1. Ontario Region Update INAC Annual Information Sessions November 2017

2. Ontario Region –FNIHB
Manages 183 contribution agreements for First Nation Recipients, including communities, health organisations and political organisations
3 main offices: Ottawa, Thunder Bay and Sioux Lookout
Provides primary nursing services to over 35 remote and isolated communities
Provide funding for community based prevention programs

3. Reporting and Audits Common Reports
Community Based Reporting Template (CBRT) July 29
ESDRT and Annual Report – Home and Community Care Reporting
NIHB Oct 15/Jan 15 and July 29
Special/Program Reports
COHI E-health
HSIF Nutrition North
Prescription Drug Abuse Indian Residential Schools (IRS)
Reinvestment Drinking Water
One time Project Capital 

4. Reporting and Audits Audits Due July 29 Submitted through INAC
Recipients must include in the appendix the Health Canada programs as outlined in Schedule FED-1 showing revenue and expenditures
One line is not enough information and
In order to assist Auditors, share Schedule FED-1 with them, this might avoid going back for more information
Health Canada will hold funds for outstanding audits or reporting

5. Budget 2017
Budget 2017 pledged to deliver $3.4 billion over five years to address areas of critical need for First Nations, Inuit and Métis. Areas of investment include:
Building, repairing and improving infrastructure on-reserve and in Inuit communities
Establishing a new Indigenous framework for early learning and child care
Providing support for post-secondary education, skills development and training for Indigenous Peoples
Delivering better health outcomes for First Nations and Inuit
Advancing reconciliation
Supporting strong Indigenous communities both on- and off-reserve

6. Budget 2017 continued…
Of this, Budget 2017 proposes to make new investments of $828.2 million over five years, starting in 2017–18, to improve the health outcomes of First Nations and Inuit.
Year one approach developed in partnership with First Nation partners and includes:
Home and Community Care
Increase 86 communities base allocation to a minimum of a .5FTE nursing
Healthy Child Development
51 communities have accessed funding for training activities related to healthy childhood development maternal/child health, and early childhood development children

7. Budget 2017 continued….
Oral Health Initiative (COHI)
Existing COHI community projects received an additional 35% in base funding
Transformation of Clinical Care
Projects focussed on expanding virtual emergency support, mobile ultrasound services in remote communities, and strategy to integrate paramedics into the interdisciplinary teams
Infectious Diseases
Support the HIV/AIDS Leadership and Network Conference
Work continues with partners to develop the plans for years 2-5
19 CWDTs except IFN communities;
Choose Life: access to funding for MH services to address gaps in MH for youth (NAN)
JP group requests to address gaps in mental health for rest of Ontario FN communities
Social Emergency Protocol to be finalized March 2018;

8. Health Transformation
FNIHB along with the provincial government, continue to engage with First Nation partners to explore health transformation to decolonize the system and increase First Nations control.
NAN Charter of Relationship Principles, accountability document for Fed & Prov Governments and NAN leadership commits to health transformation, which is being launched at the NAN Health Summit
Union of Ontario Indians have also signalled intent to explore health transformation with federal and provincial governments

9. Mental Health and Wellness
19 Mental Health Teams are being established through the pooling of provincial and federal funding
Trilateral Social Emergency Protocol being developed
Ongoing training to community and treatment centre workers, including support to achieve or maintain certification

10. NIHB AFN/FNIHB NIHB Joint Review work continues
Listening to and acknowledging challenges and jointly seeking solutions – additional information on AFN website
Increased drive to ‘get to yes’
Policy changes (mental health, Medical supplies and equipment, transportation)
Working to close the ‘health gap’
Increased focus on cultural orientation for NIHB staff

11. NIHB Navigators Navigators help clients ‘navigate' the NIHB Program
They are a resource for communities, organizations or individuals who need support on NIHB-related issues
Navigators are employed by regional First Nations organizations
Increase understanding of the NIHB Program and share information on eligible benefits
Help clients and communities to resolve NIHB-related issues
Link with health departments and agencies to help improve access to health services

12. NIHB Contact Information
NIHB website:
Ontario Region Client Information line:
Ontario Region Prior Approval: (Health Care Providers Only)
Ontario Region NIHB FAX:
National Drug Exception Centre: (Health Care Providers Only)
National Dental Predetermination Centre:
National Ortho Review Centre:
The First Nations and Inuit Hope for Wellness Help Line

13. NIHB NAVIGATORS CONTACT INFORMATION
TOBI MITCHELL
Southern Ontario NIHB Navigator
Phone:
Cell:
EMILY KING APRIL SAWANAS
NIHB Navigator North Patient Navigator
Shibogama Tribal Council
Phone: Phone: or 2662
Cell: (ext. 2269)
Cell:

14. Our Commitment to Jordan’s Principle
Ensuring that a child first principle, that applies equally to all First Nations children, whether resident on or off reserve has been implemented.
That this principle is applied to all First Nation children and that this principle is not limited to First Nations children with disabilities, or those with discrete short-term issues creating critical needs for health and social supports or affecting their activities of daily living.
We are committed to a renewed relationship with Indigenous Peoples based on the recognition of rights, respect, cooperation and partnership. We are also committed to ending discriminatory practices and inequities that have existed for too long.
To ensure the necessary equity is invested for children to obtain the necessary equality.

15. How Have We Adopted Jordan’s Principle
We are working in partnership with First Nation communities and First Nation organizations to implement Jordan’s Principle, including but not limited to:
Providing funding to facilitate over
500 individual requests for services for children and youth, and
72 group requests serving 16,964 children
Funding has been provided for such services as:
Cultural support programs
Allied health services (speech language pathology, physiotherapy, etc.)
Assessments (psycho-educational, behavioral, mental health, etc.)

16. Jordan’s Principle Contacts
For more information about Jordan’s Principle:
Each PTO has at minimum one Jordan’s Principle Navigator that can be reached through calling the PTO (Six Nations also has a Jordan’s Principle Navigator)