Pathway to Health and Wellness: Gathering Wisdom X - Richard Jock, Interim Chief Executive Officer January 14-16, 2020
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Pathway to Health and Wellness: Gathering Wisdom X Richard Jock, Interim Chief Executive Officer January 14-16, 2020
www.fnha.ca The Start to Our Journey @$0(A/%&/(/*(86&()*6&.09(
www.fnha.ca A New Approach to Health Services
Highlighting Our Successes
www.fnha.ca
1.Health Benefits Program
2.Primary Health Care
3.Mental Health and Wellness
4.Allocations
5.Community Capital
6.Cultural Safety and Humility
7.Regionalization
1. Health Benefits: Transitions to
www.fnha.ca
Pharmacare and Pacific Blue Cross
BC Pharmacare Plan W www.fnha.ca
Transition Update
• On October 31, 2017, partnered with BC
Pharmacare to implement the new “Plan W”.
• Pharmacare streamlines processes and
increasing FNHA’s ability to affect formulary
changes going forward.
• An evaluation help inform the transition to
Pacific Blue Cross,.
Plan W Evaluation Recommendations www.fnha.ca
Recommendations Actions Taken
FNHA should incorporate Lessons learned from Plan
key lessons into operating W transition were
policies and plans for instrumental in success of
similar initiatives PBC transition
FNHA needs to work with HB has Community
FNs and service providers Engagement Team to
for improvement to Plan W support ongoing changes
to Plan W and other
benefits
FNHA needs to develop HB is implementing plan to
ongoing training for client support education of
and service providers providers and improving
information to Clients
www.fnha.ca Pacific Blue Cross Transition Update • Over 9,000 Member Profiles activated; • Call centre service standards improved; • Number of clients accessing benefits increased; • Dollar amount covered /per claimant increased.
We continue to work on: www.fnha.ca • Claims processes for Medical Supplies and Equipment • Trouble shooting service issues • Indigenous Cultural Safety and Humility • Communicating to providers • Community info session • Navigation of PBC app and Member profile • Keeping clients and providers informed
www.fnha.ca
§ Clients can check coverage by:
• Calling Health Benefits at 1-855-
550-5454
• Or, by creating an account and
signing in to personalized
Member profile at
pac.bluecross.ca/fnhaclient
§ Visit fnha.ca/benefits for more
infowww.fnha.ca The Case for Changing Medical Transportation
www.fnha.ca
Medical Transportation Project Goals
•Improved client satisfaction, experience,
and access
•Policy changes
•More efficient program delivery
•Cost sustainability
•Integration with primary care
•IT system improvementswww.fnha.ca 2. Primary Health Care: Our Vision
First Nations Primary Health Care
www.fnha.ca
Landscapewww.fnha.ca Our Primary Health Care Work • Joint Project Board (FNHA and BC) • First Nations-led Primary Health Care • Primary Care Network • Partnerships
First Nations-led PHC Model: www.fnha.ca Regulated and Traditional Wellness MOH Funded FNHA Funded • General Practitioner • Traditional Healer • Nurse Practitioner • Wellness Navigator • Registered Nurse • Traditional Food Advisor • Licensed Practical Nurse • Elder • Physiotherapist • Practice Manager/ Quality • Medical Office Assistant • Mental Health Counsellor • Social Worker • Dietician
eHealth
www.fnha.ca
• Centre for Excellence in Virtual Care
• Ongoing operational support, matching of health and wellness
services, and training in virtual health
• Integration with First Nations-led and Primary Care Networkswww.fnha.ca
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'&6G(H6OOI93. Mental Health and Wellness (MHW)
www.fnha.ca
FNHA Policy Statement on MHW
The FNHA through its relationships and
partnerships will ensure that all First Nations
people have access to a culturally-safe,
comprehensive, coordinated continuum of
mental health and wellness approaches that
affirms, enables and restores the mental
health and wellness of our people, and which
contributes to Reconciliation and Nation
rebuilding.www.fnha.ca Investments: 2015-2020
New MHW Investments www.fnha.ca
Fiscal Year 2019-2020 Fiscal Year 2020-2021
SDH MOU $15 M SDH MOU $15 M
Land-based Treatment $5 M Land-based $5 M
Treatment
MW Action Teams $2.1M MW Action $2.1 M
Teams
PC MHW Liaison $0.72 M
PC MHW Liaison $0.72 M
Opioid Action Plan $8 M
Opioid Action $8 M
Plan
MMIWG $0.75 M
Suicide Prevention Life $0.25 M
Promotion Collab.Mental Health and Wellness MOU:
www.fnha.ca
Background
Mental Health and Wellness MOU:
BackgroundStatement of Readiness Update: www.fnha.ca
January 1, 2020
Region # of Statements # of communities
received represented
Interior 10 55
North 9 28
Vancouver Coastal 6 9
Fraser Salish 1 32
Vancouver Island 10 24www.fnha.ca Go Forward Considerations
4. Allocations www.fnha.ca Summary of Increase to Date
FY2018-19 Escalator Priorities :
www.fnha.ca
Polling Results
Region # Participants % engagement Top Three Priorities
Fraser Salish 25 84% #1: 68%-Addictions Worker
#2: 65%-Home Care Resource
#3: 38%-Nursing Increases
Interior 81 81% #1: 36%-Addictions Worker
#2: 33%-Home Care Resources
#3: 33% Nursing Increases
North 77 77% #1: 43%-Addictions Worker
#2: 33%-Nursing Increases
#3: 33%-Home Care Resources
Vancouver Coastal 33 87% #1: 62%-Addictions Worker
#2: 43%-Home Care Resources
#3: 31%-Nursing Increases
Vancouver Island 60 88% #1: 55%-Addictions Worker
#2: 51%-Home Care Resources
#3: 43%-Nursing Increaseswww.fnha.ca 5. Community Capital Program Health care facilities are integral to health care service delivery and have a direct impact on the quality ofSize Portfolio care. • Over $175 Million in assets • Over 150 assets (e.g., buildings) • Over 58,000 m2 • Average Asset Size = ~300 m2 • Average Age of Asset = 15 years • Average cost grew from $2.8 to $4.3M
www.fnha.ca
A Holistic Approach
• Reflecting communities’ needs and vision
• 28 new facilities built
Before After
Tla-o-qui-aht (Esowista) First Nation, Vancouver Islandwww.fnha.ca
Transformation Opportunities:
• Long-term capital planning
• Monetization
• FNHA’s role, e.g., from “Funder” to
active participant
• Inclusion of Treatment Centres
• Standardization
• Regional Community Capital envelope
• FN Infrastructure Business6. Cultural Safety and Humility
www.fnha.caTripartite Evaluation Case Study
www.fnha.ca
Findings: Persistent Challenges
Largest barrier to change:
! Pervasive racism,
stereotypes and
substandard care.Hardwiring Cultural Safety and
www.fnha.ca
Humility into the Systemwww.fnha.ca Next Steps • Formalize partner reporting • Support the Change Leadership Strategy through the Cultural Safety and Humility team • Complete Cultural Safety and Humility Standard • Provincial Emergency Departments • Revising complaints systems • Refresh FNHA’s Cultural Safety and Humility website • Ensure FNHA is a leader in Cultural Safety and Humility
www.fnha.ca 7. Regionalization
Regionalization to Date www.fnha.ca
What’s Next? www.fnha.ca •Review Medical Transportation •Greater transparency •Collaboration/reciprocal accountability •Effective and timely communications
www.fnha.ca !"#$%&'()
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