P R E S E N T E D B Y
L i t o n y a D e s j a r l a i s , D i r e c t o r o f H e a l t h , D a k o t a O j i b w a y T r i b a l C o u n c i l , M B
G u y G o s s e l i n , H e a l t h D i r e c t o r ,
R o s e a u R i v e r A n i s h i n a b e F i r s t N a t i o n , M B
F i r s t N a t i o n s H e a l t h M a n a g e r s A s s o c i a t i o n C o n f e r e n c e
V a n c o u v e r , B C
N o v e m b e r 2 0 1 6
Blurring the Lines Health Partnership Agreements
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Presentation Overview
Background: Blurring the Lines (BTL) Project Overview - 2012/13-2014/15 Project Structure Key Project Activities Project Evaluation Findings – Successes Health Partnership Agreement Community-Specific Health Partnership Agreement
Blurring the Lines – 2016/17 and Beyond Blurring the Lines in Action: Roseau River Anishinabe
First Nation, MB
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BTL Project Overview: 2012/13-2014/15
Partnership between Dakota Ojibway Health Service & Southern Health-Santé Sud (SHSS)
Funded by the Heath Services Integration Fund from
2012/14-2014/15.
To develop a strategic and ‘formalized’ health partnership agreement between SHSS and the First Nation communities within the Southern Health region.
Ultimate Goal: To improve First Nations health outcomes by
enabling opportunities for innovation in the areas of primary health care, program planning and service delivery components of care.
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BTL Project Overview: 2012/13-2014/15
Recognition that First Nations health is not the individual responsibility of any one organization.
It is the collective responsibility of everyone, working towards
the common goal of improving the health of First Nation people.
To do this, we must first explore how we can blur, reduce or
eliminate the jurisdictional boundaries and challenges that currently exist in delivering health programs and services.
Build upon the strong and meaningful relationships that currently exist in order to collaborate and coordinate health programs and services, and as a result improve access to culturally appropriate services both on- and off-reserve.
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Steering Committee
DOHS Coordinator
Project Support (Admin.) .5EFT
SHSS Coordiator Evaluator
Operations Committee
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Steering Committee
• Roseau River Anishinabe First Nation
• Long Plains First Nation • Swan Lake First Nation • Dakota Tipi First Nation • Sandy Bay Ojibway First Nation
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• Dakota Plains First Nation • Buffalo Point First Nation • FNIHB • Southern Health-Santé Sud • Dakota Ojibway Health Services
Key Project Activities
Blurring the Lines Project: 2012/13-2014/15: 1. Project Development 2. Environmental Scan 3. Develop General & Community Specific Health
Partnership Agreements 4. Internal Approval Processes 5. Signing Ceremony
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Project Evaluation Findings – Successes 8
Relationship Building Opened up doors of communication. Established a firm foundation to build
relationships upon.
Knowledge Sharing Learning about the value of
establishing effective working relationships Help to better understand the issues &
to be able to identify a possible broader range of options that can be pursued (because of better understanding of mainstream health services & broader health system).
Identification of Health Needs &
Gaps Identified areas of focus for future
discussion. Contributed to development of
organizational knowledge of issues & challenges communities face.
Project Evaluation Findings - Successes 9
Capacity Building Greater awareness & understanding of the context &
challenges facing other groups at the table. Increased understanding of the importance & time needed for
relationship building as a first step towards development & implementation of the Health Partnership Agreements (HPAs).
Increased project management skills resulting from the groups’ ability to respond to unexpected challenges & keep moving forward together.
Contribution to development of health data & information that will help support the development of the HPAs.
Project Evaluation Findings - Successes 10
Development of Health Partnership Agreements The Project helped to establish relationships & communication
processes, to move the agenda forward toward the development HPAs.
There is optimism amongst the project group that future work will occur by building on the critical relationship established through the project. This will help to effectively identify and respond to health services
issues & concerns, & may influence health outcomes through the development of the HPAs.
Project Evaluation Findings - Successes 11
Factors of Success Leadership & commitment of participants as key factors Passion of First Nations communities to address their health
issues & concerns Level of community participation Dedicated work of project staff to see the project through
initial challenges & get back on track Skilled staff & efforts of the Operations Working Group (DOHS
and SHSS staff) Consistent & committed participation of project partners Significant value of First Nations organizations & communities
working together
General Health Partnership Agreement 12
General Health Partnership Agreement 13
Community Specific Health Partnership Agreements
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Based on community-identified vision, purpose, guiding principles, and priorities.
Similar structure to General Health Partnership
Agreement. Each First Nation signed both the General
Partnership Agreement and Community-Specific Agreement.
Community Specific Health Partnership Agreement
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Blurring the Lines: 2016-2017 and Beyond 16
2016-2017 BTL Project Goal: To develop and implement a sustainable relationship framework aimed
at improving health outcomes and health services experiences of First Nations through an integrated services approach.
2016-2017 BTL Project Objectives: (1) Develop and implement formal and informal mechanisms and
processes to address priority areas of concern and aspiration.
(2) Develop indicators to monitor progress and measure impact. Also to develop & put into action Plans on: Communication, Implementation and Sustainability. Activities to include: service integration meetings at the community level; community engagement; Steering Committee meetings; and leadership update and involvement.
Blurring the Lines: 2016-2017 and Beyond 17
