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First Nations Health Authority
www.fnha.ca www.fnha.ca
Healthy, self-determining and vibrant
First Nations children, families and communities
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Heading
www.fnha.ca
Text
3 October 2011
Seven Directives
www.fnha.ca
1. Community-‐Driven, Na4on-‐Based 2. Increase First Na4ons Decision-‐Making and Control 3. Improve Services 4. Foster Meaningful Collabora4on and Partnership 5. Develop Human and Economic Capacity 6. Be Without Prejudice to First Na4ons Interests 7. Func4on at a High Opera4onal Standard
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Data, Information and Planning Committee
www.fnha.ca
Responsible for the administra7on of the First Na7ons Client File
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www.fnha.ca
§ Data collected from Aboriginal Affairs and Northern Development is being matched annually against BC’s databases to create a new data file -the First Nations Client File (FNCF).
§ The FNCF contains the BC Care Card PHN numbers used by Registered Indians and entitled children
§ The FNCF is currently held in a secure environment at the BC Ministry of Health until such time that the future FNHA has the capacity to take over stewardship of the file.
First Na7ons Client File (FNCF)
Vital Events
AANDC BC Client Registry
First N
a7on
s Client File • BC Client Registry PHN
• AANDC Indian Registry Band Number
www.fnha.ca
1) Applicants fill out one of three forms
Accessing the FNCF
First Nations Client File DAR – Public Health Partners First Nations Client File (FNCF) Data Access Request (DAR)
Public Health Partners Form This form is for Health Authorities (including PHSA and its subsidiaries) and other provincial government ministries to request access to the FNCF.
1. Requester
Requesting Organization Individual Authoring the Request Email Phone
2. Project Overview 2.1 Project Title 2.2 Project Purpose Yes 2.3 What TDQSA Initiative or
TFN Health Plan Priority does the project align with?
2.4 Who are the Tripartite Partners and Committees supporting the project
2.5 Will these data be used to assist with program or policy review?
Please tick one: Yes No Other
______________________________________________ 2.6 Timelines
General conditions for the use of the First Nations Client File
Involvement of appropriate community and/or Tripartite Staff
The design and delivery of public health and health care services for First Nations in BC is changing. Since 2005, a new relationship has been evolving between First Nations leadership and provincial and federal governments. The 2006 Transformative Change Accord: First Nations Health Plan set out a number of action items meant to facilitate closing the gap in health outcomes between First Nations and the general population. At the Gathering Wisdom forum in May 2011, 87% of the Chiefs and representatives in attendance voted in favour of the resolution which will make BC First Nations the first in Canada to take over health service delivery from the federal government. The signing of the
First Nations Client File Proposal Submission First Nations Client File Data Access Request (DAR)
External Research Request Form
1. Researchers and Collaborators Author of DAR Name Position Organization FN
Community Email Phone
☐ ☐ ☐ ☐
General conditions for the use of the First Nations Client File
Involvement of appropriate community and/or Tripartite Staff
The design and delivery of public health and health care services for First Nations in BC is changing. Since 2005, a new relationship has been evolving between First Nations leadership and provincial and federal governments. The 2006 Transformative Change Accord: First Nations Health Plan set out a number of action items meant to facilitate closing the gap in health outcomes between First Nations and the general population. At the Gathering Wisdom forum in May 2011, 87% of the Chiefs and representatives in attendance voted in favour of the resolution which will make BC First Nations the first in Canada to take over health service delivery from the federal government. The signing of the British Columbia Tripartite Framework Agreement on First Nation Health Governance in October 2011 has set the stage for the creation of a new First Nations Health Authority in BC.
With all of these changes, First Nations and their partners will require high quality information and data to support community, regional, provincial and national action.
The First Nations Client File (FNCF) is a valuable tool that will empower public health professionals, policy-‐makers, clinicians, community leaders and researchers with accurate, quality data to answer any number of broad health and social questions and inform key program and policy decisions.
It is critical that the use of the FNCF be aligned with the overarching principles guiding the changes occurring in BC’s health care system with respect to First Nations. The Consensus Paper: British Columbia First Nations Perspectives on a new health governance arrangement lays out seven directives to guide the development of a new health governance arrangement1. These directives were developed over the course of three years by First Nations in over 120 regional and sub-‐regional meetings and thus 1 Select statements taken from the Consensus Paper. For the full document please see: First Nations Health Society. Consensus Paper: British Columbia First Nations Perspectives on a new health governance arrangement. Available from: http://www.fnhc.ca/pdf/Consensus_Paper-_BC_First_Nations_perspectives_on_a_new_Health_Governance_Arrangement-_FIN.pdf
First Nations Client File DAR – Tripartite Partners First Nations Client File Data Access Request (DAR)
Tripartite Partners Form Tripartite Partners include requests from within the BC Ministry of Health, First Nations and Inuit Health, BC Region and the interim First Nations Health Authority. Health Authorities (including PHSA and its subsidiaries) and other provincial government ministries can request access to the FNCF by filling out the public health partners form.
1. Requester Requesting Tripartite
Partner Individual Authoring the
Request Email Phone
General conditions for the use of the First Nations Client File
Involvement of appropriate community and/or Tripartite Staff
The design and delivery of public health and health care services for First Nations in BC is changing. Since 2005, a new relationship has been evolving between First Nations leadership and provincial and federal governments. The 2006 Transformative Change Accord: First Nations Health Plan set out a number of action items meant to facilitate closing the gap in health outcomes between First Nations and the general population. At the Gathering Wisdom forum in May 2011, 87% of the Chiefs and representatives in attendance voted in favour of the resolution which will make BC First Nations the first in Canada to take over health service delivery from the federal government. The signing of the British Columbia Tripartite Framework Agreement on First Nation Health Governance in October 2011 has set the stage for the creation of a new First Nations Health Authority in BC.
With all of these changes, First Nations and their partners will require high quality information and data to support community, regional, provincial and national action.
The First Nations Client File (FNCF) is a valuable tool that will empower public health professionals, policy-‐makers, clinicians, community leaders and researchers with accurate, quality data to answer any number of broad health and social questions and inform key program and policy decisions.
It is critical that the use of the FNCF be aligned with the overarching principles guiding the changes occurring in BC’s health care system with respect to First Nations. The Consensus Paper: British Columbia First Nations Perspectives on a new health governance arrangement lays out seven directives to guide the development of a new health governance arrangement1. These directives were developed over the course of three years by First Nations in over 120 regional and sub-‐regional meetings and thus
1 Select statements taken from the Consensus Paper. For the full document please see: First Nations Health Society. Consensus Paper: British Columbia First Nations Perspectives on a new health governance arrangement. Available from: http://www.fnhc.ca/pdf/Consensus_Paper-_BC_First_Nations_perspectives_on_a_new_Health_Governance_Arrangement-_FIN.pdf
www.fnha.ca
2) Applications are reviewed by the Data Information and Planning Committee (DIPC)
§ The committee is made up of representatives from the Ministry of Health and the First Nations Health Authority
§ Decisions are made via a consensus between the two parties
Access the FNCF
www.fnha.ca
3) Applications are reviewed based on both their objectives and methods. Success applicants:
§ Are planning for programs and services to tangibly improve health services for First Nations
§ Are improving the availability and quality of health information § Involve First Nations in the review and interpretation of results § Focus on key health topics of priority as laid out in the TDQSA
Access the FNCF
www.fnha.ca
4) The Ministry of Health’s Chief Data Steward also reviews the request to ensure individual privacy is protected. If a request is approved, the applicants will receive anonymized information.
Access the FNCF
www.fnha.ca
§ The TDIP committee meets monthly to review data access requests
§ Since November 2011, 14 data access requests have been considered
Use of the FNCF
Knowing where first 7me mom’s live in order to plan for the rollout of a nursing program
Looking at injuries and how they relate to cultural safety
A project looking at factors that determine whether children become placed in care
Looking at injuries and how they relate to consumer products
Producing na7onal vital sta7s7cs and hospital u7liza7on data
Looking at infant mortality as it relates to distance to care
Understanding depression and alcohol use Planning for a vaccine roll-‐out
Understanding communicable diseases Understanding cancer
Repor7ng on the health of Aboriginal women Understanding HIV/AIDS
www.fnha.ca
Other Works
§ Actively engaged in data advocacy § Committees which provide context to various health reports § Investigating other Indigenous models regarding data governance
such as Epi Centres § Health Indicator development from a strenghs-based indigenous
wellness perspective
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Questions & Discussion
www.fnha.ca
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