A new Health Partnership - First Nations Health...
Transcript of A new Health Partnership - First Nations Health...
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A new Health Partnership
Presented by Joe Gallagher
Vancouver Coastal Caucus Meeting – April 9, 2014
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www.fnha.ca
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Transition Planning Stages
www.fnha.ca
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Work of the FNHA before and after October 1, 2013
Health Governance Agenda
• Community Engagement
• Support Regional processes and health partnerships with BC and Canada
• TCFNH
• Deputy PHO position and partnership with PHO
• FNHC and FNHDA Secretariat
• Support discussion on Social Determinates
• Negotiate Transfer of FNIHB BC Region operations and relevant HQ functions to the FNHA
• Build FNHA
Health Actions Agenda • Health actions roadmap to
address health actions commitments
• Alignment with provincial health agenda
• Support to First Nations communities
• Development and implementation of Wellness concept
• Develop operational health partnerships with HC, MoH, Health Authorities, and Health Agencies
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…after October 1, 2013
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Building a First Nations Health Organization
• Honor the Seven Directives
• Grounded in traditional values and teachings of BC First
Nations – Lead with ceremony
• A learning organization
• Partner with First Nations to provide health services
• As a health and wellness partner, support First Nations,
families and individuals on their wellness journey
• Work in areas that provide for the collective benefit of all
BC First Nations
• BC First Nations should have the best FNHA possible.
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www.fnha.ca
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www.fnha.ca
Our Common Foundation
Healthy, self-determining and
vibrant, BC First Nations
children, families and
communities
Our Values
Respect, Discipline,
Relationships, Culture,
Excellence & Fairness
Our Directives
1. Community Driven, Nation Based
2. Increase First Nations Decision-
Making
3. Improve Services
4. Foster Meaningful Collaboration and
Partnerships
5. Develop Human and Economic
Capacity
6. Be without Prejudice to First Nations
Interests
7. Function at a High Operational
Standard
Our Vision
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The FNHA Mission Statement:
(approved by the Board on January 31, 2013):
"The FNHA supports BC First Nations individuals, families
and communities to achieve and enjoy the highest level of
health and wellness by: working with them on their health
and wellness journeys; honouring traditions and cultures;
and championing First Nations health and wellness within
the FNHA organization and with all of our partners.”
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It starts with me… • BC First Nations Perspective on
Wellness – holistic
• FNHA role as a Health & Wellness
Champion
• FNHA as a Health & Wellness
Partner to each First Nations person
and community in BC
• Living the Wellness Model – FNHA
as a First Nations Health & Wellness
Organization
• Commitment to supporting the
health and wellness from the
youngest to the oldest
• Leading edge of systemic change
through new health partnerships
with BC and Canada
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It starts with me • Beefy Chiefs II- Health Leadership Challenge (May 2014) • Aboriginal Day of Wellness (March 2014) • Winter Challenge 2014/2015 (NEW) • Health Directors Wellness Challenge
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www.fnha.ca
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FNHA as a wellness partner
• Good decision making is dependent on good information
• Identity Management is as simple as:
– How many of us are there?
– Where are we?
– Are we accessing our services?
– What are our health outcomes as a population?
• Through Identity management we will need to connect
with each and every member
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www.fnha.ca
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Interim Health Plan 2014/15 Key Priorities
1. Transition
2. Governance and Decision-making
3. Health Services and Improvements
4. Partnerships
5. Leadership, Organizational Development and Planning
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Transition
Implement Framework and Sub Agreement commitments
Smooth delivery of programs and services
Enable migration of service continuity agreements
IHP 2014/15 Key Priority 1
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IHP 2014/15 Key Priority 2
Governance and Decision-Making Create an effective working partnership with the FNHC and
FNHDA
Support regional capacity development and alignment
Support regional planning
Support community wellness planning
Engage BC First Nations
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Health Services and Improvements
Implement Joint Project Board initiatives and investments
Enhance existing programs and services
Improve the First Nations Health Benefits program
Ground services improvements and transformation towards a First Nations wellness perspective
IHP 2014/15 Key Priority 3
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IHP 2014/15 Key Priority 4
Partnerships
Establish partnerships with BC First Nations health providers
Implement tripartite and bilateral health plans and agreements
Coordinate effectively with the BC Ministry of Health
Support the Deputy Ministers’ tables on social determinants
Strategic external partner development
Implement regional partnership accords
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Leadership, Organizational Development and Planning
Establish organizational planning process
Organizational development, employee engagement and staffing strategies
Establish wellness approach as the basis of organizational culture
Implement leading edge FNHA infrastructure
Advance accreditation
Explore innovative approaches and business opportunities
Establish health information systems and wellness indicator frameworks
IHP 2014/15 Key Priority 5
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Moving forward with new
initiatives
Presented by Richard Jock
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Overview
• New initiatives
• Regional Investment
–Regional Envelopes
–iRHWP
–Regional Governance &
Partnerships
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What?
A senior bilateral forum for joint decision making to advance shared strategic priorities and resolve issues
Why?
1. Advance strategic priorities
2. Overcome policy barriers and resolve issues
3. Support regional initiatives and priorities, and
4. Support the integration of initiatives and services
Joint Project Board
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www.fnha.ca
Regional Investment
Regional Governance – Decision
Making
Regional Planning -Priorities
Regional Envelope-
Opportunity
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Regional Envelope: long-term
opportunity and lower flexibility
• Community contribution agreements
• Regional Health Benefit expenditures
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Regional Envelope: short-term
high flexibility
• Engagement
– Nation & Community Engagement
– Governance Engagement
• MSP through Joint Project Board
• Health Actions
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Vancouver Coastal Regional Envelope:
$35,232,341
$17,470,000
$16,269,133
$150,000
$153,901 $578,807 $610,500
Contribution Agreements
Health Benefits
Governance Engagement
Community Engagement
Health Actions
Project Board
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Vancouver Coastal Regional Envelope
(Flexible): $1,493,208
Governance Engagement,
$150,000
Community Engagement,
$153,901
Health Actions, $578,807
Project Board, $610,500
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Research, Policy & Projects
• Regional Office development
• Health Service Mapping
• FNREEES
• Partnerships
• Reviews:
– Residential schools support
– NNADAP treatment programs
– Nursing 30
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First Nations Health Benefits
No longer ‘Non-Insured’
Presented by John Mah
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www.fnha.ca www.fnha.ca O
ve
rvie
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Health Benefits
Benefits that are integrated with
Canada
Pharmacy Services
Medical Supplies & Equipment
Dental Services
Independent Benefits
Vision Medical
Transportation
Mental Health MSP payments
Program
Oral Health
Su
cc
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se
s
Prio
rities
Provider
Request FNHA Health
Benefits Review Decision
Provided
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www.fnha.ca S
uccesses
Prio
rities
2013/2014 Successes
www.fnha.ca
Service Continuity: October 1
transfer and integration of Health
Canada people, programs and
services with minimal disruption
Operational Efficiency:
Reduction of backlog inherited
from Health Canada
Customer Service:
Improvement in customer service
with the addition of a Health Benefits
Support Representative to field
inquiries in culturally appropriate and
timely manner
Benefit Improvement: Medical
Transportation: Meal Rate
Increase
Service Continuity: Accurate
tracking of First Nations residing
in British Columbia
Service Continuity: Accurate
reconciliation of claims with
Health Canada
Service Continuity: Registration
of Dental Therapists with CDSBC
Ov
erv
iew
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www.fnha.ca O
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Su
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Prio
rities
2014/15 Priorities
www.fnha.ca
Transformation
Transition Stabilization
Operations
Customer Service
Experience
Maintain Service
Standards for
Processing
Medical
Transportation
Reviews
Benefit
Management
and Policy
Development
Partnerships with
communities and
external
organizations
Health Benefits
Improvements
Committee
New policies and
guideline
development
Program
Analysis and
Claims
Adjudication
Data Analysis for
program decision
making
Asset and service
mapping
Claims Adjudicator
Selection
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eHealth Integration and Identity
Management
Presented by Joseph Mendez
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www.fnha.ca
• Information Management • Provincial and Community eHealth
initiatives lead/collaboration • eHealth Projects: (Panorama,
Telehealth Expansion Project, Health Connectivity, etc.)
• Infrastructure and Network Technologies
• User Support Services
• FNHA Organization -wide Project Management Services
• Risk Management Services • Security and Privacy
Applications & Analytics Services
• Business Analytics and Intelligence • Enterprise-wide Application Integration
and Support Services • Decision Support and Analysis Services
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IIMS Service Overview – Quick Reminder
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www.fnha.ca
BC Provincial eHealth Integration First Nations Key eHealth Projects – In
Summary:
1. iEHR - Interoperable Electronic Health Record
2. Provider Registry
3. Provincial Laboratory Information Solution
4. Pharmanet Modernization
5. Provincial Diagnostic Imaging Viewer
6. First Nations Identity Management/Client Registry
7. First Nations Health Network
8. First Nations Panorama Implementation
9. First Nations Telehealth Expansion
10. Physician EMRs/Community EMRs Standardization and Integration Roadmap
11. FNHSO access to the eHealth Viewer
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www.fnha.ca www.fnha.ca
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eHealth: In Practice & Outcomes – Identity Management
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www.fnha.ca
EMR and CEMR Strategies
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Information Management Standards – Further our ability to securely and appropriately integrate, share and access information at the point of care and analysis
Information Technology Standards – Further our ability to take advantage of new technology platforms while reducing risks and costs in using these transformative assets
Funding Approach – Developing a funding approach to further support increased adoption, ongoing cost, and new requirements
Privacy and Information Sharing – In partnership with FN leadership, communities, Ministry of Health, Regional Health Authorities, we are developing a robust privacy and information sharing framework to further support our use and adoption of these fundamental enablers
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First Nations
Health Services
Presented by Yousuf Ali
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www.fnha.ca
HEALTH SERVICES TODAY…
www.fnha.ca
Health Surveillance
-Collect, analyze, interpret and report on First Nations data
Nursing
- Public Health Services
-Treatment Services in remote and isolated communities
- Home & Community Care
-Training and Development
-Recruitment & Retention
-Transfer Nursing Support and functional supervision
Environmental Health Services
-Delivery of Environmental public health services including: Drinking
Water, Contaminant Research, Community Emergencies
Health Promotion & Disease & Injury Prevention
-Mental wellness – NNADAP, IRS Community Crisis intervention
-Children’s Programs - ECD, AHS, prenatal nutrition, FAS/FAE, Maternal and Child Health
-Chronic disease (including Diabetes) and
- Injury Prevention
Health Protection
-Immunization
-Pandemic/Emergency preparedness planning
-Prevention and treatment of communicable diseases
-HIV/AIDS
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www.fnha.ca
DURING TRANSITION…
www.fnha.ca
.
Increased in-
house
expertise
supporting
programs &
services
Improved First
Nations Health
Programs & Services
contributing to
better health
outcomes for BC
First Nations.
FNHA’s
Regional
Structure
Increased
focus on
Health
Promotion &
Wellness
Enhanced
collaboration,
coordination
& integration
with partners
Opportunity
to initiate
change in BC
Coordinate
with Regional
Engagement
Processes
Opportunities
for
innovation
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www.fnha.ca
HEALTH SERVICES TWO YEARS FROM
NOW…TRANSFORMATION
www.fnha.ca
.
OFFICE OF CHIEF NURSING
OFFICER Within this office the team will
continue and build on current
nursing services.
OFFICE OF CHIEF/SENIOR
MEDICAL OFFICER Moving from program
management to building on
content expertise to support
communities design and deliver
programs and services meeting
their community needs.
Creating Emergency Coordinator
Position – better support for
communities in crisis
Health Services evolves - with two pillars within FNHA Senior Executive Team: Chief Nursing Officer and Chief Medical Officer
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Supporting BC First Nations
Communities and FNHA
Operations
Presented by Greg Shea
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www.fnha.ca www.fnha.ca
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Corporate
Services
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2014/2015 Funding
www.fnha.ca
Additional $0.74 Million to Base Budgets plus $1.8 Million Funding
Allocation to Support Potential Program Expansions
Capital Community-based
Accreditation
Health Planning and
Management
Approved
Budget $11.9 Million $1.0 Million $25.2 Million
Plus Additional
Funding
Allocation - $0.6 Million $1.2 Million
Changes
No changes, full
budget confirmed
for the FY,
approved projects
proceeding as
planned
No changes,
additional funding
available for Program
expansion
Received 5.5%
increase in base plus
additional funding
available for Program
expansion
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2013/2014 Reporting
www.fnha.ca
Each community to issue one
report at year end. Either:
a) Financial Report due 90
days after year end, or
b) Audit Report due 120 days
after year end
Set Programs (including Health
Benefits Medical Transportation)
require a note in the Financial
Statements to:
a) summarize expenditures from
Apr to Sep (pre-Novation period)
and Oct to Mar (post-Novation
period) , and
b) provide a total for the year
A guidance document will be
provided to assist recipients and
their auditors in the preparation
of the 2013/14 fiscal year
financial reports
Business as usual
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QUESTIONS & DISCUSSION