First Nations Health Council Resolution Workplan Presentation September 2011
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1 First Nations Health Council Resolution Workplan Presentation September 2011
2 Gathering Wisdom IV: Resolution First Nations leadership came together and provided unprecedented support to a resolution that gave direction to the FNHC to achieve a number of things: Formalize the new health governance structure Transfer Health Canada FNIH to a new First Nations Health Authority Align to seven directives Report back on the progress at GW V in May 2012
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4 Consensus: 7 Directives Directive #1: Community- Driven, Nation-Based Directive #2: Increase First Nations Decision- Making and Control Directive #3: Improve Services Directive #4: Foster Meaningful Collaboration and Partnership
5 Consensus: 7 Directives Directive #5: Develop Human and Economic Capacity Directive #6: Be Without Prejudice to First Nations Interests Directive #7: Function at a High Operational Standard
6 Consensus: Role of the First Nations Health Council FNHC to continue as political advocacy body regionally-driven and appointed by First Nations Mandate: Political leadership for implementation of the Health Plans Support First Nations achieve health priorities / objectives Health Advocacy and Relationships Politically oversee transition of FNIH to a new FNHA Communication, transparency, cost-effectiveness, accountability to First Nations
7 Consensus: Role of the First Nations Health Directors Association The FNHDA is composed of health directors and managers working in First Nations communities and: supports education, knowledge transfer, professional development and best practices for health directors; and, acts as a technical advisory body to the FNHC and the FNHA on research, policy, program planning and design, and the implementation of the Health Plans. The FNHDA must have a robust communications strategy implemented through and enabled by the community engagement hubs and the Regional Tables. The FNHDA must be constituted with good governance, accountability, transparency and defined operating standards.
8 Consensus: Role of Regional Tables Regional Caucuses have been developed in each Health Region. Caucuses will establish Regional Tables to support the following outcomes: Engage with First Nations Develop and implement agreements and arrangements between Regional Tables and Regional Health Authorities Develop regional perspectives and approaches on health and wellness Effective, efficient and sustainable engagement and operations
9 Consensus: First Nations Health Authority Engagement with First Nations Improve NIHB program Health literacy and self-care Capital, infrastructure, equipment Cultural competency training PRIORITIES Effective delivery of services including address service gaps and innovation Implement First Nations values Health partnership with Province including shared service opportunities Health human resource development First Nations Deputy PHO Constituted with good governance, accountability, transparency and defined operating standards and governed by a Board of Directors with experience in First Nations health programs and services and successfully running a large operation.
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11 Work plan to deliver on Resolution As directed by leadership at Gathering Wisdom IV, a work plan has been developed for review by regional caucuses. The Resolution DRAFT Workplan: sets out the next steps, milestones, timeframes, key decision points and responsibilities, and indicators for the implementation of Resolution Regional Caucuses will review and provide feedback by the end of the 2011 calendar year.
12 3.(a) Framework Agreement Signing of Framework Agreement (October 2011) Signing the Framework Agreement sets in motion the formal legal transfer
13 3. (b) Sub-agreement Negotiations Develop a strategy and approach for the conclusion of sub-agreements to the Framework Agreement (September January 2012) Negotiations Process document Sub-Agreement Negotiations (April December 2013)
14 3. (c) Health Partnership Accord Engage with federal and provincial governments to finalize the Health Partnership Accord- December 2011
15 3.(d) Implementation Plan Engage with federal and provincial governments to prepare the implementation plan and strike the tripartite implementation committee Appoint Implementation Committee (December 2011) Prepare implementation Plan (June 2012)
16 3. (e) FNHA structure Develop models and options for a First Nations Health Authority Regional Caucus Workbook process for FNHA structure January 2011 to May 2012 (5 Months) Develop Regional Summaries of feedback into Workbook and build consensus within regions Develop province-wide Consensus Paper: First Nations Health Governance Structure for consideration of First Nations at Gathering Wisdom V (May 2012)
17 3. (f) Interim FNHA First Nations Health Society to become the interim First Nations Health Authority and begin the early steps in implementing the new health governance arrangement Amend FNHS bylaws to ensure consistency with Framework Agreement (by April 2012) Finalize criteria and process for appointments to interim FNHA Board of Directors (by April 2012) Appoint interim FNHA Board of Directors (by September 2012)
18 3. (g) Regional Caucuses & Regional Tables Support Regional Caucuses to develop Regional Tables Regional Caucus & Regional Table Terms of Reference finalized, including appointments to Regional Tables (May 2012) Implementation of Regional Caucus & Regional Tables Work plans (May 2012 and ongoing) Regional Caucus Regional Health Authority partnership Agreements (November 2012) Regional Health & Wellness Plans (May 2013)
19 4. Workplan Approval and Implementation Develop a Workplan for the implementation of Resolution , including: milestones; timeframes; key decision points; a process to identify indicators Resolution Workplan to Regions September 2011 Regional feedback to Resolution Workplan December 2011 Implementation of Resolution Workplan ongoing
20 5. First Nations Health Council First Nations Health Council Advocacy, Engagement and Accountability (ongoing) Relationships Accountability and Reporting Political Advocacy Make Room for Everyone Strategy
21 6. Gathering Wisdom Gathering Wisdom V May 2012 Debate on ratification of Consensus Paper: First Nations Health Governance Structure Structure Work plan September 2012 Gathering Wisdom VI- November 2013 Potential debate on ratification of Consensus Paper: First Nations Health Programs Transformation and Redesign
22 Engagement and Approval Pathway
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