2014 Health Accord
Welcome to the 2014 Health Accord Page. This page contains a range of resources relating to the upcoming Canadian Health Accord renewal. Within this section there will be historical documents that look at the original accord to provide context, as well as current reports and papers that examine the challenges and issues faced by the upcoming health renewal. Resources will be selected for inclusion based on credibility and will come from a variety of sources, including government websites, academic centres, research institutes, and more. To suggest a resource, email the READ Portal librarian at librarian@chcm.ubc.ca.
June 5, 2012
Health Council of Canada. (2012). Progress Report 2012: Health care renewal in Canada. Retrieved from http://healthcouncilcanada.ca/tree/ProgressReport2012_FINAL_EN.pdf Monitoring progress on the accords—the 2003 First Ministers’ Accord on Health Care Renewal1 and the 2004 10-Year Plan to Strengthen Health Care2—is a key element of the Health Council of Canada’s mandate. But the challenge is to determine how […]
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May 8, 2012
In this paper, we discuss the current capacity for governments and their health information and quality agencies to report on the performance of their health systems. We also provide international and Canadian examples of governments that are using improved performance reporting mechanisms to support their health care priorities and goals. To do this, they rely on strategic health plans to guide service implementation, complemented by reporting frameworks that use health indicators to monitor performance over a set period of time, and report their achievements regularly to the public. The strategic plans are revised regularly in light of changing political, economic, and social circumstances within each jurisdiction. In some cases, governments have begun using performance-based funding programs as a way to drive performance improvement and achievement of their health care objectives.
As a country, how can we improve the way we set goals and measure changes to health care and the health of Canadians? How do we make sure that activities are focused on achieving positive results? How do we improve accountability for achieving these results, especially in light of the significant public resources employed in the delivery of health care in Canada? These questions predate the existing health accords and remain to be answered.
This paper is intended to raise the profile of performance reporting in Canada’s health care system and to increase our collective understanding of the opportunities to improve it in the interest of better accountability.
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April 11, 2012
“On January 31, 2011, the Minister of Health requested that the Standing Senate Committee on Social Affairs, Science and Technology initiate the second parliamentary review of the 10-Year Plan to Strengthen Health Care (10-Year Plan), an agreement reached by First Ministers on September 16, 2004 that focuses on federal/provincial/territorial (F/P/T) collaboration in the area of health care reform. The committee’s study is undertaken pursuant to section 25.9 of the Federal-Provincial Fiscal Arrangements Act, which requires that a parliamentary committee review progress towards the implementation of the 10-Year Plan on or before March 31, 2008 and three years thereafter. The committee’s review also includes an examination of the separate Communiqué on Improving Aboriginal Health, which was released by First Ministers and Leaders of National Aboriginal Organizations1 on 14 September, 2004.
This report presents the committee’s findings regarding progress towards the implementation of the 10-Year Plan and the Communiqué on Improving Aboriginal Health and identifies further actions that could be taken in support of the objectives outlined in these documents. It reflects the testimony presented by witnesses over the course of 13 hearings and one roundtable discussion, as well as many written submissions received from interested organizations and individuals.
The key themes raised by these witnesses provide the basis and spirit of the recommendations outlined in this report. Witnesses emphasized to this committee the central importance of adopting a holistic understanding of health that sees physical and mental wellbeing as inextricably linked and equally important to the efficiency and quality of health care systems. This holistic concept of health has become a framing principle for this report.”
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February 21, 2012
“The mandate of the Parliamentary Budget Officer (PBO) is to provide independent analysis to Parliament on the state of the nation’s finances, the government’s estimates and trends in the Canadian economy; and upon request from a committee or parliamentarian, to estimate the financial cost of any proposal for matters over which Parliament has jurisdiction.
This note provides an update of PBO’s baseline long-term fiscal projections and fiscal gap estimates (published in its Fiscal Sustainability Report 2011) that incorporates the recent Canada Health Transfer (CHT) renewal. On December 19, 2011 the Government of Canada announced that: the CHT would continue to grow at 6 per cent annually until 2016-17; starting in 2017-18 the CHT would then grow in line with a 3-year moving average of nominal GDP growth (with a minimum increase of 3 per cent per year guaranteed); and, the CHT will be reviewed again in 2024.”
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February 21, 2012
“Healthcare in Canada is decentralized into 14 health systems—13 provinces and territories and the Federal Government. Each of these involves a mixture of urban, rural and remote settings, all facing competing priorities and constrained budgets. A recent analysis shows that health spending is rising faster than the rate of economic growth.i In this context, along with the approaching expiry of the 10-Year Plan to Strengthen Health Care (2004), the Canadian Health Services Research Foundation (CHSRF) recognizes that this is a critical time to examine questions of health system sustainability, accessibility, quality and responsiveness.
As such, CHSRF undertook an environmental scan to explore the shared values and principles, goals and key health policy issues across provinces and territories. The scan used a framework analysis approach,ii examining strategic planning documents for the period of 2008-2011 that were available during the analysis—February-March 2011. At the same time, CHSRF consulted with senior policy-makers across provinces and territories in ministries of health, intergovernmental affairs and finance. This summary presents key findings from the framework analysis and face-to-face meetings.”
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February 21, 2012
“This report on Canada’s health care performance is a pan-Canadian look at five key commitments under the 2003 First Ministers’ Accord on Health Care Renewal and the 2004 10-Year Plan to Strengthen Health Care, and it highlights progress to date on wait times, pharmaceuticals management, electronic health records, teletriage, and health care innovation.
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February 21, 2012
This government website contains links to the following
- 2003 First Ministers Health Accord
- Federal Health Investments
- Diagnostic and Medical Equipment
- Building the Society Canadians Value
- Investing in Canada’s Health Care System
- Overview of the Canadian Health Care System
- Pharmaceuticals Management and Catastrophic Drug Coverage
- Primary Health Care
- Home Care For Canadians
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July 27, 2011
“It is now time to discuss the renewal of the 2004 Health Accord that is due to expire in 2014. The 2004 Accord devoted considerable attention to improving access to timely care for Canadians. It promised significant reductions in wait times and provided $41 billion in ongoing funding…
The WTA report card contains five sections:
- Grading the original five “priority areas” to government benchmarks, including a five-year assessment;
- Grading beyond the five “priority areas” using WTA benchmarks;
- Grading provincial wait-time websites;
- The impact of alternate levels of care (ALC) stays on wait times;
- Highlighting WTA members’ ongoing work to mitigate, measure, monitor, and manage wait times.”
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June 3, 2011
“In 2008, the Health Council of Canada released Rekindling Reform: Health Care Renewal in Canada, 2003–2008, a report on the progress made since First Ministers’ groundbreaking attempts to renew the health care system: the 2003 First Ministers’ Accord on Health Care Renewal, and the 2004 10-Year Plan to Strengthen Health Care (commonly referred to as the health accords)…
Three years after the release of Rekindling Reform, the Health Council of Canada offers this report which, along with subsequent annual reports, will assess progress made on selected accord commitments. This year, we are reporting on wait times, pharmaceuticals management, electronic health records, teletriage, and health innovation. Each section summarizes what the accords say, what we said in Rekindling Reform, and where things stand today (which we have gathered from public sources; through feedback from federal, provincial, and territorial health officials; and from interviews with key stakeholders in the Canadian health care system).
To properly assess progress, it is important to look at what governments have reported to their residents to see whether targets were set for reaching the goals expressed in the accords. Where jurisdictions have set targets for their commitments, we used them to assess progress. Some commitments, such as wait times, have well-developed measures to gauge progress, while others require a more narrative approach. Where we can, we describe provincial and territorial strategies for addressing challenges and bringing about renewal.”
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