BLOCK Health Funding Arrangement Presented by __________________ FNIHB-AB June 15, 2016

What is a Block (Flexible / Flexible Transfer)? 5 – 10 years in duration First Nation determine their health priorities, prepare a Community Health Plan (CHP) for the duration of the Funding Arrangement The Multi-year CHP is a living document and must be updated to reflect changes Funds can be redirected among components within authorities as long as mandatory programs are delivered. The First Nation is responsible for any deficits and can retain surpluses for reinvestment in health priorities. Annual activity reports and year-end audit report are mandatory and due July 29th. 2

Developing a Community Health Plan (CHP) To prepare a Health Plan, the First Nation must work through a number of health planning activities which are grouped in the following phases; 1.Preliminary Steps 2.Laying Foundation Phase 3.Mapping Directions Phase 4.Discussion Phase 5.Implementation 3

Step 1 – What are the Preliminary Steps? Secure the services of a Project Co-ordinator Obtain community mandate to enter into Health Planning and supported by a copy of the Band Council Resolution (BCR) Discovery and Readiness Conduct Community Capacity assessment Participate in Preliminary information and support sessions with Region and Community members 4

Step 2 - Laying the Foundations Phase Health Planning Component 1 - Establish Health Management Structure Review Existing health management structure or establish one Choose members of the Health Committee and develop a Term of References Obtain Training for health planning and management if need be? Begin to prepare Community Health Plan for the Health Planning Process 5

Step 2 - Laying Foundation Phase Continued…. Health Planning Component 2 – Assess Health Needs and Resources Plan the Health Needs and Resources Assessment Design and carry out Asset Mapping Process and Needs Assessment Analyze the information collected and prepare and share the DRAFT report Set the Health Needs Priorities and Finalize and Share the Report Evaluate the Report Decide on Proceeding with the Health Planning process 6

Step 3 - Mapping Directions Phase Health Planning Component 3 – Plan Programs and Services Ensure mandatory programs delivered Set goals and activities and begin to plan activities Decide on indicators and confirm date for data to be collected Update Community Health Plan and Prepare annual work plans Prepare and revise the Emergency Preparedness & Pandemic Plans 7

Community Health Plans must include…… Community Health Plan must be for the duration of the agreement 5 – 10 years First Nation delivers program based on a Community Health Plan (CHP) The CHP is a living document and must be updated to reflect changes Mandatory program must be provided in combination with FNIHB Funds can be redirected among components within the authorities as long as mandatory programs are delivered The First Nation is responsible for any surplus or deficits it occurs. CHP must have the following components Community Overview/Profile Vision/Mission Statement Management Structure/Org Chart Job Descriptions Health Committee or equivalent entity established Terms of Reference for Health Committee or equivalent Health Director/Coordinator Overall Community involvement/Consultation Priorities and Health Community Health Needs Program/Services Plans for each identified health priority Goals, Objectives, Activities Operations & Maintenance plans Data Collection Record Keeping Mandatory Program – How will they be delivered (CDC, Environment Health) Processional Consultation Services/ Advisory Functions (MOH, Nursing Supervision etc) Emergency Preparedness Plan Pandemic Plan Reporting Budget for the duration of the CHP Insurance (Malpractice, Liability and Property) Training Plan Integration/Partnerships/Networks Appeal process in place, clients, staff Policies and Procedures –Conflict of Interest –Financial –Managing Surplus and Deficits –Privacy and Confidentiality –Personnel/Staffing –Drug and Medical Supplies and Equipment 8

Step 3 - Mapping Directions Phase Continued…. Health Planning Component 4 – Allocate Financial & Human Resources Determine current resources, project revenues and expected expenditures Prepare Budget and determine other budget considerations Allocate human resources (organizational chart, personnel policies) Develop policies and procedures for confidentiality, job descriptions and develop training plan Plan provision of MOU for Medical Officer of Health services, professional supervision, consultation and drugs/medical supplies Arrange liability and malpractice insurance 9

Step 3 - Mapping Directions Phase Continued…. Health Planning Component 5 – Establish an Accountability Framework Re-Visit goals, objectives, indicators and date collected Plan for audits & financial information, access to records and describe record keeping system Plan to meet reporting requirements Review the Health plan for submission to the Regional office 10

Step 4 – Discussion Phase Review of the Health Plan Submit Community Health Plan in the Region for review (health plan elements) Discuss results of review with the Region Revise Health plan according to suggestions of the Region and re-submit Finalization of the Agreement Obtain formal approval of revised Health plan, designate signing authority and discuss funding arrangement Discuss funding arrangement with Region, revise if need be? Meet with Region and discuss expectations of agreement and then Sign Agreement! 11

Step 5 – Implementation and Evaluation Phase Program and Service Implementation - Ongoing Deliver programs and services as per Community Health Plan and collect data to support annual reviews and long term evaluation Update training plan and conduct training annually Update Emergency Preparedness Plan as needed Meeting ongoing reporting requirements Review Health Plan and Evaluation with community members 12

13 You’ve submitted your Health Plan. Now what? PLO Receives Community Health Plan. Notifies Team Leads Community Health Plan is ready for review. Team Lead Assigns Program Manager to review Community Health Plan. Ultimately signs off Community Health Plan. Program Manager Contact community for additional information. Work with community on revisions if necessary. Approved!

Zone Managers: Jack Kennedy (Treaty 6, 7 & NGO’s)Vacant, (Treaty 8) Contact Information Program Liaison Officers: Rose Leclair (Treaty 6 West) Darlene Peacock (Treaty 6 East) Claude Sound (Treaty 7) Denise Gugel (Treaty 8 NPTC & ATC) Cheryl K. Watson (Treaty 8 WCTC, BHC, T8) Candace Oliver (Treaty 8 LSLIRC & KTC) Monica Michel (NGOs) Thank you!