N4440 LEADING SYSTEM
TRANSFORMATION 2025/26 QUESTIONS
WITH COMPLETE SOLUTIONS.
1 of 84
Definition
funding from the feds to the provinces have changed over the past
25 or so years. You can see by a quick glance that since the late
90s
there has been a steady increase in federal transfers to the provinces
for health/social programs. While these transfer payments are
revenue for the provinces they are an expenditure for the federal
government.
Early 1990s still had the Established Programs Financing (EPF) -
somewhat stable funding - provided block funding tied to GDP or
gross domestic product - this is the total value of all the final goods
and services produced within a time period..
EPF provided more flexibility for the provinces in how they used the
,funds - combination of cash and tax points so that if the feds
decreased their taxes the province could increase theirs
Also had the Canada Assistance Plan (CAP) which was established in
the 60s for cost sharing with social assistance programs
1995 - the EPF and CAP were combined to create the Canada Health
and Social transfer (these are the purple bars) - this combined
health, education, social services and social assistance into one
transfer. It decreased the total amount of cash transfer and
eliminated automatic annual increases.
The increase seen starting in 2000 was related to the agreement
between all levels of government on reforms in primary care,
pharmacy management, health ICT & health equipment and
infrastructure. Because the feds agreed to these reforms they
committed money and increased their cash transfers
2004 - Health Accord - more reform and feds increased cash
transfers and split the CHST into 2 separate transfers: Canada
Social Transfer (green bars) and Canada Health Transfer (blue bars) -
2014- 2017 CHT increased by 6% per year after which would be
tied to the GDP
Give this one a try later!
State Income Taxes Federal Transfers
Property Taxes Private Payment
Don't know?
2 of 84
Definition
,means the insurance plan must provide reasonable access for
services where and as available, not impeded by things such as
user fees and extra billing, with no discrimination based on health
status, age, financial situation. There must also be
Reasonable compensation to physicians/dentists for services and
payments to hospitals to cover costs.
Give this one a try later!
Quality Usability
Awareness Accessibility
Don't know?
3 of 84
Definition
1. Getting to the policy agenda
2.Moving into action
3. Implementation and change
4. Evaluation and revision
Give this one a try later!
The Canada Health Act lays out
conditions for fiscal transfers based Problems in the Canadian
on five principles. healthcare system
, Policy Federal/Provincial/Territorial health
Process policy development and
Stages communication
Don't know?
4 of 84
Definition
Strengthen power in political process capacity
Center stage in health policy
Transform roles and influence nursing, health and public policy
Be proactive by leading
Give this one a try later!
Preparing for the future Responsibilities of the Provincial
(Duncan, 2014) Governments
(Small p) political processes What your employer can do to
(Duncan, Rodney & Thorne, support
2014; Duncan, 2014) your journey to wisdom
Don't know?
5 of 84
Definition
Evaluation starts at the beginning, and should be built into the
process from the start - it is never an after thought or something that
TRANSFORMATION 2025/26 QUESTIONS
WITH COMPLETE SOLUTIONS.
1 of 84
Definition
funding from the feds to the provinces have changed over the past
25 or so years. You can see by a quick glance that since the late
90s
there has been a steady increase in federal transfers to the provinces
for health/social programs. While these transfer payments are
revenue for the provinces they are an expenditure for the federal
government.
Early 1990s still had the Established Programs Financing (EPF) -
somewhat stable funding - provided block funding tied to GDP or
gross domestic product - this is the total value of all the final goods
and services produced within a time period..
EPF provided more flexibility for the provinces in how they used the
,funds - combination of cash and tax points so that if the feds
decreased their taxes the province could increase theirs
Also had the Canada Assistance Plan (CAP) which was established in
the 60s for cost sharing with social assistance programs
1995 - the EPF and CAP were combined to create the Canada Health
and Social transfer (these are the purple bars) - this combined
health, education, social services and social assistance into one
transfer. It decreased the total amount of cash transfer and
eliminated automatic annual increases.
The increase seen starting in 2000 was related to the agreement
between all levels of government on reforms in primary care,
pharmacy management, health ICT & health equipment and
infrastructure. Because the feds agreed to these reforms they
committed money and increased their cash transfers
2004 - Health Accord - more reform and feds increased cash
transfers and split the CHST into 2 separate transfers: Canada
Social Transfer (green bars) and Canada Health Transfer (blue bars) -
2014- 2017 CHT increased by 6% per year after which would be
tied to the GDP
Give this one a try later!
State Income Taxes Federal Transfers
Property Taxes Private Payment
Don't know?
2 of 84
Definition
,means the insurance plan must provide reasonable access for
services where and as available, not impeded by things such as
user fees and extra billing, with no discrimination based on health
status, age, financial situation. There must also be
Reasonable compensation to physicians/dentists for services and
payments to hospitals to cover costs.
Give this one a try later!
Quality Usability
Awareness Accessibility
Don't know?
3 of 84
Definition
1. Getting to the policy agenda
2.Moving into action
3. Implementation and change
4. Evaluation and revision
Give this one a try later!
The Canada Health Act lays out
conditions for fiscal transfers based Problems in the Canadian
on five principles. healthcare system
, Policy Federal/Provincial/Territorial health
Process policy development and
Stages communication
Don't know?
4 of 84
Definition
Strengthen power in political process capacity
Center stage in health policy
Transform roles and influence nursing, health and public policy
Be proactive by leading
Give this one a try later!
Preparing for the future Responsibilities of the Provincial
(Duncan, 2014) Governments
(Small p) political processes What your employer can do to
(Duncan, Rodney & Thorne, support
2014; Duncan, 2014) your journey to wisdom
Don't know?
5 of 84
Definition
Evaluation starts at the beginning, and should be built into the
process from the start - it is never an after thought or something that
