Presentation on theme: "ONTARIO FIRST NATIONS PUBLIC HEALTH PROJECT The First Nations Public Health Advisory Committee (FNPHAC) Knowledge Management Advisory Committee (KMAG)"— Presentation transcript:
1ONTARIO FIRST NATIONS PUBLIC HEALTH PROJECT The First Nations Public Health Advisory Committee (FNPHAC) Knowledge Management Advisory Committee (KMAG) Presentation for Alpha Education Day by Tracy Antone Chiefs of Ontario
2What is the Ontario First Nation Public Health Project? The Ontario First Nation Public Health Project (OFNPHP) is a tripartite initiative intended to guide the development of a “made-in-Ontario” approach for Public Health Services for First Nations in Ontario.
3Project BackgroundIn March and June 2005, tripartite meetings between COO, the Ministry of Health and Long-Term Care and FNIH Ontario Region were held to discuss the need to address First Nation public health concerns particularly in the wake of the SARS and Walkerton crises.
4Subsequent ActionsBased on these discussions, COO commissioned the completion of a First Nations Public Health Environmental Scan and Literature Review to document outstanding First Nations public health concerns in Ontario.Resulting recommendations called for further investigation into First Nations:pandemic planninginformation and surveillancejurisdiction and governancePH resourcing.
5Subsequent Actions Continued In June 2006, the leadership of the 32nd AOCC passed Resolution 06/47 calling for the establishment of a First Nation Public Health Advisory Committee (FNPHAC) as well as a Knowledge Management Advisory Group (KMAG) to assist First Nations in the development of a First Nation Public Health Framework.
6First Nations Public Health Relationship Framework ObjectivesPromote an integrated approach to public health on-reserveEnsure relationships are built/enhanced at all levels to address public healthConsider how to incorporate and align with local and community efforts to address public health concerns
7First Nations Public Health Relationship Framework Key ActivitiesScan current practices and relationships between Ontario First Nations and Public Health UnitsReview approaches in other jurisdictionsReview public health policy direction at provincial, national and federal levelsDevelop framework based on best practices, current situation and existing legislationTest approach outlined in framework to ensure it will operate as intended
8Public Health Project Committees: Three Distinct Pillars Project Management CommitteeOversee project and maintain tripartite approachKnowledge Management Group (KMAG)Provide technical and policy direction for First Nations component of Public Health Surveillance Management SystemFirst Nations Public Health Relationship Framework (FNPHAC)Provide leadership in developing First Nations Public Health Relationship Framework
9So what is the function of KMAG? As indicated in Resolution 06/27, KMAG is a First Nation driven (and Chaired) tripartite Advisory Group meant to inform First Nations in Ontario, via FNPHAC (the First Nation Public Health Advisory Group) on matters related to public health information systems and knowledge management .At present, its scope is limited to immunization.
10Committee MandateAll Ontario Chiefs Committee (AOCC) resolution 06/47 directed the establishment of a Public Health Advisory Committee to follow up on the issues raised within the preliminary findings of the First Nation Public Health Environmental Scan
11What is the function of FNPHAC? To deal with issues involving governance and jurisdiction, resourcing and the completion of a Public Health Framework for First Nations in Ontario. [Resolution 06/47]Improve the coordination of public health services on-reserve and to guide Canada, Ontario and First Nations in delivering public health services on-reserve, by designing and implementing a First Nations/Public Health Relationship Framework.
12Suggested FunctionsTo improve capacity within Chiefs of Ontario to support and lead the development of a relationship Framework.To engage Ontario PTOs and First Nations communities in developing a Relationship Framework, identifying best practices and relationship issues that require resolution.To establish linkages and ensure consistency with national and provincial approaches.To identify best practices in Ontario and other jurisdictions.
13Suggested Functions (continued) To develop range of practical scenarios to test out design options.To continue the enhancement of pandemic planning processes and the development of Emergency Response Plans (ERP)To assess public health services within Ontario First Nations’ communities and advise on areas of improvement, where required.
14Suggested Functions (continued) 8. To document options of service delivery within a collaborative framework whereby First Nations leadership through the Ontario First Nations communities, MOHLTC and FNIH-OB can ensure enhanced dialogueThis process is not intended to interfere with positive relationships that have already been developed. It is intended to document the working models and augment processes for communities to collaborate more effectively with the provincial and federal governments for improved public health services.9. Design a framework that will guide the collaborative process to facilitate governments capability for improved public health services
15How is KMAG different from FNPHAC? KMAG focuses strictly on knowledge management requirements and is a technical, apolitical bodyMembership, however, is anticipated to change based on evolving knowledge management needs and challengesKMAG will provide recommendations and responses on how First Nation public health information and surveillance should be managed and governedIn essence, it will act as a sub-committee of FNPHAC but due to the vast scope of IM/IT still requires a separate process.
16KMAG Next StepsBased on discussions from the September 2007 KMAG meeting, work has begun to pursue two (2) First Nation Test ProjectsOne - to conduct a First Nation Technical and Resource Capacity Survey which would be an extension of the work already conducted through the CSA (Current State Assessment) Two - an Immunization Information/Data Matching Exercise which would involve the comparison of First Nation immunization data for 0 – 6 years (MMR) and HepB for youth aged 12 – 16 years.
17KMAG Next Steps Continued… The data-matching exercise would involve a cross-comparison of immunization information from the First Nation communities as well as the adjacent Public Health UnitsCareful consideration and work will be undertaken with respect to OCAP; privacy and confidentiality; data sharing; and most certainly, client consentOutcomes anticipated will be that of informed models for data sharing agreements and information governance
18FNPHAC Next Steps Inaugural Meeting set for February 11th and 12th Membership – 2 Reps from each PTO plus alternates (chair will be selected); 2 Reps from FNIH; 2 Reps from MOHLTCReview Tentative three year work plan.
19Tentative Three-Year Workplan Fact FindingYear 2PlanningYear 3ImplementationSuggested ActivitiesReview of PH Environmental Scan / Emerging PrioritiesMay include research of:Review PH Service CapacityGap AnalysisRisk AssessmentPromising Practices / Innovative Models for PH Service DeliveryInitiate devt of the FN/PH Relationship FrameworkIdentifying issuesDefining roles and responsibilitiesAddressing jurisdictional and governance issuesConsensus buildingDevt of diverse/ flexible PH Service Delivery models (Made in Ontario approach)Establishing linkages among FN, National and Provincial approachesPilot/test models of PH Service DeliveryAssign allocation of resources to meet identified needsFinalize FN PH Relationship FrameworkSuggested OutcomesEffective, ongoing and informed PTO and community input into the devt of the Relationship FrameworkImproved relationships, cooperation and collaboration amongst PHUs, First Nations, MOHLTC and Health CanadaA FN/PH Relationship Framework agreed upon and committed to by all partnersConsistent approach in addressing public health issues in all Ontario First Nations on day to day basis among the partnersMechanism for improved PH services in Ontario FN
20ConclusionThe First Nation Public Health Project is being launched at a time when there is unprecedented concern about the state of public health across the country.We must all work together to support this First Nations driven public health project so that models of excellence for First Nation Public Health delivery can be developed.