This Rehabilitation Services Evaluation was conducted in accordance with Veterans Affairs Canada's (VAC) approved Multi-year Risk Based Evaluation Plan 2013-2018. Established in 2006, the Canadian Forces Members and Veterans Re-establishment and Compensation Act (hereinafter referred to as the New Veterans Charter or NVC), shifts the Department's focus from one of disability to one of wellness and responds to Canada's commitment to injured Canadian Armed Forces (CAF) members and Veterans. As part of the NVC, the Rehabilitation Services and Vocational Assistance Program (hereinafter referred to as the Program) provides eligible Veteran recipients and their spouse/survivor(s) with one or more of the following types of rehabilitation services: medical, psychosocial, or vocational. In fiscal year 2012-13, the Program funded $18.4 million in benefits and services. The intent of the Program is to support the reasonable restoration of functioning in the following five major areas: mental and physical functioning; social adjustment; family relationships; financial security, employment and personal productivity; and community participation. Recipients are primarily Veterans who were recently medically-released from the CAF, or CAF Veterans who have a health problem resulting primarily from service which is creating a barrier to their re-establishment in civilian life. Veterans often present with complex co-morbid conditions which require the use of the various available medical and psychosocial rehabilitation benefits and services. The evaluation examined the relevance and performance of the Rehabilitation Services and Vocational Assistance Program and was conducted in accordance with Treasury Board (TB) requirements and TB Secretariat guidance material. The evaluation findings and conclusions are based on the analysis of multiple lines of evidence.

This evaluation of the Intermediate and Long Term Care Programs was conducted in accordance with the approved Veterans Affairs Canada Multi-Year Risk-Based Evaluation Plan 2012-2017. The Veterans Independence Program Intermediate Care (VIP IC) Program and the Long Term Care (LTC) Program, hereinafter referred to as "the Programs", support eligible Veterans and other individuals who require facility-based long term care. There are two types of beds under the Programs: community beds and contract beds. Community beds are beds in a facility operated by health authorities, private and not-for-profit sectors. Contract beds are beds that are set aside in a community facility pursuant to a contractual arrangement between the facility and VAC. Eligibility for these bed types varies. Community beds fall under both the VIP IC Program and the LTC Program, while Contract beds fall solely under the mandate of the LTC Program. The evaluation examined the relevance and performance of the Programs, and was conducted in accordance with Treasury Board policy requirements and guidance material. The evaluation findings and conclusions are based on the analysis of multiple lines of qualitative and quantitative evidence.

In January 2011, the Audit & Evaluation Division commenced a Risk Assessment of Information Management within the Department. The purpose of this Risk Assessment was to provide Senior Management with a comprehensive analysis of all aspects of information management within the Department to ensure that Veterans Affairs Canada had appropriately responded to all potential risks. A total of 14 entities relating to Information Management were analyzed utilizing risk assessment methodology developed by the Office of the Comptroller General.

Healthcare professional service contractors are individuals with “significant training, qualifications and expertise in a professional field.” With the support of Public Works and Government Services Canada, these contractors are used to obtain expert knowledge and to complement the existing workforce. At Veterans Affairs Canada (VAC), these healthcare professional service contractors review or conduct assessments of Veterans' health needs for services or benefits as well as provide consultation with VAC staff. During the 2012/13 fiscal year, there were 55 healthcare professional service contracts for Occupational Therapists, Nurses, Doctors and a Dentist, excluding those at Ste. Anne’s Hospital. The purpose of the audit was to provide assurance that the departmental activities relating to healthcare professional service contracts were conducted in compliance with VAC procedures, and Treasury Board (TB) policies and regulations. Overall governance and the payment process were also assessed. Fieldwork was conducted from April to July 2013.

The evaluation of the Veterans Independence Program was conducted in accordance with the Veterans Affairs Canada Multi-Year Risk-Based Evaluation Plan 2015-20. The evaluation covers the time period from April 1, 2010 to March 31, 2015, and was conducted between June 2015 and January 2016. The objective of the Program is to assist eligible recipients to remain in their homes and communities as long as possible by providing financial assistance towards services which support and promote independence and health. Depending on circumstances and health needs, the Program can contribute to services such as housekeeping, grounds maintenance, personal care, access to nutrition, and health and support services. When home care is no longer practical, the Program assists Veterans to remain in their communities through financial support for intermediate care in community facilities (i.e., nursing home care). The evaluation focused on the housekeeping and grounds maintenance components of the Program because: * these two components combine for 77% of total program expenditures; and * significant changes were made to the method of payment for these components during the period of the evaluation.

The Veterans Independence Program (VIP) was introduced in 1981 to respond to an aging demographic Veteran population and to help reduce long-term care (LTC) bed waitlists by providing care to Veterans at home. The national Veterans Affairs Canada (VAC) home care program assists qualified Veterans, still-serving Canadian Forces (CF) disability pensioners, surviving spouses/primary caregivers, and certain civilians to maintain their health, quality of life and independence in their own home for as long as possible. At the point where care in the home is no longer possible, the VIP will assist in providing care in long-term care facilities in the community of the Veteran. The VIP is not intended to duplicate or replace existing provincial/territorial or community services, but complements these programs to best meet the needs of Veterans. Under the VIP, a recipient may receive funds to help pay for: • ambulatory health care services (e.g., adult day programs); • access to nutrition (e.g., Meals on Wheels); • health and support services (e.g., nurses, occupational therapists); • personal care (e.g., bathing and dressing); • housekeeping (e.g., laundry, vacuuming, meal preparation); • grounds maintenance (e.g., grass cutting, snow removal); • social transportation (e.g., to activities, shopping, banking) • home adaptations; and • nursing home intermediate care. A goal of the evaluation was to provide timely and value added information to assist management and serve as a basis for decision-making regarding future program direction and design. The VIP evaluation team used multiple lines of evidence, including: statistical data, a literature review, research studies, survey results, file reviews, internal analysis reports, key informant interviews and peer reviews.

The Career Transition Services (CTS) Program evaluation was conducted in accordance with Veterans Affairs Canada’s (VAC) approved Multi-Year Risk-Based Evaluation Plan 2012-17. The Terms and Conditions of CTS were valid until March 31, 2016. The Career Transition Services Program was established in 2006 under the authority of the Canadian Forces Members and Veterans Re-establishment and Compensation Act. Policies and practices have been modified over the years but its essential mission has remained unchanged; i.e., to provide eligible Veterans and survivors with practical help finding a job as they transition from military to civilian life. CTS reimburses costs for services such as career counselling, job-search training and job-finding assistance for eligible Veterans and survivors to a lifetime maximum of $1,000 (including tax). The current program design differs from that originally established in 2006 with respect to eligibility, dollar limits and service providers. The evaluation examined the relevance and performance of the Career Transition Services Program, and was conducted in accordance with Treasury Board of Canada Secretariat (TBS) policy requirements and related TBS guidance. The evaluation findings and conclusions are based on the analysis of multiple lines of qualitative and quantitative evidence.

The evaluation of the Community War Memorial Program (CWMP) was conducted to address the requirement for full evaluation coverage, as per the *Financial Administration Act* and Treasury Board's 2009 Directive on the Evaluation Function. An evaluation of the CWMP was also required prior to its specified end date of March 31, 2015 to inform future decision-making on this program, or similar programs within the Government of Canada. The purpose of the Program is to provide a method through which VAC can extend its reach in delivering its mandate regarding commemorative activities. The Program provides non-repayable contributions of up to 50% of the total project costs associated with building a new cenotaph/monument or a major addition to an existing one to a maximum of $50,000 per project. The Program provides funding to various recipients including registered charitable organizations, provinces, territories and municipalities. Funds are reimbursed for eligible capital costs incurred, based on valid receipts. Delivery is in the form of a contribution payment and therefore requires a written funding agreement between VAC and the recipient.

The Long Term Care Program works in cooperation with provinces/territories, health authorities and long term care facilities to financially support eligible Veterans in an appropriate long term care setting. Veterans Affairs Canada provides funding for qualified Veterans who occupy a contract bed or those in a community bed. As of March 31, 2011, there were 9,376 recipients of funding support from Veterans Affairs Canada in non-departmental institutions across Canada. 2,782 recipients were in contract beds and 6,594 were in community beds. These numbers are forecasted to decline between 2012 and 2020 when there will be a decline in demand for Long Term Care. Forecasts estimate that there will be 5,780 Veterans in long term care in five years (2016-2017). The purpose of this audit was to provide assurance that the management control framework governing the Long Term Care Program is effective and the internal controls surrounding the program are adequate and functioning well. The scope included Long Term Care recipients in community beds and contract beds governed by a Memorandum of Understanding with provincial health authorities, from April 1, 2010 to March 31, 2011.

The Veterans Affairs Canada Health Care Benefits Program provides eligible Veterans and other qualified individuals with benefits and services, such as medical, surgical and dental care, prosthetic devices and home adaptations, through 14 Programs of Choice. Program of Choice 13 – Special Equipment – includes any device or aid which is designed to enable the user to cope with the effects of a disease, disorder or injury, by facilitating medical stabilization, assisting in the performance of activities of daily living and restoring their function. Examples include emergency call devices, wheelchairs, walkers, power mobility devices, transfer/lift devices, and ergonomic equipment. The objective of this audit was to assess Veterans Affairs Canada’s management control framework and compliance with applicable policies and processes. The scope covered April 1, 2012, to March 31, 2013.