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  • Our Partners:

Our Priorities

Our Priorities:

  • Social Determinants of Health: Developing Collaborative Strategies
    • Since Gathering Wisdom, there have been several information meetings with a group of provincial Deputy Ministers to start an early discussion on the social determinants of health. It was noted that these discussions have been constructive, informative and largely focused on relationship building to provide a foundation for further discussion and collaboration.   In January 2014, the FNHC created an action item expanding the scope of discussions/relationships building to the private sector: The Social Determinants Working Group to discuss and develop strategies for advocacy related to resource development.
  • Health Literacy: Embodying and Promoting Personal Health and Wellness
    • Transition and transformation present opportunity to improve the health literacy of BC First Nations, however it requires reframing the mind set of citizens as improved system and expectations are put in place. Personal responsibility is the first step in wellbeing; therefore the FNHC will support the FNHA in the promotion of new health and wellness approach.  Some of the activities towards this goal include:
      • By consensus, the FNHC supports the proposal of a steps-based challenge for the next province-wide wellness challenge.
      • FNHC will consider hosting a cultural camp that includes FNHC, FNHA and FNHDA  representatives.
      • FNHC will consider adding resources or additional information in regards to alternative care and medicine.
      • FNHC will determine how sharing information during the Regional Caucuses on health living will serve to promote healthy leadership and building leadership capacity.
    • Uphold Governance Structures, Standards and Directives
      • FNHA-FNHA-FNHDA Relationship
        • One of the key roles of the FNHC is to uphold the governance structures and serve as the “keeper of governance processes.” The Collaboration Committee is one of the key mechanisms for maintaining the relationship between the parties. Increased communications and information sharing, as well as addition joint meetings will be key ways for relationships to continue to flourish. The Collaboration Committee is responsible for determining how the three organizations will work together.
        • The original action items found in the FNHC Resolution work plan have been completed, and now the focus of Regional Caucuses is shifting toward regional governance development and health systems transformation. The Collaboration Committee identified a few priorities for the upcoming Regional Caucuses:
          • Approval or endorsement of interim Regional Health and Wellness Plans
          • Presentations by the FNHC, FNHA and FNHDA,
          • Presentations of the Regional Summary Reports from the Building Blocks for Transformation
          • Review the Regional Terms of Reference Review
        • Dispute and Conflict Resolution
      • Engagement:
        • The wisdom and direction of our leadership has guided the historic milestones and agreements we have achieved. We as BC First Nations have created and carried out a community engagement and consensus-building process that is second to none – as described in the Engagement and Approvals [create live link to engagement section or hover definition].
        • Through this Pathway, the first Consensus Paper was adopted in May 2011, at Gathering Wisdom for a Shared Journey IV. By a historic level of consensus, Chiefs passed Resolution 2011-01 and thereby:
      • Endorsed the BC Tripartite Framework Agreement on First Nations Health Governance – the legal agreement binding the Parties to transfer the operations of FNIHB-BC Region to a new First Nations Health Authority.
      • Adopted the Consensus Paper: BC First Nations Health Perspectives on a New Health Governance Arrangement – a document that established the 7 Directives which describes the fundamental standards and instructions for the new health governance arrangement.
      • Directed the FNHC and First Nations Health Society to conclude the Health Partnership Accord and sub‑agreements to the Framework Agreement, and establish the tripartite Implementation Committee and Implementation Plan.
      • Directed the FNHC and First Nations Health Society to undertake further development of the First Nations Heath Authority, through engaging with First Nations on models and options, and transitioning the First Nations Health Society to the interim First Nations Health Authority.
      • Directed the FNHC and First Nations Health Society to support the ongoing growth and development of work at the regional level, through supporting Regional Caucuses to develop Regional Tables.

 

  • The next year, the Engagement and Approval Pathway was again followed to report on the progress in implementing Resolution 2011-01 and to obtain further direction from BC First Nations. The second Consensus Paper being endorsed at Gathering Wisdom for a Shared Journey in May 2012.  In adopting Resolution 2012-01 – again achieving a historic level of consensus – BC First Nations Chiefs:
  • Adopted the Consensus Paper 2012: Navigating the Currents of Change – Transitioning to a New First Nations Health Governance Structure.
  • Established a change management strategy consistent with two stages of work – Transition, and Transformation.
  • Adopted a holistic First Nations health governance model – meaning one that blends the best of available non‑profit, corporate, and legislative models – and provided direction for research, planning and implementation of the elements of that holistic model to begin.
  • Agreed to transition the interim First Nations Health Authority to the permanent First Nations Health Authority, established the Board of Directors structure for the First Nations Health Authority and the competencies of the members of that Board, and provided for an orientation and Elder advisory process for the Board.
  • Called for the establishment of Regional Offices to bring capacity, communications, collaboration, and planning closer to home, and the development of an annual Community
  • Engagement Plan that will bring greater consistency and predictability to regional and provincial engagement opportunities.
  • Supported an evaluation of the First Nations health governance structure, to support ongoing learning and improvement.

 

  • Through these key decisions, BC First Nations have established an ambitious agenda for transformative change. Although what we are doing has never been done before, the progress achieved has been remarkable.
    • The Engagement and Approvals Pathway is a key way we do business differently. The decisions and direction of the FNHC are informed by our First Nations leadership. When strategic-level decisions are required on province-wide governance standards, structures, processes or agreements, the FNHC will lead the Engagement and Approvals Pathway to ensure any decisions made at Gathering Wisdom for a Shared Journey are informed and consensus-based.’