Celebrating and Sharing
our Inherent Knowledge
in Health Leadership
and Management
Celebrating and Sharing
our Inherent Knowledge
in Health Leadership
and Management

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Celebrating and Sharing our
Inherent Knowledge in Health
Leadership and Management


Pre-Conference Workshop Program

Click here for information about the one day pre-conference workshop.

Tuesday, November 14, 2017 – Conference Program

TimeEvent / Information
3:00–4:30pmShowtime! Join us for an afternoon at the movies...
CBC's 8th Fire
8TH FIRE is a provocative, high-energy journey through Aboriginal country showing you why we need to fix Canada's 500 year-old relationship with Indigenous peoples; a relationship mired in colonialism, conflict and denial. The host of 8TH FIRE is CBC journalist Wab Kinew, from the Ojibways of Onigaming First Nation in Northern Ontario. He's also a dynamic rapper and musician.

Episode 3: Who's Land Is It Anyway?
There's no getting around it. Land is the biggest sticking point in the relationship between Aboriginal peoples in Canada and the "settler" population. Who owns it, benefits from it, gets to say when, if and how it gets developed? These questions are all the more crucial because the lands in dispute sit on a treasure-trove of resources, which the world is eager to buy from Canada. But don't despair. This episode of 8th FIRE, full of breathtaking HD landscapes and compelling characters, explores the creative ways of working this out. Aboriginal people understand only too well that they need to move forward to secure a future for their children and their children's children. As Armand MacKenzie, a well-known Innu consultant on legal issues says, "Aboriginal communities should have the right to develop their society and land at their own pace, and in the way they want." Out on the land, we try to find out if they are being heard.

Episode 4: At the Crossroads
At the close of the series, we meet young Aboriginals preparing to change the future, determined to light the 8th Fire and build a new relationship with Canada. A fascinating range of artists, activists and business people take us through ways to shed the colonial past, build new pathways in education and economic development. This is all in pursuit of a new relationship to replace 500 years of conflict and injustices.
5:00–7:00pmOpening Reception with Exhibitors

Wednesday, November 15, 2017

TimeEvent / Information
7:30–8:00amSunrise Ceremony
Elder Pat Green, Haudenosaunee, Mohawk, Six Nations
8:00–9:00amNetworking Breakfast with Exhibitors
9:00–9:15amPrayer / Welcome / Greetings

Prayer: Elder Pat Green, Haudenosaunee, Mohawk, Six Nations

FNHMA Welcome: Patricia Thomson, CFNHM, Executive Director, Cowessess First Nation, and President, FNHMA Board of Directors

Platinum Sponsor Remarks: Rose LeMay, CFNHM, Chief Executive Officer, Indigenous Reconciliation Group

Remarks: First Nations and Inuit Health Branch, Health Canada
9:15–10:15amOpening Plenary - Health Canada Regional Executive Panel
Health Canada, First Nations and Inuit Health Branch, Regional Executives will share their experiences as ‘RE’s in the Business’.
Moderator: Marion Crowe, CFNHM, CAFM, Executive Director, First Nations Health Managers Association
Speakers: Jocelyn Andrews, Regional Executive Officer, First Nations and Inuit Health Branch, Alberta Region
Richard Budgell, Regional Executive Officer, First Nations and Inuit Health Branch, Quebec Region
Alex Campbell, Regional Executive Officer, First Nations and Inuit Health Branch, Saskatchewan Region
10:15–10:45amHealth Break with the Exhibitors
10:45am–12:15pmConcurrent Workshops
Workshop AEmpowering the Youth in Creating Healthier Communities

Within the strength-based approach to community development and health promotion there is the need to build capacity at the community level in order to realize sustainable growth. At PAGC we are working at mobilizing the communities through engagement of their young adults to mobilize and motivate the community as a whole to move forward in ways that focus on health and wellness for all. Our youth are struggling as they feel no sense of belonging and they Are searching for a purpose to give life meaning.
  To address these gaps we formed YAC (Youth Action Council) and invited young adults from 11 of our communities to gather and form a network where the needs of the young adults are explored in search of solutions. Training and education has been developed as a result of this consultation. Those involved take it back to their community YAC’s where each group has purpose and plan and implement projects to support the needs of children, adolescents and young adults living there. Violence has decreased and community members are making contributions to continued family growth and community safety. The benefits have affected the self-esteem and resilience of individuals and families as they learn to live life well supporting all quadrants of the medicine wheel.
  During this session using various media, Linda and two young adults (tbd) will share our successes and our challenges and our vision moving forward. Resources will be made available to participants online. Take away lessons and tools will be demonstrated through dialogue and the use of various print and non-print media which will be made available. Issues, case studies reflecting on lessons learned and innovative solutions will be shared.
Workshop BOn-Going Quality Improvement: Practical Tools and Examples
Explore quality Improvement using the FNHMA Knowledge Circle, Best Practices and Tools resources and the Accreditation Canada Plans and Framework guide.
  This presentation will support participants in identifying if the leaders and staff are ready to implement quality improvement, which may mean changing work processes and systems. This plan can help organizations achieve better quality performance, which means safer outcomes for clients and staff, better care for clients, a better work life for staff, and reduced costs. Other benefits include:
   • Provides a collaboratively planned, systematic, and integrated approach to improving organizational performance
   • Fosters organization-wide accountability for quality
   • Supports a culture of quality, which encourages the proactive recognition and solving of problems
   • Helps to communicate the organization’s quality principles, goals, and objectives to internal and external stakeholders
   • Ensures sufficient resource allocation for quality improvement activities
   • Documents improvement priorities and tracks their progress.
  It is important to recognize the links between the community’s needs, strategic goals, risk assessments, safety for clients and staff, on-going improvement, benchmarking, and evaluation.
  This presentation will use readily available tools and give concrete examples to support your organization to develop, implement and evaluate Quality Improvement plans.
Workshop CPromoting A Healthy First Nations - First Nation & Inuit Health Branch Partnership
The First Nations Mental Wellness Framework is expressed through a sense of balance. Québec Health Directors have come full circle from being told in 1980 by FNIH the operational plan and expecting us to fit into this operational plan, we have come full circle to control and plan our future, in partnership with FNIH. This is accomplished in a constructive and respectful manner.
  Québec Health Directors have the support and strength of the First Nations Québec and Labrador Health and Social Services Commission (FNQLHSSSC) since its inception in 1994 to support our development. The Commission and FNIHB Québec Region are champions in our growth and continued development.
  This workshop will highlight Québec Health Managers attempts over many years to create a balance working in culture, harmony, understanding the opportunities and limitations of our FNIH partner, and focus upon our joint goal to improve health services at the community level.
  This is accomplished through our network of Québec First Nations Health Directors that aims to strengthen the capacity and knowledge base for our members, supported by Regional Office, their Health Liaison team and our Health Commission.
Discussion items will include mechanisms to enhance professional development, keeping pace with impacts of provincial health modifications, developing stronger relationships with provincial health partners, First Nations controlled research, and updates on leading edge community approaches to health promotion & prevention.
Workshop DThe New Fiscal Relationship - Impact on Health Funding
The Assembly of First Nations and the Crown signed a Memorandum of Understanding the new fiscal relationship between the Crown and First Nations in Canada. These discussions have involved other government departments which include Health Canada. Three working groups were established on long-term sufficient, predictable and sustainable funding. In addition, in 2016-2017, AFOA Canada engaged their members in a review of five Indigenous and Northern Affairs Canada policies. The recommendations are applicable to Health Canada funding as well. The presenters will discuss the AFOA Canada engagement report and the new fiscal relationship discussions to date and its potential impact on Health Canada funding.
Sponsor Remarks: Kironmoy Datta, Head of Marketing, Canada, ADAPT Pharma Inc.
Speaker: Chief Isadore Day, Assembly of First Nations, Regional Chief, Ontario‎, Health Portfolio

Lunch sponsored by: Adapt Pharma Inc.
2:00–3:30pmConcurrent Workshops
Workshop EFirst Nations Financial Health and Wellness
Financial worries are a leading source of stress and mental health for individuals and families. AFOA Canada with Prosper Canada have developed a First Nations Wellness framework which outline the key factors in financial wellness. They have worked together in collaboration with First Nations communities on financial education for schools, youth, adults and elders.
  The federal government reported that many First Nations families are not benefiting from the Canada Child Benefit, which alone amounts to over $350 million dollars not flowing into First Nations communities. In collaboration with CRA, Service Canada and First Nations communities’ volunteer tax filing clinics are being delivered across Canada. The goal of First Nations, Inuit and Metis is to achieve community health and wellness; financial education and innovative programs are key to this long term outcome.
  The session will provide an overview for what communities can do, as well as specific case studies, materials and lessons learned to help communities towards financial wellness.
Workshop FMoving From Vision to Action: Preventing and Managing Chronic Disease(s) in First Nations Communities
Chronic disease(s) such as type 2 diabetes, heart disease and cancer are a concern for First Nations Individuals, families and communities. Addressing these concerns, requires a comprehensive approach that is led by First Nations. To support this approach, this interactive hands-on workshop will introduce you to the new guidance Framework, Preventing and Managing Chronic Disease in First Nations Communities, provide you with an opportunity to learn from others and ignite your enthusiasm for using the framework in your community. Join us for this fun and interactive workshop!
Workshop GTransforming the Community-Based Reporting Template
Come and help us transform the CBRT into a tool that is more relevant, responsive, and useful to community health managers and their staff. This workshop will ask participants to share their experiences with the CBRT along with their ideas for its transformation.
The First Nations Information Governance Centre (FNIGC), the Assembly of First Nations (AFN), and the First Nations and Inuit Health Branch (FNIHB) are jointly undertaking a transformation of the Community Based Reporting Template (CBRT). The overall goals of the transformation are:
1) To reduce response burden on communities, and
2) To more closely align the instrument with community needs and priorities.
The FNIGC is leading the technical re-design of the CBRT instrument and has asked First Nations Health Managers for help. An initial round of feedback from health managers is being gathered during the Summer/Fall of 2017. This feedback will be summarized and presented for discussion, debate and further input during this workshop. We hope to design a more powerful tool for communities--one that provides greater access to one’s own data in order to better support community planning and health program evaluation activities.
Workshop HContinuing the Healing Journey: Identifying and Articulating Ongoing Mental Health Needs Post-TRC
The Assembly of First Nations (AFN) continues to advocate for and support the development of comprehensive mental wellness programming for all First Nations across the country. In recent years, a vital part of the mental wellness landscape has been the Indian Residential Schools (IRS) Resolution Health Support Program (RHSP) in providing mental health supports to former IRS students and their families. However, there is a possibility that the program will soon sunset. In order to support and inform its advocacy efforts on mental health, the AFN is seeking guidance and input from First Nations Health Directors in identifying and articulating the ongoing and potential future mental wellness needs of those that currently utilize the RHSP program. This discussion may include the strengths and weaknesses of the existing IRS RHSP program, identified programming gaps, and suggestions for improvement.
3:45–4:45pmAnnual General Meeting (for FNHMA members in good standing only)
5:30-6:30pmReception with Exhibitors
6:30–10:30pmBanquet, CFNHM Convocation and Awards Presentation

CFHI - FNHMA Excellence in Health Leadership Award sponsored by:

Thursday, November 16, 2017

TimeEvent / Information
7:30 am - 12 pmRegistration
8:00 – 9:00 amNetworking Breakfast with Exhibitors
9:00 – 10:00 amPlenary - Keynote Address by National Chief
Keynote Speaker: National Chief Perry Bellegarde
, Assembly of First Nations
10:00 – 10:30 amHealth Break with the Exhibitors
10:30 am – 12:00 pmConcurrent Workshops
Workshop IA Dialogue on Health Manager's Supervision and Remuneration
First Nations Health Managers are leaders who honor, maintain & uphold inherent ways of knowing while balancing management principles to bring excellence to their communities and health programs.
There are few standards for health managers. Most health managers are employed by Band entities with differing supervision approaches and remuneration.
  An unhealthy designed remuneration package causes a lack of balance between mental, physical, spiritual and emotional aspects of work. This balance can be restored through re-establishing purpose, hope, belonging and meaning to your work.
In Quebec Region, there are conversations about 'offers of employment' based on knowledge, skills and attitudes of health managers within available community resources. Examples of items to be discussed include basic. Components of salary, benefits like group insurance, pension, support for professional development and maintenance of CFNHM certification.
  To ensure self assessment of your health management skills, a discussion on using FHHMA competencies will be discussed by Quebec Region health managers. This approach can self identify strengths and gaps in your role and responsibilities as you manage your community health programs and maintain FNHMA competencies as described in our association's Competency Framework to assist our employers to better understand the complexity of our work.
Workshop JIndigenous Food Security and Health
Four Arrows Regional Health Authority (FARHA) has become the leader with issues surrounding all of Manitoba’s First Nations Food Security. FARHA has become the first point in contact because they have worked and will continue to work, in conjunction with the Northern Healthy Foods Initiative (NHFI), Nutrition North Canada (NNC), and the Manitoba First Nations Food Security Coordinator (MFNFSC).
  The goal of the FARHA First Nations Food Security Program is to increase food security for our First Nations communities in Manitoba and restore our food sovereignty.
This presentation will give a brief overview of Four Arrows First Nations Food Security Program and a survey of the community-based projects across Manitoba’s northern First Nation
communities, ranging from raising backyard chickens and turkeys, gardening, traditional practices and creating a local food enterprise.
  It is the vision of FARHA that for food security to be resolved it is First Peoples who must take the lead in the development of a First Nations Food Security Strategy. This presentation will
share our First Nations Food Strategy Model and our work to date, which includes a First Nations Food Security Education and Awareness Campaign.
  Indigenous food sovereignty is a timely and important response to food insecurity and the loss of language, ceremony, and other impacts related to colonialism. It goes beyond food to ensure
that people and the land are connected, and that cultural and traditional teachings can guide and protect our food systems. In this presentation, Byron will discuss his understandings of the
connections of land-based language in the context of food from an indigenous lens.
  With FARHA’s work, we are trying to reignite the fire within our people to reconnect with their food systems and incorporate historic and cultural food practices in today’s setting. FARHA is a regional organization that is governed by the four Island Lake First Nations. Their mission is to improve health conditions and health services in the four Island Lake First Nations. They have four programs one of which is Food Security.
Workshop KHealth Planning Guide - Focus Group
Here’s your opportunity to provide input to the development of the new guide for Health Planning!
Health Canada has engaged the First Nations Health Managers Association to develop a Health Plan Guide that will assist communities as they create their long-term health plans. The new Health Plan Guide will provide clear step-by-step directions for developing a five-year health plan based on your community’s needs and priorities. In addition, tools will be developed that will help health managers guide their organizations through the health planning process.
But, the new Health Plan Guide needs to hear your voice:
• What has worked best for you in health planning?
• What would help you most in health planning?
• What tools would be most helpful in health planning?
Using a participatory focus group format, this session will offer you an opportunity to:
• Discuss your own experiences,
• Add your voice to this process,
• Learn from each other.
Regardless of what type of funding agreement you are in, all organizations need to plan for health. The new Health Plan Guide will help you as you plan. Come be part of the process to “guide the Guide”!
Workshop LAthabasca Health Authority
This session will cover the Athabasca Health Authority’s robust Management System used to facilitate their journey to achieve their Mission and Vision. Acting out our values of a Culture of Safety, Patient/Client/Resident/ Community/Family Centered Care, Continuous Improvement and Think and Act as One they have focused on ‘Developing their People’, ‘Improving their Processes’, and ‘Managing their Business’.
By the end of this session, participants will be able to describe the:
• Importance of a Quality Management System to help better understand an organization while identifying goals and opportunities for improvements for the care and caring experience;
• Relationship between strong partnerships, visible and accountable leadership, clear direction and targets, data for learning, infrastructure, standards and best practices with wisdom practices to help accomplish our focus;
• Difference between data for research, accountability, monitoring and improvement (hearing the voices of those they serve);
• Purpose of identified strategies (PFCC, CQI, and Safety); and
• Components of their Healthcare Management System.
• By the end of this session, participants will be able to:
• Identify how a complex organization can improve using the voices of their customers and communities towards making meaningful improvements; and
• Describe opportunities to collect and analyze data for a given process they would like to improve.
12:00 – 2:00 pmLuncheon - Traditional Healing
Sponsor Remarks: Will Fong, CMC, PMP, Management Consulting, MNP
Speaker: Elder Pat Green, Haudenosaunee, Mohawk , Six Nations

Lunch sponsored by: MNP
2:00 – 3:30 pmConcurrent Workshops
Workshop MWhy Certification? How Has It Helped Us?
Bigstone Cree Nation has 3 of its members Certified and a possibility of 3 more this year. The 3 CFNHMs will provide an introduction to their job roles and share their experiences taking the CFNHMP and how it has benefited their careers moving forward.
  The CFNHM will engage with participants in the workshops by having a PowerPoint presentation on their communities and will also include handouts and promo items. The three CFNHMs will then have a panel discussion for questions and answers.
  The presentation will discuss the importance of staff development, training, and continued education. We will include discussion on the development of Health education programs for locals to become health professionals.
Workshop NStrengthening the Circle of Care: First Nations Citizen Health Portal
Within First Nations health programs the individual, family, and community are key in the circle of care. This patient centric
approach is reinforced through the First Nations Citizen Health Portal. The Portal, which works in conjunction with the Mustimuhw community electronic medical record (cEMR), provides patients with access to their health records, electronic communication with their care providers, and enables other providers (such as physicians, specialists, etc.) to similarly contribute to and securely share patient health information in support of a stronger circle of care.
  Cowichan Tribes is a national leader in the use of health information management tools/technology. This includes
the use of the Mustimuhw cEMR, Panorama, and numerous healthcare partnerships. Now, with the support of Canada Health Infoway and the BC Ministry of Health, Cowichan Tribes community members are able to create and benefit from their own Personal Health Records and take advantage of the Citizen Health Portal. Community members, health centre providers and local physicians are actively using the Portal today to support electronic, patient-centric health service delivery. The Portal is now also being extended to other First Nations.
  Our workshop will build an awareness of the Portal model and the approach that is used to assess its benefits plus support its adoption and use. Users of the Portal will join the session in order to present an overview of the lessons learned, the benefits of using the Portal, and give a practical description of how patient access to health records is supporting positive change.
Workshop OAssessing Community Readiness for Change
How do you know your community is ready to do holistic community safety and preparedness work? What are important pre-steps to starting essential work in the areas of all forms of emergency preparedness and violence prevention?
  These questions will start a unique workshop on assessing community readiness for change. The Canadian Red Cross is currently working in more than 45 Indigenous communities across Western Canada and the North leading assessments, workshops and training. They work to build strong partnerships to ensure people assemble and understand the steps to do the work so that it has lasting impact. Participants will be walked through the tools and steps and will be able to leave with materials that will assist their work in their communities.
  In addition, early findings from scientific research Ms. Cardinal is overseeing in 5 communities across Canada will be shared as to some key learnings and applications. Ms. Burke will be sharing the Canadian Red Cross approach and learnings from responding to several social emergencies in the past year as well as holistic violence prevention work in communities across Canada.
  Participants will learn through robust case studies about the complex community factors facing social (suicide cluster and loss of key community buildings due to arson) and disasters as two types of emergencies along with ongoing community safety work. Working through the learnings and community action plans with cases from the field that have been crafted to provide the greatest participant take away will be provided.
Workshop PJordan's Principle
This session will be focused on providing an update on the implementation of Jordan’s Principle. Jordan River Anderson was a Cree Boy from Norway House Cree Nation born with a rare condition requiring him to stay in hospital in Winnipeg far from home. When he was two years old the doctors felt, with in home care, he could finally go home. Unfortunately, because the Provincial and Federal Government could not agree who would pay for his care, he remained in hospital until his death in 2005. On January 26th, 2016 the Canadian Human Rights Tribunal (CHRT) found that the federal government discriminates against Indigenous children by underfunding Child Welfare Programs on reserve. The Tribunal ordered the federal government to completely overhaul its on-reserve child welfare program (CFS), including the application of Jordan’s Principle. Jordan’s Principle was to be implemented as a child-first principle that ensures that where a government service is available to all other children and a jurisdictional dispute arises between Canada and a province/territory, or between departments in the same government regarding services to a First Nations child, the government department of first contact pays for the service and can seek reimbursement from the other government/department after the child has received the service.
3:30 - 4:15 pmClosing Plenary - Supporting Paradigm Shifts in the Implementation of the First Nation Mental Wellness Continuum
In the first 2 years of implementation of the First Nation Mental Wellness Continuum Framework there has been a number of national, regional and community implementation activities intended to create resources and ultimately lead to system level changes. Highlights of a community model of implementation of the Framework will be shared to examine how to create paradigm shifts within community services and programs that lead to focusing on outcomes for families and communities. Along with reviewing the key factors to implementing the Framework the presentation will also share some key activities occurring nationally on implementation for 2017 as well as those moving forward for 2018.
Speaker: Dr. Brenda Restoule, Chair, First Peoples Wellness Circle
4:15 – 4:30 pmWrap-Up, Exhibitor Passport Draw and Closing Prayer

Wrap-Up: Patricia Thomson, CFNHM, Executive Director, Cowessess First Nation, and President, FNHMA Board of Directors

Closing Prayer: Elder Pat Green, Haudenosaunee, Mohawk, Six Nations


FNHMA Conference 2017