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Veterans Affairs Canada Evaluation of the Veterans Independence Program (VIP) - July 2011
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.
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Veterans Affairs Canada Evaluation of the Veteran's Independence Program (VIP) - August 2016
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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.
Veterans Affairs Canada Evaluation of the Intermediate and Long Term Care Programs - January 2014
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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.
Veterans Affairs Canada Evaluation of the War Veterans Allowance Program - March 2014
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The War Veterans Allowance (WVA) Program, which began in 1930, provides monthly financial support to low-income war service Veterans and civilians (e.g., Overseas Welfare Workers, Auxiliary Services Personnel) or their survivors/dependents to help them meet their basic needs. This evaluation was conducted in accordance with Section 42.1 of the *Financial Administration Act* which requires that every federal department conducts a review of the relevance and effectiveness of each ongoing program of grants and contributions programs every five years.
Veterans Affairs Canada Audit of the FHCPS Service Provider Registration Process - April 2011
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Veterans Affairs Canada (VAC) provides a wide range of health care benefits and services to eligible program recipients as specified under the authority of the Veterans Health Care Regulations. These entitlements are made available under the Treatment Benefits Program and Veterans Independence Program (VIP). The objective of these programs is to ensure program recipients are provided, according to their treatment eligibility, with reasonable and timely services that the Department considers to be an appropriate response to their assessed health needs. This audit was recommended for Deputy Minister approval by VAC’s Departmental Audit Committee on September 17, 2010. The objectives of the Federal Health Claims Processing System (FHCPS) Service Provider Audit were as follows: 1. To assess the adequacy of the service provider registration process; 2. To assess the adequacy of the requirements for service providers; 3. To determine compliance with service provider requirements; 4. To assess the efficiency of the appointment of service providers.
Veterans Affairs Canada Veterans Independence Program Audit - May 2010
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The Audit of the Veterans Independence Program (VIP) was approved by the Departmental Audit Committee in 2009. The objectives of the audit were to determine if: 1. up-to-date policies and procedures were in place to support program delivery; 2. program payments were accurately calculated and paid to eligible clients and approved providers; 3. regulatory and policy requirements were complied with; and 4. the quality assurance function provides an ongoing assessment of compliance requirements and identifies opportunities for improvement.
Veterans Affairs Canada Audit of Vocational Rehabilitation - May 2013
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Vocational Rehabilitation Services is a component of the Veterans Affairs Rehabilitation Program. It provides vocational assistance services and benefits to eligible Veterans who have a health problem, and their families, to assist them in their re-establishment to civilian life. Vocational services and benefits include vocational assessments, employability skills, training, career exploration, job placement and follow-up support. The purpose of the audit was to provide assurance that financial controls were working as intended, to deliver results in accordance with related authorities. This is the first audit of Vocational Rehabilitation since its inception in 2006.
Veterans Affairs Canada Long Term Care Community Facilities Audit - February 2012
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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.
Veterans Affairs Canada Audit of Program of Choice 13 - Special Equipment - March 2014
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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.
Veterans Affairs Canada Evaluation of Salute! - October 2011
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In accordance with the Veterans Affairs Canada Evaluation Plan (2011 -2016) approved by the Departmental Evaluation Committee, the Audit and Evaluation Division was tasked with conducting an evaluation of Salute! VAC's Client Newsletter. Salute! is a quarterly, bilingual newspaper produced by Veterans Affairs Canada (VAC) to provide Veterans and their families with information on departmental policies, programs and services. The newspaper was launched during Veterans' Week 2001 in response to requests to receive more information about departmental disability pension, health and income support programs that may be available to them. Salute! is part of VAC's Outreach Program and also provides information on commemoration activities, health promotion, and educational information that promotes well-being, independence and quality of life. It is the only outreach activity exclusively directed at the Veteran and other benefit recipients.
Veterans Affairs Canada New Veterans Charter (NVC) Evaluation - Phase II - August 2010
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The New Veterans Charter (NVC) represents the most sweeping change to Veterans’ benefits and services in the past 60 years. The NVC shifts the focus from one of disability to one of wellness and responds to Canada’s commitment to injured Canadian Forces members and Veterans. The suite of services and benefits available under the NVC include a lump-sum disability award, rehabilitation, financial benefits, health benefits, and career transition services. This is a three-phased comprehensive evaluation being conducted from April 2009 to December 2010. The Phase I report focussed on the relevance and rationale of the NVC and its programs. This Phase II report focuses on outreach, the application process and service delivery framework. The Phase III report will focus on the success in achieving desired outcomes and any unintended impacts. The findings from these reports are intended to improve the design and delivery of the NVC programs and the evaluation will fulfill a departmental commitment. Additionally a separate evaluation comparing the Disability Award program to the Disability Pension program has also been completed.