental health, and mental health and addictions services in your homes and at more than 100 facilities across the health authority.
What are Fraser Health’s four strategic priorities?
Building an integrated health system
Developing people
Building partnerships
Improving performance
