Gathering Wisdom for a Shared Journey V

Navigating the Currents of Change: Transitioning to a New First Nations Health Governance Structure

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We’ve Made History

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March 17, 2005

Leadership Accord

A New Relationship

With Prov of BC

July 15, 2005

First Nations Health

Blueprint for BC

November 25, 2005

Transformative Change Accord

Bilateral First Nations Health Plan

Tripartite

MoU Nov. 27, 2006

November 26, 2006 June 11, 2007

Tripartite First Nations Health Plan

October 13, 2011

Tripartite Framework

Agreement on First Nation

Health Governance

May 26, 2011

Gathering Wisdom IV: Resolution

on Consensus

Paper

July 26, 2010

Tripartite Basis for a

Framework Agreement on

Health Governance

We’ve Made Important Decisions

3 The 7 Directives, Governance Mandates and Activities,

Reciprocal Accountability, Engagement

• The process of becoming different

• It’s not easy, but presents much opportunity

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We’ve decided to Change. But what is Change?

The cost of not changing….

We’ve learned good lessons about change

• Committed leadership

• Transparent effective processes

• Separate and respect political/operational roles

• Reciprocal Accountability and Sustainability

• Understand the process, like the process and trust the process

• Collaborate, build on economies of scale, and act collectively in interests of BC First Nations

• Be flexible to take advantage of the opportunity

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“Monday’s plan may last until Tuesday.” Barry Phillips, CEO Bigstone Health Commission

We’ve developed a Process: Engagement and Approvals Pathway

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Based on Reciprocal Accountability and the 7 Directives of Good Governance, the health governance process is driven by First Nations through regular community engagement and decision-making.

We’ve made significant progress in one year

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Signing of the Tripartite Framework Agreement October 13th, 2011 Squamish Nation Longhouse North Vancouver BC

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The Framework Agreement was signed October 13, 2011

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Partners established Committees and processes to implement the Framework Agreement

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We’re engaged with our Federal and Provincial partners to finalize the Health Partnership Accord

Significant progress has been made:

• Each region has established (at least in principle) its Regional Table

• Planning for the Regional Caucuses is underway

• Regional Caucuses are engaging with regional health authorities to develop regional partnership accords

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We’ve provided the support for Regional Caucuses to develop Regional Tables

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We’ve developed models and options for a First Nations Health Authority

Gathering Wisdom for a Shared Journey V: Time to continue the dialogue to build and

capture consensus amongst First Nations in BC

• Regional Caucus Sessions : • Review Consensus Paper and

Resolution • Appoint 1 Chief or Proxy per Region

to Resolutions Committee; • Develop questions for tomorrow’s

panels • Other regional business ie. Elections

• Debate on Resolution and Consensus Paper

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Gathering Wisdom for a Shared Journey V

• Updates on “Navigating the Currents of Change” and Success Stories from Home & Abroad

• Update from the interim FNHA and profiling partnerships and successes

• Regional Partnership Accords Update & Signings

• Holistic wellness – discussing lateral violence, health actions, new wellness initiative launch

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After Gathering Wisdom for a Shared Journey V

• Continue to implement Consensus Paper 2011 and Resolution 2011-01

• Implement outcomes of Gathering Wisdom for a Shared Journey V

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After Gathering Wisdom for a Shared Journey V

• Continue with Engagement & Approval Pathway – start strategic discussions on transformation

• Regional work to implement Partnership Accords, develop Regional Health & Wellness Plans, focus on Regional health & wellness priorities

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