DRAFT Resolution Workplan. DRAFT- Resolution Workplan

Transcription

1 DRAFT Resolution Workplan DRAFT- Resolution Workplan 1

2 DRAFT Resolution Workplan September 27, 2011 For regional review.

3 Contents Reference Guide: How to use the materials provided...4 Letter from the First Nations Health Council...5 Resolution Workplan: Timeline...8 Engagement and Approvals Pathway...9 Resolution Workplan: Project Chart...10

4 Quick Reference Guide: How to use the Material Provided Document Title How it links to Gathering Wisdom IV Resolution 1. Resolution Workplan: Timeline The Chiefs in Assembly requested Timeframes: This document is a higher-level illustrative representation of the Project Chart, mapped out along a timeline. 2. Engagement and Approvals Pathway The Chiefs in Assembly requested a Decisions Process: This engagement pathway describes a high-level process for informing and making key decisions within the new First Nations health governance arrangement. 3. Resolution Workplan: Project Chart The Chiefs in Assembly requested a Workplan: This Workplan details the implementation of Resolution , including milestones, timeframes, responsibilities and decision points, and indicators. Legend Numbering Color Coding Shapes The numbering in the left-hand column in the Project Chart and in each of the activities mapped along the Timeline correspond to one another, and refer to the relevant provision of Resolution Each numbered activity (arising from Resolution ) has been assigned a color. This color is used in both the Project Chart and the Timeline; the colors in the Project Chart and the Timeline correspond to allow you to easily reference any particular activity in both documents. Shapes have been used (and correspond to one another) in both: the Timeline in each activity box along the timeline; and, in the Project Chart in the column Symbols. These shapes signify the following: - That decision-making is involved. The colour of the shape indicates who is responsible for that decision o Black Triangle: First Nations Chiefs o Yellow Triangle: Regional Caucuses o Red Triangle: First Nations Health Council - That a particular group has a role in the implementation of that activity. The colour of the shape indicates which group(s) are involved: o Yellow Square: Regional Caucuses o Red Square: First Nations Health Council o Purple Square: FNHDA / First Nations Health Directors o Green Square: First Nations Health Society First Nations Chiefs Voting at Gathering Wisdom Tripartite Agreement 4 DRAFT- Resolution Workplan

5 September 27th, 2011 Dear First Nations Chiefs and Health Leads, On May 26th 2011, BC First Nations leaders passed a historic resolution to approve the transfer of First Nations health programs and services from federal control to First Nations control. Through Resolution and the Consensus Paper: British Columbia First Nations Perspectives on a New Health Governance Arrangement, First Nations provided clear direction on the standards of this new arrangement, and tasked the First Nations Health Council with clear next steps in implementation. One of the immediate next steps that First Nations directed the First Nations Health Council to undertake was the development of a Resolution Workplan, which is to be provided to Regional Caucuses for review and feedback. This Workplan was to include specific key activities clearly set out in the Resolution, such as: signing of the Framework Agreement; supporting the development of Regional Caucuses and Tables; and, establishing a strategy and approach for the conclusion of sub-agreements. The First Nations Health Council was directed to provide this Workplan by September 1, However, due to unanticipated delays in approvals of the Framework Agreement by the Government of Canada, work planning was delayed, and we appreciate your patience. To balance this delay, we will extend the deadline for feedback on this Workplan from Regional Caucuses to December 31, 2011 (from December 1, 2011). As directed, this Resolution Workplan is enclosed, and consists of three elements (note that a Quick Reference Guide to assist you in reviewing this Workplan is included as part of this package): 1.) Resolution Timeline This timeline is a high-level, color-coded representation of the more detailed Resolution Workplan: Project Chart described in section 2 of this document. The milestones, decision points and responsibilities are mapped along a two-year timeline. A legend is set out at the bottom of the timeline for ease of use. 2.) Engagement and Approvals Pathway A very important feature of the enclosed workplan is the draft engagement pathway. Through Resolution passed at Gathering Wisdom IV, First Nations called upon the First Nations Health Council to design and describe a process for key decisions. This process must be consistent with the 7 Directives and the principle of Reciprocal Accountability as adopted by First Nations in the Consensus Paper. The enclosed pathway describes 5 basic steps in a First Nations health engagement and decision-making process: 1) Engagement; 2) Discussion Document; 3) Engagement Summary; 4) Building Consensus; and, 5) Ratification. DRAFT- Resolution Workplan 5

6 This pathway model will enable the FNHC to gather First Nations input and guidance for key decisions of the First Nations health governance structure. This engagement and approvals pathway could be included in the governing documents of the First Nations Health Council, First Nations Health Directors Association, and a future First Nations Health Authority, so that First Nations have clarity and certainty about the process for decision-making, and know that their voice and direction will be heard on key decisions such as program redesign. 3.) Resolution Workplan: Project Chart In table format, this workplan provides the detailed approach to the implementation of Resolution over the next two years. This table is organized as follows: Milestones: Each milestone is taken directly from Resolution (and, for easy reference, is numbered in accordance with the relevant provision of Resolution ). For each milestone, a series of action items required to achieve that milestone are described. Timeframes: The anticipated timeframes for the commencement and completion of the milestones and action items over the next two years. Responsibilities and Decision Points: The roles and responsibilities for the implementation of the milestones and action items (note that, not only are the decision-making responsibilities included here, but also roles in oversight, advice, and implementation of the milestones and action items). The majority of the decision points rest with First Nations at the regional level, and not with the First Nations Health Council, First Nations Health Directors Association, or First Nations Health Society. Indicators: Key indicators and benchmarks to measure progress in the implementation of each milestone. This Workplan is important for setting the goalposts and process to keep our work on track over the next two years. At the same time, however, we have learned that flexibility is fundamentally important. As noted by Barry Phillips, CEO of Bigstone Health Commission, at Gathering Wisdom for a Shared Journey IV, Monday s plan may last until Tuesday. We are in a constantly shifting and evolving environment, and while we need a clear and commonly understood plan, we also need to be agile enough to take advantage of new opportunities, or address unexpected issues as they arise, including issues such as the availability of resources and the perspectives of our tripartite partners. Perhaps, even more fundamentally important than this short-term Workplan is the long-term collective commitment to, and support for, a shared vision and values of the First Nations health governance structure ensuring that we are all working towards the same goal and for the same purpose. In the coming months, we will circulate to all First Nations a First Nations 6 DRAFT- Resolution Workplan

7 Health Governance Structure Workbook. We will ask for your advice on a collective vision for First Nations health, and the mission statements and roles and responsibilities of the First Nations Health Council, First Nations Health Directors Association, the First Nations Health Authority, and First Nations Regional Caucuses - including the relationship between all of these various components. We will also seek your input on the governance structure of these various components, such as their membership and appointment processes. Thank you in advance for your wisdom and guidance with respect to the enclosed Workplan. A series of Regional Caucus sessions have been scheduled over the coming weeks and months to obtain your valued advice and input into this important document. Your feedback and input is crucial to the ongoing success of this work. We look forward to seeing all of you at the upcoming round of regional caucus sessions to build on the momentum and unity achieved at the Gathering Wisdom Forum IV, and to continue this historic process of First Nations health governance reform. Sincerely, FIRST NATIONS HEALTH COUNCIL Marjorie McRae Northern Region James Wilson Vancouver Island Region Cliff Atleo Vancouver Island Region Ernest Armann Vancouver Coastal Region Chief Maureen Chapman Fraser Region Chief Ko waintco Michel Interior Region Shana Manson Vancouver Island Region Gwen Phillips Interior Region Chief Bernie Elkins Interior Region Grand Chief Doug Kelly Fraser Region Warner Adam Northern Region Chief Willie Charlie Fraser Region Charles Nelson Vancouver Coastal Region Laura Webb Northern Region Leah- George Wilson Vancouver Coastal Region DRAFT- Resolution Workplan 7

8 1.) RESOLUTION WORKPLAN TIMELINE Directive #1: Community-Driven, Nation-Based Directive #2: Increase First Nations Decision-Making and Control Directive #3: Improve Services (Consistent with the Principle of Comparability) Directive #4: Foster Meaningful Collaboration and Partnership Directive #5: Develop Human and Economic Capacity Directive #6: Be Without Prejudice to First Nations Interests Directive #7: Function at a High Operational Standard 3(a) 5 3(b) Signing of Framework Agreement July 2011 Appoint Implementation Committee Develop Strategy & Approach for the Conclusion of Sub-Agreements First Nations Health Governance Structure Workbook Process Prepare Implementation Plan Implementation of Resolution Workplan Implementation of Regional Caucus and Regional Table Workplans Make Room for Everyone Strategy Public Advocacy, Engagement, Relationships, Accountability and Reporting Sub-Agreement Negotiations August September October November December January February March April May June July August September October November December (c) 3(d) Finalize Health Partnership Accord 3(f) 5 4 3(e) 3(d) Amend FNHS Bylaws & Constitution to ensure consistency with Framework Agreement 3(b) 6 3(g) 3(g) 3(g) Gathering Wisdom V WorkPlan for Implementation of First Nations Health Governance Structure Regional Caucus RHA Partnership Agreements Complete Implementation of Regional Caucus and Regional Table Workplans Appoint interim FNHA Board of Directors 3(f) 6 January February March Apr 2013 Regional Health and Wellness Pla Complete RESOLUTION Implementation of this Workplan will be consistent with the 7 Directives identified in the Consensus Paper. 4 Resolution Workplan to Regions 3(g) 4 3(f) Regional Feedback to Resolution Workplan Regional Caucus and Regional Table Terms of Reference finalized, including appointments to Regional Tables Finalize criteria and process for appointments to interim FNHA Board of Directors FNHC Leadership, Oversight & FNHDA Technical Advice FNHS Operational Advice & Im Regional Caucus Leadership & Tripartite Agreement

9 ril 6 Gathering Wisdom VI 2.) ENGAGEMENT AND APPROVALS PATHWAY This pathway model will enable the FNHC to gather First Nations input and guidance for key decisions of the First Nations health governance structure. This engagement and approvals pathway could be included in the governing documents of the First Nations Health Council, First Nations Health Directors Association, and a future First Nations Health Authority, so that First Nations have clarity and certainty about the process for decision-making, and know that their voice and direction will be heard on key decisions such as program redesign. May ans June July August September October November December 3(g) 1 WORKPLAN & Advocacy mplementation & Advice First Nations Chiefs Voting at Gathering Wisdom First Nations Chiefs Decision Making Regional Caucus Decision Making FNHC Decision Making

10 3.) RESOLUTION DRAFT WORKPLAN: PROJECT CHART This Resolution DRAFT Workplan: Project Chart sets out the next steps, milestones, timeframes, key decision points and responsibilities, and indicators for the implementation of Resolution passed by First Nations Chiefs at Gathering Wisdom for a Shared Journey IV. Regional Caucuses will review and provide feedback by the end of the 2011 calendar year. Note that this Project Chart aligns with the Resolution Workplan Timeline; the Timeline document is an illustrative representation of this Project Chart. MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(a) Direct the Board of Directors of the First Nations Health Society to sign the Framework Agreement Signing of Framework Agreement October 2011 FNHC Decision Making o Direct the FNHS Board of Directors to sign the Framework Agreement o Undertake activities to carry out FNHC recommendation Signed Framework Agreement 3(b) Develop a strategy and approach for the conclusion of sub-agreements to the Framework Agreement Develop Strategy & Approach for the Conclusion of Sub- Agreements and share with Regional Caucuses September 2011 (5 months) Regional Caucus Leadership and Advice o Provide feedback on the negotiations process document FNHC Decision Making o Adopt negotiations process document including appointing negotiations teams for sub-agreement negotiations o Guide negotiations strategy o Make recommendations on negotiations process matters o Provide analysis, research, considerations Negotiations Process Document shared with Regional Caucuses 10 DRAFT- Resolution Workplan

11 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(b) Sub-Agreement Negotiations April 2012 to December 2013 (19 months) FNHC Decision Making o Provide direction to negotiations o Approve sub-agreements o Direct the FNHS Board of Directors to sign approved Sub-Agreements o Participate on negotiations teams as required o Make recommendations on negotiations and participate on negotiations teams as required by the FNHC o Conduct research, analysis, and prepare documents o Negotiations, logistics and administration Completed Funding Agreements Completed Sub- Agreements (Human Resources and Record Transfer; Information Management and Information Sharing; Non-Insured Health Benefits; Assets and Software; Accommodation; Capital Planning and First Nations Health Facilities; Alignment or Termination of Canada s Contribution Agreements) 3(c) Engage with federal and provincial governments to finalize the Health Partnership Accord Finalize Health Partnership Accord Target: December 2011 FNHC Decision Making o Provide leadership for the discussions and process to conclude the Health Partnership Accord o Approval and signing of Health Partnership Accord o Conduct research, analysis, drafting o Make recommendations on health partnership matters Completed Health Partnership Accord DRAFT- Resolution Workplan 11

12 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(d) Engage with federal and provincial governments to prepare the implementation plan and strike the tripartite implementation committee Appoint Implementation Committee Prepare Implementation Plan Target: December 2011 Target: February 2012 to June 2012 (5 months) FNHC Decision Making o Make appointment to Implementation Committee o Make appointment to Implementation Committee FNHC Decision-Making o Establish process for development of the Implementation Plan o Provide guidance to the content of the Implementation Plan o Provide approval to final Implementation Plan o Provide advice and recommendations related to the implementation plan o Provide drafting and logistical support to Implementation Committee o Provide approval to final Implementation Plan Established Implementation Committee Completed Implementation Plan 12 DRAFT- Resolution Workplan

13 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(e) Develop models and options for a First Nations Health Authority First Nations Health Governance Structure Workbook Process o Roll out First Nations Health Governance Structure Workbook, including models and options for a First Nations Health Authority o First Nations provide feedback on Workbook o Develop Regional Summaries of feedback into Workbook and build consensus within regions o Develop provincewide Consensus Paper: First Nations Health Governance Structure for consideration of First Nations at Gathering Wisdom V January 2011 to May 2012 (5 Months) Regional Caucus Leadership and Advice o First Nations provide feedback through Workbook and Regional Caucus sessions o First Nations build consensus within regions and across BC on the First Nations Health Governance Structure FNHC Leadership, Oversight & Advocacy o FNHC provides leadership and guidance to Workbook process o FNHC members attend and provide leadership to Regional Caucus sessions FNHDA / First Nations Health Directors Technical Advice o Health Directors attend Regional Caucus sessions and provide advice and support to First Nations leaders o Development of models and options for the First Nations Health Governance Structure, including the First Nations Health Authority o Drafting of Workbook, regional summaries, Consensus Paper o Coordinate logistics for Regional Caucus sessions First Nations Health Governance Structure Workbook including models and options for a First Nations Health Authority Number of completed workbooks and/or feedback captured through Regional Caucus and other meeting summaries Number of First Nations participating through Workbook process Regional Summaries of Feedback Province-wide Consensus Paper: First Nations Health Governance Structure DRAFT- Resolution Workplan 13

14 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(f) Direct the First Nations Health Society to take steps 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 October 2011 to April 2012 (7 Months) FNHC Decision Making o FNHC, as FNHS members, approve bylaw changes o Conduct analysis and provide recommendations and drafts for consideration o Provide legal advice o Register changes in accordance with the BC Societies Act Amended FNHS bylaws Finalize criteria and process for appointments to interim FNHA Board of Directors November 2011 to April 2012 (6 Months) Regional Caucus Decision Making o Endorse criteria and process for appointment of interim FNHA Board of Directors FNHC Decision Making o Endorse structure of interim FNHA Board of Directors o Provide research, analysis, drafting support, recommendations Completed criteria and competencies for interim FNHA Board members Appoint interim FNHA Board of Directors April to September 2012 (6 Months) Regional Caucus Decision Making o Potentially make appointments to interim FNHA Board of Directors FNHC Decision Making o Potentially make appointments to interim FNHA Board of Directors o Provide operational and logistical support to the appointment of interim FNHA Board of Directors Appointments to interim FNHA Board of Directors 14 DRAFT- Resolution Workplan

15 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(g) Support Regional Caucuses to develop Regional Tables Regional Caucus & Regional Table Terms of Reference finalized, including appointments to Regional Tables Target: May 2012 Regional Caucus Decision Making o Approve Terms of Reference o Appoint Regional Tables FNHC Leadership, Oversight & Advocacy o Provide leadership to ensure Regional Caucuses develop Terms of Reference and establish Regional Tables FNHDA / First Nations Health Directors Technical Advice o Health Directors provide advice and support to First Nations leaders, Regional Caucuses, and Regional Tables as required o Provide technical, drafting, and logistical support Number of completed Regional Caucus and Regional Table Terms of Reference Implementation of Regional Caucus & Regional Tables Workplans Target: May 2012 and ongoing Regional Caucus Decision Making o Approve Workplans FNHC Leadership, Oversight & Advocacy o Provide leadership to ensure Regional Caucuses develop Workplans FNHDA / First Nations Health Directors Technical Advice o Health Directors provide advice and support to First Nations leaders, Regional Caucuses, and Regional Tables as required o Provide technical, drafting, and logistical support Appropriate indicators to be established by each region in their regional workplans, including for the relationship and service delivery with Regional Health Authority DRAFT- Resolution Workplan 15

16 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 3(g) Regional Caucus - Regional Health Authority Partnership Agreements Complete Target: November 2012 Regional Caucus Decision Making o Approve Partnership Agreements Plans FNHC Leadership, Oversight & Advocacy o Provide guidance to ensure Partnership Agreements are negotiated FNHDA / First Nations Health Directors Technical Advice o Health Directors provide advice and support to First Nations leaders, Regional Caucuses, and Regional Tables as required o Provide technical, drafting, and logistical support Number of completed Regional Caucus-Regional Health Authority Partnership Agreements Regional Health & Wellness Plans Complete Target May 2013 Regional Caucus Decision Making o Approve Health & Wellness Plans FNHC Leadership, Oversight & Advocacy o Provide leadership to ensure Regional Caucuses develop Health & Wellness Plans FNHDA / First Nations Health Directors Technical Advice o Health Directors provide advice and support to First Nations leaders, Regional Caucuses, and Regional Tables as required o Provide technical, drafting, and logistical support o Support Community Engagement Hubs to work with First Nations to develop health and wellness plans Number of completed Regional Health and Wellness Plans 16 DRAFT- Resolution Workplan

17 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 4 Develop a Workplan for the implementation of Resolution , including: milestones; timeframes; key decision points; a process to identify indicators Resolution Workplan to Regions Regional feedback to Resolution Workplan Implementation of Resolution Workplan September 2011 FNHC Decision Making o Provide direction for development of workplan, and approve workplan for circulation to First Nations o Provide research, analysis, and recommendations o Provide technical, drafting, and logistical support December 2011 Regional Caucus Leadership & Advice o Provide feedback into workplan FNHC Leadership, Oversight & Advocacy o Provide leadership to Regional Caucus discussions on workplan o Provide technical, drafting, and logistical support Ongoing Regional Caucus Leadership & Advice o Provide feedback into implementation of workplan FNHC Leadership, Oversight & Advocacy o Provide direction for implementation of workplan o Report to Regional Caucuses on implementation of workplan o Provide research, analysis, and recommendations o Provide technical, drafting, and logistical support Completed draft Resolution workplan Regional Caucus sessions in each region to provide feedback Number of workplan feedback submissions and/or feedback captured through Regional Caucus meeting summaries DRAFT- Resolution Workplan 17

18 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 5 First Nations Health Council Advocacy, Engagement and Accountability Relationships o Social determinants meetings with federal and provincial Deputy Ministers tables o Develop relationships with Councils and First Nations organizations in support of addressing social determinants of health o Develop urban strategy Ongoing FNHC Leadership, Oversight & Advocacy o Provide leadership, oversight, direction to strategic-level meetings and relationships with First Nations organizations FNHDA / First Nations Health Directors Technical Advice o Provide advice on social determinants issues o Provide research, analysis, advice and recommendations o Provide technical, drafting, and logistical support Number and outcomes of political advocacy and social determinants of health meetings Number and outcomes of meetings and establishment of relationship agreement(s) with Councils and First Nations organizations on social determinant issues Accountability and Reporting o FNHC regional representatives reporting to Regional Caucus meetings o FNHC presentations to meetings of other First Nations province-level political organizations o Annual reporting o Regular reports, communiqués, e-blasts, and other updates to First Nations o Implementation of Engagement and Approval Pathway Ongoing FNHC Leadership, Oversight & Advocacy o Report to First Nations o Provide strategic direction and leadership to communications and outreach efforts o Provide technical, drafting, and logistical support Consistent updates and reports to First Nations using a variety of means and mechanisms Opportunities for First Nations to provide guidance and feedback to the FNHC (including Regional Caucus meetings and other reporting venues) 18 DRAFT- Resolution Workplan

19 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 5 Political Advocacy for Tripartite First Nations Health Plan and First Nations community and regional health issues Ongoing FNHC Leadership, Oversight & Advocacy o Provide strategic political direction and leadership for implementation of the Tripartite First Nations Health Plan o Provide political advocacy on First Nations health issues FNHDA / First Nations Health Directors Technical Advice o Provide advice on First Nations health issues and health actions o Provide research, analysis, advice and recommendations o Provide technical, drafting, and logistical support o Implementation of health actions Improvements to health services for First Nations in BC Make Room for Everyone Strategy o Politically reach out to First Nations that have not been a part of the process to date o Maintain outreach and information-sharing to all First Nations o Provide an onboarding package to new First Nations Chiefs and leaders o At a senior technical level, provide information to all First Nations and continue to support a membership drive for the FNHDA Ongoing Regional Caucus Leadership & Advice o Provide input and feedback into FNHC communications and outreach FNHC Leadership, Oversight & Advocacy o Communications and outreach to all First Nations on health issues FNHDA / First Nations Health Directors Technical Advice o Outreach and development for BC First Nations health directors o Provide technical, drafting, and logistical support Onboarding package sent to each new First Nations Chief elected in BC Consistent updates and reports to First Nations using a variety of means and mechanisms Membership participation in the FNHDA DRAFT- Resolution Workplan 19

20 MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS 6 Gathering Wisdom V Debate on ratification of Consensus Paper: First Nations Health Governance Structure Workplan for implementation of First Nations Health Governance Structure (for implementation of ratified outcomes of Gathering Wisdom V, including potentially Consensus Paper: First Nations Health Governance Structure May 2012 First Nations Chiefs Decision Making o Participate in debate on resolution regarding First Nations Health Governance Structure FNHC Leadership, Oversight & Advocacy o Provide leadership to discussions and debate on resolution regarding First Nations Health Governance Structure September 2012 Regional Caucus Leadership & Advice o Provide feedback into workplan FNHC Leadership, Oversight & Advocacy o Provide direction for development of workplan o Provide leadership to Regional Caucus discussions on workplan o Provide research, analysis, and recommendations o Provide technical, drafting, and logistical support Ratified Consensus Paper: First Nations Health Governance Structure Completed workplan for the implementation of any resolution arising from Gathering Wisdom V 6 Gathering Wisdom VI Potential debate on ratification of Consensus Paper: First Nations Health Programs Transformation and Redesign November 2013 First Nations Chiefs Decision Making o Participate in debate on potential resolution regarding program transformation and redesign FNHC Leadership, Oversight & Advocacy o Provide leadership to discussions and debate on potential resolution regarding First Nations health program transformation and redesign Potential ratified Consensus Paper: First Nations Health Programs Transformation and Redesign 20 DRAFT- Resolution Workplan

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24 24 DRAFT- Resolution Workplan DRAFT Resolution Workplan