Review of Secondary Data within the Context of Evaluation of McGill University’s Training and Human Resources Development Project Report submitted by Natalie Kishchuk Recherche et évaluation inc. 26, rue Oriole Kirkland (Québec) H9H 3X3 514 694-8995 nkishchuk@sympatico.ca Final: Dec. 14, 2007 1. Table of Contents INTRODUCTION ………………………………………………………………………… 2 2. UTILIZATION OF INPUTS……………………………………………………………… 2 3. PROJECT ACTIVITIES ………………………………………………………………. 3.1 Measure 1: Language Training Program 3.2 Measure 2: Retention and Distance Professional and Community Support Program 3.2.1 Component 1: Retention 3.2.2 Component 2: Distance Professional Support 3.2.3 Component 3: Distance Community Support 3.3 Measure 3: Seminars and Conferences 3.4 Measure 4: Innovation Fund 3.5 Communication and General Promotion Activities 3.6 Research Activities 11 11 15 15 19 19 21 21 22 24 Appendix: Documentation Reviewed 1 1. INTRODUCTION This report, which was produced to supplement the new data compiled within the context of CREXE’s evaluation of the Training and Human Resources Development Project (THRDP), is a summary of secondary data retrieved from the project coordinators’ files. Those files consist for the most part of financial records, progress reports and interim reports produced during the Project for purposes of internal administration or accountability to Health Canada. In short, these data portray the utilization of Project inputs, production activities and selected outputs. 2. UTILIZATION OF INPUTS Financial Resources The Training and Human Resources Development Project had a budget totalling $11.5 million spread over four fiscal years. Table 1 gives actual Project expenditure under the various items for the three budget years already ended (2004-2005, 2005-2006 and 2006-2007), as well as the amounts budgeted for the final Project year (2007-2008). Spending for the three completed budget years totalled $6,748,437, or 90.0% of the budget approved for that period. Table 1. Actual Project Expenditure Measure 2004-20051 ($) 2005-20062 ($) 2006-20073 ($) 2007-2008 ($) (budget) 876,932 239,058 Personnel 363,556 736,133 1,039,296 Operations (rent and utilities, 103,366 227,464 123,091 equipment, services, sundry) Measure 1: Language Training 1,686,711 1,780,000 Measure 2: Retention and Distance 625,553 727,032 0 1,622,586 Professional and Community Support Measure 3: Seminars and Conferences 17,862 146,000 Measure 4: Innovation Support Fund 202,731 230,978 Total expenditure 466,921 2,586,182 3,695,244 Approved budget 500,000 3,000,000 4,000,000 4,000,000 1. Appendix D, Quarterly Cashflow and Expenditure Record, 2004-05, Final, June 13, 2005. 2. Appendix D, Quarterly Cashflow and Expenditure Record, 2005-2006, Final, June 30, 2006. 3. Appendix D, Quarterly Cashflow and Expenditure Record, 2006-07, June 27, 2007. This document was not final at this review. The budget data was not broken down by measures in 2004-2005 or 2005-2006. In 2006-2007, a total of $3,695,244 was paid out for projects involving the four measures, with 66.6% spent on Measure 1, 24.7% on Measure 2, less than 1% on Measure 3, and 8% on Measure 4 (see Fig. 1). However, the Retention projects of community groups, a component of Measure 2, were posted to that measure in 2005-2006, but to the budget line for Measure 4 in 2006-2007.1 1. 2006-2007 Annual Report, August 29, 2007. 2 Figure 1. Percentage Breakdown of Regional 1 Spending, by Measure, 2006-07 1% 8% 25% 66% Measure 1 Measure 2 Measure 3 Measure 4 1. Appendix D, Quarterly Cashflow and Expenditure Record, 2006-07, June 27, 2007. This document was not final at this review. According to the approved budget (Appendix B of the Contribution Agreement between Health Canada and McGill), 34.5% of the budget was to be spent on Project management and operations and 66.2% on the projects delivered through one of the four measures by partners of the health and social services network, the community sector or the teaching sector. During the first three Project years, 34.5% of the overall budget was indeed spent on operations and 66.2% on projects outside McGill University. As Table 2 indicates, the budget was underspent in the three years of the THRDP. This table gives the unused dollar amounts and the corresponding percentages. Underspending was greater for Measure 2 (14.4%) than for Measure 1 (9.0%). 3 Table 2. Budget Underspending 2004-05 Measure 1: Language Training Measure 2: Retention and Distance Professional and Community Support Measure 3: Seminars and Conferences Measure 4: Innovation Support Fund Total $33,079 (6.6%)2 2005-06 $413,818 1(3.8%)3 2006-2007 $156,626 (9.0%)1 $ 131,043 (14.4%)1 $33,000 (22.6%) --1 $304,756 (7.6%)4 $323,699 (8.1%) $390,774 (9.7%) 1. Different totals – $141,313 (8.1%) for Measure 1, $34,750 (5.3%) for Measure 2 and $7,139 (3.4%) for Measure 4 – are provided by a more recent document than the Quarterly Cashflow and Expenditure Records, prepared for a July 2007 meeting with Health Canada: Distribution of Allocations and Actuals, 2005-06 and 2006-07, Language Training Program, Measure 2; Measure 4: Innovation Fund. See also tables 3, 4 and 5 in the sections that follow. 2. Appendix D, Quarterly Cashflow and Expenditure Record, 2004-05, Final, June 13, 2005. 3. Appendix D, Quarterly Cashflow and Expenditure Record, 2005-2006, Final, June 30, 2006. 4. Three sources give different totals for 2006-2007. The total of $304,756 is from Appendix D, Quarterly Cashflow and Expenditure Record, 2006-07, June 27, 2007 (not finalized at this review). The amounts per measure and the total of $323,699 are from the documents prepared for a meeting with Health Canada held July 13, 2007, Démarches en fin d’année financière (fiscal year-end procedures) 2006-2007. See the Appendix: Underspending in Fiscal Year 2006-07. That particular document provides estimates. The total of $390,774 comes from the minutes of the Steering Committee meeting held January 10, 2007. That was the basis for determining the allocations for special projects. Underspending on projects delivered by partners of the Health and Social Services Network resulted from spending below the allocated amounts for several projects in a number of regions. The actual numbers are given in Table 3. More than half of the regions receiving funding through Measure 1 spent less than their proposed budget in 2005-2006 and 2006-2007. Table 3. Frequency of Underspending1 2005-2006 2006-2007 Measure 1: Language Training 9 of 16 regions 11 of 17 regions Measure 2: Retention and Distance Professional and 3 of 16 projects 6 of 22 projects Community Support Measure 4: Innovation Support Fund 3 of 6 projects 1 of 6 projects 1. Distribution of Allocations and Actuals, 2005-2006 and 2006-07, Language Training Program, Measure 2, Measure 4: Innovation Fund, July 12, 2007. Funding was provided for several initiatives not included in the original work plan or annual work planning. Those initiatives, called special projects, are described more fully in the sections dealing with the corresponding measures. Table 4 reports the allocations for those special projects. 4 Table 4. Funding of Special Projects in the Regions1 Region 2005-2006 2006-2007 Funded projects (organizations) Amounts Funded projects Amounts allocated (organizations) allocated ($) ($) 01- Bas-Saint-Laurent ----02- Saguenay-Lac-Saint-Jean ----03- Capitale-Nationale --3 (2) 67,200 04- Mauricie-et-Centre-du-Québec 1 (1) 21,500 --05- Estrie ----06- Montréal --1 (1) 25,000 07- Outaouais ----08- Abitibi-Témiscamingue --1 (1) 5,090 09- Côte-Nord ----10- Nord du Québec ----11- Gaspésie-Îles-de-la-Madeleine --1 (1) 30,296 12- Chaudière-Appalaches --1 (1) 46,960 13- Laval ----14- Lanaudière ----15- Laurentides 1 (1) 14,500 --16- Montérégie 1 (1) 12,760 17- Nunavik ----18- Terres Cries de la Baie James --1 (1) 12,000 Total 3 46,760 8 186,546 1. Funding for special projects, 2005-06 and 2006-07, document prepared for the meeting with Health Canada held June 28, 2007. Another source of information about the special projects funded in 2006-2007 provided information on the types of special projects that were supported (Table 5). 5 Table 5. Special Projects Delivered, 2006-20071 Amount allocated ($) Measure 1 Measure 1: Needs/priorities assessment 04 – Mauricie-Centre du Québec Measure 1: Learning retention activities and language training 2 08 - Abitibi-Témiscamingue 11- Gaspésie 12 - Chaudière Appalaches Measure 1: Language training 18 –Terres-Cries-de-la-Baie-James Measure 1: Instructional material for learning retention Measure 1: Project Modélisation des approaches d’enseignement du programme de formation linguistique des professionnels de la santé du Québec (modelling of instructional approaches to the language training program for Quebec’s healthcare professionals), Phase 1 (BEST) Total for Measure 1 Measure 2 Measure 2: Retention 06 – French course, McGill students and professionals Measure 2: Retention 03 – Community radio pilot project 03 – Evaluation of Telehealth program 31,000 10,910 30,296 46,960 12,000 69,000 4,360 204,526 (12.1% of measure) 11,000 22,500 28,000 Measure 2: Distance Professional Support MUHC 20,105 03 – Québec – Hôpital Jeffrey Hale 16,700 Measure 2: Retention 06 – Montréal – Development of internship partnerships 25,000 Measure 2: Retention Supervision course 11,000 Measure 2: Web site for partner mobilization 14,000 Measure 2: Project La formation et la promotion de la santé à distance : 20,000 une étude des pratiques, des conditions de succès et de l’impact auprès des professionnels de la santé et des communautés (distance health training and promotion: study of the practices, conditions for success and impact on healthcare professionals and communities) (literature review) Analyses; database of healthcare professionals, by language 14,890 Total for Measure 2 168,305 (26.9% of measure) Total 372,831 1. Projects approved by the Steering Committee on Jan. 17 or 29, 2007; taken from the minutes in the document “Démarches en fin d’année financière [fiscal year-end procedures] 2006-2007.” 2. Projects submitted in response to a THRDP call for proposals in November 2006 and approved by the Steering Committee on January 17, 2007. The allocation for the Gaspésie project is taken from the minutes dated January 31, 2007. 6 Human Resources Table 6 gives changes in the number of human resources involved in the Training and Human Resources Development Project. The THRDP staffed three full-time positions (coordinator, executive assistant and administrative assistant) and several contractual or part-time positions: liaison officer, liaison consultant, specialist in distance education and ESL, ESL specialist, research assistants, Retention Program liaison officer, and evaluation consultant. The core team was assisted by a professional support team of short-term contractual translators, revisers, designers, writers, facilitators, FSL and ESL instructors, research assistants, nurses, actors, technicians and advisers. McGill University received part-time salary replacement funding for three coordination positions (senior investigator, Language Training Program coordinator and Retention Program coordinator). Over and above those official funding resources through the Project budget, there was the unpaid time contributed by McGill University management staff in managerial roles, e.g. members of the committees described in Table 7. Table 6. THRDP Human Resources Measure 2004-2005 2005-2006 2006-2007 Personnel $363,5561 $736,1332 $1,039,2963 Full-time positions 2 5 6 Part-time positions 1 1 2 1. Appendix D, Quarterly Cashflow and Expenditure Record, 2004-05, Final, June 13, 2005. 2. Appendix D, Quarterly Cashflow and Expenditure Record, 2005-06, Final, June 30, 2006 3. Appendix D, Quarterly Cashflow and Expenditure Record, 2006-07, June 27, 2007. This document was not final at this review. Management and Coordinating Structure The management and coordinating structure of the Training and Human Resources Development Project comprises THRDP personnel, as well as players from McGill University and associated networks. Table 7 lists the mandates and activities (meetings) of the management and coordinating bodies from inception of the Project to summer 2007. 7 Table 7. Meetings of Management and Coordinating Committees Committee name, membership and mandate External advisory committees Project Advisory Committee Composition: 15 members – representatives from health and social services institutions, Quebec Department of Health (MSSS), McGill University, professional corporations, English-speaking community sector and research sector Mandate: To advise the Steering Committee; consulted on matters pertaining to Project implementation. External Evaluation Advisory Committee Composition: 7 members (3 representatives from ASSS, 2 from educational institutions, 2 from community groups) Mandate: To support the evaluation process by providing outside perspectives. Meeting dates 6 meetings to date 05-05-27 05-09-30 06-01-20 06-09-29 07-01-26 07-10-12 3 meetings to date 07-02-05 07-06-05 07-06-08 Internal committees Steering Committee Composition: 8 members from THRDP and McGill Mandate: To manage the Project, including approvals, follow-up of individual projects, and budgetary oversight. 39 meetings to date 04-03-22 04-04-14 04-05-18 04-06-08 04-06-29 (Agreement signed 04-07-24) 04-09-13 04-10-25 04-11-15 04-12-13 05-01-17 05-01-31 05-03-16 05-05-02 05-05-24 05-06-20 05-08-23 05-09-19 05-10-24 05-11-07 05-12-15 06-01-09 06-01-30 06-03-06 06-03-14 06-03-29 06-04-25 06-05-02 06-06-05 06-08-17 06-09-14 06-11-01 06-12-12 07-01-17 07-01-18 07-01-30 8 07-02-27 07-03-27 07-04-23 07-06-14 Management Committee Composition: 5 THRDP people Mandate: To manage routine operations. Evaluation Follow-up Committee Composition: 9 members (4 McGill, 3 ENAP, 1 outside) Mandate: To support the Steering Committee. 15 meetings to date 05-02-14 05-02-28 05-03-29 05-04-04 05-04-19 05-05-13 05-06-07 05-06-28 05-08-23 05-09-14 05-10-07 05-11-08 06-09-12 06-11-03 06-12-08 2 meetings to date 06-06-12 06-11-07 Internal Evaluation Follow-up Committee 3 meetings to date Composition: 5 members (4 McGill, 1 outside) 06-09-08 06-10-12 07-02-05 15 meetings to date Retention Program Planning and Operations Committee Composition: 5 THRDP people Mandate: To coordinate the Retention Program. internal ad hoc committees Organizing committee for information sharing day of February 24, 2006 06-10-20 06-11-24 06-12-15 07-01-23 07-03-07 07-04-04 07-04-23 07-05-11 07-05-25 07-06-01 07-06-21 07-08-07 07-08-21 07-09-06 07-09-21 06-01-26 Composition: N/A Mandate: To plan the activity (activity cancelled). 1. Information summarized from committee meeting minutes. 9 The Training and Human Resources Development Project set up bodies for communication and discussion of THRDP activities and for communication and networking among funded organizations. Table 8 describes those bodies and lists their meeting dates. Table 8. Meetings of Outside Liaison Groups Group name, membership and mandate Lexicon Evaluation Committee Composition: 3 experts and 2 McGill Project representatives Mandate: to decide on a lexicon for recommending to professionals. Committee for Regional Allocation of Financial Resources Composition: 9 members (McGill Project, ASSS-Montréal and outside consultants) Mandate: Ad hoc committee to devise a method for determining regional allocations. Language Training Program – telephone conferences, videoconferences and meetings with health and social services agencies Composition: agency representatives from the 17 regions, accompanied by their training organizations; 6 McGill Project representatives Mandate: Communication and support network. Retention Program – telephone conferences with funded health and social services institutions Composition: 10 representatives of funded organizations, 6 McGill Project representatives Mandate: Communication and support network. Retention Program – meetings with internship coordinators Meeting dates 06-07-18 06-08-17 2 meetings 06-01-12 06-02-01 10 meetings to date 06-04-20 06-05-29 06-06-19 06-08-21 06-09-18 06-11-13 07-01-29 07-03-26 07-05-28 07-09-24 2 meetings to date 06-11-24 07-06-01 3 meetings to date Composition: 9 internship coordinators, 4 McGill Project representatives Retention Program – telephone conferences with funded community organizations Composition: 10 representatives from 5 funded organizations, 5 McGill Project representatives Mandate: Communication and support network. 1. Information summarized from meeting minutes of the groups. 07-01-12 07-03-07 07-06-08 2 meetings to date 06-11-17 07-06-08 10 3. PROJECT ACTIVITIES 3.1 Measure 1: Language Training Program Table 9 summarizes amounts spent and workers trained through regional activities under the Language Training Program. For reference purposes, it also gives percentages of English speakers within the regional populations. A total of 1,427 workers were trained in 2005-2006 and 1,993 in 2006-2007. The total number of people trained through the Project cannot be given because some of them took part in training during both years. Two regions, Mauricie-et-Centre-duQuébec and Terres-Cries, came on board in 2006-2007. To date, only the Nunavik administrative region has not participated in the Language Training Program. Table 9. Activities Delivered through Language Training Program Region Englishspeaking pop.1 (%) 0.02 0.04 2.4 1.1 5.1 25.8 11.7 1.15 1.23 0.01 2.12 0.06 11.62 1.8 6.7 28.0 --- 2005-2006 Spending2 ($) Workers trained3 2006-2007 Participating sites4 Spending5 ($) Workers trained3 01- Bas-Saint-Laurent 22,669 30 1 25,000 02- Saguenay-Lac-Saint-Jean 23,970 13 5 29,305 03- Capitale-Nationale 50,000 255 6 77,009 04- Mauricie-et-Centre-du-Québec -1 31,000 05- Estrie 86,921 309 10 135,000 06- Montréal (partie est) 200,000 97 4 300,000 07- Outaouais 93,943 111 10 140,998 08- Abitibi-Témiscamingue 28,508 18 10 55,047 09- Côte-Nord 33,853 8 3 16,344 10- Nord du Québec 10,000 4 1 15,000 11- Gaspésie-Îles-de-la-Madeleine 74,925 88 5 89,996 12- Chaudière-Appalaches 25,000 59 3 30,000 13- Laval 49,860 32 9 170,683 14- Lanaudière 47,240 35 3 50,424 15- Laurentides 98,017 100 8 133,060 16- Montérégie 189,296 268 16 294,840 17- Nunavik ----18- Terres Cries de la Baie James --1 11,200 Total 1,034,202 1,427 1,604,936 1. Measure 1, Appendix: Interregional Distribution of Language Training Program Budget for Fiscal 2006-2007 and 2007-20008, May 2006, p. 4. 2. Distribution of Allocations and Actuals, Language Training Program, 2005-06 and 2006-07, June 28, 2007. 3. 2006-07 Annual Report, August 29, 2007. 4. Dialogue, spring/summer 2007 edition, centre page; M. Marcil’s presentation at FDRH seminar: Les défis et les opportunités dans la prestation des services de santé aux minorités linguistiques au Québec et au Canada (challenges and opportunities in the delivery of healthcare services to linguistic minorities in Quebec and Canada). 5. Distribution of Allocations and Actuals, Language Training Program, 2005-06 and 2006-07, June 28, 2007. Comparison of the total number of workers who were supposed to be trained (2,138), based on project proposals in April 2006, and the number of workers actually trained in 2006-2007 (1,993) shows that 93% of the target was achieved. 11 23 36 223 297 124 141 121 15 6 99 132 140 43 156 419 -18 1,993 Table 10 summarizes the types of language training projects involved. Most regional projects delivered training through face-to-face group courses for workers designated by their institutions. Activities supporting learning outside of course times may include internships at English-speaking sites, extramural activities (e.g. dinners) and the use of such tools as audiocassettes, DVDs and the Internet.2 Table 10. Types of Language Training Projects1 Project type Numbers in 2005-2006 (out of 15)1 7 Numbers in 2006-2007 (out of 15)2 15 Placement test Method of course delivery Telephone 1 5 Immersion 2 4 Distance 1 2 Face-to-face group course 14 14 Training evaluation 15 15 Training certification 5 15 Learning support outside course times (not compiled) 11 Learning retention activities3 (not compiled) 13 1. The methods may vary from one site to another within the same region. THRDP Summary Tables, Language Training Program, health and social services agency projects funded by McGill University, 2005-06, Table 2.10. 2. 2006-2007 Language Training Program, project fact sheets provided by the agency. 3. Includes special projects funded in 2006-2007. As seen from Table 11, most workers trained in 2005-2006 hold intake positions in their institution, although a sizeable number of them are employed in health care and social services. Table 11. ESL: Percentage of Workers Trained, by Sector Sector Intake Health Social Services 1. 2005-06 Annual Report, p. 3. 2005-20061 56% 20% 24% Table 12 provides an overview of language training efficiency by dividing amounts spent by number of workers trained for each region. There are substantial differences in average spending per participant, varying from $345/person in the Quebec City region to $2,420/person in the Montreal region. In 2005-2006, 5,887 training hours were delivered,3 for an average 4.1 hours/participant at an average hourly cost of $273. 2. THRDP Summary Tables, Language Training Program, health and social services agency projects funded by McGill University, 2005-006, Table 2.10.2; 2006-2007 Language Training Program, project fact sheets provided by the agency. 3. 2005-2006 Annual Report, p. 9. 12 Table 12. Average Spending on Language Training per Worker Trained1 01- Bas-Saint-Laurent 02- Saguenay-Lac-Saint-Jean 03- Capitale-Nationale 04- Mauricie-et-Centre-du-Québec 05- Estrie 06- Montréal 07- Outaouais 08- Abitibi-Témiscamingue 09- Côte-Nord 10- Nord du Québec 11- Gaspésie-Îles-de-la-Madeleine 12- Chaudière-Appalaches 13- Laval 14- Lanaudière 15- Laurentides 16- Montérégie 17- Nunavik 18- Terres Cries de la Baie James Average 2005-2006 ($) 756 1,844 196 -281 2,061 846 1,585 4,232 2,500 851 423 1,558 1,349 980 706 --1,120 2006-2007 ($) 862 814 345 -455 2,420 1,516 822 1,090 2,500 909 188 1,219 1,172 853 704 -622 897 1. Data calculated from Table 9 data. Table 13 summarizes the types of organizations involved in the ESL training program. A total of 81 organizations were involved in 2005-2006 and 96 organizations in 2006-2007, with some concentration in Health and Social Services Centres (CSSS) and various types of rehabilitation centres. Table 13. Types of Organizations Involved, Language Training Program CSSS Rehabilitation centres, DI, DP Hospitals, health centres Youth protection centres Nursing homes Other types of centres Total 2005-20061 2006-20072 39 14 8 6 6 -81 55 17 10 6 4 4 96 1. 2005-2006 Annual Report, page 9. 2. Dialogue, spring 2007 edition, centre page. Table 13 gives the types of organizations that have provided training through Measure 1. Three types of organizations are usually involved: private training organizations, CEGEPs and school boards. The rehabilitation centre that provided training specializes in American Sign Language (ASL). 13 Table 14. Types of Organizations Providing Training Type 2005-20061 2006-20072 Private organizations CEGEPs Universities School boards Rehabilitation centres 8 10 7 13 -2 5 6 1 1 Total 21 32 1. Table 3: Project Proposal by Region and Training Organization, 2006-2007, Language Training Program, April 18, 2007. The Training and Human Resources Development Project inventoried and created a number of resources to support language training. Table 15 summarizes those projects and their current status. To date, there is no information on their use. Table 15. Language Training Support Projects Project Annotated bibliography and literature review: evaluation of language skills in the health and social services sector Language training models: literature review Identification, analyses and recommendations regarding EnglishFrench lexicons in the health fields Year 2005-2006 Status Completed. The report is available at: http://francais.mcgill.ca/files/hssaccess/BertrandPowerPointFr.pdf 2005-2006 Completed 2006-2007 Inventory of instructional resources 2005-2006, 2006-2007 Completed. The recommended lexicon was sent to all training suppliers in September 2006 and is available on the Project Web site at: http://www.mcgill.ca/files/hssaccess/Lexicon_Evaluation.doc Completed. The resources are presented at: http://www.mcgill.ca/hssaccess/trainers/ Development of instructional material Dialogue: a self-study workbook for health and social services professionals Module 1: Receptionists 2006-2007 Support tools including DVD, for personnel having received language training. Module 1 will be sent to the 600 trained receptionists and the network organizations in September 2007. It can be accessed at: http://www.mcgill.ca/hssaccess/trainers/resources/receptionists/ Module 2: to be released in fall 2007 Module 3: to be released in winter 2008 Module 2: Triage Nurses Module 3: Social Work The project coordinators produced and implemented tools for soliciting, evaluating and selecting regional projects and following up their management. Additionally, the committee handling regional funding allocations (see Table 8) produced an algorithm for that task based on Anglophone population size.4 4.THRDP, Measure 1, Appendix 3, Regional breakdown of the Language Training Program budget for fiscal 2006-07 and 2007-08. 14 3.2 Measure 2: Retention and Distance Professional and Community Support Program 3.2.1 Component 1: Retention Table 16 summarizes the Retention projects delivered in 2005-2006 and 2006-2007. The partners delivered 44 projects in the regions in 2005-2006 and 2006-2007, respectively. In general, the projects approved in 2006-2007 have been carried over to 2007-2008. Table 16 also gives the amount allocated for the current year. Table 16. Projects Delivered through the Retention Program Region / Organization 01- Bas-Saint-Laurent 02- Saguenay-Lac-Saint-Jean 03- Capitale-Nationale Champlain College St Lawrence Hôpital Jeffery Hale – St Brigid’s3 04- Mauricie-et-Centre-du-Québec 05- Estrie CHUS 06- Montréal CSSS Point de l’Île West Montreal Readaptation Centre Grace Dart Extended Care Centre McGill School of Social Work McGill School of Nursing English and French Language Centre Vanier College 07- Outaouais Regional Association of West Quebecers 08- Abitibi-Témiscamingue UQAT (Social Work and Nursing) 09- Côte-Nord Coasters Association Centre de protection et de Réadaptation de la Côte Nord 10- Nord du Québec 11- Gaspésie-Îles-de-la-Madeleine Committee for Anglophone Social Action CSSS de la Côte de Gaspé Council for Anglophone Magdalen Islanders 12- Chaudière-Appalaches Mégantic Community Development Corporation 13- Laval CSSS Laval 14- Lanaudière 15- Laurentides 2005-2006 Projects Amount spent1 ($) 0 0 --- 1 25,000 0 2006-2007 Projects Amount spent1 ($) 0 -0 -- 2007-2008 Amount allocated2 ($) --- -- 1 1 0 40,000 16,700 -- 40,000 --- 1 8,505 1 38,282 40,000 1 1 1 2 -1 2 25,000 25,000 15,000 50,000 -25,000 -- 1 1 1 2 -1 2 39,668 39,568 40,000 38,172 -20,000 45,000 40,000 40,000 40,000 40,000 20,000 20,000 20,000 1 23,122 1 24,000 40,000 1 25,000 2 37,000 40,000 1 1 23,585 13,954 1 1 32,861 15,560 40,000 40,000 0 -- 0 -- -- 1 15,600 1 40,000 40,000 1 1 22,000 9,051 39,975 40,000 39,750 37,678 1 8,000 1 25,970 33,400 1 0 10,186 -- 1 0 12,410 -- 15,382 -- 15 CSSS Argenteuil 1 19,500 2 16,600 33,900 CSSS des Sommets 1 25,000 40,000 40,000 16- Montérégie Townshippers 1 15,000 1 39,900 39,900 17- Nunavik 0 -0 --18 – Terres Cries 0 -0 --Total 22 383,503 22 681,666 740,010 1. Measure 2: Retention and Distance Support Program – Contract Follow-up 2005-06, 13.03.07; Distribution of Allocations and Actuals, Measure 2 , 2005-06 and 2006-07, July 12, 2007. 2. Measure 2: Retention and Distance Support Program – Contract Follow-up 2006-07 – 2007-08, 4th quarter 2006-07. 3. Special Project 2006-2007. See Table 5. 4. The Retention projects managed by community organizations (6 projects, $202,731) were posted to Measure 4 in Table 1. As is seen from Table 17, the Retention projects delivered through Measure 2 pursued a variety of objectives based on needs identified regionally or locally. Still, there was strong emphasis on developing and setting up supervised clinical placements for students in a variety of disciplines. Table 17. Retention Project Objectives1 Type of objective Number of projects 2006-2007 (out of 21) 13 4 4 Supervised clinical placements Summer placements and jobs Tools for recruiting and integrating English-speaking professionals (community guide, transportation, lodging) Recruiting and networking internship sites and/or supervisors 3 Developing bilingual training programs 2 Developing the French-language skills of Anglophone workers and the English2 language skills of Francophone workers Grants for study outside the region 2 Developing high school students’ interest in healthcare careers 1 Developing supervisory mechanisms 1 Student financial support 1 Recruiting Aboriginal students 1 Bilingual intercultural training 1 Designing distance professional development materials 1 1. Retention Program 2006-2007 and 2007-2008: project fact sheets, undated. The projects may pursue several objectives. Table 18 summarizes the types of organizational promoters and partners for Retention projects (see Table 15 for detailed list of promoters). The delivery of nine projects out of 21 was coordinated by a health or social services institution, and 15 projects out of 21 included at least one network partner. Projects were also coordinated by six English-speaking community organizations, all located in remote regions, and six educational institutions. Sixteen projects had at least one educational institution among their partners, whereas 10 of them included partnership with at least one community organization. Four projects had other types of partners from other sectors, i.e. municipal government or organizations in the job or economic development sector. 16 Table 18. Types of Organizational Promoters and Partners for Retention Projects, 2006-20071 Type of organization Health and social services institution English-language community organization Educational institution Organization from another sector (municipal, economic) Numbers Promoters 9 6 6 -- Partners 15 10 16 4 Total 21 1. Retention Program 2006-2007 and 2007-2008, project fact sheets, undated. The projects may pursue several objectives. In 2007-2008, the Training and Human Resources Development Program is spending on financial support for students interning within a few organizations (three in the Estrie region, one in Côte Nord and one in Chaudière-Appalaches). Thus far, $9,730.01 has been allocated to those projects.5 Table 19 breaks down 2007-2008 internships by region. Of the total number, 42% (177 out of 419) were held in fields prioritized by the program. In 2006-2007, 5.6% of internships in prioritized fields and 2.4% of all proposed internships were filled. Data validating the internships proposed and held to date in 2007-2008 are not yet available. Table 19. Number of Internships Proposed and Held, Retention Program Region 2006-20071 Internships Internships held1 1 proposed 01- Bas-Saint-Laurent 02- Saguenay-Lac-Saint-Jean 03- Capitale-Nationale 04- Mauricie-et-Centre-du-Québec 05- Estrie 45 2 06- Montréal 249 5 07- Outaouais 08- Abitibi-Témiscamingue 09- Côte-Nord 3 10- Nord du Québec 11- Gaspésie-Îles-de-la-Madeleine 31 12- Chaudière-Appalaches 70 13- Laval 14- Lanaudière 15- Laurentides 21 16- Montérégie 2 17- Nunavik 1 18- Terres Cries de la Baie James Total, prioritized fields 177 10 Total 419 10 12. THRDP, Retention Program, proposed internship sites, working document, 07-03-01. 2. 2006-2007 Annual Report. 5. Measure 2, Internship Program, Contract Follow-up 2007-08, Aug. 9, 2007. 17 Six of the ten 2006-2007 internships were in the social services, one was in nursing and three were in speech therapy.6 Besides those mentioned in Table 19, 13 internships were proposed in 2006-2007 in five regions, i.e. Estrie (7), Montreal (2, with other opportunities),Gaspé (1) and Laurentides (3).7 Table 20 gives the disciplines for which internships were proposed in 2006-2007. Those disciplines include audiology, radio-oncology, psychiatry, diagnostic imaging, administration and several others. Table 20. Internship Proposals Received, December 20061 Discipline Nursing Social work Occupational therapy Dietetics Speech therapy Physical therapy Subtotal Internship proposed 51 51 18 26 14 18 177 Other, not prioritized2 241 Total 419 1. THRDP, Retention Program, proposed internship sites, working document, 07-03-01. 2. The “Other” category includes nursing assistants and client care attendants, recreation technicians, psychologists, lab technicians, respiratory therapists, specialized educators, pharmacists, etc. According to available documents, a number of internship programs were presented in winter 2006 to prospective client departments of McGill University and Vanier College under the heading of funded projects.8 The first two modules of a distance introductory course on supervision were also offered through this component. Those courses followed upon the creation of a partnership with the Consortium national de formation en santé, a component of the University of Ottawa. That partnership also involved the translation of five course modules from French to English. McGill students, enrolled in social work for the most part, also took courses in oral and written French in preparation for interning at French-language sites. Participation in those activities is described in Table 21. 6. 2006-2007 Annual Report. 7.THRDP, Retention Program, proposed internship sites, working document, 01.03.07. 8. Measure 2, Retention Program, Summary, Quarterly Narrative Progress Reports, first, second, third and fourth quarters 2006-07, July 16, 2007. 18 Table 21. Training Activities Supporting the Retention Program, 2006-20071 Activity Distance introductory course in supervision, adapted from a course developed by the University of Ottawa (2 modules out of 5)2 Enrolment 32 professionals within the McGill network (24 for Module 1, 8 for Module 2) 28 McGill students 20 McGill students Course in written French 2 Non-credit course in spoken French2 1. 2006-2007 Annual Report. 2. The first module was delivered as a pilot course. (On-Line Supervision Course – Pilot of Module 1 – The Art of Supervision - Evaluation Report). The module was evaluated, then taught a second time. 3. 2006-2007 Special Projects. See Table 5. Total spending: $32,000. 3.2.2. Component 2: Distance Professional Support This component of Measure 2 was carried out in partnership with the McGill University Health Centre (MUHC),9 which was paid a total of $20,651.43 to deliver it in 2006-2007.10 A work plan was submitted in February 2007. Table 22 gives the number of activities carried out. It bears mentioning that two planned conferences were cancelled owing to insufficient registration. Table 22. Activities Supporting Professionals Serving English-speaking Users1 Type of activity Number of participating sites Number of regions involved Inter-RUIS Telehealth sessions –videoconferences Child/adolescent psychiatry (2 workshops) 44 Diabetes 101 3 1. MUHC Quarterly Narrative Progress Report, Feb. 13 to April 30 2007; 2006-2007 Annual Report. 6 The activities through this component included awareness seminars with various MUHC resource centres, as well as early analyses of professional development needs of the Health and Social Services Agencies (ASSS), the Health and Social Services Centres (CSSS) and youth centres.11 3.2.3 Component 3: Distance Community Support Delivery of part of this component was entrusted to the Community Health and Social Services Network (CHSSN). Indeed, the Telehealth Program was designed to provide distance health prevention and promotion sessions (interactive video) to English-speaking populations in remote communities. The sessions are organized in conjunction with eight English-speaking community organizations, some of which offer sessions at multiple sites in their region. Table 23 outlines Telehealth activities delivered through this component. 9. Letter from THRDP coordinator to MUHC assistant director confirming the terms of agreement, Feb. 20, 2007. 10. Projects and Expenses – Recently Approved or Pending 2006-07, Allocation vs. Spending to Date (Final), July 12, 2007. The amounts paid through this partnership are not indicated on the contract follow-up sheets. 11. MUHC Quarterly Narrative Progress Report, Feb. 13 to April 30 2007; Measure 2, Retention Program, Summary, Quarterly Narrative Progress Reports, first, second, third and fourth quarters 2006-07, July 16, 2007. 19 Table 23. Telehealth Activities, Distance Community Support Component1 Dates and topics Winter 2005 – 4 sessions Effects of Drugs and Alcohol on Youth Healthy Aging Nutrition and Active Living Support to Parents with Autistic Children January to March 2006 – 5 sessions Cancer 101 Adolescence Palliative Care 1010 Drugs and Alcohol Grieving April to December 2006 – 7 sessions Learning Disabilities Part 1 Bullying Mental Health Alzheimer’s Disease Learning Disabilities Part 2 Drug Awareness Winter 2007- 8 planned sessions Cancer Part 2 Dyslexia Diabetes Type 1 Diabetes Type 2 Bone Health Mental Health Part 2 Heart Health Special Request Number of sites 2 to 5 per session Number of participants 94 4 to 7 per session, 7 communities, 28 sites in all 9 to 15 per session, 8 communities unknown 85 90 72 78 40 60 91 63 71 51 87 statistics unavailable Total number of participants 882 1. Telehealth Program, Summary Evaluation Report, Jan. to March 2006; Report on Telehealth Programming, April to November 2006; Evaluation Report: Building Community Capacity to Participate in Telehealth Programs, May 2005; CHSSN website download, March 9, 2007. Besides Telehealth sessions, this component included the preparation of a toolkit12 for regional Telehealth coordinators and support for Telehealth session follow-up activities. These activities were in response to the recommendations of a pilot-phase evaluation report.13 According to the budget data, the Distance Community Support component includes two other projects: a McGill School of Nursing project concerned with the use of Telehealth in palliative care and a CHSSN project on the use of radio to improve the accessibility of information about the English-speaking population. Table 24 gives spending for this entire component. 12. http://www.chssn.org/Document/Download/Telehealth_Toolkit.pdf 13. Evaluation report: Building Community Capacity to Participate in Telehealth Programs, May 2005. 20 Table 24. Distance Community Support: Allocations and Actual Spending, 2005-2006 to 2007-2008 Project 2006-20071 2007-2008 ($) (budget) ($) CHSSN: 1-year project 28,000 CHSSN: 3-year project 58,000 76,000 76,0003 2 CHSSN: radio pilot project 22,500 McGill: School of Nursing 24,440 20,000 20,000 1. Distribution of Allocations and Actuals, Measure 2, 2005-06 and 2006-07; July 12, 2007. 2. Special project 2006-2007. See Table 5. 3. McGill - CHSSN Contract, Nov. 25, 2005. Appendix B. 3.3 2005-20061 ($) Measure 3. Seminars and Conferences The activities delivered through Measure 3 are given in Table 25. Each activity included several presentations and drew representatives from the funded projects and the Project Coordinating Team. Table 25. Seminars and Conferences Held Activity Date Information sharing day about implementing the Language Training Program1 THRDP Seminar – Les defies et les opportunités dans la prestation des service de santé aux minorités linguistiques au Québec et au Canada (challenges and opportunities in the delivery of healthcare services to linguistic minorities in Quebec and Canada, presented at Acfas Conference. Information sharing day about Retention Program3 Information sharing day about Retention Program 05-11-24 07-05-06 07-06-07 07-09-28 Place Quebec City TroisRivières Montreal Montreal Number of presentations 7 Participation 34 participants 17 45 participants 4 + workshop 7 36 participants 40 participants expected 1. Report (package): information sharing day about implementing the Language Training Program. According to data from an evaluation questionnaire completed by 19 participants, achievement of the day’s objectives was rated 3.5 on average on a scale of 1 (not at all) to 5 (completely). 2. Report (package): THRDP seminar – Les defies et les opportunités dans la prestation des service de santé aux minorités linguistiques au Québec et au Canada, delivered at Acfas conference. 3. Report (package): information sharing day about the Retention Program. An information sharing day about the Training and Human Resources Development Program, scheduled for February 2006, was cancelled owing to insufficient registration. A seminar for Language Training Program researchers and partners was scheduled for February 2007, but did not materialize. 3.4 Measure 4: Innovation Fund As was mentioned earlier, starting in 2006-2007 the six projects of the Retention component of Measure 2 delivered by English-language community organizations were posted to Measure 4. Information about those projects has therefore been included in the information for Measure 2. Table 26 gives the types of projects involved. 21 Table 26. Projects through Measure 4 (Community Component of Measure 2, Retention Subcomponent) Region / Organization 2006-2007 Spent1 ($) 2007-2008 Allocated2 ($) 07- Outaouais Regional Association of West Quebecers 24,000 40,000 09- Côte-Nord Coasters Association 32,861 40,000 11- Gaspésie-Îles-de-la-Madeleine Committee for Anglophone Social Action 40,000 40,000 Council for Anglophone Magdalen Islanders 40,000 37,678 12- Chaudière-Appalaches Mégantic Community Development Corporation 25,970 33,400 16- Montérégie Townshippers 39,900 39,900 Total 202,731 230,978 1. Measure 2 – Retention and Distance Support Program – Contract Follow-up 2005-06, 13.03.07; Distribution of Allocations and Actuals, Measure 2, 2005-06 and 2006-2007, July 12, 2007. 2. Measure 2 – Retention and Distance Support Program – Contract Follow-up 2006-07 – 2007-08, 4th quarter 2006-07. 3.5 Communication and General Promotion Activities Web Site The Project Web site went on line in June 2007 at the following address: http://www.mcgill.ca/hssaccess/. Currently, it includes resources for instructors and learners, in addition to links to general resources. Table 27 quantifies the types of resources available on the site. Table 27. Types of Resources Available on Web Site1 Type de resource Instructor resources Instructional materials, including healthcare forms ESL methodologies Project-related presentations Learner resources Grammar Listening Oral expression and pronunciation Writing General links Number 48 52 3 Total 23 13 19 25 55 238 1. 2006-2007 Annual Report. The site includes a mini-site for enrolling students, professionals and institutions in internship activities (Measure 2): http://www.mcgill.ca/hssaccess/two/get_involved/. 22 Figure 2 charts the number of hits on the site. The numbers must be interpreted with circumspection since they refer to the summer season and activity by the site developers in May and June. Figure 2. Number of Hits for Web Home Page 1 May to August 2007 900 800 792 700 680 600 500 400 391 387 300 276 200 189 254 180 100 0 May June July August Number of hits French English 1. Information from McGill Web Services, September 2007. The Web pages consulted most often in August 2007 were: in French, instructor resources (125 hits) and in English, resources for the research team (164 hits) and the instructors (146). Table 28 summarizes other communication and promotional activities, including production and distribution of two issues of Dialogue, a newsletter sent to all project partners in June 2006 and May 2007. This publication now incorporates news intended for educational institutions and professional corporations.14 14 .Training and Human Resources Development Project, Quarterly Narrative Progress Report, Fourth Quarter, May 28, 2007. 23 Table 28. Communication and Promotional Products Activity Dialogue newsletter (2nd issue with insert on internships) Brochure: Language Training Program Portable Telehealth poster, developed together with the Montreal Children’s Hospital Promotional card for French course Dates 07-06 06-05 07-06 07-06 Circulation/print run 3,336 / 5,000 3,336 / 4,000 N/A / 600 N/A./ 2 07-06 N/A / 150 Promotional activities in 2006-2007 included meetings and liaison with the Provincial Committee on the dispensing of health and social services in the English language, and the Ordre professionnel des infirmières et infirmiers du Québec.15 3.6 Research Activities In January 2006, the Training and Human Resources Development Project asked Health Canada for authorization to make a budget for research activities in support of Measure 1.16 That request was approved through an amendment to the Contribution Agreement17 and led to creation of the Health-Care Access for Linguistic Minorities (H-CALM) research team. Funds for 2005-2006 were transferred to the research program from a budget item under Measure 1. Funds for 2006-2007 and 2007-2008 were taken from the personnel expenditure category, where needs were overestimated in calculations for the Contribution Agreement. Table 29 gives the amounts allocated. Table 29. Research Team Budget Allocation1 2005-2006 2006-2007 2207-2008 Total ($) ($) ($) ($) Amount 50,682 123, 060 123,939 297,681 1. Training and Human Resources Development Project, Language Training Program, Proposed budget for research team, Revised Jan. 18, 2006. The research team consists of ten researchers from four Montreal universities (McGill, Concordia, UQAM and Montréal), supported by a coordinator. The projects have taken on six students and two collaborators on a contract basis. Table 30 gives the four current projects of the research program.18 A literature review has been produced for each project, and four funding applications have been submitted. 15. Training and Human Resources Development Project, Quarterly Narrative Progress Report, Fourth Quarter, May 28, 2007. 16. THRDP letter to Angela Christopher of Health Canada, Jan. 29, 2006. 17. Amending Agreement #1, Jan. 31, 2006. 18. Two of the original five projects were combined. 24 Table 30. Research Program Projects Project name Amount allocated, 2006-2007 ($) 23,300 Dates Identification and Verification of Language Requirements for Health Services 06-03 – 06-08 to Quebec English-speaking Communities Studies of Pain-related Communication in English and French 24,450 06-03 – 06-08 Discourse Analysis of the Communication between the Nurse, Palliative Care 22,650 06-03 – 06-08 Patient and their Family in a Second Language Context The development of a speech recognition-based English-as-a-second18,200 06-03 – 06-08 language training tool for health care givers to Quebec English-speaking communities 1. H-CALM projects: document provided by H-CALM; H-CALM Mid-term Report (internal document), up to Oct. 15, 2006. Table 31 gives the scientific output of the research team thus far. Table 31. Scientific Output by H-CALM Research Team Output Research grants Development and evaluation of a rural palliative tele-homecare model using high-resolution video images. Understanding patient-family-nurse interactions in rural palliative homecare. Communicative barriers in access to healthcare services: identifying language-based sources relevant to Canada's official linguistic minority communities. Talking about pain: Healthcare communication in a second language. Science communications Health Care Access for Linguistic Minorities: Identifying Nurse Speech Acts for Assessment. Investigating the discourses of linguistic difference and health care access for linguistic minorities. Introductory course on supervision. Seminar participation Serving Language Minorities Better: for a systematic multidisciplinary research program for second-language training among health professionals. Seminar organization Les défis et les opportunités dans la prestation des services de santé aux minorités linguistiques au Québec et au Canada (challenges and opportunities in the delivery of healthcare services to linguistic minorities in Quebec and Canada). Organization Status CIHR Refused SSHRC Refused CIHR Refused SSHRC Approved $250,000, 2007-2010 Language Testing Research Colloquium, Barcelona Approved (poster) Approved International Conference on Language and Health Care, Spain Conference of the Canadian Association of Schools of Social Work Submitted Approved Seminar during Conférence du Forum national de recherche sur la santé, November 2007 Seminars during Acfas Conference, May 2007: 20 presenters Accepted/Completed 25 APPENDIX: Documentation Reviewed Administrative Documents - Package – Minutes: Steering Committee, Advisory Committee, Health Canada, Management Committee, from 2004 on. - Steering Committee minutes, February to June 2007 - Package – Minutes: Videoconferences (M1), Planning and Operations Committee (M2), Evaluation Follow-up Committee - Minutes: Videoconferences, Planning and Operations Committee – March to July 2007 - Interim Report to Health Canada – July-September 2004 - Interim Report to Health Canada – October-December 2004 - Interim Report to Health Canada – January-March 2005 - Interim Report to Health Canada – April-June 2005 - Interim Report to Health Canada – July-September 2005 - Interim Report to Health Canada at March 31, 2006 – 3rd and 4th quarters 2005-2006 - Interim Report to Health Canada at December 31, 2006 – 1st, 2nd and 3rd quarters 2006-2007 - Interim Report to Health Canada – 4th quarter 2006-2007 - Progress Report: phase 1, July 2004 to March 2006, submitted to Health Canada - 2004-2005 Annual Report to Health Canada - 2005-2006 Annual Report to Health Canada - Documents forwarded to Health Canada on June 28, 2007: Letter to Mme Hélène Houle Response to Questions by Health Canada Proposal of seminar topics - Colloque Recherche-action sur le programme de formation linguistique BEST Project Language Training Program – Number of Interveners Trained by Region 05-06 and 06-07 Funding for Special Projects 2005-2006 and 2006-2007 Distribution of Allocations and Actuals, Language Training Program 2005-06 and 2006-07 Cover letter to agencies re evaluation of lexicons Retention Program, application for student funding – criteria, policies and procedures, English and French Table – Retention Program – Number of projects and contracts signed 2006-2007 Management Framework for Internal Allocations – Revised May 2007 MUHC – Quarterly Narrative Progress Report – 4th Quarter 2006-2007 C.V. of Roselyne V. Ferguson - Meeting with health Canada, July 13, 2007 – List of documents Meeting agenda Summary of steps taken by Steering Committee since November 1, 2006, in application of section 11.2 of the Contribution Agreement between Health Canada and McGill University Démarches de fin d’année financière 2006-2007 Underspending – Fiscal Year 2006-2007 Quarterly Cash Flow Forecast – Budget 2006-2007 Contract between McGill University and health and social services agencies Projects and Expenses – Recently Approved or Pending 2006-2007 Allocation vs. Spending to date (final) Distribution of Allocations and Actuals, Language Training Program 05-06 and 06-07 Regional Allocations 2007-2008 – by quarter - Annual Statistical Report 2006-2007 – Retention Program (project) - Annual Statistical Report 2006-2007 – Language Training Program (project) - Information to complete Annual Statistical Report 2006-2007 – Language Training Program (project) Financial Documents - Project Document Schedule – Appendix C – 2004-2005 - Budget Detail Form – Appendix B - Budget Detail Form – Appendix B revised - QCFF – Appendix D 2004-2005, 3rd and 4th Quarters Final - QCFF – Appendix D 2005-2006 – 1st, 2nd, 3rd and 4th Quarters 26 - QCFF – Appendix D 2006-2007 – 1st, 2nd and 3rd Quarters - QCFF – Appendix D, 2006-2007 – 4th Quarter - Budget 2004-2005 - monthly - Budget 2005-2006 – monthly (3 versions) - Budget 2007-2008 – 6 versions - Budget 2006-2007 – 6 versions - Budget 2005-2006 – 5 versions Information and Advertising Material - Dialogue – spring/summer 2006 - Dialogue – spring/summer 2007: Better Communication for Better Care - Project Web Site – in English: http://www.mcgill.ca/hssaccess/ - Project Web Site – en français: http://francais.mcgill.ca/hssaccess/ - Newspaper article from Le Devoir of May 6, 2007, La langue de la douleur - Mini Web Site Measure 1 – Language Training Program - Packages – Project Presentation Grid 2005-2006 – 15 regions - Special Projects 2005-2006: Region 04 – Mauricie et Centre-du-Québec – grant application and report Region 15 – Laurentides – grant application and DVD (2) Region 16 – Montérégie – grant application Special Projects Summary 2005-2006 - Packages – Project Presentation Grid 2006-2007, 2007-2008 – 16 regions - Package – Presentation Grid 2006-2007, region 18, Terres-Cries-de-la-Baie-James - Package – Special Project Presentation Grid 2006-2007 – 3 regions - Project evaluation summary grid 2005-2006 – 15 regions - Project evaluation summary grid 2006-2007 – 16 regions - Standard Contract 2005-2006 - Standard Contract 2006-2007 and 2007-2008 - Minutes of Regional Distribution Committee – January 12, 2006 - Prospectus Addendum 2006-2007 and 2007-2008 - Project Summary 2005-2006 - Project Summary 2006-2007 - Délais pour traiter les contrats et les paiements 2005-2006 – statistiques - Statistical Summary of Projects 2005-2006 - Statistical Summary of Projects 2006-2007 - Contract Follow-up 2005-2006 (Tracking Tool) - Contract Follow-up 2006-2007 (Tracking Tool) - List for Contract Follow-up 2006-2007 – Grants to agencies - Regional allocations 2006-2007 and 2007-2008 - Summary of Agency Progress Reports 2006-2007 - Summary of Agency Progress Reports 2006-2007 Revised August 8, 2007 - Agency Poll – Language Training Program Results - Lexicon Evaluation – Summary Report and Detailed Report - Progress Report at March 31, 2006 (Also Narrative Annual Report) – Estrie - Progress Report at December 31, 2006 – Laval - Progress Report at December 31, 2006 – Montréal - Narrative Annual Report at March 31, 2006 – Montréal - Summary of visits to regions 3, 7 and 8 (2006) – Sky McLaughlin and Jim Rogers - Visit to region 14, August 2006 – Sky McLaughlin and Jim Rogers - Visit to region 15, September 2006 – Sky McLaughlin and Jim Rogers - Centre hospitalier universitaire de Sherbrooke: Letter of agreement dated February 3, 2005 Application Form 2004-2005 Gary Caldwell report: L’accessibilité du CHUS à la clientèle de langue anglaise – Rapport final – August 1, 2005 27 - Dialogue – A Self Study Workbook – Module 1: Receptionists (summary) - Dialogue – A Self Study Workbook – Module 1: Receptionists - Dialogue – A Self Study Workbook – Module 2: Triage Nurses - Learning Retention Project in Montérégie region – PowerPoint presentation - List of officers for access to services in English in the agencies - DVD – videoconference of May 28, 2007 - Number of interveners trained by health and social services region, 2005-2006 and 2006-2007 – Table revised August 9, 2007 Measure 2 – Retention Program and Distance Professional Support - Packages 2005-2006 – Proposal and Special Project Presentation Grid - Packages 2006-2007 and 2007-2008 – Project Presentation Grid - CHSSN Telehealth Project– 3-year contract – Contract and project description - Package 2006-2007 – Hôpital Jeffery Hale-Saint Brigid’s – Special Project - Management Framework for Internal Allocations – Revised June 2007 Summary evaluation report 2005-2006 Telehealth program report 2006-2007 - Contract Follow-up (Tracking Tool) 2005-2006 - Contract Follow-up (Tracking Tool) 2006-2007 - Project Summary 2006-2007 - Summary of 2006-2007 Progress Reports from health and social services institutions and educational institutions - Summary of 2006-2007 Progress Reports from health and social services institutions and educational institutions, Revised July 16, 2007 - Lists for 2006-2007 Contract follow-ups of health and social services institutions and educational institutions - Contract with Jan Warnke – March 31, 2006 - Jan Warnke study: L’accessibilité aux soins de santé et aux services sociaux de la population anglophone au Québec: exploration des paysages méconnus, 2005-12-14 - PowerPoint presentation by Jan Warnke, December 2006 - Database of health professionals - Model of the Distribution of Health Professionals Accessible in the English Language, March 2007 - DVD Telehealth Session: Cancer 101 - DVD Telehealth Session: Drugs and Alcohol - Newsletter dated November 8, 2006 - Evaluation report on introductory supervision course - Information document on MUHC Telehealth sessions - Study by Duncan Sanderson: Comparison of Language Groups’ Access to Nurses and Social Workers in Regions in Québec, February 17, 2006 - Study by Duncan Sanderson: Background Research: Retention of English Speaking Health Professionals - Letter dated February 20, 2007, to Johanne Desrochers, MUHC - Retention Program – proposed internship sites– statistics - Retention Program – summer internships – statistics - Meetings with internship coordinators – agencies, minutes and handouts - Telephone conference – health and social services institution representatives, June 1, 2007 - Telephone conference – community group representatives, June 8, 2007 - Measure 2 – Internship Program – Contract Follow-up 2007-2008 (Tracking Tool) - French course – Oral 1 – WebCT - French course – Oral 1 – Course Pack - French course, Oral 1 – Evaluation and Statistics - French course – Oral II – Written - Supervision course – Course Pack – WebCT - Evaluation Report and Statistics Measure 3 – Conferences and Seminars - Package – meeting of November 24, 2005 – agencies and training organizations (including 2005 studies by J. Bertrand, S. Wehbbi and D. Lisney) - Evaluation of information sharing day of November 24, 2005 28 - Notice of meeting of organizing committee for information sharing day of February 24, 2006 - Agenda for meeting of organizing committee for information sharing day of February 24, 2006 - Documents forwarded to prospective participants in information sharing day of February 24, 2006 - Package: information sharing day about Retention Program, June 7, 2006 - PowerPoint presentation at 6th CHSSN Seminar – February 2006 - Program for Acfas seminar – May 5, 2007 - Summary of presentations to Acfas conference - PowerPoint presentations –Acfas conference - Information sharing day about the Retention Program, September 27-28, 2007: invitation and registration form in English and French Measure 4 – Innovation Support Fund - Packages 2005-2006 – Project proposals and presentation grid - Packages 2006-2007 and 2007-2008 – Project presentation grid - Contract Follow-up (Tracking Tool) 2005-2006 - Contract Follow-up (Tracking Tool) 2006-2007 - 2006-2007 Project Summary - Summary of 2006-2007 community organization progress reports - Summary of 2006-2007 community organization progress reports, revised July 16, 2007 - Lists for Contract Follow-up – community organizations Evaluation - Minutes of Evaluation Follow-up Committee meetings Research - Team meeting minutes H-CALM-minutes-060330.pdf H-CALM-minutes-060621.pdf H-CALM-minutes-060831-ns.pdf H-CALM-minutes-060929-ns.pdf H-CALM-minutes-061124-ns2.pdf H-CALM-minutes-070119-ns2.pdf H-CALM Minutes-070511 H-CALM Minutes-070621 - Information prepared for THRDP Web site: H-CALM – bios des membres.pdf H-CALM – descriptions des projects FR.pdf H-CALM – intro FR-ns.pdf - BEST Project: Applications for Ethics Approval, Letter of Informed Consent, H-CALM Project 5 and the BEST Project: Common Objectives, General Question Protocol for BEST Interviews - BEST Project and Approved Budget to Steering Committee dated March 27, 2007 - Report presented to Carmen Lambert, Jo Ann Lévesque and Hélène Riel-Salvatore in early January 2007: H-CALM-MidtermReport-MainText.doc H-CALM-MidTermReport-Appendices.doc - Program for McGill Project seminar at 75th Acfas Conference, May 7-11, 2007 - Abstracts for papers presented at 75e Acfas Conference, May 7-11, 2007 – Appendix II - Abstract for poster session presented at 29th Language Testing Research Colloquium, Barcelona, Spain, June 9-11, 2007, Appendix III - Abstract for paper to be presented at the 1st International Conference on Language and Health Care, Alicante, Spain, October 24-26, 2007, Appendix IV - Proposal for presentation at 2nd Forum national de recherche sur la santé des communities francophones en situation minoritaire, November 22-24, 2007, Ottawa 29 - Mieux servir les minorités linguistiques… (serving language minorities better) Workshop to be held Nov. 24, 2007, at 2nd Forum national de recherche sur la santé des communities francophones en situation minoritaire, CNFS Ottawa, by Richard Clément - Mieux servir les minorités linguistiques (serving language minorities better) Workshop to be held Nov. 24, 2007, at 2nd Forum national de recherche sur la santé des communities francophones en situation minoritaire, CNFS Ottawa, by Norman Segalowitz - Mieux servir les minorités linguistiques (serving language minorities better) Workshop to be held Nov. 24, 2007, at 2nd Forum national de recherche sur la santé des communities francophones en situation minoritaire, CNFS Ottawa, by Michel D. Laurier and Carolyn E. Turner - Mieux servir les minorités linguistiques (serving language minorities better) Workshop to be held Nov. 24, 2007, at 2nd Forum national de recherche sur la santé des communities francophones en situation minoritaire, CNFS Ottawa, by André Costopoulos - Health-Care Access for Linguistic Minorities (H-CALM) Progress Report (up to March 31, 2007) - Summary of tasks performed by research coordinator: Summary – admin tasks – MY.doc summary – research tasks – MY.doc - List of all H-CALM team members, including research assistants: H-CALM Research Team Members + Assistants.doc - H-CALM Students and Collaborators 2006-2008 – Appendix V 30