ESTABLISHING FIRST NATIONS HEALTH & WELLNESS Gathering Wisdom - - PDF document
12/12/2016 Image credit: Juan Solorzano ESTABLISHING FIRST NATIONS HEALTH & WELLNESS Gathering Wisdom INDICATORS FOR THE NEXT 10 YEARS Dr. Perry Kendall and Dr. Evan Adams November 30, 2016 1 Live Graphic Recording From the Chief Medical
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Gathering Wisdom
November 30, 2016 Image credit: Juan Solorzano
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Live Graphic Recording From the Chief Medical Officer of FNHA & Provincial Health Officer Partnership Workshop
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PARTNERSHIP BASED ON TRUST AND RESPECT
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PHO, Office of the CMO and other FNHA departments.
Berry, Adrienne Bonfonti and;
McDonald, Dr. Shannon Waters, Harmony Johnson, Judith Eigenbrod, Laurel Lemchuk-Favel, Rebecca Love, Ashraf Mohammed, Megan Misovic, Anita Christoff
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12/12/2016 4 Support FNHA’s vision for Healthy, Self-Determining, & Vibrant BC First Nations Children, Families, & Communities by:
will measure and report on for the next 10 years.
Transformative Change Accord First Nations Health Plan.
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Indicator Source Infant mortality Vital Statistics Children with healthy Body Mass Index (BMI) (Note: This indicators was previously obese children) Survey/Canadian Community Health Survey Youth suicide Vital Statistics Diabetes prevalence Ministry of Health Age-standardized mortality rate Vital Statistics Life expectancy Vital Statistics Number of practicing, certified FN HCPs To be determined
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* The final interim update is scheduled for release in 2017 to report on data up to 2015.
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( RAT E PER 10,000 POPULATION)
Progress since Baseline
Projected to meet Target
PROJECTIONS: SI before TCA: 3.53 Current: 2.23 Previous (2010) : 2.18 Target: 2.10 OR before TCA: 0.66
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( RAT E PER 100 POPULATION)
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First Nations Perspective on Wellness
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Two-Eyed Seeing is “learning to see from one eye with the strengths of Indigenous knowledges & ways of knowing, & from the other eye with the strengths of Western knowledges & ways of knowing…& learning to use both these eyes together, for the benefit of all,” championed by Elder Albert Marshall (Mi’kmaw Nation).
Source: Stiefel M, Nolan K. 2012. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement. First Nations Perspective on Wellness 13
Image credit: University of Northern British Columbia
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are acting to address the structural
local control over land, resources, services & decision-making structures.
ways of knowing & being, including connection to land, culture, language, community, & family balance, self- reliance etc.
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Many First Nations have especially good health and wellness outcomes.
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build, share & spread those successes!
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Missing Indigenous Women’s Inquiry.
Social, Cultural, Economic, Environmental Land, Nations, Community, Family Mental, Physical, Spiritual, Emotional Health & Wellness Outcomes Health System FNHA Programs
Justice Air and water quality Nurturing spirit: Balance Chronic diseases/conditions Cancer screening Physical Activity Programs Income Elders sharing knowledge with community Self-rated overall health Body Mass Index Immunizations Number of steps from Fitbit challenges Number of Aboriginal Businesses Perceived community safety, strengths, challenges, progress/change, participation in cultural events Positive Mental Health Scale Diabetes and related comorbidities Access to maternal supports and services Medical transportation Investment in Training / Infrastructure Social and community support Mental Mastery Scale Hospitalizations of children Attachment to a primary care provider First Responder Training Collaboration between different
Forums for sharing best practices Illicit drug use Exposure to second hand smoke Resource intensity for hospitalized person Traditional medicines benefits coverage Housing in need of minor and/or major repairs Number of communities with completed Comprehensive Community Plans Healthy eating: Fruits and vegetables Growth chart Confidence to ask questions relating to my
Aboriginal Head-start program Access to private/public transportation Community Gardens Communicable diseases Health Education Programs in Community Children in care Self-identified healers in community HIV Cascade of Care Pre and post-natal education
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Indicator Data Aboriginal Knowledge Education: Graduation rates Ministry of Education To be determined – stories, art, songs, traditional ecological knowledge Food security Regional Health Survey (RHS) or Canadian Community Health Survey (CCHS) Adequacy of housing Census
Image credit: Native Education College
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Indicator Data Aboriginal Knowledge
Cultural Wellness - a combined indicator of:
community RHS To be determined – stories, art, songs, traditional ecological knowledge
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Indicator Data Aboriginal Knowledge
Cultural Wellness - a combined indicator of:
community RHS To be determined – stories, art, songs, traditional ecological knowledge
Image credit: Simon Fraser University, 2015
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Indicator Data Aboriginal Knowledge
Cultural Wellness - a combined indicator of:
community RHS To be determined – stories, art, songs, traditional ecological knowledge
Image credit: Aboriginal T
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Indicator Data Aboriginal Knowledge
Cultural Wellness - a combined indicator of:
community RHS To be determined – stories, art, songs, traditional ecological knowledge
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Indicator Data Aboriginal Knowledge
Cultural Wellness - a combined indicator of:
community RHS To be determined – stories, art, songs, traditional ecological knowledge
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Indicator Data Aboriginal Knowledge
Experience of cultural safety & humility in receiving health services
In-patient survey among hospital patients (PREMS) To be determined – stories, art, songs, traditional ecological knowledge
Avoidable hospitalizations (ambulatory care sensitive conditions)
Ministry of Health
HEALTH SYS YSTEMS
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Indicator Data Aboriginal Knowledge Decision-making, human and economic capacity
Index using multiple sources
To be determined – stories, art, songs, traditional ecological knowledge
Ecological health:
important species (salmon, moose, elk)
harvested in a season To be determined
Image credit: World Wildlife Foundation
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Indicator Data Aboriginal Knowledge Level of physical activity
RHS/Canadian Community Health Survey (CCHS)
To be determined – stories, art, songs, traditional ecological knowledge Number of children with healthy teeth (no cavities)
Health Canada
Smoking commercial tobacco
RHS/CCHS
Image credit: Spirit Magazine
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Indicator Data Aboriginal Knowledge Healthy infant birth weights
Perinatal Services BC
To be determined – stories, art, songs, traditional ecological knowledge Alcohol-related deaths
Vital Stats Agency
Serious injuries requiring hospitalization
Ministry of Health
Self-reported mental/emotional well-being
RHS/CCHS
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Establishing knowledge and a system of measurement and reporting that reflects the First Nations Perspective of Wellness to measure our progress over the next 10 years. Moving us from deficits to strengths, from sickness to wellness. Towards our vision of “Healthy, Self- Determining, & Vibrant BC First Nations Children, Families, & Communities.”
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