Waasegiizhig Nanaandawe'iyewigamig Health Access Centre Annual Report

15 Pages·2016·5.28 MB·English

Greetings from the board
Executive Director’s message
Boozhoo nin dinawemaaganidok, Boozhoo!
It has been a good year, a year for reflection, and a year to 2015,16 could be best described as turbulent. This year has seen many new developments in our operating environment.
look forward to new beginnings. Key highlights were the final report and calls to action of the Truth & Reconciliation Commission, a new federal govern-
ment, and a ramping up of health system transformation provincially. Ongoing ‘transfer’ discussions at the federal level, a
As we reflect on our humble beginnings, on how far we new round of HSIF projects, the provincial auditor general’s report on CCACs, the LHIN’s new Health Services Blueprint,
have grown, from our original clinic and now to building and Minister Hoskins’ Patients First discussion document are only some examples of the many initiatives we have been
both our new clinic and our partnerships, we should take keeping up with and responding to over the past fiscal year.
the time to celebrate our past, present, and future.
Change is inevitable. It is important however, to have a solid understanding of what is, and how that got to be. Ideally, we
Our outreach clinics have become an integral part of want to keep the best of what we have worked hard to achieve, while continually striving for the best that can be.
health care services in the communities we serve, as well As our twentieth anniversary approaches, it is timely to look back to where we came from as we prepare to move ahead.
as continuing to provide an elevated level of health care We do not often take the time to acknowledge and honor all the people and contributions that have brought us to where
in Kenora. We plan to continue, while seeking to remove we are today.
barriers to optimize and streamline our services.
That acknowledgement goes beyond those directly involved in establishing the organization we know today as Waas-
As a board, we must look ahead to building on our past egiizhig Nanaandawe’iyewigamig. The name ‘Waasegiizhig’ honors a healer who lived in the Washagamis Bay area many
successes and moving forward to strengthening partner- years ago, and whose spirit continues to guide us in the healing work we do. Likewise we honor Waashkootsi, the frog
ships with our member communities as well as seeking spirit who came to support the healing lodge in its work at Longbow Lake, and remained with the lodge when it moved to
new opportunities. Obashkaandagaang First Nation some years later. Shaawanobinesiik Gibichii’igamig honors Josephine Mandamin, whose
advocacy and hard work resulted in the hostel facility, where people who need to be at the hospital can access safe, com-
We ask our members to continue to become involved fortable, and affordable accommodation.
through interaction with their board member, as well as
visiting our website for updates, and information. As you The Anicinabe Park occupation, itself the culmination of a series of events that paved the way for much needed programs
look through the Annual Report you will see that the num- and services for Anishinaabe people in the Kenora area, was acknowledged in a series of anniversary events two of years ago.
ber of visits to communities continue to grow, and hope-
fully you will recognize or become familiar with the staff The years since ‘the park’ have seen significant growth in the number and scope of those programs and services. From
members and what services they provide. Be aware that token workers and affirmative action-style programs, Anishinaabe community driven and governed services and agencies
our board regularly holds meetings in its member commu- have grown to function as equals alongside our partners in the mainstream. There is still a long way to go before we see this
nities, so check our schedule, and come see us when we reality appropriately reflected in all the new initiatives we find ourselves dealing with, but there has been tremendous prog-
are near you. ress in our time. The timeline throughout this report provides a very high level snapshot of our own organizational history.
The next years represent both risks and opportunities. Change is unavoidable. But even good change – for all the right
reasons – is uncomfortable. And changing relationship dynamics can be the most difficult adjustment of all. But when
we stand to gain more than we are likely to lose, change becomes something we can embrace for the greater good. Life
itself is change, after all … minobimaadiziwin.

Kimberley Sandy-Kasprick
President

Anita Cameron
Executive Director
2 3
Who We’re Serving
2015,16 2014,15
AGE RANGES
Registered clients 11,371 10,767
Active this year 4,795 (42%) 4,933 (46%)
HOME COMMUNITIES
0-17 45-64 Unknown
18-44 65+
GENDER
Kenora SL40
WON DAL
WFB NWA37 (Regina Bay)
GNFN NWA33A (Dogpaw Lake)
SL39 NWA37B (Windigo Island)
WDFN NWA33B (Angle Inlet)
OBK
Male Female
4 5
Body
OUTREACH ACTIVITY TOP 10 ISSUES ADDRESSED
2015,16 2014,15
WNHAC service providers whose primary focus is physical Services provided include:
health include: • well family care; Diabetes Mellitus (Type 2) 1** 1**
• physicians, • assessment, diagnosis, and treatment; Hypertension 2 2
• nurse practitioners, • chronic disease management; Anxiety 3 3
• clinic nurses,
• blood work for diagnostic testing; Depression 4 4
• dental hygienists, and
• point of care testing; Prediabetes 5
• diabetes clinicians including a
• cancer screening; Upper Respiratory Infection (Acute) 6 5
- registered nurse,
- dietitian, and • oral health screening; Well Child 7 6
- nurses who provide foot care and retinal screening • immunization; Smoking Addiction 7
• communicable disease control and contact tracing; Anemia 8
These providers serve all WNHAC member communities.
• public health nursing;
Rheumatoid Arthritis 9
Certain communities have requested WNHAC for additional
• home care nursing;
services provided by: Asthma 10
Clinical Community Visits
• personal support (home care);
• community health nurses,
Well Baby 8
• diabetes education and management;
• home care nurses, and # visits km travelled
• nutrition counselling; Chronic Pain 9
• personal support workers. SL39FN 146 23,360
• insulin adjustment; Ingrown Toe Nail 10
WON 136 1,360
• advanced foot care;
WDFN 108 24,300 NOTE: Diabetes is most commonly addressed by far, identified almost
• retinal screening;
four times more frequently than the next most frequently addressed issue
OBK 107 4,815
• wound care; (hypertension).
NWA37 (Regina Bay) 96 17,280
• blood pressure monitoring;
GNFN 95 19,475
• prescription management
WFB 95 17,100
2015,16 2014,15 SL40FN 89 14,240
Number of clinic days 2,098 2,026 NWA33 (Dogpaw) 82 14,760
Client encounters 19,875 16,945 DALLES 77 1,925
NWA37 (Windigo) 30 11,250
NWA33 (Angle Inlet) 25 9,375
Wabigoon 14 5,250
Minaki 10 1,200
Total clinical outreach 1110 165,690
Kenora 1074 0
• Needs assessment to determine community health needs and
• HAC development initiated with technical support priorities carried out development activities guided by steering
from Rose Sky committee comprised of Chief Marvin Sinclair, Anita Bedard, Tania
• Chiefs Alfred Sinclair, George Kakeway, and Eli Mandamin Beardy, Rick Petawanikweb, Glen Wetelainen, FNIHB Nurse,
presented concept drawing for development at Round Lake to Kathy McLeod, and supported by IFNA Engineering site selected at
Organizational WON chiefs’ assembly Washagamis Bay First Nation
1993 1994 developments • Initial plan not approved; development continued • Submission conditionally approved May, 1998
External events • “For Generations to Come: The Time is Now (A Strategy for • Aboriginal Healing & Wellness Strategy (AHWS) implemented 1994/95 1995/98
Aboriginal Family Healing)” published both documents
External events • AWHS strategy initially implemented by Treaty#3 office • KCA established to separate of political/ service delivery
• “New Directions: Aboriginal Health Policy for Ontario” published • Management partnership included the province (MOHLTC,
• Planning sessions to identify health priorities coordinated from treaty protectorate role in Treaty#3
MCSS, MAA, MAG, OWD), PTOs (GCT3, NAN, UOI, AIAI), and
through Treaty#3 • AHWS programs devolved to KCA
NGOs (OFIFC, MNO, OMAA, ONWA)
• Rose Sky continued as technical lead; later replaced by Bonnie
Scheer and then Michelle Cyr
6 7
Mind
HEALTH PROMOTION ACTIVITIES BY FOCUS HEALTH PROMOTION OUTREACH
WNHAC health promoters empower people through knowledge.
2015,16
Workshops, events, and activities provide participants with infor-
# events KM travelled
mation and opportunities to turn that into knowledge they can
use to make healthy choices for themselves and their families. WFB 115 20,700
OBK 93 4,185
12,208 people participated in 939 events and activities aimed
SL39FN 71 11,360
at sharing health information and developing skills to turn
GNFN 65 13,325
knowledge into action.
WON 58 580
Areas of focus include:
• Healthy eating • Active living SL40FN 55 8,800
• Diabetes prevention • Smoking prevention/cessation Health Eating/Active Living 274 FASD Prevention 138 WDFN 41 9,225
• HIV/AIDS prevention • Children’s oral health
Diabetes Prevention 208 HIV/AIDS Prevention 123 NWA33 (Dogpaw) 36 6,480
• FASD prevention, • Postpartum support including
Smoking Prevention/Cessation 72 Oral Health 188 NWA37 (Regina Bay) 34 6,120
and child nutrition breastfeeding & parenting
• CDSM Traditional Health Promotion 249 NWQ37 (Windigo) 18 6,750
Dalles 17 450
• Three programs: Heath Access Centre; Preventative Dental pilot, NWA33 (Angle Inlet) 7 2,625
project funding to complete capital projects and purchase equipment
• First board/staff planning retreat to address board development, mis- Total HP Outreach 610 90,600
• Interim office established in Washagamis Bay Elders Centre sion, vision, values, and implementation plan held at Riverview Lodge,
• One program (Health Access Centre) combining clinical, health Dryden; facilitated by Glen Murray, an organizational developer from Kenora 199 0
promotion, and traditional healing services established Sudbury Other (Thunder Bay) 2 1,956
• Ten positions: physician, nurse practitioner (2), dietitian, diabetes • Incorporation process completed May 12, 1999
nurse, counsellor, traditional healing coordinator, executive director,
• First Directors include Kenora Tribal Area Chief Lance Sandy, Chiefs Total Activities 92,556
executive assistant, receptionist/secretary
Marvin Sinclair, George Crow, John Wapioke, Joe P. Seymour, and
• Dr. Allan Torrie and Gloria Alcock, RN(EC) provided clinical support
Emma Paishk as proxy for Ron R. McDonald as well as Donald
• Traditional Healing Coordinator and Executive Assistant hired August,
Copenace, Roland Chartrand, Ken Cripps, and Tania Beardy
1998; balance of positions filled over following year
• Later joined by Chief Bill Fobister, Don Biggeorge
• Anishinaabe name(s) received from elders Ozowigoneb (Charlie • Objects of incorporation: to operate a community health center ... • Development of core services continues; oral health pilots
Copenace) – Waasegiizhig – and Maajiibiness (Robin Greene) – - to provide primary health care, public health services, education, continue
Nanaandawe’iyewigamig
promotional, and supportive services ... • Successful application for one-year residential school healing
• Logo suggested by Traditional Healing Coordinator and validated in
- to provide outreach services in primary health care, public health project (Project Coordinator, Debbie Lipscombe and 11 new
Turtle Lodge ceremony with Phyllis Shaugabay
services, educational, promotional, and supportive services ... positions)
• Traditional drum (Waasegiizhig) envisioned by Ozowigoneb; created by
Joe Red Thunder Boy - to facilitate, support, and conduct research into traditional healing • Requested to add diabetes education (prevention and treatment)
• Land cleared and infrastructure (access road, hydro and phone lines; practices, program by NDHN (1 new position)
well/septic system) built - to facilitate, conduct, and evaluate research into First Nations • Sweat lodge moved closer to main road
• First elders’ gathering at OBK band hall health issues, • Development of core services • Concerned residents ask WNHAC to take on Minaki Nursing
• Began recruitment of board members - to promote and facilitate the training and education of First Nation continues; oral health pilots continue, along with NOHFC project Station - permanent population largely Metis, and nursing station
• “Road show” to introduce new organization to communities and and Aboriginal persons in the health care field, funding adds service accessible by Wabaseemoong residents (1.5 new
begin planning for service delivery - to operate and maintain a laboratory, research facility, pharmacy, or • Connee Badiuk replaces Judy Zilinski as RDH positions)
• Broke ground for new building dispensary;
• Strategic plan developed with Mary Alice Smith • Invited to submit application for FASD/Child Nutrition funding
• Building completed and services initiated - and such other incidental acts that are conducive to the achieve-
• Chiefs decide to delegate governance responsibilities to appointed (2.0 new positions)
• Judy Zilinski, RDH and Dr. Les Armstrong engaged to support ment of the aforementioned objects
Organizational representatives • Attached roundhouse constructed by Charlie Copenace, Joe Morri-
addition of dental services • Grand opening of building held May 27, 1999
Organizational • Joint cultural retreat with OTFS Healing Lodge in Winnipeg, facilitated • Second elders’ gathering held developments • Accountant position added (Sue James) son, and Pete Crow
developments by Leslie Gardner • Sweat lodge built behind main building
1998/99 1999/00
External events • AHWS approval secured; Executive Director (Anita Cameron) hired to • Funders include: AHWS, Health Canada, Northern Ontario Heritage 2000/01 2001/02
implement approved workplan Fund Corp (NOHFC)
• Attended Birch Island traditional health gathering at Dreamer’s Rock External events • Funders include: AWHS, Health Canada, NOHFC • Funders include: AHWS, Health Canada, Aboriginal Healing
with Robin Greene and steering committee members Foundation (AHF), Northern Diabetes Health Network (NDHN),
• Health Canada engaged to support oral health services prioritized in • Y2K Ministry of Health & Long-Term Care (MOHLTC)
needs assessments (AHWS funding insufficient to address) • Joined Association of Ontario Health Centres (AOHC) at rec-
• Working relationship established with OTFS/Youth Healing Lodge ommendation of AHWS, in lieu of creating another provincial
program association
8 9
Spirit
HOSTEL UTILIZATION BY COMMUNITY REASONS HOSTEL ACCESSED
WNHAC’s Nanaandawe Bimosewin (heal- provided from the perspective of nurturing
2015,16
ing path) services focus on spiritual needs, balance and healing. The focus is on explor-
Residential clients 40
encompassing both emotions and spirit. ing how the person sees themselves in the
world, rather than diagnosis and treatment. Residential programming days 579
A Cultural Coordinator connects clients 2015,16 Non-residential program clients 42
with traditional healing services, coordinates
Clients 218 Group activities, ceremonies 71
traditional clinics, and shares teachings that
promote the value and benefit of traditional Encounters 501 Group/ceremony participants 1,200
cultural perspectives and practice.
Waashkootsi Nanaandawe’iyewigamig Shaawanobinesiik Gibichii’igamig (outpa-
2015,16
(healing lodge) provides a residential healing tient hostel) provides affordable accommoda-
Clients referred/provided service 48 program that focuses on helping program tion and support for individuals and families
Traditional clinics, events 149 participants address the trauma they have that require access to Lake of the Woods
encountered in their lives. Using a culture District Hospital for medical reasons, or to
Participants 1,440
based, trauma-informed approach that relies support family members.
A Registered Social Worker collaborates with primarily on traditional teachings, land-based 2015,16
activities and ceremony, participants learn WDFN 177 Onigaming 11 Outpatient/Home Care Treatment
the Cultural Coordinator and various WNHAC Clients 569
service providers to support people’s emo- not to be defined by their past experience, GN 89 Other 8 Family Member/Palliative Care
Escorts 259
but rather how to live in the present and
tional and spiritual needs s a key component WFB 83 SL40FN 5 Escort/Other
choose healthier responses to the challenges Bed nights of accommodation 1,275
of overall health. Assessment, short-term
they encounter in their journeys. SLMS 50 Dalles 3 Early Morning Tests/Surgery
counselling, EMDR therapy and referrals are
NWA33 35 Eagle Lake 2 Post Discharge Monitoring
NWA37 18 OBK 1
• Development of core services, oral health pilots, diabetes education
services, FASD/CN education, and management of Minaki Nursing
SL39FN 12
Station continue
• Successful application for four-year residential school healing project
(11 positions)
• After consultation with community leadership, agreed to manage
Nanaandawe’iyewigamig Healing Lodge (8 new positions)
• After consultation with Wabaseemoong, agreed to manage Outpatient • Core services, healing lodge, hostel, residential school project, oral
Hostel at LOWDH (5 new positions)
health projects, diabetes education services, FASD/CN and HIV/AIDS
• Successful submission for HIV/AIDS Education funding (1 new position) • One-year project to develop breast cancer education resources
education, and management of Minaki Nursing Station continue
• Successful submission for Nurse Practitioner funding (2 new positions) secured
• Partnered with 8 other organizations in FASD diagnostic clinic • One-year diabetes prevention education project secured • One-year project to develop breast cancer education resources • Final year for AHF project funding
• Quarterly traditional clinics initiated with Mark Thompson and Kathy Bird extended • Smoking prevention/cessation and traditional nutrition projects fund-
• Elders gathering
• FASD symposium held (becomes First Annual Conference) • One-year diabetes prevention education project funded via Treaty#3 ed
• Healthscreen electronic health record implemented
• Basement renovated to create four new offices for new employees • Ongoing funding established to secure oral health services • Satellite site purchased at 212 4th Ave. S., Kenora
• Work and storage space becoming problematic issue • Deputy Minister of Health and Aboriginal Health Office Coordinator • Work and storage space becoming urgent issue • Phase 1 (west side) renovations completed (November)
Organizational • New strategic plan based on extensive consultation developed with visit with board and staff • Mould issues addressed in crawlspace at Washagamis Bay site • Selected to participate in pilot year for NOMS ICE placement process
developments Helen Wythe Organizational • HL initiates mental health resources network • Strategic planning with Helen Wythe
developments • Phil Fontaine visits residential school healing program • Service gap for Dryden area FNs identified
2002/03 2003/04
External events • Funders include: AHWS, Health Canada, AHF, NDHN, MOHLTC • Funders include: AHWS (HAC, HL, Hostel), AHF, Health Canada, 2004/05 2005/06
(Minaki, FASD, CN) NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP), Canadian Breast
Cancer Foundation (CBCF), MOHLTC (Diabetes Education) External events • Funders include: AHWS (HAC, HL, Hostel), AHF, Health Canada, • Funders include: AHWS (HAC, HL, Hostel), AHF, FNIHB (COHI),
• Ojibway Tribal Family Services loses core funding from INAC; AHWS (FNIHB), NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP), Canadian NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP), Smoke-Free
requests WNHAC to maintain Healing Lodge program • AOHC initiates equity comparison across sector Breast Cancer Foundation (CBCF), MOHLTC (Diabetes Education) Ontario, Healthy Weights/Active Lifestyles
• Wabaseemoong withdraws from partnership with LOWDH to operate
Outpatient Hostel; WNHAC requested to replace Wabaseemoong as • FNIHB Children’s Oral Health Initiative established • NOSM established; first class begins
partner • AHWS offers financial incentive to establish accessible satellite site • Health promotion funding transferred from MOHLTC to Ministry of
• MOHLTC issues RFP for HIV/AIDS Education funding previously man- in Kenora Health Promotion (MHP)
aged by OTFS • Dr. Torrie retires from active practice • Problems with HL facilities escalate (leaking roof, flooding basement,
• MOHLTC expands primary care funding • H1N1 pandemic emerges septic issues) at Longbow Lake
• SARS outbreak worldwide • First AOHC report on primary health care equity released
10 11
Dr. Kevin Bozyk D r . La BeaindinuokC, R D Hu d l a n ro PD acuelM DyrevSi ctense eli lDCrir re ac t oo rMs eu S c r a u ro s Fdi e n, Rn a n n Ca cyr moe tMa un MdAHi d ar on o ea C g e r r A n i t aD E x C er ac. t luCuaHe N h/RHtm Cn No SisO yRl l eA Rv : PD NrA, eaED Lao y Mn aA DnZ niElii T nr s k di e c rt |Dia b e tset r s e bEao doRu cr eatf irn o rn se: J S P aa t: rsi r ce Lns e o hi t ni th c o af f r eB olowceiPNn ( ( Di Net itie a un )| r s s rH) g ee nu) ai nl t eN eh r c P Sr l o a n m i t oe t R e ,r e s r :a c t o o l F o ( k esin t, J eia gnyi Hc ek ln a S t pn e ie i nD cN c e r i dS ee rC lM e e r n ni i ac m a a JRl d/e o n c s ae s eM Tp rs atT dip i t iao o hoE tlu r a e hn Rn dRn , oa s l y nl l A A A C, aHs ossn o eeS rn nDMndea lii ill e n oet Wla atrh soLlB arab, onn )LEoy ehN a hitdt n o CAPgo fem Ro Js DrE d : e e E rO , nangJ)d dnoeMwe gen caoeunC r Bi a ua i a tm i i pceznt ariinetmhar e Ncetc oCii :eoDhKe ceoa LgRr H(lc d r o e / n loM sS (l s : L a :ees W g p c w era n iAg lee ri ol la eniah ncnB leDmdauCeoHc emesLe riee n ltes to r i g ot ac n c Ol n i o Na s( HE dHi F)r r eremoyrP oso hoaNg rf loMti ugiettc iiel N nn aks a aon r,ag(rk rtee inrdfsuL,os HfeLainoR Ntnll,co,r ae he BlnodWt )SJaiin geng ogta nn heaayp enwi|llHo:ennS i l S ce enLi i clte edeC nae irrc )decrtcsS NHine(oiS(rsaADnpnteO ,NoIral ieaiDanATen CWPn/ JngNtl Hli i)c ydttn ( e ie s C aea R|oiCrNIn kyN (v n )Hcaee S o i iRl tnOn el du y hm iaa HR cl e AMu pl i a td Rom h aea ue I d Pr sn l M: P otln e Ns Nu s si renr i M t rol ,oyln e,o C u ma A tg kC aa i aF We, ktey on Nc eianih ANntyusPeetRommhh drR sDiBi nsEkma P:) o iR sMl i asEJ Oei yt cre l t il NDGecA CCs bo CLl,o, esTuae H osrrghi)aieDWr/acnddnN l a hSli S il, ntwllHo Pa/i:eRD|aofR one(CWf P at nrde)gk(o NC7r Nar wcdlc3ra u,la oeiAn a rML HLEnWpse ha evoeetg vNkin) eidaa nt o c ig ri, lR loc sn3af t aoi lh 3omn , e rB A end S EH W h y O tN a gs ( Hir e oi Mem nka nl saiB n ohn gri: sle Ls ntp orhN dreheigotaelPu ouc: o nIirrJs dS i smehac xeen itoV e l r n C Plh iPyal liPs PoA i n eess ae Cr p r aro Hr eeo c c nro n d t Tae L iirn p ac ta :S d iet eoo i tc Dri i, o nn Ltna laJA na e ,u tg l Csf a io HrE rnedl ees ii Ohgn La gy e , lHm iR lt a ac hth n e T D n A Mor s s a sy lil cAs At y,a E sn s Bt T e , Gn lle l ea ernnn OWu o g nio et)moeagmhm t yEn i t ewnerSD aer Sdunpe p,Kot rNeary icc n la o ScoiRr NeelcllCe/pntioSe a uBniortwseeeRn , P(e D r ie r a t iatcki atunci)o n | t a o Hi mFt eo( TaR i l tonih PmEe znraoJ m notee ris : A)cr i,M d NHe oO Ml lLl yW o ER(k okiAsa eN y D a| t : D uAila bApe t er a s i) Eenlsd r usuPciN a(frtfoorrhs :nC eh e L c irt,a PisNe PnRt aRnOz N C H/ N H C C H N /tH C N )OnNRG (R zPnNat,n Aepsireilr P e m e g a ndla e MfE ixa tne acSu D t ai vl re yo t Aaar sn iosTKtdr iaoas or t tC na s i ny nt i a m d P A Fke rin oarwntcereN Aa s s i s ttan un il tm a dn a M h tLioerKi Snifeld
12 13
Staff changes:
• Kendra Drew returned from maternity leave to Reception/ • Ida Copenace moved from Waabanong to Giiwedinong
Clerical Support (Waabanong)
We also want to congratulate Ida Copenace and Raven Crow,
This year we said goodbye to LeeAnn Desrochers, who was Sandra Mandamin joined Team Waabanong as a Health • Dayna Zilinski also returned from maternity leave to Com- who successfully completed the Aboriginal Teacher Education
our first official Nurse Practitioner, and was part of our team Promoter, Misty Blackhawk joined Team Zhaawanong as a munity Health Nurse (Ningaabii’anong) (ATEP) Program at Queen’s University through Seven Gener-
since 2000. Lee Ann moved to Sioux Lookout to support the Personal Support Worker, and Annie Boyd joined Team Nin- ations Education Institute this year. Along with Helen Morrison,
expansion of primary care services and to be closer to family gaabii’anong as Receptionist/Clerical Support. • Janice Spencer moved into the role of Team Lead (Giiwed- these ladies worked extra hard over the past couple of years,
(which has now also expanded to include her first grandchild). inong) after Darci Everson stepped down from that role to and participated in graduation ceremonies this spring.
Finally, we are happy to welcome back Gen Ogemah, who was focus on health promotion
Barb Pernsky also left to join the Sunset Country Family attending school last year.
Health Team. • Allyson Rheault moved into the role of Team Lead (Ningaa-
This year also saw a number of internal changes: bii’anong) after Serena Joseph stepped down from that role
Helen Morrison left to take a teaching position at Kiizhik to focus on health promotion
School. • Nicole Anderson has moved from Health Promoter
(Ningaabii’anong) to Diabetes Clinician - Foot Care/Retinal
We also welcomed a number of new employees over the Screening (Zhaawanong)
past year. Charles Ross and Holly Rose, both Nurse Prac-
titioners, joined us last summer and fall. Charlie is on Team • Lorraine Johnson moved from Diabetes Clinician - Foot
Zhaawanong (also providing service to OBK), and Holly is on Care (Zhaawanong) to Home Care RPN and Team Lead for
Team Waabanong. Zhaawanong (also serving Ningaabii’anong)
• Third round of project funding to support smoking prevention/
cessation and healthy eating/active living
• Project funding to support FASD clinic sustainability planning
• New funding introduced to support mental health care (1.0 FTE)
• CHN services initiated for 3 communities (1.0 FTE)
• Second round of project funding for smoking prevention/cessa- • Retinal screening services initiated with capital support from
tion and healthy eating/active living (1.0 FTE) FNIHB
• Project funding to support Phase 2 satellite site renovations • NPs rotated through LOWDH ER to improve services for
• HL closed to clients (health & safety concerns) Aboriginal clients
• HL staff moved to OBK; residential services temporarily • Staff re-organized into Primary Care and Community
suspended Development Teams • Funding to support smoking prevention/ cessation, promotion
• Clinic opens at satellite site • Phase 2 renovations completed at satellite site of healthy eating/active living, and diabetes prevention becomes • Final year of Trillium funding re FASD clinic
• Participated in BST wound care therapy research project (health promotion/office spaces) annualized (2.0 FTE) • HL resumes residential services at OBK
• Ongoing CHN services for 3 communities • NDHN program audited
• Pandemic Preparedness Committee established to ensure care • Community development team (health promoters) move to
• Diabetes component added to oral health services • Internal compensation equity analysis initiated
and continuity of operations satellite site
Organizational • Mould problem recurs at OBK site; remediated/repaired • Operations restructured to create smaller work groups within
• Mental health identified as service enhancement priority • Renovations initiated to convert OBK facility building to
developments • Board transitions to policy governance model larger teams
Organizational • Discussions about delivering CHN services initiated with FNIHB residential facility for healing lodge
developments at request of member communities • Administration moves into basement space
2008/09 2009/10
External events • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI, • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI, ADI),
2006/07 2007/08
FNIHB (ADI), NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP), Ministry of
External events • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI), • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI), NP), Ministry of Health Promotion (MHP), Trillium Foundation, Health Promotion (MHP), Trillium Foundation, NWLHIN (Mental
NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP) , Ministry of NDHN, MOHLTC (HIV/AIDS, Minaki, FASD, NP), Ministry of MOHLTC (Mental Health), FNIHB (CHN) Health), FNIHB (CHN)
Health Promotion (MHP), Trillium Foundation Health Promotion (MHP), Trillium Foundation, MOHLTC (Mental
• Mental health funding transferred from MOHLTC to NWLHIN
Health), FNIHB (CHN)
• Family Health Team model/funding announced • H1N1 pandemic worldwide
• POC testing for HIV/AIDS announced • LHINS created • Ontario Diabetes Strategy announced
• Urban Aboriginal Task Force report published • LHIN presence becomes more evident
14 15
Quality Improvement
Hospital (re)admission, discharge, and emergency department use have also been identified as indicators of quality and effec-
tiveness, but WNHAC does not have access to that information at this time. We do participate in committees aimed at creating
an effective continuum of care that will improve health outcomes for our clients.
Since 2014,15, WNHAC has been required to submit a Quality Improvement Plan (QIP) to Health Quality Ontario (HQO) under
the Excellent Care for All Act (ECFAA). This law was intended to strengthening organizational focus on quality of care. Informa- ENGAGEMENT OF LEADERSHIP, CLINICIANS AND STAFF
tion about the Excellent Care for All Act can be accessed by emailing [email protected]. The board develops and articulates our vision and values, and ensures they are reflected in everything we do. The board also
ensures we comply with all legal requirements and funding agreements, and that we are accountable to the communities we
Aspect Improvement sought 2015,16 were created to serve.
Effectiveness Cancer screening rates • increase in colon cancer screening
• increase in cervical cancer screening The management team develops and monitors operational plans, acknowledging successes and flagging areas for improve-
ment. The Executive Director liaises between the board and the staff.
Diabetes management • HbA1C testing rates
Patient experience Opportunity to ask questions • client survey
Staff develops and implements strategies to achieve established goals, assisting in development of effective workflows and other
Involvement in decisions about care
mechanisms such as medical directives.
Providers spend enough time
Timeliness Able to access care when needed • client survey CLIENT ENGAGEMENT
Feedback is gathered from clients, group participants and community members through program evaluations ongoing satisfac-
tion surveys. Surveys can be completed electronically through our website, the kiosk at our central service location, or in paper
2015,16 QI ACHIEVEMENTS
format at all WNHAC locations and activities.
Changes to scheduling practices and standardized appointment lengths resulted in 32% of appointments at the central ser-
vice location being available for same or next day access, despite vacant positions. Survey results indicated clients are feeling
Seasonal elders gatherings are also an important source of guidance and information.
increasingly involved in their care and treatment plans.
The surveys also indicate that 30% of clients surveyed always/often practice traditional healing, and 53% would like to learn more.
INTEGRATION & CONTINUITY OF CARE
• Project funding to expand reach of diabetes management ser-
Linkages to improve integration and continuity of care involve both management and front line providers. Organizational linkag-
vices
es are maintained with regional entities and health service providers, while front line staff collaborates with care providers at the • Healthy Kids element added to MHP funding
• Capital project funding approved
community level and in local and regional agencies.
• Kenwood Hotel purchased as future site for WNHAC central
service location
• Move from Healthscreen to NOD
• Developmental process initiated to provide CHN and HCC • New strategic plan created to reflect organizational review report
• Capital funding application submitted to address increasing services to three additional communities (5 points of service) and updated vision statements
• Administration office rented on Lakeview Drive (until new build- space pressures • HL Boost project continued (delayed by extenuating • Joined NOSM Haemophilus Influenzae “A” research project
Organizational ing completed) • HL Boost (capacity development project) initiated to review and circumstances) • Annual conferences resumed (January/15)
developments • Strategic planning facilitated by Lucille Michaud formally integrate HL operating policies with WNHAC • Organizational review commissioned from Williams Consulting • Travel to Anchorage, Alaska to investigate NUKA Model of Care
Organizational • Rented apartment next door to central service location to accom- • Key performance indicators (KPI) created to measure progress of
developments modate overflow of staff strategic plan elements
2010/11 2011/12
External events • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI, ADI), • Funders include: AHWS (HAC, HL, Hostel), FNIHB (COHI, ADI), 2012/13 2013/14
NDHN, MOHLTC (HIV/AIDS, Minaki, NP), Ministry of Health NDHN, MOHLTC (HIV/AIDS, Minaki, NP), Ministry of Health
Promotion (MHP), MCYS (FASD/CN), NWLHIN (Mental Health), Promotion (MHP), MCYS (FASD,CN), NWLHIN (Mental Health), External events • Funders include: MOHLTC (HAC, NP, Minaki, HIV/AIDS), AHWS • Funders include: MOHLTC (HAC, DES, Minaki, NP, Diabetes,
FNIHB (CHN) FNIHB (CHN) (HL, Hostel), FNIHB (COHI, ADI), NDHN, Ministry of Health HIV/AIDS, HPB), AHWS (HL, Hostel), FNIHB (COHI, ADI), MCYS
Promotion (MHP), MCYS (FASD,CN), NWLHIN (Mental Health), (FASD,CN), NWLHIN (Mental Health), FNIHB (CHN, HCC)
• ECFAA introduced & QIP planning initiated in hospitals • HAC funding agreement transferred from AHWS to MOHLTC FNIHB (CHN, HCC)
• AHWS Phase III terminated; discussion initiated re transferring (transition year) • First ECFAA Quality Improvement Plan submitted as required by
HAC funding to MOHLTC, HL and Hostel remains with new • HL/Hostel funding agreement transferred to MCSS under new • MHP folded back into MOHLTC as Health Promotion Branch legislation
AHWS in MCSS AHWS strategy (funding levels unchanged) • Media event held to announce capital project approval, with
• ONA bargaining unit certified; first collective agreement negotiated • NDHN terminated; funding transferred to MOHLTC (regional Minister of Aboriginal Affairs David Zimmer making the
• FASD funding agreement transferred to MCYS coordination function with NWLHIN) announcement
16 17
Strategic Plan Update
WNHAC is now in the third year of the strategic action plan established after the 2013 organizational review. The plan contains
four key elements:
KEY ELEMENT #1: COMMUNICATION
Outcomes: Improved visibility of WNHAC staff and awareness of services, mandate, and strategic priorities.
Actions: • Vision, values, and strategic priorities documented in broadly distributed logic model planning reference; internal
reporting/communication cycle established; outcome measures established as key performance indicators; annual
conference (re)established in 2014; branded vehicles and license plates; sandwich boards outside clinics/events;
branded staff vests and photo ID card tags; monthly newsletter; updated website; Facebook page; updated brochures;
AHAC information publication circulated; ongoing participation in all available networking, collaboration, and planning
opportunities.
Future Focus: • .5 position responsible for maintaining active, ongoing communication.
KEY ELEMENT #2: SERVICES
Outcomes: Improve access to existing services, expand access to mental health and addictions services, and access quantitative
data on Anishinaabe health needs to support planning and assess impact of WNHAC services.
Actions: • Improvement in access to service was limited by ongoing provider vacancies.
• Key performance indicators (KPI) identified to begin measuring progress toward fulfilment of vision elements
and support planning in key areas, including addressing identified mental health needs.
• Ongoing participation in Health Information Knowledge Exchange (HIKE) network and practice profile analysis to
support population-based data gathering/analysis.
Future Focus: • Equitable access to services based on documented need.
• Project funding bridged fiscal years
• Travel to Ft. Qu’Appelle to investigate All Nations Hospital model
• HL program review completed; update of program content initiat-
ed for implementation in 2016,17
• HL residential programming suspended March 1 for facility
refresh (painting, flooring)
• Project funding to promote breastfeeding (initiated mid-year) • Hostel closed several days while LOWDH installed new flooring
Organizational • Operations restructured into client and community-focused inter- • Increased space pressures result in rental of second apartment
developments professional care teams for office space (Annex 2), adjacent to downtown site
2014/15 2015/16
External events • Funders include: MOHLTC (HAC, DES, Minaki, NP, HIV/AIDS, • Funders include: MOHLTC (HAC, DES, Minaki, NP, HIV/AIDS,
HPB), AHWS (HL, Hostel), FNIHB (COHI, ADI), MCYS HPB), AHWS (HL, Hostel), FNIHB (COHI, ADI), MCYS (FAS-
(FASD,CN), NWLHIN (Mental Health), FNIHB (CHN, HCC, D,CN), NWLHIN (Mental Health), FNIHB (CHN, HCC), MOHLTC
MOHLTC (Diabetes), Health Nexus (breastfeeding project) (Diabetes), Health Nexus (breastfeeding project)
• LHIN began coordinating DES services with communities of • ICES practice profiles generated for AHACs
practice and a regional steering committee • MAA Urban Aboriginal Action Planning process initiated
• FNIHB initiates devolution through second phase HSIF Projects
• Liberals form majority federal government
• Patients First discussion paper
• LHINs to play stronger role in primary health care, with stronger
links to public health
• CCACs to be restructured post provincial auditor general’s review
18 19