1. Dr. Shannon M. McDonald Executive Director Aboriginal Healthy Living Population and Public Health Ministry of Healthy Living and Sport UBC Learning Circle Wednesday, September 29, 2010 10:00-12:00 PST Tripartite Health Governance Panel to First Nations Health Directors and Staff Regarding the Basis for a Framework Agreement 1

2. 2 March 17, 2005 A New Relationship July 15, 2005 First Nations Health Blueprint for BC November 25, 2005 Transformative Change Accord Bilateral First Nations Health Plan November 27, 2006 Tripartite First Nations Health Plan MOU November 27, 2006June 11, 2007 Tripartite First Nations Health Plan

3. 3 KEY ELEMENTS OF THE TRIPARTITE FIRST NATIONS HEALTH PLAN A 10-year health plan with four key elements : Governance, Relationships, and Accountability Health Promotion/ Injury and Disease Prevention Health ServicesPerformance Tracking

4. Design a new governance structure Seek ratification of this governance structure by the Parties Oversee the implementation Ensure duplication will not occur and a parallel health service delivery structure will not be created TFNHP Governance Commitment 4

5. Role of Province and Health Authorities Governance and service delivery partners Support innovation at the regional and community level Reciprocal accountability processes Explore transfer of Aboriginal Physician Advisor position to First Nations Health Authority (FNHA), and evolution to that of a First Nations Provincial Health Officer Explore legislative options to recognize FNHA 5

6. Funding Commitment PROVINCIAL Funding the TFNHP Exploring new financial arrangements allowing for more efficient linkages 6

7. 7 Basis for a Framework Agreement on Health Governance initialled July 26, 2010 Status of Agreement

8. 8 Health Authority Engagement Regular meetings Participation on select working groups to help implement actions in the TFNHP

9. 9 Ian Knipe (VIHA) Joanne Mills (IHA) Agnes Snow (NHA) Ted Bruce (VCHA) Leslie Schroeder (FHA) Leslie Varley (PHSA) Aboriginal Healthy Living Branch meetings with Aboriginal Health Leads:

10. 10 Allison Cutler (VIHA) Dr. Andrew Neuner (IHA) Suzanne Johnston (NHA) Dr. Patty Daly (VCHA) Barbara Korabek (FHA) Leslie Arnold (PHSA) Monthly teleconference with Aboriginal Health Executive Leads:

11. 11 Meeting with CEOs at Provincial Committee on First Nations Health

12. Next Steps 12 Provincial Committee on First Nations Health – October 21, 2010 Final Agreement process