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Resolution 2011-01 DRAFT Workplan Package - First Nations ...

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<strong>DRAFT</strong><strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong><strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>1


<strong>DRAFT</strong> <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>September 27, <strong>2<strong>01</strong>1</strong>For regional review.


ContentsReference Guide: How to use the materials provided......................4Letter from the <strong>First</strong> <strong>Nations</strong> Health Council....................................5<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Timeline...........................................8Engagement and Approvals Pathway...............................................9<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Project Chart...................................10


Quick Reference Guide:How to use the Material ProvidedDocument TitleHow it links to Gathering Wisdom IV <strong>Resolution</strong>1. <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Timeline The Chiefs in Assembly requested Timeframes:This document is a higher-level illustrative representation of the Project Chart, mapped out along a timeline.2. Engagement and Approvals Pathway The Chiefs in Assembly requested a Decisions Process:This engagement pathway describes a high-level process for informing and making key decisions within the new <strong>First</strong> <strong>Nations</strong> healthgovernance arrangement.3. <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Project Chart The Chiefs in Assembly requested a <strong>Workplan</strong>:This <strong>Workplan</strong> details the implementation of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>, including milestones, timeframes, responsibilities and decisionpoints, and indicators.LegendNumberingColor CodingShapesThe numbering in the left-hand column in the Project Chart and in each of the activities mapped along the Timeline correspond toone another, and refer to the relevant provision of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>.Each numbered activity (arising from <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>) has been assigned a color. This color is used in both the Project Chartand the Timeline; the colors in the Project Chart and the Timeline correspond to allow you to easily reference any particular activityin both documents.Shapes have been used (and correspond to one another) in both: the Timeline – in each activity box along the timeline; and, in theProject Chart – in the column “Symbols”. These shapes signify the following:- That decision-making is involved. The colour of the shape indicates who is responsible for that decisiono Black Triangle: <strong>First</strong> <strong>Nations</strong> Chiefso Yellow Triangle: Regional Caucuseso Red Triangle: <strong>First</strong> <strong>Nations</strong> Health Council- That a particular group has a role in the implementation of that activity. The colour of the shape indicates which group(s)are involved:o Yellow Square: Regional Caucuseso Red Square: <strong>First</strong> <strong>Nations</strong> Health Councilo Purple Square: FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directorso Green Square: <strong>First</strong> <strong>Nations</strong> Health Society<strong>First</strong> <strong>Nations</strong> Chiefs Voting atGathering WisdomTripartiteAgreement4 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


September 27th, <strong>2<strong>01</strong>1</strong>Dear <strong>First</strong> <strong>Nations</strong> Chiefs and Health Leads,On May 26th <strong>2<strong>01</strong>1</strong>, BC <strong>First</strong> <strong>Nations</strong> leaders passed a historic resolution to approve the transfer of <strong>First</strong> <strong>Nations</strong> health programsand services from federal control to <strong>First</strong> <strong>Nations</strong> control. Through <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> and the “Consensus Paper: BritishColumbia <strong>First</strong> <strong>Nations</strong> Perspectives on a New Health Governance Arrangement,” <strong>First</strong> <strong>Nations</strong> provided clear direction on thestandards of this new arrangement, and tasked the <strong>First</strong> <strong>Nations</strong> Health Council with clear next steps in implementation.One of the immediate next steps that <strong>First</strong> <strong>Nations</strong> directed the <strong>First</strong> <strong>Nations</strong> Health Council to undertake was the developmentof a <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>, which is to be provided to Regional Caucuses for review and feedback. This <strong>Workplan</strong> wasto include specific key activities clearly set out in the <strong>Resolution</strong>, such as: signing of the Framework Agreement; supporting thedevelopment of Regional Caucuses and Tables; and, establishing a strategy and approach for the conclusion of sub-agreements.The <strong>First</strong> <strong>Nations</strong> Health Council was directed to provide this <strong>Workplan</strong> by September 1, <strong>2<strong>01</strong>1</strong>. However, due to unanticipateddelays in approvals of the Framework Agreement by the Government of Canada, work planning was delayed, and we appreciateyour patience. To balance this delay, we will extend the deadline for feedback on this <strong>Workplan</strong> from Regional Caucuses toDecember 31, <strong>2<strong>01</strong>1</strong> (from December 1, <strong>2<strong>01</strong>1</strong>).As directed, this <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong> is enclosed, and consists of three elements (note that a Quick Reference Guide toassist you in reviewing this <strong>Workplan</strong> is included as part of this package):1.) <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> TimelineThis timeline is a high-level, color-coded representation of the more detailed “<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Project Chart”described in section 2 of this document. The milestones, decision points and responsibilities are mapped along a two-yeartimeline. A legend is set out at the bottom of the timeline for ease of use.2.) Engagement and Approvals PathwayA very important feature of the enclosed workplan is the draft engagement pathway. Through <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> passedat Gathering Wisdom IV, <strong>First</strong> <strong>Nations</strong> called upon the <strong>First</strong> <strong>Nations</strong> Health Council to design and describe a process for keydecisions. This process must be consistent with the 7 Directives and the principle of Reciprocal Accountability as adopted by<strong>First</strong> <strong>Nations</strong> in the Consensus Paper. The enclosed pathway describes 5 basic steps in a <strong>First</strong> <strong>Nations</strong> health engagement anddecision-making process: 1) Engagement; 2) Discussion Document; 3) Engagement Summary; 4) Building Consensus; and, 5)Ratification.<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>5


This pathway model will enable the FNHC to gather <strong>First</strong> <strong>Nations</strong> input and guidance for key decisions of the <strong>First</strong> <strong>Nations</strong>health governance structure. This engagement and approvals pathway could be included in the governing documents of the<strong>First</strong> <strong>Nations</strong> Health Council, <strong>First</strong> <strong>Nations</strong> Health Directors Association, and a future <strong>First</strong> <strong>Nations</strong> Health Authority, so that<strong>First</strong> <strong>Nations</strong> have clarity and certainty about the process for decision-making, and know that their voice and direction will beheard on key decisions such as program redesign.3.) <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>: Project ChartIn table format, this workplan provides the detailed approach to the implementation of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> over the next twoyears. This table is organized as follows:• Milestones: Each milestone is taken directly from <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> (and, for easy reference, is numbered inaccordance with the relevant provision of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>). For each milestone, a series of action items required toachieve that milestone are described.• Timeframes: The anticipated timeframes for the commencement and completion of the milestones and action items overthe next two years.• Responsibilities and Decision Points: The roles and responsibilities for the implementation of the milestones and actionitems (note that, not only are the decision-making responsibilities included here, but also roles in oversight, advice, andimplementation of the milestones and action items). The majority of the decision points rest with <strong>First</strong> <strong>Nations</strong> at theregional level, and not with the <strong>First</strong> <strong>Nations</strong> Health Council, <strong>First</strong> <strong>Nations</strong> Health Directors Association, or <strong>First</strong> <strong>Nations</strong>Health Society.• Indicators: Key indicators and benchmarks to measure progress in the implementation of each milestone.This <strong>Workplan</strong> is important for setting the goalposts and process to keep our work on track over the next two years. At thesame time, however, we have learned that flexibility is fundamentally important. As noted by Barry Phillips, CEO of BigstoneHealth Commission, at Gathering Wisdom for a Shared Journey IV, “Monday’s plan may last until Tuesday.” We are in aconstantly shifting and evolving environment, and while we need a clear and commonly understood plan, we also need to beagile enough to take advantage of new opportunities, or address unexpected issues as they arise, including issues such asthe availability of resources and the perspectives of our tripartite partners.Perhaps, even more fundamentally important than this short-term <strong>Workplan</strong> is the long-term collective commitment to, andsupport for, a shared vision and values of the <strong>First</strong> <strong>Nations</strong> health governance structure – ensuring that we are all workingtowards the same goal and for the same purpose. In the coming months, we will circulate to all <strong>First</strong> <strong>Nations</strong> a <strong>First</strong> <strong>Nations</strong>6 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


Health Governance Structure Workbook. We will ask for your advice on a collective vision for <strong>First</strong> <strong>Nations</strong> health, andthe mission statements and roles and responsibilities of the <strong>First</strong> <strong>Nations</strong> Health Council, <strong>First</strong> <strong>Nations</strong> Health DirectorsAssociation, the <strong>First</strong> <strong>Nations</strong> Health Authority, and <strong>First</strong> <strong>Nations</strong> Regional Caucuses - including the relationship between allof these various components. We will also seek your input on the governance structure of these various components, suchas their membership and appointment processes.Thank you in advance for your wisdom and guidance with respect to the enclosed <strong>Workplan</strong>. A series of Regional Caucussessions have been scheduled over the coming weeks and months to obtain your valued advice and input into this importantdocument. Your feedback and input is crucial to the ongoing success of this work. We look forward to seeing all of you atthe upcoming round of regional caucus sessions to build on the momentum and unity achieved at the Gathering WisdomForum IV, and to continue this historic process of <strong>First</strong> <strong>Nations</strong> health governance reform.Sincerely,FIRST NATIONS HEALTH COUNCILMarjorie McRaeNorthern RegionJames WilsonVancouver Island RegionCliff AtleoVancouver Island RegionErnest ArmannVancouver Coastal RegionChief Maureen ChapmanFraser RegionChief Ko’waintco MichelInterior RegionShana MansonVancouver Island RegionGwen PhillipsInterior RegionChief Bernie ElkinsInterior RegionGrand Chief Doug KellyFraser RegionWarner AdamNorthern RegionChief Willie CharlieFraser RegionCharles NelsonVancouver Coastal RegionLaura WebbNorthern RegionLeah- George WilsonVancouver Coastal Region<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>7


1.) RESOLUTION <strong>2<strong>01</strong>1</strong>-<strong>01</strong> WORKPLAN TIMELINEDirective #1: Community-Driven, Nation-BasedDirective #2: Increase <strong>First</strong> <strong>Nations</strong> Decision-Making and ControlDirective #3: Improve Services (Consistent with the Principle of Comparability)Directive #4: Foster Meaningful Collaboration and PartnershipDirective #5: Develop Human and Economic CapacityDirective #6: Be Without Prejudice to <strong>First</strong> <strong>Nations</strong> InterestsDirective #7: Function at a High Operational Standard3(a)53(b)Signing of FrameworkAgreementJuly<strong>2<strong>01</strong>1</strong>Appoint ImplementationCommitteeDevelop Strategy & Approach for theConclusion of Sub-Agreements<strong>First</strong> <strong>Nations</strong> Health GovernanceStructure Workbook ProcessPrepare Implementation PlanImplementation of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>Implementation of Regional Caucus and Regional Table <strong>Workplan</strong>sMake Room for Everyone StrategyPublic Advocacy, Engagement, Relationships, Accountability and ReportingSub-Agreement NegotiationsAugust September October November December January February March April May June July August September October November December2<strong>01</strong>23(c)3(d)Finalize Health PartnershipAccord3(f)543(e)3(d)Amend FNHS Bylaws & Constitution toensure consistency withFramework Agreement3(b)63(g)3(g)3(g)GatheringWisdom VWorkPlan forImplementation of<strong>First</strong> <strong>Nations</strong> HealthGovernance StructureRegional Caucus RHA PartnershipAgreements CompleteImplementation of Regional Caucus and Regional Table <strong>Workplan</strong>sAppoint interim FNHA Board of Directors3(f)6January February March Apr2<strong>01</strong>3Regional Health and Wellness PlaCompleteRESOLUTION <strong>2<strong>01</strong>1</strong>-<strong>01</strong>Implementation ofthis <strong>Workplan</strong> willbe consistent withthe 7 Directivesidentified in theConsensus Paper.4<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong><strong>Workplan</strong> to Regions3(g)43(f)Regional Feedback to<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>Regional Caucus and Regional Table Terms of Referencefinalized, including appointments toRegional TablesFinalize criteria and process for appointments to interim FNHA Boardof DirectorsFNHC Leadership, Oversight &FNHDA Technical AdviceFNHS Operational Advice & ImRegional Caucus Leadership &Tripartite Agreement


6GatheringWisdom VI2.) ENGAGEMENT AND APPROVALS PATHWAYThis pathway model will enable the FNHC to gather <strong>First</strong> <strong>Nations</strong> input and guidance for keydecisions of the <strong>First</strong> <strong>Nations</strong> health governance structure. This engagement and approvalspathway could be included in the governing documents of the <strong>First</strong> <strong>Nations</strong> Health Council, <strong>First</strong><strong>Nations</strong> Health Directors Association, and a future <strong>First</strong> <strong>Nations</strong> Health Authority, so that <strong>First</strong><strong>Nations</strong> have clarity and certainty about the process for decision-making, and know that theirvoice and direction will be heard on key decisions such as program redesign.il May June July August September October November Decemberns3(g)WORKPLANAdvocacyplementationAdvice<strong>First</strong> <strong>Nations</strong> Chiefs Voting atGathering Wisdom<strong>First</strong> <strong>Nations</strong> Chiefs Decision MakingRegional Caucus Decision MakingFNHC Decision Making


3.) RESOLUTION <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>DRAFT</strong> WORKPLAN: PROJECT CHARTThis <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>DRAFT</strong> <strong>Workplan</strong>: Project Chart sets out the next steps, milestones, timeframes, key decision points and responsibilities,and indicators for the implementation of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> passed by <strong>First</strong> <strong>Nations</strong> Chiefs at Gathering Wisdom for a Shared Journey IV. RegionalCaucuses will review and provide feedback by the end of the <strong>2<strong>01</strong>1</strong> calendar year. Note that this Project Chart aligns with the <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong><strong>Workplan</strong> Timeline; the Timeline document is an illustrative representation of this Project Chart.MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(a)Direct the Board of Directors of the <strong>First</strong> <strong>Nations</strong> Health Society to sign the Framework Agreement• Signing of FrameworkAgreementOctober <strong>2<strong>01</strong>1</strong>• FNHC Decision Makingo Direct the FNHS Board of Directors to sign theFramework Agreement• FNHS Operational Advice & Implementationo Undertake activities to carry out FNHCrecommendation• Signed FrameworkAgreement3(b)Develop a strategy and approach for the conclusion of sub-agreements to the Framework Agreement• Develop Strategy & Approachfor the Conclusion of Sub-Agreements and share withRegional CaucusesSeptember<strong>2<strong>01</strong>1</strong>(5 months)• Regional Caucus Leadership and Adviceo Provide feedback on the negotiations processdocument• FNHC Decision Makingo Adopt negotiations process documentincluding appointing negotiations teams forsub-agreement negotiationso Guide negotiations strategy• FNHS Operational Advice & Implementationo Make recommendations on negotiationsprocess matterso Provide analysis, research, considerations• Negotiations ProcessDocument sharedwith RegionalCaucuses10 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(b)• Sub-Agreement NegotiationsApril 2<strong>01</strong>2 toDecember 2<strong>01</strong>3(19 months)• FNHC Decision Makingo Provide direction to negotiationso Approve sub-agreementso Direct the FNHS Board of Directors to signapproved Sub-Agreementso Participate on negotiations teams as required• FNHS Operational Advice & Implementationo Make recommendations on negotiations andparticipate on negotiations teams as requiredby the FNHCo Conduct research, analysis, and preparedocumentso Negotiations, logistics and administration• Completed FundingAgreements• Completed Sub-Agreements (HumanResources andRecord Transfer;InformationManagement andInformation Sharing;Non-Insured HealthBenefits; Assetsand Software;Accommodation;Capital Planning and<strong>First</strong> <strong>Nations</strong> HealthFacilities; Alignmentor Terminationof Canada’sContributionAgreements)3(c)Engage with federal and provincial governments to finalize the Health Partnership Accord• Finalize Health PartnershipAccordTarget:December <strong>2<strong>01</strong>1</strong>• FNHC Decision Makingo Provide leadership for the discussions andprocess to conclude the Health PartnershipAccordo Approval and signing of Health PartnershipAccord• FNHS Operational Advice & Implementationo Conduct research, analysis, draftingo Make recommendations on health partnershipmatters• Completed HealthPartnership Accord<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>11


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(d)Engage with federal and provincial governments to prepare the implementation plan and strike the tripartite implementation committee• Appoint ImplementationCommittee• Prepare Implementation PlanTarget:December <strong>2<strong>01</strong>1</strong>Target:February 2<strong>01</strong>2to June 2<strong>01</strong>2(5 months)• FNHC Decision Makingo Make appointment to ImplementationCommittee• FNHS Operational Advice & Implementationo Make appointment to ImplementationCommittee• FNHC Decision-Makingo Establish process for development of theImplementation Plano Provide guidance to the content of theImplementation Plano Provide approval to final Implementation Plan• FNHS Operational Advice & Implementationo Provide advice and recommendations relatedto the implementation plano Provide drafting and logistical support toImplementation Committeeo Provide approval to final Implementation Plan• EstablishedImplementationCommittee• CompletedImplementation Plan12 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(e)Develop models and options for a <strong>First</strong> <strong>Nations</strong> Health Authority• <strong>First</strong> <strong>Nations</strong> Health GovernanceStructure Workbook Processo Roll out <strong>First</strong> <strong>Nations</strong>Health GovernanceStructure Workbook,including models andoptions for a <strong>First</strong> <strong>Nations</strong>Health Authorityo <strong>First</strong> <strong>Nations</strong> providefeedback on Workbooko Develop RegionalSummaries of feedbackinto Workbook and buildconsensus within regionso Develop provincewideConsensus Paper:<strong>First</strong> <strong>Nations</strong> HealthGovernance Structurefor consideration of <strong>First</strong><strong>Nations</strong> at GatheringWisdom VJanuary <strong>2<strong>01</strong>1</strong> toMay 2<strong>01</strong>2(5 Months)• Regional Caucus Leadership and Adviceo <strong>First</strong> <strong>Nations</strong> provide feedback throughWorkbook and Regional Caucus sessionso <strong>First</strong> <strong>Nations</strong> build consensus within regionsand across BC on the <strong>First</strong> <strong>Nations</strong> HealthGovernance Structure• FNHC Leadership, Oversight & Advocacyo FNHC provides leadership and guidance toWorkbook processo FNHC members attend and provide leadershipto Regional Caucus sessions• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Health Directors attend Regional Caucussessions and provide advice and support to<strong>First</strong> <strong>Nations</strong> leaders• FNHS Operational Advice & Implementationo Development of models and options for the<strong>First</strong> <strong>Nations</strong> Health Governance Structure,including the <strong>First</strong> <strong>Nations</strong> Health Authorityo Drafting of Workbook, regional summaries,Consensus Papero Coordinate logistics for Regional Caucussessions• <strong>First</strong> <strong>Nations</strong>Health GovernanceStructure Workbookincluding modelsand options for a<strong>First</strong> <strong>Nations</strong> HealthAuthority• Number ofcompletedworkbooks and/orfeedback capturedthrough RegionalCaucus and othermeeting summaries• Number of <strong>First</strong><strong>Nations</strong> participatingthrough Workbookprocess• Regional Summariesof Feedback• Province-wideConsensus Paper:<strong>First</strong> <strong>Nations</strong>Health GovernanceStructure<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>13


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(f)Direct the <strong>First</strong> <strong>Nations</strong> Health Society to take steps to become the interim <strong>First</strong> <strong>Nations</strong> Health Authority and begin the early steps inimplementing the new health governance arrangement• Amend FNHS bylaws to ensureconsistency with FrameworkAgreementOctober <strong>2<strong>01</strong>1</strong>to April 2<strong>01</strong>2(7 Months)• FNHC Decision Makingo FNHC, as FNHS members, approve bylawchanges• FNHS Operational Advice & Implementationo Conduct analysis and providerecommendations and drafts for considerationo Provide legal adviceo Register changes in accordance with the BCSocieties Act• Amended FNHSbylaws• Finalize criteria and process forappointments to interim FNHABoard of DirectorsNovember<strong>2<strong>01</strong>1</strong> to April2<strong>01</strong>2(6 Months)• Regional Caucus Decision Makingo Endorse criteria and process for appointmentof interim FNHA Board of Directors• FNHC Decision Makingo Endorse structure of interim FNHA Board ofDirectors• FNHS Operational Advice & Implementationo Provide research, analysis, drafting support,recommendations• Completed criteriaand competencies forinterim FNHA Boardmembers• Appoint interim FNHA Board ofDirectorsApril toSeptember2<strong>01</strong>2(6 Months)• Regional Caucus Decision Makingo Potentially make appointments to interimFNHA Board of Directors• FNHC Decision Makingo Potentially make appointments to interimFNHA Board of Directors• FNHS Operational Advice & Implementationo Provide operational and logistical support tothe appointment of interim FNHA Board ofDirectors• Appointments tointerim FNHA Boardof Directors14 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(g)Support Regional Caucuses to develop Regional Tables• Regional Caucus & RegionalTable Terms of Referencefinalized, includingappointments to RegionalTablesTarget: May2<strong>01</strong>2• Regional Caucus Decision Makingo Approve Terms of Referenceo Appoint Regional Tables• FNHC Leadership, Oversight & Advocacyo Provide leadership to ensure RegionalCaucuses develop Terms of Reference andestablish Regional Tables• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Health Directors provide advice and support to<strong>First</strong> <strong>Nations</strong> leaders, Regional Caucuses, andRegional Tables as required• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupport• Number ofcompleted RegionalCaucus and RegionalTable Terms ofReference• Implementation of RegionalCaucus & Regional Tables<strong>Workplan</strong>sTarget: May2<strong>01</strong>2 andongoing• Regional Caucus Decision Makingo Approve <strong>Workplan</strong>s• FNHC Leadership, Oversight & Advocacyo Provide leadership to ensure RegionalCaucuses develop <strong>Workplan</strong>s• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Health Directors provide advice and support to<strong>First</strong> <strong>Nations</strong> leaders, Regional Caucuses, andRegional Tables as required• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupport• Appropriateindicators to beestablished byeach region in theirregional workplans,including for therelationship andservice delivery withRegional HealthAuthority<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>15


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS3(g)• Regional Caucus - RegionalHealth Authority PartnershipAgreements CompleteTarget:November2<strong>01</strong>2• Regional Caucus Decision Makingo Approve Partnership Agreements Plans• FNHC Leadership, Oversight & Advocacyo Provide guidance to ensure PartnershipAgreements are negotiated• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Health Directors provide advice and support to<strong>First</strong> <strong>Nations</strong> leaders, Regional Caucuses, andRegional Tables as required• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupport• Number ofcompleted RegionalCaucus-RegionalHealth AuthorityPartnershipAgreements• Regional Health & WellnessPlans CompleteTarget May2<strong>01</strong>3• Regional Caucus Decision Makingo Approve Health & Wellness Plans• FNHC Leadership, Oversight & Advocacyo Provide leadership to ensure RegionalCaucuses develop Health & Wellness Plans• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Health Directors provide advice and support to<strong>First</strong> <strong>Nations</strong> leaders, Regional Caucuses, andRegional Tables as required• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupporto Support Community Engagement Hubs towork with <strong>First</strong> <strong>Nations</strong> to develop health andwellness plans• Number ofcompleted RegionalHealth and WellnessPlans16 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS4 Develop a <strong>Workplan</strong> for the implementation of <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>, including: milestones; timeframes; key decision points; a process toidentify indicators• <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong> toRegions• Regional feedback to <strong>Resolution</strong><strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>• Implementation of <strong>Resolution</strong><strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>September<strong>2<strong>01</strong>1</strong>• FNHC Decision Makingo Provide direction for development of workplan,and approve workplan for circulation to <strong>First</strong><strong>Nations</strong>• FNHS Operational Advice & Implementationo Provide research, analysis, andrecommendationso Provide technical, drafting, and logisticalsupportDecember <strong>2<strong>01</strong>1</strong> • Regional Caucus Leadership & Adviceo Provide feedback into workplan• FNHC Leadership, Oversight & Advocacyo Provide leadership to Regional Caucusdiscussions on workplan• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupportOngoing • Regional Caucus Leadership & Adviceo Provide feedback into implementation ofworkplan• FNHC Leadership, Oversight & Advocacyo Provide direction for implementation ofworkplano Report to Regional Caucuses onimplementation of workplan• FNHS Operational Advice & Implementationo Provide research, analysis, andrecommendationso Provide technical, drafting, and logisticalsupport• Completed draft<strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>workplan• Regional Caucussessions in eachregion to providefeedback• Number ofworkplan feedbacksubmissions and/orfeedback capturedthrough RegionalCaucus meetingsummaries<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>17


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS5 <strong>First</strong> <strong>Nations</strong> Health Council Advocacy, Engagement and Accountability• Relationshipso Social determinantsmeetings with federaland provincial DeputyMinisters tableso Develop relationshipswith Councils and <strong>First</strong><strong>Nations</strong> organizationsin support of addressingsocial determinants ofhealtho Develop urban strategyOngoing • FNHC Leadership, Oversight & Advocacyo Provide leadership, oversight, direction tostrategic-level meetings and relationships with<strong>First</strong> <strong>Nations</strong> organizations• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Provide advice on social determinants issues• FNHS Operational Advice & Implementationo Provide research, analysis, advice andrecommendationso Provide technical, drafting, and logisticalsupport• Number andoutcomes of politicaladvocacy and socialdeterminants ofhealth meetings• Number andoutcomes ofmeetings andestablishmentof relationshipagreement(s)with Councilsand <strong>First</strong> <strong>Nations</strong>organizations onsocial determinantissues• Accountability and Reportingo FNHC regionalrepresentatives reportingto Regional Caucusmeetingso FNHC presentations tomeetings of other <strong>First</strong><strong>Nations</strong> province-levelpolitical organizationso Annual reportingo Regular reports,communiqués, e-blasts,and other updates to <strong>First</strong><strong>Nations</strong>o Implementation ofEngagement andApproval PathwayOngoing • FNHC Leadership, Oversight & Advocacyo Report to <strong>First</strong> <strong>Nations</strong>o Provide strategic direction and leadership tocommunications and outreach efforts• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupport• Consistent updatesand reports to <strong>First</strong><strong>Nations</strong> using avariety of means andmechanisms• Opportunities for<strong>First</strong> <strong>Nations</strong> toprovide guidanceand feedback to theFNHC (includingRegional Caucusmeetings and otherreporting venues)18 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS5• Political Advocacy for Tripartite<strong>First</strong> <strong>Nations</strong> Health Plan and<strong>First</strong> <strong>Nations</strong> community andregional health issuesOngoing • FNHC Leadership, Oversight & Advocacyo Provide strategic political direction andleadership for implementation of the Tripartite<strong>First</strong> <strong>Nations</strong> Health Plano Provide political advocacy on <strong>First</strong> <strong>Nations</strong>health issues• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Provide advice on <strong>First</strong> <strong>Nations</strong> health issuesand health actions• FNHS Operational Advice & Implementationo Provide research, analysis, advice andrecommendationso Provide technical, drafting, and logisticalsupporto Implementation of health actions• Improvements tohealth services for<strong>First</strong> <strong>Nations</strong> in BC• Make Room for EveryoneStrategyo Politically reach out to<strong>First</strong> <strong>Nations</strong> that havenot been a part of theprocess to dateo Maintain outreach andinformation-sharing to all<strong>First</strong> <strong>Nations</strong>o Provide an onboardingpackage to new <strong>First</strong><strong>Nations</strong> Chiefs andleaderso At a senior technical level,provide information to all<strong>First</strong> <strong>Nations</strong> and continueto support a membershipdrive for the FNHDAOngoing • Regional Caucus Leadership & Adviceo Provide input and feedback into FNHCcommunications and outreach• FNHC Leadership, Oversight & Advocacyo Communications and outreach to all <strong>First</strong><strong>Nations</strong> on health issues• FNHDA / <strong>First</strong> <strong>Nations</strong> Health Directors TechnicalAdviceo Outreach and development for BC <strong>First</strong><strong>Nations</strong> health directors• FNHS Operational Advice & Implementationo Provide technical, drafting, and logisticalsupport• Onboarding packagesent to each new<strong>First</strong> <strong>Nations</strong> Chiefelected in BC• Consistent updatesand reports to <strong>First</strong><strong>Nations</strong> using avariety of means andmechanisms• Membershipparticipation in theFNHDA<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>19


MILESTONES TIMEFRAMES RESPONSIBILITIES & DECISION POINTS INDICATORS6 Gathering Wisdom V• Debate on ratification ofConsensus Paper: <strong>First</strong> <strong>Nations</strong>Health Governance Structure• <strong>Workplan</strong> for implementation of<strong>First</strong> <strong>Nations</strong> Health GovernanceStructure (for implementationof ratified outcomes ofGathering Wisdom V, includingpotentially Consensus Paper:<strong>First</strong> <strong>Nations</strong> Health GovernanceStructureMay 2<strong>01</strong>2 • <strong>First</strong> <strong>Nations</strong> Chiefs Decision Makingo Participate in debate on resolution regarding<strong>First</strong> <strong>Nations</strong> Health Governance Structure• FNHC Leadership, Oversight & Advocacyo Provide leadership to discussions and debateon resolution regarding <strong>First</strong> <strong>Nations</strong> HealthGovernance StructureSeptember2<strong>01</strong>2• Regional Caucus Leadership & Adviceo Provide feedback into workplan• FNHC Leadership, Oversight & Advocacyo Provide direction for development of workplano Provide leadership to Regional Caucusdiscussions on workplan• FNHS Operational Advice & Implementationo Provide research, analysis, andrecommendationso Provide technical, drafting, and logisticalsupport• Ratified ConsensusPaper: <strong>First</strong> <strong>Nations</strong>Health GovernanceStructure• Completedworkplan for theimplementation ofany resolution arisingfrom GatheringWisdom V6 Gathering Wisdom VI• Potential debate on ratificationof Consensus Paper: <strong>First</strong><strong>Nations</strong> Health ProgramsTransformation and RedesignNovember2<strong>01</strong>3• <strong>First</strong> <strong>Nations</strong> Chiefs Decision Makingo Participate in debate on potential resolutionregarding program transformation andredesign• FNHC Leadership, Oversight & Advocacyo Provide leadership to discussions and debateon potential resolution regarding <strong>First</strong> <strong>Nations</strong>health program transformation and redesign• Potential ratifiedConsensus Paper:<strong>First</strong> <strong>Nations</strong>Health ProgramsTransformation andRedesign20 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


Notes:<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>21


Notes:22 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>


Notes:<strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>23


24 <strong>DRAFT</strong>- <strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong><strong>DRAFT</strong><strong>Resolution</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong> <strong>Workplan</strong>

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