MINISTRY OF HEALTH SERVICES

Summary

$000

Estimates 2001/02¹

Vote

Estimates 2002/03

Net

No.

Gross

Recoveries

Net

OPERATING EXPENSE

Voted Appropriations

9,364,361

Ministry Operations.......................................................

10,177,018

(123,227)

10,053,791

7,203

Vital Statistics...............................................................

7,516

(407)

7,109

9,371,564

Total Voted Expense ...................................

10,184,534

(123,634)

10,060,900

Special Accounts (Statutory Authority)

144,500

Health Special Account..................................................

144,500

—

144,500

15,000

Medical and Health Care Services..................................

15,000

—

15,000

(15,000)

Less Transfer from Ministry Operations Vote...............

(15,000)

—

(15,000)

144,500

Total Special Accounts (net of transfers)...................

144,500

—

144,500

9,516,064

Total Operating Expense ..............................

10,329,034

(123,634)

10,205,400

3,331

Fulltime Equivalent (FTE) Employment

2,789

TOTAL EXPENSE BY

GROUP ACCOUNT CLASSIFICATION

208,933

Salaries and Benefits.....................................................

201,997

255,346

Operating Costs............................................................

256,105

9,014,301

Government Transfers...................................................

9,700,014

170,416

Other Expenses...........................................................

180,216

(9,298)

Internal Recoveries.......................................................

(9,298)

(123,634)

External Recoveries......................................................

(123,634)

9,516,064

Total Expense ..............................................

10,329,034

(123,634)

10,205,400

CAPITAL AND OTHER FINANCIAL REQUIREMENTS

Disbursements

Receipts

Net

274,000

Prepaid Capital Advances ²...........................................

272,900

26,504

Capital Expenditures ³ ..................................................

23,890

—

23,890

5,624

Loan, Investment and Other Requirements ⁴.....................

—

(1,362)

306,128

Total .....................................................................

296,790

(1,362)

295,428

NOTES

¹ For comparative purposes only, figures shown for 2001/02 expense, FTEs and capital expenditures have been restated to be consistent with the presentation of the 2002/03 Estimates. Schedule A presents a detailed reconciliation.

² Details of prepaid capital advances are presented in Schedule C.

³ Details of capital expenditures are presented in Schedule D.

⁴ Details of loan, investment and other requirements are presented in Schedule E.

Vote 31	MINISTRY OPERATIONS
	Classification by Sub-Vote

Estimates 2001/02 $000			Estimates 2002/03 $000

1,090	Minister's Office.........................................................................................................		1,090
141,042	Program Management and Corporate Services (net of recoveries)....................................		130,600
191,768	Emergency Health Services (net of recoveries).............................................................		187,566
2,244,417	Medical Services Plan (net of recoveries).....................................................................		2,517,611
708,691	Pharmacare..............................................................................................................		718,273
5,932,553	Regional Health Sector Funding (net of recoveries).........................................................		6,337,251
169,600	Debt Service Costs...................................................................................................		179,400
119,700	Amortization of Prepaid Capital Advances.....................................................................		126,500
(144,500)	Recoveries from Health Special Account (net of recoveries)............................................		(144,500)
9,364,361		Total Vote ......................................................................................................	10,053,791



VOTE DESCRIPTION This vote provides for the administration, operation and delivery of health care, preventive health and health promotion services. Specific programs and services provided from within this vote include the following: (a) Minister’s Office – This sub-vote provides for the office of the Minister of Health Services and includes salaries, benefits, allowances and operating expenses of the minister and the minister’s staff. Also provides for salaries, benefits and allowances for the Minister of State for Mental Health, the Minister of State for Intermediate, Long Term and Home Care and the ministers' staff. (b) Program Management and Corporate Services - This sub-vote provides for the central financial and operational management services of the ministry, including financial and management services, human resources, freedom of information and protection of privacy, information management, general services to support program delivery; and assistance to the Ministry of Health Planning. Government transfers are provided to agencies and organizations complementing ministry programs. Recoveries are received from other levels of government for services provided by the ministry and from practitioners and organizations for certain processing services. (c) Emergency Health Services - This sub-vote provides for the management and delivery of emergency health services, including ground and air ambulance services, as well as for training, examination of emergency medical personnel, and amortization expense related to capital assets. Government transfers are provided to agencies for ambulance services to the public on behalf of the Emergency Health Services Commission. Recoveries are received from organizations for the use of ambulances and attendants and from the Medical Services Plan for medical services provided on a contractual basis. (d) Medical Services Plan - This sub-vote provides government transfers for the delivery of the Medical Services Plan. Government transfers are for eligible services provided by medical practitioners, health care practitioners and diagnostic facilities, on a fee-for-service basis or alternative contractual basis and other recruitment, retention and planning initiatives with respect to physicians. Also included are payments required under the Medicare Protection Act and various other agreements concerning medical practitioners, health care practitioners and diagnostic facilities, including payments into the Medical and Health Care Services Special Account. Recoveries are received to reimburse the Medical Services Plan for claims which are the responsibility of the Insurance Corporation of British Columbia, Workers’ Compensation Board and other third parties and from other levels of government for services provided by the ministry.

Vote 31
MINISTRY OPERATIONS

Group Account Classification
	Estimates 2001/02 $000	Estimates 2002/03 $000

MINISTER'S OFFICE

Salaries and Benefits........................................................................................................................	780	780
Operating Costs...............................................................................................................................	310	310
Total ..................................................................................................................................	1,090	1,090


PROGRAM MANAGEMENT AND CORPORATE SERVICES

Salaries and Benefits........................................................................................................................	64,763	59,650
Operating Costs...............................................................................................................................	72,422	68,854
Government Transfers......................................................................................................................	4,208	2,447
Other Expenses..............................................................................................................................	816	816
External Recoveries.........................................................................................................................	(1,167)	(1,167)
Total ..................................................................................................................................	141,042	130,600


EMERGENCY HEALTH SERVICES

Salaries and Benefits........................................................................................................................	138,349	136,620
Operating Costs...............................................................................................................................	53,903	51,430
Government Transfers......................................................................................................................	202	202
Internal Recoveries..........................................................................................................................	(186)	(186)
External Recoveries.........................................................................................................................	(500)	(500)
Total ..................................................................................................................................	191,768	187,566


MEDICAL SERVICES PLAN

Government Transfers......................................................................................................................	2,309,417	2,582,611
Other Expenses..............................................................................................................................	15,000	15,000
External Recoveries.........................................................................................................................	(80,000)	(80,000)
Total ..................................................................................................................................	2,244,417	2,517,611

Vote 31

(e) Pharmacare - This sub-vote provides government transfers for the delivery of Pharmacare programs. Government transfers are provided to individuals, agencies or other organizations for the full or partial cost of designated prescription drugs, dispensing fees, ostomy supplies, prosthetic appliances and other approved items.

(f) Regional Health Sector Funding - This sub-vote provides government transfers for the management and delivery of health services, including mental health services to adults, on both an outpatient basis and in tertiary psychiatric care, adult forensic psychiatric services, public and preventive health services including public health nursing, speech, audiology, nutrition and dental services, health inspection, facilities licensing, environmental health assessment, radiation protection, health services for community living, alcohol, drug, and gambling addiction services, services provided through the British Columbia Centre for Disease Control Society such as clinical services for tuberculosis and sexually transmitted diseases, laboratory and pharmacy services and other medical services, acute, provincial, tertiary and continuing care services, including the provision of operating and equipment funding for acute care hospitals, extended care units, residential care services, community services, and direct care services. Government transfers are provided and services delivered to, or on behalf of, health authorities, individuals, corporations, community groups, and other organizations including, aboriginal health agencies, the British Columbia Mental Health Society, the Forensic Psychiatric Services Commission, the Health Employers Association of British Columbia, the Canadian Blood Agency, Canadian Blood Services, BC Transplant Society, Healthcare Labour Adjustment Society, Occupational Health and Safety Agency and the BC Health Care Risk Management Society. Recoveries are received from the Medical Services Plan for medical services provided on a contractual basis, and from other levels of government and other organizations for services provided by the ministry.

(g) Debt Service Costs – This sub-vote provides for the provincial government’s share of debt servicing costs related to health facility and equipment capital projects. Sinking fund assets, which are used to retire existing debt obligations, earn interest that is netted against debt service costs.

(h) Amortization of Prepaid Capital Advances – This sub-vote provides for the amortization of funds advanced for health facility and equipment capital projects.

(i) Recoveries from Health Special Account – This sub-vote provides for recoveries from the Health Special Account.

Vote 31
MINISTRY OPERATIONS

Group Account Classification
	Estimates 2001/02 $000	Estimates 2002/03 $000

PHARMACARE

Government Transfers......................................................................................................................	708,691	718,273


REGIONAL HEALTH SECTOR FUNDING

Operating Costs...............................................................................................................................	6,220	6,220
Government Transfers......................................................................................................................	5,976,727	6,381,425
Internal Recoveries..........................................................................................................................	(8,834)	(8,834)
External Recoveries.........................................................................................................................	(41,560)	(41,560)
Total ..................................................................................................................................	5,932,553	6,337,251


DEBT SERVICE COSTS

Other Expenses..............................................................................................................................	169,600	179,400


AMORTIZATION OF PREPAID CAPITAL ADVANCES

Operating Costs...............................................................................................................................	119,700	126,500


RECOVERIES FROM HEALTH SPECIAL ACCOUNT

Internal Recoveries..........................................................................................................................	(144,500)	(144,500)

Vote 32— Special Operating Agency
	VITAL STATISTICS

Estimates 2001/02 $000		Estimates 2002/03 $000


9,354	Revenue...............................................................................................................................	9,070
7,203	Expense to be voted.............................................................................................................	7,109
2,151	Net Revenue (Expense).........................................................................................................	1,961


VOTE DESCRIPTION This vote provides for expenses of the Special Operating Agency responsible for program management and the registration, certification, statistical analysis and reporting of the vital events of birth, marriage, and death, and management of the Health Status Registry, Wills Registry, and change of name process. Government transfers are provided to various individuals, groups, and agencies which provide services on behalf of the Vital Statistics Agency. Recoveries are received as a result of the provision of services for genealogy, pre-adoption records, non-statutory certifications and data extraction, to provincial government ministries, to agencies, to other levels of government and to the public. Revenue represents fees and licences charged by Vital Statistics for the provision of its services net of commissions and allowances for doubtful accounts. 2002/03 BUSINESS PLAN Business Definition The Vital Statistics Agency provides registry and certification functions relative to vital events (births, deaths, and marriages) that occur in British Columbia and complementary services such as Will Notice registrations, Health Status Registry and changes of name. In addition, the agency provides a number of broad health status indicators and other statistical summaries of the contents of its registries. Goals 1. To register all vital events occurring in British Columbia effectively and efficiently and issue vital event-related licences, permits, and certificates in a manner that meets the service quality expectations of its clients. 2. To fulfill the requirements of registering and performing searches of life events under the Vital Statistics Act, the Name Act, Part II of the Wills Act, and section 5.2 of the Health Act effectively and efficiently and in a manner that meets the service quality expectations of its clients. 3. To improve the quality of service provided to aboriginal and ethnic communities. 4 To produce health status indicators and statistical information in support of the ministry's population health goals and assist health planners, administrators, and researchers to measure and monitor the health of British Columbians in a manner that meets the service quality expectations of these clients. 5. To meet the government's requirements of a Special Operating Agency for the submission of plans and regular financial statements, and to achieve increased efficiencies. 6. To expand the provision of alternate service delivery methods.

Vote 32— Special Operating Agency
VITAL STATISTICS

Group Account Classification
	Estimates 2001/02 $000	Estimates 2002/03 $000


Salaries and Benefits........................................................................................................................	5,041	4,947
Operating Costs...............................................................................................................................	2,791	2,791
Government Transfers......................................................................................................................	56	56
Internal Recoveries..........................................................................................................................	(278)	(278)
External Recoveries.........................................................................................................................	(407)	(407)
Total ..................................................................................................................................	7,203	7,109

Performance Measures
	Actual 2000/01	Forecast 2001/02	Target 2002/03	Target 2003/04	Target 2004/05
Gross Revenue ($000)......................................................................	9,927	9,952	9,851	9,842	9,807
Allowance for doubtful accounts.....................................................	22	(25)	(25)	(25)	(25)
Less commissions.......................................................................	(735)	(743)	(756)	(757)	(758)
Revenue ($000)................................................................................	9,170	9,184	9,070	9,060	9,024
Expense ($000)................................................................................	6,871	7,127	7,109	6,975	6,935
Volumes:
Certificates.....................................................................................	210,821	217,715	227,993	229,243	230,303
Registrations..................................................................................	131,096	129,400	128,400	126,900	125,400
Wills, Notices and Searches............................................................	66,571	62,998	60,000	60,300	59,400
Gross Unit Costs:
Certificates.....................................................................................	$14.37	$15.30	$15.01	$14.71	$14.64
Registrations..................................................................................	$13.91	$14.82	$14.54	$14.25	$14.18
Wills, Notices and Searches............................................................	$8.45	$9.41	$8.84	$8.71	$8.67
Turnaround times (days to complete):
Certificates.....................................................................................	3	3	5	5	5
Registrations..................................................................................	36	30	45	40	35
Wills, Notices and Searches............................................................	4	3	3	3	2
Customer satisfaction (% acceptable to excellent)................................................................	97%	97%	96%	96%	96%

Special Account
			HEALTH SPECIAL ACCOUNT

	Estimates 2001/02				Estimates 2002/03
	$000	$000			$000	$000

	—			Total Account Balance at the Beginning of the Fiscal Year ............		—
				Operating Transactions
		144,500		Revenue...................................................................................	144,500
		144,500		Expense...................................................................................	144,500
	—	—		Net Revenue (Expense) .............................................................	—	—

				Transfer from General Account.
				Return to the General Account .
	—			Total Account Balance at the End of the Fiscal Year.......................		—


SPECIAL ACCOUNT DESCRIPTION This account is established by the Health Special Account Act, 1992. Administered by the Ministry of Health Services, the account provides for the allocation of a portion of BC Lottery Corporation revenues and may include revenues from the winding down of the Healthcare Labour Adjustment Society, to fund the administration, operation, and delivery of health care, health research, health promotion and health education services. Expenses of the Special Account represent transfers to the Ministry Operations Vote. No financing transactions are provided for under this account.

Special Account

MEDICAL AND HEALTH CARE SERVICES

Estimates 2001/02

Estimates 2002/03

$000

$000

3,388

Total Account Balance at the Beginning of the Fiscal Year ............

3,388

Operating Transactions

15,000

Revenue...................................................................................

15,000

15,000

Expense...................................................................................

15,000

—

Net Revenue (Expense) .............................................................

—

3,388

Total Account Balance at the End of the Fiscal Year.......................

3,388

SPECIAL ACCOUNT DESCRIPTION

This account is established by the Medical and Health Care Services Special Account Act, and is administered by the Ministry of Health Services. The purpose of the account is to facilitate arrangements to manage year-to-year fluctuations in payments by the Medical Services Plan to members of various health care professions. These arrangements are established by regulation or are contained in agreements between the government and the professions under the authority of the Medicare Protection Act.

Revenue is provided from voted appropriations and consists of unused portions of the available amount for each profession and from any amount specified by an agreement.

Expenses may be made where savings from under-utilization in prior years are applied to offset over-utilization in a subsequent year or specified by an agreement.

No financing transactions are provided for under this account.

Financing Transaction
	HEALTH INNOVATION INCENTIVE PROGRAM

Estimates 2001/02		Estimates 2002/03
$000		$000

2,376	Receipts .............................................................................................................................	1,362
8,000	Disbursements ....................................................................................................................	—
(5,624)	Net Cash Source (Requirement) .....................................................................................	1,362

FINANCING TRANSACTION DESCRIPTION Loans (disbursements) are provided to stimulate investment in innovation by British Columbia hospitals and other health agencies. Receipts represent repayment of the loans through efficiency savings. Administration costs are funded through the ministry's voted appropriations.

Financing Transaction
	PREPAID CAPITAL ADVANCES

Estimates 2001/02		Estimates 2002/03
$000		$000

—	Receipts .............................................................................................................................	—
274,000	Disbursements ....................................................................................................................	272,900
(274,000)	Net Cash Source (Requirement) .....................................................................................	(272,900)

FINANCING TRANSACTION DESCRIPTION Disbursements are provided for approved health facilities and equipment capital projects.

Estimates 2002/03

OPERATING EXPENSE

Fulltime Equivalent (FTE) Employment

TOTAL EXPENSE BY

Performance Measures

Financing Transaction

Estimates 2002/03

Financing Transaction

Estimates 2002/03