eANISKOPITAK COACH Conference – Vancouver BC

JUNE 7, 2016

MANITOBA FIRST NATIONS

eHEALTH LONG TERM STRATEGY

A 10 YEAR PLAN FOR ACTION 2012-2022

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First Nation Communities Tribal Councils

Provincial Territorial Organizations eHealth Partners / Organizations

Chiefs Committees

2006 – 2012 Workshops: Goals: Develop a

1. First Nations Governance Model for eHealth

2. Long Term Strategy for eHealth 3. Technology Council

Reports + Feedback from First Nations &

eHealth Partners on moving

forward with eHealth & ICT

MANITOBA FIRST NATIONS eHEALTH LONG TERM STRATEGY

Passed by the Executive Council of Chiefs: March 22, 2012, at Brokenhead Ojibway Nation

Define & Prioritize Long & Short Term Objectives for

eHealth

Communication Networks &

Training

Use eHealth Infostructures to

help provide better patient

care

MFNs Technology

Council

High-speed Industrial Strength

Connectivity

ICT Capacity Development

A 10 YEAR PLAN FOR ACTION 2012-2022

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YOUTH ICT Identify youth

issues, Discuss technology in FNs & digital

divide, Web V/C & online tools for meetings

TECHNOLOGY DEVELOPMENT Develop the 10-year

MFNs Technology plan & ICT Capacity

Development Strategy

BUILDING THE MFNs NETWORK

Address connectivity

issues & building high-speed

industrial grade connectivity to

MFNs

MFNTC Committees

eANISKOPITAK Proposed Composition:

• 2 Co-Chair Chiefs • 7 Tribal Council Reps • 2 Independent North & 2 South • 1 Elder + 1 Youth Advisors

MANITOBA FIRST NATIONS TECHNOLOGY COUNCIL

• 7 Tribal Council Representatives • Independent North & South

communities are represented by the Co-Chair Chiefs

• Chief David Crate – Fisher River Cree Nation

• Chief Nelson Genaille – Sapotaweyak Cree Nation

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VISION – formation of eANISKOPITAK “Tying together the clusters through eHealth systems”

• eHealth tools will help create a supportive and effective network that overcomes jurisdictional issues & maximizes resources to support collaborative efforts

• Manitoba First Nations will • Drive & Control the eHealth Long Term Strategy, adhering to OCAPTM Principles • Ensure sovereignty & control of data systems & information • Build capacity through the future ICT Centre of Excellence

• Dissolve the interim eHealth Advisory Partnership that is co-chaired by FNIHB

eANISKOPITAK

MANDATE • Assembly of Manitoba Chiefs & Nanaandawewigamig (First Nations Health and

Social Secretariat of Manitoba) Resolution MAR-16.05 [Appendix A] VISION • The purpose of eANISKOPITAK is to tie together the clusters through eHealth

systems. True coordination of care in the health realm will be realized when most systems are interoperable with the community programs.

MISSION • To carry out the “Manitoba First Nations (MFNs) eHealth Long Term Strategy

(eHLTS): A 10-Year Plan for Action 2012-2022” that outlines the 6 Overall Goals of First Nations driven wholistic planning for implementation of eHealth tools to assist with & enhance healthcare delivery in an OCAP compliant environment.

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KEY COMPONENTS OF RESOLUTION PASSED AT AMC/FNHSSM JOINT CHIEFS ASSEMBLY MARCH 2016 [MARCH-16.05]

1. Amendments to eHealth Long Term Strategy i. Technical Readiness Needs Assessments ii. Interoperability of eHealth Applications iii. Establish a new Governance Plan:

a. Formation of eANISKOPITAK “Tying together the clusters through eHealth systems”

b. Transition Plan of FNIHB eHealth Solutions Unit – MB Resources and Supports

Technical Readiness Assessments

• Deployment processes in provincial & federal eHealth initiatives are fragmented & financial support only exists for MFN test or sample sites

• Technical Readiness Assessments for every single First Nation • Currently assessments are incomplete • It is critical that ALL First Nations health facilities are included as deployment sites for

the existing & future initiatives that are rolled out for eHealth applications, in a phased approach that includes community technical needs assessments that lead to every single First Nation eventually having said applications

Currently – eHealth Unit has the Northern eMR-cEMR Technical Readiness Assessment Report & the Health Human Resource Inventory – need to build on this

Health Human Resource Inventory

Health Human Resource Inventory

Interoperability of eHealth Applications

• For two systems to be interoperable, they must be able to exchange data & subsequently present that data such that it can be understood by a user

• the applications that are currently being used by First Nations are not being included in the scope of work for eHealth project deliverables, thus interoperability is an afterthought that may or may not be funded during the project timeframes

• Example - 11 Manitoba First Nations Mustimuhw sites • ensure private, secure, standards-based, certified health information solutions are deployed • want to be interoperable – able to “speak” to other provincial/federal electronic systems &

exchange data through OCAPTM compliant Information Sharing Agreements • exchange data through the Manitoba eHealth Health Information Access Layer (HIAL) also known as

“eHealth Hub” • eliminates multiple entry of data into multiple systems

Transition Plan of FNIHB eHealth Solutions Unit – MB Region

• Work with & obtain funding from the First Nations and Inuit Health Branch to

develop an Opportunities & Risk Analyses of a transition plan of the FNIHB-MB eHealth Solutions Unit resources & supports (funded & required)

• Transition to the Nanaandawewigamig eHealth Unit over a phased 3-Year period. The said transition plan would include eventual devolution of services to Nanaandawewigamig and/or the Tribal Councils and/or communities as per community engagement findings

eANISKOPITAK

• Carries out the mandate as passed by the Chiefs in Assembly • ensures a First Nations driven and controlled implementation of the MFNs

eHLTS, concurring to sovereignty & control of data & systems, building capacity now to sustainably operate all eHealth applications that are currently governed & controlled by FNIHB-MB & Manitoba eHealth;

• focusing on wholistic health & wellbeing of individuals, families and communities, and building capacity through the development of the ICT Centre of Excellence.

• The First Nations governance body guiding the Nanaandawewigamig eHealth Unit in the promotion, development, implementation & support of new and ongoing eHealth initiatives for Manitoba First Nations communities.

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Ekosani – Wopida - Miigwech – Ekosi - Mahsi –Thank You!!

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Lisa Clarke eHealth Director Nanaandawewigamig First Nations Health and Social Secretariat of Manitoba 17th Floor Kensington Building Room 1700 – 275 Portage Avenue Winnipeg, MB | R3B 2B3 www.fnhssm.com

Brenda Sanderson Panorama-eHealth Coordinator Tatenda Bwawa First Nations Panorama Project Coordinator Gwen Gillan First Nations Panorama Trainer Bill Murdoch ICT Network Liaison Jonathan Fleury Manitoba First Nations Technology Council Project Manager Doug Thomas Communications Liaison Tracy Thomas eHealth Program Assistant