interim First Nations Health Authority Transition

Transcription

1 interim First Nations Health Authority Transition Presented by: Joe Gallagher, CEO interim First Nations Health Authority May 16 th, 2012

2 Presentation Outline The context for implementation Transition Partnerships (FNIH + + ) Creating a First Nations Health Authority

3 Section 1 Where have we come from? March 17, 2005 Leadership Accord July 15, 2005 November 25, 2005 November 26, 2006 June 11, 2007 July 26, 2010 May 26, 2011 October 13, 2011 A New Relationship With Prov of BC First Nations Health Blueprint for BC Transformative Change Accord Bilateral First Nations Health Plan Tripartite MoU Nov. 27, 2006 Tripartite First Nations Health Plan Tripartite Basis for a Framework Agreement on Health Governance Gathering Wisdom IV: Resolution on Consensus Paper Tripartite Framework Agreement on First Nation Health Governance

4 Section 1 Planning Stages

5 Section 1 The ifnha Role Our role is different that the FNHS role Political oversight vs. Legal obligation and service delivery responsibility Accountability framework between BoD and FNHA members (FNHC)

6 Section 1 Implementation Streams of Work Implementation Plan Conclusion of Sub- Agreements Transition Interim Management Provincial Partnerships

7 Section 2 Transition Priorities

8 Section 2 Transition Priorities Pay communities No service disruption Pay staff Improve operations and services where practical through transition

9 Section 2 ifnha: Current organization + All Federal First Nations Programs and Services 240 Contribution Agreements & approx. 100 Contracts FTE s

10 Total: $17 million Section 2 Key Transfer Activities Systems & Structure Assets Programs Building the FNHA (Organizational Development) Financial systems HR systems Real Property and Accommodations Financial and Human Resources First Nations Health Benefits (NIHB) Implementation and Transition Planning (Legal, Communications All Current etc.) FNIHB Programs and Services IM/IT systems Contribution Agreements One-time funding support for the implementation and transition costs to establish the FNHA (TFA Section 7.5)

11 Section 2 ifnha: Budget Funding Area as per Framework Agreement Base Year Funding 2008/2009 Allocation for 2012/2013 fiscal year Regional Community Programs $ 127,656,800 $ 137,770, Non Insured Health Benefits Program $ 135,520,700 $ 178,367, Regional Sun setting Programs $ 16,807,800 $ 16,886, Capital $ 10,340,800 $ 11,168, Tripartite First Nations Health Plan (Provincial Funding) $ 6,000,000 $ 8,000, Tripartite First Nations Health Plan $ 6,000,000 $ 10,000,000 Funding to support community programs and Health Plan implementation $ 302,326,200 $ 362,193, (93.9 %) Policy and Program Leadership (FNIHB HQ) $ 7,819,300 $ 8,098, Corporate and Management Services (includes EBP) $ 8,301,700 $ 8,745, Employee Benefits Plan $ 4,538,200 $ 4,960, Accommodations $ 1,847,100 $ 1,847, Funding to support FNHA corporate functions $ 22,506,300 $ 23,650, (6.1%) TOTALS $ 324,832,400 $ 385,844, *Annex A to Schedule 1 (Canada Funding) of the British Columbia Tripartite Framework Agreement on First Nation Health Governance DETAILS OF CANADA FUNDING: Table 1: SUMMARY, BASE YEAR AMOUNTS

12 Section 3 Partnerships (FNIH + +) A First Nations Health Authority will work towards delivering more than the current FNIH programs and services Employing a First Nations Health Wellness Model and bring together traditional knowledge and western medicine to transform health systems Taking a First Nations population health approach to increase access for BC First Nations regardless of residency Health Actions and Health Plan implementation

13 Section 3 Partnerships (FNIH + +) Participation in high-level strategic system transformation and leveraging the Provincial Health system Collaborate with RHA to coordinate and integrate programs and services Access to Physicians ehealth Integrated Primary Care Work with senior executive from MoH to improve First Nations access to services Ie. Innovation and Change agenda

14 Section 3 Partnerships (FNIH + +) First in Canada to embark on an innovative approach to service delivery Health Canada to remain strategic governance and funding partner for future federal health initiatives

15 Section 3 Partnerships (FNIH + +)

16 Section 4 Developing a responsive Health Authority

17 Section 4 ifnha Characteristics Responsive Establish standards for health programs Fiscally responsible and accountable Accredited

18 Section 4 How we will do our work Purposeful, never loosing sight of the seven directives and governance model Make decisions using the best information and expertise available Grow and learn together Make the most out of the opportunity

19 Section 4 Our 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 Directive #5: Develop Human and Economic Capacity Directive #6: Be Without Prejudice to First Nations Interests Directive #7: Function at a High Operational Standard

20 Section 4 Our Common Values FNHC/FNHDA/iFNHA Respect Discipline Relationships Culture Excellence Fairness

21 Section 4 DRAFT ifnha Values Respect Tradition Balance Community Hospitality Humour

22 Section 4 DRAFT Operating Principles

23 Section 4 DRAFT Operating Principles W E L L N E S S

24 Section 4 In closing Our goal is to ensure that transition proceeds in a good way, based on the 7 directives and our collective values Until transfer day, Health Canada maintains decisionmaking and service delivery responsibilities over current areas of responsibility The FNHA will continue to implement the Health Actions agenda to achieve system transformation today The FNHA will refine the wellness model launched yesterday and continue to develop role as Your Wellness Partner

25 Working together our collective efforts will result in health improvements at the individual, community, region, and population health levels.

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