Terry lynn dawn mcnab - George Gordon First Nation

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Regina SK
Oct. 19, 20 and 21
History of the Plan
In November 2003, Gordon First Nation Chief and Council signed an
agreement with the Minister of Health for Canada to develop a Community
Health Plan (CHP) in the context of the First Nations and Inuit Health Branch
(FNIHB) Health Plan Demonstration Site project. This process involved:
• planning steps
• preliminary Development of a Community Health Plan included:
 developing a health management structure
 conducting a Community Health Needs Assessment (CHNA)
• expanding programs and services, human and financial resources and
programs accountability and health indicators and data framework
Community Health Needs Assessment
• identified gaps and health priorities, mainly in the area of population
wellness by age group, prevention services, and mental health
services, and identifies Gordon First Nation’s health priorities.
The revised Community Health Plan provides detailed plans to offer
health care services that respond to community needs as described in
the Community Health Needs Assessment. Specifically, this report
presents a plan to address these gaps through increased health
prevention and wellness programs, education and communication
activities.
**Chronic disease and illness prevalent in the community are
thought to be preventable through improved lifestyles.**
Implementation of the Plan will enable GGFN to provide the following:
• Expanded programs to both increase knowledge, level of awareness and support
healthy lifestyle choices, within four key themes identified in the Figure below. The
three elements in the middle of the figure are ‘enablers’ in achieving these goals
• Effective, and ongoing communication to raise awareness of Gordon First Nation
community of the impacts of lifestyle choices on health outcomes for individuals and
families
• These functions will be directly provided through the addition of three health education
and wellness coordinator positions
• To support the effective management and subsequent evaluation of programs, the
hiring of an outside source to evaluate the Community Health Plan in 2016.
• Sourcing of sufficient community mental health services program funding to meet the
community needs.
September 2011 Planning Session
The areas of interest listed as the priority topics.
• Children & Youth, Population & Wellness
• Healthy Living
• Freedoms from Addictions
• Effective Management
mental wellness gap identified a plan developed to open the Gordon Family
Wellness Centre on April 1st, 2012. The Centre will deliver a program that
encompasses existing programs following traditional teachings designed to be
more family-orientated. This step allows the Gordon First Nation to assist in the
fulfilling of the person’s needs based on the traditional medicine wheel, thus
allowing us to evaluate and re-evaluate this program on a yearly basis
Community Mandate
Gordon First Nation Chief and Council, on behalf of
the community, entered into an Agreement with the
Minister of Health for First Nation and Inuit Health
Branch to produce a Community Health Plan on
November 12, 2003. The community would like to
renew their agreement with the Minister of Health for
First Nation and Inuit Health Branch in 2011.
Delivery of Program
The Gordon First Nation delivers health services to the Gordon First Nation membership as
follows:
• by way of a Contribution Agreement with First Nations and Inuit Health Branch (FNIHB),
Indian and Northern Affairs Canada (INAC) and Touchwood Agency Tribal Council (TATC),
• through the services of a Health Director, Community Health Representative (CHR),
Brighter Futures Coordinator and Home Makers, and Certified Home Health Aides
supervised by the Gordon First Nation;
• NNADAP workers and Community Health Nurses supervised by Gordon’s Health Director;
and
• A Home and Community Care Nurse employed by TATC and supervised by First Nation and
Inuit Health Branch.
• As of April 2012, the community has requested that we open a Gordon First Nation Family
Wellness and re-assigning the NNADAP programs and the Brighter Future program to meet
the need of more family wellness programming that addresses the lack of mental wellness
found in the existing programs.
Vision
Striving Toward the Highest Quality Care and Service
Mission
The Gordon First Nation is committed to high quality and
coordinated care to assist clients to achieve optimal health and
wellness.
Values
We believe in:
• Offering high quality care and service
• Maintaining confidentiality and trust
• The honesty and integrity of our staff
• The dignity of our clients
• Open communication with all agencies as it relates to health.
• Promoting independence of our clients
• Accessibility of our services
• Compassion and understanding
• Being responsible to the needs of others
• Respecting our Cree/Saulteaux Culture
Management Organization – Health Committee
Committee if comprised of:
• of adult Band members
• Includes one senior/elder appointed by the seniors’
• The Appointed by the Health Portfolio Councillors by way of a letter of
interest and ratified by the Chief and Council of the Gordon First Nation.
Current Members:
• Terry-Lynn McNab, Portfolio Councillor
• Maureen Lerat, Health Director
• Elder Stuart Bitternose, Ed Bitternose, Shirley McNab, Jeanette Anderson,
Cathy Geddes, Dale Grey, Arlene Morris
Terms of Reference:
a) Structure
The Health Committee is made up of the following:
• adult members (3-5)
• one senior / elder
• the Health Portfolio Councillor
b) Appointment
The Gordon First Nation Chief and Council appointees
are designated by the Health Portfolio Councillors
based on qualifications stated in the Terms of
Reference
Terms of Reference contd..
c) Qualification of Membership
Member selection is determined by the Health Portfolio holder and ratified by the
Gordon First Nation Chief and Council. Members must be adult members of the
Gordon First Nation and have a strong interest in community health issues and be
able to present this interest in a written and verbal presentation.
d) Removal or Resignation
Members remain on the Health Committee for a set term unless disqualified
under the Health Committee Terms of Reference. Members who miss three
consecutive meetings, without reason, will be removed from the committee.
Removal of a Health Committee member will be in written format, signed by the
Chairperson and Committee. Members who resign will notify the Health
Committee by letter of resignation, given to the Chairperson.
Terms of Reference contd..
e) Vacancy
In the event of a vacancy on the Health
Committee, the Health Committee will select
someone to fill such a vacancy within 30 days,
and notify Gordon First Nation Chief & Council.
Terms of Reference contd…
f) Disqualification
A member of the Health Committee is disqualified
from holding office for any of the following reasons:
• term expires;
• being absent for three consecutive Health
Committee meetings, unless the majority of the
balance of the Health Committee declare the
reason for the absenteeism is acceptable;
• declared mentally incompetent;
Terms of Reference contd…
f) Disqualification contd…
•
•
•
•
committed a criminal offence of theft or fraud or another
offence that would put the Health Committee in disrepute;
Convicted of an indictable offence while being a Health
Committee member. Note, in these circumstances, a
member would be suspended from the date such charges are
laid (a suspended health Committee member does not have
to be replaced during the suspension period);
Resignation
Death.
Terms of Reference contd…
g) Quorum
A majority of Health Committee members present at a meeting
constitutes a quorum to hold a meeting and pass motions.
Should a quorum not be present, an alternative meeting date
would be set.
h) Notice of Meetings
Other than standing meetings as listed in the schedule of
standing meetings, each member must receive at least 24 hour
notice of meetings.
Terms of Reference contd..
i)
Chairperson
The Health Committee shall appoint one member as the Standing Chairperson of the
Health Committee;
• The Chairperson holds this position until otherwise changed by the Health
Committee;
• The Chairperson chairs all Health Committee meetings and presents reports to the
membership on accountability and financial reporting as required from time to
time;
• The Chairperson acts as spokesperson for the Committee; the Chairperson has the
right to vote as a regular member of the Health Committee, in the result of a tie.
j)
Secretary
The Standing Secretary for the Health Committee is designated by the Portfolio
Councillor.
Terms of Reference contd…
k) Functions of the Health Committee:
• Committee is a volunteer committee;
• Provides support and direction for the Health Director in regards to health
issues;
• Works with the Health Director to determine annual programming and staff
development priorities;
• Provides clear communication between Chief and Council and the Health
Committee;
 Committee makes recommendations to Chief & Council
• Assists with the amendment and implementation of the Community Health
Plan;
• Provides a voice for the community members on health issues.
Ethics and Confidentiality
Gordon First Nation has established a Code of Ethics
for Health Committee members, which also covers
confidentiality issues. All Committee members sign
this code and a traditional oath (both included).
Health Director
Gordon’s Health Director is responsible for coordinating the
Gordon First NationHealth Plan by working with the Health
Committee to ensure financial, human resources and planning
strategies are implemented in the best possible manner.
The Director is supervised by the Director of Operations. The
Director provides supervisory and/or coordinating functions for
the health clinic.
Health Programs
Gordon First Nation, in collaboration with the
Touchwood Agency Tribal Council, Indian and
Northern Affairs Canada and First Nation and
Inuit Health Branch, offers a range of onreserve health programs, services, resources
and agencies.
Health Services
Gordon Indian Medical Clinic
Health administration, health education, health
information systems, community health nursing, home
and community care nursing, community health
representatives, Brighter Futures programming,
NAADAP programming and home care programs,
including home makers and home health aides.
Offices and examining rooms for a dentist and
medical doctor are available.
Health Service contd…
Mental Health Therapy Services
• Provided by Kirk Consulting – services offered for individual services 2X per week
• Roles to be amended to include group counselling
• Funded by the Brighter Futures program
• Family Wellness Centre will open up at the existing Gordon Recovery Centre
• Three positions that will come from the combination of the NAADAP and Brighter
Futures Program.
• Family Wellness Coordinator
• Family Wellness Counsellor (2)
• Youth Wellness Counsellor
• Oversee to the delivery of programs that will be aimed at engaging the
entire family.
Other on-reserve health related resources:
• Gordon Fitness Centre
• Gordon Day Care Centre
• Gordon Social Development Committee
• Family Services
• George Gordon Education Centre
• Housing Committee
• Gordon Arena
• Public Works and Maintenance
Organization Structure…
Health Priorities Identified through Community Health
Needs Assessment
• Priority 1 – Children’s Programs
• Priority 2 – Healthy Living
• Priority 3 – Freedom from Addictions
• Priority 4 – Population Wellness
• Priority 5 - Effective Management and Leadership
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