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PERFORMANCE TRACKING 24 The intent of the performance tracking component of the TFNHP is to ensure that all parties have access to data necessary to measuring progress towards its overall goals and those of the Transformative Change Accord, namely to improve health outcomes for First Nations people and close the gap between First Nations and the rest of the population in BC. Research Infrastructure The 2007-2008 Year in Review Report states that “because research drives policy, it is important to have control over how First Nations data is used and interpreted. In addition, First Nations need to be armed with accurate information to effectively plan and implement programs and services at a community level.” In discussing the supports and protocols needed the participants identified the need to: • Support community ownership and capacity, professional database protocols • Provide supports/tools/resources for communities to drive their own research • Ensure a First Nation community capacity/ resources to own their data and use it for their purposes • Provide training for community members, community workers, and leadership on purpose of research, use of research and developing research capacity • Share knowledge/information between First Nations, between First Nations and government service providers/ministries, and between First Nations and research grant providers • Ensure that there is a strong link between communities and that the research benefits First Nations • Develop a professional research database for First Nations to use; it would include qualified professionals trusted by First Nations • Develop and promote protocols for data/ research management and acquisition of First Nation individual, families and community data/research • Develop a standardized data set, policies and protocols between all information partners to use First Nations information to drive health programming and services in First Nation regional health authorities (i.e. ethics templates) • Ensure OCAP principles remain intact to manage data security • Work together for positive partnerships Health Indicators Each key area of the TFNHP and TCA (e.g. Health Services; Health Promotion, Injury and Disease Prevention, etc.) identifies what will be different by 2015. The section entitled ‘measuring Progress’ identifies targets for seven indicators initially set out in the Transformative Change Accord (i.e. life expectancy, mortality, youth suicide, infant mortality, diabetes, childhood obesity, and health care professionals). Participants provided input on what indicators of wellness/ health are being used at the community level; the information needed to measure progress on these indicators; and where the needed information might be located: • Participants spoke to the importance of a variety of wellness indicators and variation from community to community including: - Culture and language - Spirituality - Physical health - mental health - Infrastructure - Social determinants • Importance of individual stories, gathering themes from qualitative narratives to develop indicators. Regional Health Survey First Nations in BC have actively participated in the First Nations Regional Longitudinal Health Survey (RHS) and it is identified as one of the key data sources to be developed and utilized to measure progress. Data collection for the next iteration of the RHS is expected to begin shortly in 77 BC First Nation communities. Participants provided additional input into how the principles of Ownership, Capacity, Access and Possession (OCAP) to information is defined and applied, and how the TFNHP can continue to address OCAP issues: II SECONd ANNUAl FORUm
• Develop our own research policies, programs and a First Nations Research Centre of Excellence • Research must adhere to the principles of OCAP • Develop First Nations policies and program development related to First Nations research • Develop BC First Nations Research Centre of Excellence Community Health Plans As a result of current health programming many First Nations have developed various forms of Community Health Plans. The TFNHP identifies the need for these community plans to support better coordination with the Aboriginal Health Services Plans that the Regional Provincial Health Service Authorities are to develop consistent with the TFNHP priorities and First Nations involvement in decision making about health service delivery. The discussion at the 2008 Gathering Wisdom forum sought to contribute to clarifying what the components a ‘community health plan’ are and whether there is a connection between them and performance tracking. • Direction for planning and wants, social determinants, holistic, cultural foundation that meets needs • Does the direction for planning and wants for communities look at all social determinants of health? • It is a holistic approach which has a cultural foundation that meets the community needs component • Definition of “health”, “community” and “Community Health Plans” • Principles, vision, mission statement • Evaluation framework • Statistics from programs/services • Causal factors • Traditional and contemporary practices • Staff retention/mentoring/leadership/ recruitment • Accountability framework • Reciprocal accountability • Knowing when you have been successful • Evaluation of programs and services Open Space Responses • FNIHB provide a summary report of the Pilot Projects Flexible Transfer Process: report will include: activities, funding, challenges, positive impact, and identified new opportunities for these communities. This report made available to all First Nations communities. • Consultation process needs to change, community members need to be informed at the community level. • Recommendation: First Nations Health Council should apply knowledge management principles and process to collect, analyze and assimilate knowledge on aboriginal health topics in an effective and efficient manner; otherwise, how can First Nations benefit? We have limited time and resources. A lot of great work has been done on indigenous health. Learn what knowledge management is and how to do it. Topics as directed by First Nations. Caring for first Nations Children Society of Canada does knowledge management well – be as good. 25 VANCOUVER, bC • mAY 20 - 21 , 2008
Page 1: Second Annual Forum Vancouver, BC
Page 5 and 6: INTRODUCTION On may 20 th - 21 st-
Page 7 and 8: THE REPORT ON THE 2008 FORUM This n
Page 9 and 10: Dr. Adams spoke of the importance o
Page 11 and 12: At the 1 st Annual Forum, a number
Page 13 and 14: spoke to the minimum standards for
Page 15 and 16: DAY TWO: THURSDAY, MAY 22, 2008 OPE
Page 17 and 18: CLOSING KEYNOTE SPEAKER Dr. Martin
Page 19 and 20: FINAL WRAP-UP Dr. Evan Adams, Abori
Page 21 and 22: APPENDIX A: BREAKOUT GROUP DISCUSSI
Page 23 and 24: any event/access (i.e., leisure acc
Page 25 and 26: HEALTH SERVICES The underlying goal
Page 27: Dental The First Nations Regional L
Page 31 and 32: PROFESSIONAL DEVELOPMENT WORKSHOPS
Page 33 and 34: This interactive forum theatre faci
Page 35 and 36: # OF RESPONSES “Getting a sense o
Page 37 and 38: “The one thing I liked the best w
Page 39 and 40: “Experimental learning on getting
Page 41 and 42: Delegate Cross, Nicole Laxgalts'ap
Page 43 and 44: VANCOUVER, bC • mAY 20 - 21 , 200
Page 45 and 46: Delegate Rosal, Assunta Health and
Page 47 and 48: Note Taker Springinotic, Carla Acti
Page 49: II Second Annual Forum Vancouver, B

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