1. Health Care: A Driver for Economic Development Presentation to Keondaatiziying Conference September 18, 2014

2. Hope and Consequences Joe A. Summers, Ph.D., Economic & Community Development Institute, Auburn University: Small community hopes, resources, and energy for economic prosperity are often pinned to recruitment of a large industry.

4. Hope and Consequences A consequence is undervaluing other determinants for a strong local economy. More significantly local leaders can ignore building community and civic infrastructure.

5. Strategies for Small Community Success in Economic Development 1.Strong & diverse community leadership that is inclusive, collaborative, and connected. 2.Identify local assets & create and carry out a strategic plan based on identified assets. 3.Join with other jurisdictions to optimize economic resources and benefits.

6. Asset Identification It may be possible that there is gold in them thar hills, or resources in that ring of fire. But it is certain that there are people in our communities and that they require health care and other social services – and that there are jobs associated with delivery of all those services.

7. Sioux Lookout as an Example

8. 1985 and the Old Town is Dying

9. Railroad Town

10. Military Town

11. Forest Industry

12. Early to mid 1980’s Municipal Perspective on Sioux Lookout Economy

13. Excerpt (1 of 2) from “At the Council Table – Town of Sioux Lookout Municipal History 1982 - 1998

14. Excerpt (2 of 2) from “At the Council Table – Town of Sioux Lookout Municipal History 1982 - 1998

15. Was it Really Dying? Or Beginning a Transformation

16. Identifiable Assets Even as one perspective saw economic doom, another perspective saw opportunities. The Royal Commission on the Northern Environment provided a road map for economic prosperity – not everyone could read the map.

17. 1984 – Royal Commission on the Northern Environment

18. 1984 Air Travel & Service Flow

19. 1984 – Medical & Secondary Schooling

20. Growth of Core Services

21. Government, Agencies, Policing, Education, Social Services

22. Growth of Support Services

23. Airport, Hotels, Professional & Financial Services, Housing

26. Health Care In the middle of all these changes something was brewing in the world of health care. After 25 years of talks, in 1996 a decision is made to finalize agreements to proceed with one regional hospital in Sioux Lookout.

27. Four Party Agreement The four signatories were: Government of Canada, Government of Ontario, Nishnawbe Aski Nation, (on behalf of the 28 FN communities), and the Municipality of Sioux Lookout which represented the interests of the Sioux Lookout District Health Centre, (the provincial hospital).

28. Leadership, Assets, Collaboration Sioux Lookout District Health Centre Sioux Lookout Zone Hospital

29. Development Sioux Lookout Meno Ya Win Health Centre Sioux Lookout First Nations Health Authority

30. Health Care: A Driver for Economic Development The decades long transformation of Sioux Lookout from a railroad, military, resource based town to a centre for services to the northern communities took place from the 1980’s through to the 2010’s, and it has health care as the big wheel.

31. Health Care – The Big Wheel

36. Growing Health Care Services

39. Health Care Services Projected Developments Interim Northern Clinic Long Term Care Youth Services – Speech & Language Counseling Services Expansion MRI Services Enhanced Surgical Services

40. Meno Ya Win 20 Year Master Plan

41. Spin-Off Growth & Developments Administrative Services Dietary, Laundry, Maintenance Accommodations Expansion Nurses & Doctors Residences Transportation Services Ancillaries – Sweatlodge, Childcare, Education Post-Operative Residential Rehab Services

42. Growth Example Long Term Care Operations & Maintenance Costs Item DescriptionNew 96-BedExisting 20-Bed Wages$4,362,000$1,038,000 Benefits$916,000$277,000 Utilities$529,000$127,000 Supplies$772,000$331,000 Maintenance Contracts$75,000$12,000 Insurance$50,000$23,000 Total O & M Cost$6,703,000$1,808,000 Cost per Bed$69,800$90,400

43. Impacts of Long Term Care Access to LTC for Meno Ya Win catchment. An operating cost reduction of 34% per bed. 40 new direct full-time jobs in LTC. Estimated 10 indirect new full-time jobs. Plus local jobs during construction. Local business benefits – hotels, restaurants, retail, airlines, local transportation.

44. So, What About First Nation Communities? Good for Sioux Lookout Good for Meno Ya Win Good for the health care of the people But what about the communities? How can they benefit from all this growth in health care service in Sioux Lookout?

45. So, What About First Nation Communities? Health benefits Social benefits Economic benefits …to having more community based services and more community based jobs So how do we get there?

46. Strategies for Small Community Success in Economic Development 1.Strong & diverse community leadership that is inclusive, collaborative, and connected. 2.Identify local assets & create and carry out a strategic plan based on identified assets. 3.Join with other jurisdictions to optimize economic resources and benefits.

47. Leadership Chief & Council Health Care Services Social Services Education Policing & Justice Spiritual

48. Assets People Facilities Established Services & Agencies Airports & Associated Services Community

49. Combine Efforts with Other Jurisdictions Sioux Lookout First Nations Health Authority Sioux Lookout Meno Ya Win Health Centre Nishnawbe Aski Nation Health Canada Ontario Ministry of Health & Long Term Care LHIN’s Municipality of Sioux Lookout Four Party Planning Table Tribal Councils Neighbouring First Nations Northwestern Health Unit Airlines Education Authorities Indian and Northern Affairs

50. Opportunities Public Health Home Care Group Homes Seniors Assisted Living Centres Withdrawal & Treatment Programs Telemedicine Diagnostic Imaging Pharmacy Lab Foot Care Equipment Maintenance Nursing Stations Materials Management (procurement, warehousing, deliveries) Transportation Facility Development, Rental, O&M Greenhouses

51. Population Estimates Meno Ya Win Catchment Area 2011 to 2036

53. Population Project by 65+ and 75+ Age Cohorts 2011 - 2036

54. Total Population Growth Comparisons Meno Ya Win Catchment and NW LHIN 2011 - 2013

55. Some Key Messages from Population Characteristics (Excerpt from LTC Bed Study)

56. Opportunities

57. Opportunity – Northwestern Health Unit & Partners Delivery of Public Health Services on-Reserve – Health Promotion – Inoculations – Smoking Cessation – Dietary Programs

58. Opportunity – SLMHC Pharmacy Lab Nursing Pool Telemedicine Diagnostic Imaging Certified Medical Escort Services

59. Opportunity – Home and Community Care Personal Support Workers Allowing Seniors to Remain Independent Community Supports – firewood, snow shoveling, transportation, shopping

60. Opportunity – Group Homes Acquired Brain Injury Residents with Disabilities Physical Disabilities

61. Opportunity – Seniors Assisted Living Providing Safe Accommodation for Seniors in Their Home Communities Supported Communal Living Post Independent and Pre-Long Term Care

62. Opportunity – Withdrawal & Treatment Programs Addictions Issues Need for Locally Based Services

63. Potential Job Opportunities Facility/ServicePossible Jobs 6 Resident Seniors Assisted Living Home5 6 Resident Group Home8 Home Care Community Workers2 Certified Medical Escort Services3 Nursing Stations (in association with MYW)2 Public Health2

64. Meno Ya Win Thunder Bay We Need to CollaborateTo Realize Our Potential

65. Meno Ya Win - Northern Communities We Need to CollaborateTo Realize Our Potential

66. Meegwetch ! 66