First Nations Health Authority Health Partnerships
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1 First Nations Health Authority Health Partnerships
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3 Government Partnerships FNHA has established positive operational working relationship with Health Canada and MOH to: Support and enable the work in the Regions Seek to find new and effective ways of coming together to achieve common goals of improved services for First Nations people across the province Eliminate disparities and inequalities in the health status Use reciprocal accountability to guide the work at all levels Evolving health partnerships
4 Health Canada: Government Relationships Work together to ensure future new programs, funding or technology developed and delivered by HC Direct working partnership between the CEO FNHA and the ADM FNIHB Health Canada to address operational matters Working relationship between Executive team of FNHA and FNIHB Health Canada Continued commitment to address health action commitments in TFNHP
5 October 2013 Gathering Wisdom for a Shared Journey VI Federal Partnership
6 Federal Partnership: Governance, Relationships, and Accountability Health Canada takes seriously its commitments in the Health Partnership Accord and the Framework Agreement (e.g. funding, roles and responsibilities, respect for self-government) Health Canada will be a long-term governance partner with the: First Nations Health Authority (FNHA); First Nations Health Council; and Province of British Columbia. There is, and will be, strong executive and operational partnerships between Health Canada and the FNHA. The FNHA will represent BC First Nations as part of Health Canada s national network in and national decisions. We will continue to explore new processes and mechanisms so that the partnership remains strong and the FNHA remains effective, as circumstances evolve over time. 2
7 Federal Partnership: Programs and Services Health Canada will support the FNHA s efforts on wellness through: Sharing knowledge and lessons-learned on health services, health promotion, disease and injury prevention; and, Engaging with program and policy experts on specific areas of interest, such as nursing recruitment and retention. We will help to bring other federal departments to the table on social determinants of health. We know that many of the things that have profound influence on our health, are not officially a Health mandate. We will work with the FNHA to coordinate and align health promotion and upstream activities where it benefits the parties. Work here will complement and move forward with successes of the Tripartite First Nations Health Plan. 7
8 Federal Partnership: Performance Tracking Performance tracking is an important area of joint interest between the partners. It is a key element of Tripartite First Nations Health Plan and the Framework Agreement. We recognize the FNHA s interest in establishing practical benchmarks for First Nations health. It will inform future program design and service delivery. Performance tracking will be used to support Health Canada, FNHA, and Tripartite evaluation requirements Health Canada will work with the FNHA and BC on: A joint reporting framework for First Nations health outcomes in BC, in collaboration with the Province of BC; Development of wellness indicators, as a measure of health outcomes to be included in future reporting; and, Specific targets and regular check-in points, to assess progress of implementation. 8
9 Federal Partnership: Transition Some transitional issues relating to the pre-october 1 transfer date remain to be resolved. Health Canada is dealing with those in consultation with the respective communities, and other appropriate stakeholders. Health Canada continues to have a dedicated BC tripartite team. To contact us: See us at the trade fair table today, with the FNHA Info@hc-sc.gc.ca Call Fax
10 Ministry of Health: Government Relationships Direct working partnership between Deputy Minister of Health and CEO of the FNHA FNHA and MOH Executive team working relationships through Project Board to address health issues and priorities Alignment with regional planning processes FNHA and MOH Executive Team to undertake joint regional and community engagements Continued commitment to address health action commitments in TFNHP
11 Province of BC Ministry of Health Gathering Wisdom October 22,
12 Shared Vision Working together to improve the health services experience and health outcomes for First Nations people in BC Provincial responsibility for delivering services to British Columbians together we can do this more effectively for First Nations peoples. Hardwire First Nations health into overall health agenda for BC Moving to action what can be done to make a difference on the ground today through collaboration 12
13 Governance, Relationships and Accountability Working effectively with community-driven, nation-based approaches and the key strategic tables: Tripartite Committee on First Nations Health First Nations/BC Joint Project Board Ensuring effective FNHA participation in other health system planning/decision-making committees FNHA Regional tables HA-FNHA operational-level collaboration 13
14 Partnerships to Address Social Determinants of Health First Nations Deputy Ministers Table Framework Agreement commitment to work together on social determinants of health at both federal and provincial levels Coordinated by the Chair of the First Nations Health Council and Deputy Minister of Health First meeting this month Recognition of impacts of social determinants on wellness benefit for all to work together 14
15 Health Services, Health Promotion and Injury/Disease Prevention Regional dialogues essential for success Regional Partnership Accords first step Opportunities to leverage and collaborate on regional investment strategies and service transformation At provincial level, focus on improving access to Primary Care, leveraging ehealth/telehealth, and having a provincial approach to Mental Wellness and Substance Use. Also, wellness initiatives and maternal-child services Align well with community-identified priorities Creative and innovative approaches at regional and local level 15
16 Wellness Outcomes Importance of health service improvements for individual patients so we re making a difference on health outcomes Also a focus on supporting people and communities to achieve health through wellness 16
17 Performance Tracking Joint reporting framework regarding First Nation health outcomes (led by Deputy PHO) Development of specific indicators, especially new wellness indicators First Nation Health Information Governance Agreements principles and actions 17
18 Conclusion Completion of transition on the 1st of October was an historic milestone Congratulations we look forward to continuing our work together! 18
19 Health & Wellness Partner FNHA as a Champion for Health and Wellness Support health and wellness from babies to our elders Commitment to our youth (*46% under 25) FNHA developing new partnerships: Focus globally across the province on physical health and physical activity The ability to leverage resources and expertise for First Nations Focus on health and wellness of First Nations communities and community members PHSA and the BC Cancer Agency 2 out of 5 Canadians are expected to develop cancer during their lifetimes* Nike N7 In Canada over 26% of children and youth (1 in 4) are considered overweight or obese.* * **
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22 Why a FNHA Cancer Initiative? Canadian Cancer Society Current research shows that about half of cancers can be prevented through healthy lifestyle choices and policies that protect the public. Cancer is the leading cause of death in Canada. World Health Organization Tobacco use is the single greatest avoidable risk factor for cancer mortality worldwide. Dietary modification is another important approach to cancer control. There is a link between overweight and obesity to many types of cancer such as esophagus, colorectal, breast, endometrium and kidney. Regular physical activity and the maintenance of a healthy body weight, along with a healthy diet, will considerably reduce cancer risk. Not getting enough regular physical activity is the fourth leading risk factor for global mortality.
23 PHSA - BC Cancer Agency Prevention Diagnosis Treatment Living with Cancer An agency of the PHSA, provides a province-wide, population-based cancer control program for BC residents. Accepts patients who have been diagnosed with cancer and are referred by a physician. Partnership Areas: 1. Development of a First Nations Cancer Strategy a) Prevention and Awareness b) Treatment and Living with Cancer c) Aboriginal/First Nations Cancer Data d) Improving First Nations/Aboriginal experience 2. Partnership on joint Cancer Proposal through CPAC a) Dr. Nadine Caron, oncology surgeon, academic physician b) Dr. Max Coppes, president of the BC Cancer Agency
24 Gathering Wisdom Nadine R. Caron MD, MPH, FRCSC October 22, 2013
25 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
26 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
27 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
28 Potential Years of Life Lost Standardized Rate, Status Indians and Other Residents, BC, Cause of Death Motor Vehicle Accidents Suicide Accidental Poisoning Ischemic Heart Chronic Liver Disease/Cirrhosis Homicide HIV Disease Cerebrovascular Lung Cancer Pneumonia/Influenza Accidental Falls Diabetes Female Breast Cancer Colorectal Cancer Fire and Flames Chronic Lung Disease Cervical Cancer Prostate Cancer Asthma Tuberculosis Arteries Status Indians Other Residents PYLLSR Per 1,000 Adapted from: BC Vital Statistics Agency, data as of November 22/06, prepared by Population Health Surveillance and Epidemiology, Ministry of Health As seen in The Health and Well-Being of the Aboriginal Population in British Columbia: Interim Update February Office of the Provincial Health Officer.
29 Potential Years of Life Lost Standardized Rate, Status Indians and Other Residents, BC, Cause of Death Motor Vehicle Accidents Suicide Accidental Poisoning Ischemic Heart Chronic Liver Disease/Cirrhosis Homicide HIV Disease Cerebrovascular Lung Cancer Pneumonia/Influenza Accidental Falls Diabetes Female Breast Cancer Colorectal Cancer Fire and Flames Chronic Lung Disease Cervical Cancer Prostate Cancer Asthma Tuberculosis Arteries Status Indians Other Residents PYLLSR Per 1,000 Adapted from: BC Vital Statistics Agency, data as of November 22/06, prepared by Population Health Surveillance and Epidemiology, Ministry of Health As seen in The Health and Well-Being of the Aboriginal Population in British Columbia: Interim Update February Office of the Provincial Health Officer.
30 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
31 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
32 The Cancer Care Spectrum Prevention Screening Diagnosis Treatment Survivorship* Research / Evaluation / Translation
33 There is wisdom to gather
34 Empowered To identify OUR priorities To believe in OUR ability to address them and create change To realize what this will take and have the courage to do so
35 You can t cross a chasm in 2 small jumps - David Lloyd George
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37 Nike N7 Since 2009, N7 has been working with First Nations and Aboriginal communities and stakeholders across Canada and the United States with the mission of inspiring and enabling participation in sport. Promoting North American Aboriginal Youth Ambassadors Partnership Areas Working with Nike to inspire youth to be more active Opportunity for First Nations to buy quality sports gear at reasonable prices. N7 provides community grants for youth Possibility of joint funding First Nation Community Purchasing N7 Product % of Proceeds go to First Nations Community Grants
The Health and Well-being of the Aboriginal Population in British Columbia
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