Aboriginal Health Forum

MONDAY, APRIL 15, 2013

Workshop A – 9:00 a.m. to 12 noon

Health Privacy Management and Compliance for First Peoples' Health Organizations

Bonnie Healy
Operations Manager, Alberta First Nations Information Governance Centre
Assembly of Treaty Chiefs of Alberta
 

Rick Klumpenhouwer
Partner
Cenera

This session will provide in-depth dialogue and interactive learning to deepen knowledge and practical expertise of personal health information and privacy protection processes and management practices. Strategies for incorporating such protections in the day to day delivery of health care will be explored in order to ensure better health information management policies and processes, and appropriate legal compliance and risk management in the delivery of care. Among the key areas to be addressed are:

• Regulatory framework for health privacy
• Primary responsibilities for health privacy protection and confidentiality
• Privacy compliance audits and assessments
  • When to conduct them
  • Why to do so
  • How to – best practices
• Main areas of health privacy risk and how to reduce exposure
• Dealing with third parties: social services, police, etc.
• Research and privacy protection
• Collective and group privacy issues
• Sample scenarios and solutions

The session is led by expert practitioners with knowledge of best practices in a first peoples' healthcare context. There will be ample opportunity for dialogue and to have your questions and concerns addressed. Don't miss this opportunity to deepen your knowledge so that you may apply it directly in your own health organization and programs.

12:00 – 1:00 Light lunch will be served for delegates attending both workshop

WEDNESDAY, JANUARY 30, 2013

Workshop B – 1:00 p.m. to 4:00 p.m.

NIHB Best Practices - Indigenous Health Program Financial Management for Non-Insured Health Benefits Claims

Julia Adams
Chief Executive Officer
Nisga'a Valley Health Authority

Lisa Gosnell
Team Lead, NIHB
Nisga'a Valley Health Authority

Like other Canadians, indigenous peoples access hospital and primary care through the programs delivered by the provinces and territories under the Canada Health Act.

Health Canada's Non-Insured Health Benefits (NIHB) Program provides coverage for certain additional health related services and materials when not insured elsewhere.

The Non-Insured Health Benefits Program is Health Canada's national, medically necessary health benefit program that provides coverage for a specified range of drugs, dental care, vision care, medical supplies and equipment, mental health counselling, short-term crisis intervention and medical transportation for eligible First Nations people and Inuit.

This session will provide opportunities for in-depth discussion of how to best approach the management of claims for such NIHB to ensure best results, while avoiding delays and errors. Among the key topics to be covered are:

• Healthcare funding framework – from the big picture to the details
• How NIHBs fit in
• Setting up systems, policies and procedures for managing NIHB programs
  • Dental
  • Pharma coverage and the formulary management
  • Supplies and equipment – procurement and inventory management
  • Mental health services
  • Crisis intervention program
  • Medical transport
• Role of IT in managing NIHB
• Trouble-shooting and pitfalls to watch out for
• Examples and case studies

You will benefit from specially prepared materials and sample documents and have ample opportunities to ask questions and compare notes with other participants.

April 16, 2013

8:00

Registration and Continental Breakfast

9:00

Elder's Opening Prayer and Welcoming Remarks from Insight Information

9:05

Co-Chairs' Opening Remarks

Dr. Malcolm King, PhD
Scientific Director
CIHR Institute of Aboriginal Peoples' Health

Dr. Esther Tailfeathers, MD
Family Physician
Fort Chipewyan
Medical Director, Aboriginal Health Program

9:15

OPENING KEYNOTE ADDRESS

Improving Healthcare for First Nations, Métis and Inuit Peoples of Alberta

The Honourable Fred Horne
Minister of Health
Province of Alberta

10:00

SPECIAL ADDRESS

Early Childhood as a Determinant of Health – Implications for First Peoples' Healthcare

Margo Greenwood PhD
Minister of Health
Province of Alberta

10:45

Coffee Break

11:00

Health Planning, Integration and Program Delivery - The Health Services Integration Fund (HSIF) and Other Initiatives

Dr. Esther Tailfeathers, MD
Family Physician
Fort Chipewyan
Medical Director, Aboriginal Health Program, South
Alberta Health Services

The focus for this session will be on examining initiatives in Alberta which include First Nations, Métis, AHS and Health Canada partnerships in delivery of health services. The Health Services Integration Fund (HSIF) is a five-year, $80 million initiative supporting collaborative projects for meeting First Nations, Inuit and Métis healthcare objectives. Announced in 2010, this program aims to integrate federally-funded health services in First Nations and Inuit communities with those funded by the provinces and territories. Among the program's goals are to:

• Build multi-party partnerships to advance health service integration
• Improve Aboriginal access to health services
• Increase the participation of Aboriginal peoples in the design, delivery, and evaluation of health programs and services

Where is the project today and what steps are still ahead? How does this program compare to other similar initiatives at home and abroad?

11:45

The Important Role of Research in Health Improvement for Indigenous Peoples

Dr. Malcolm King, PhD
Scientific Director
CIHR Institute of Aboriginal Peoples' Health

• CIHR pathways to health equity for aboriginal peoples
  • CIHR Strategy on Patient-Oriented Research
• Fiscal framework
• Partners and program support
• Program areas
  • Suicide
  • Obesity
  • Tuberculosis
  • Oral health
  • What contracts can be assigned?

12:30

Networking Luncheon

1:45

Diabetes in Pregnancy in First Nations Women: Contribution to the Diabetes Epidemic and Listening to the Women's Voices

Richard Oster
PhD Candidate and Research Assistant
Department of Medicine
University of Alberta

Jamie Rain
Administrative Assistant
Pigeon Lake Health Centre
A Division of Maskwacis Health Services

• Diabetes in pregnancy – what it is and the extent of the problem in First Nations populations (highlighting Alberta data)
• How diabetes in pregnancy contributes to the type 2 diabetes epidemic
• How outcomes of diabetes in pregnancy may be improved
• A personal account of the experience of diabetes in pregnancy

2:30

The Health Status of First Nations Living in Alberta: Vital Stats, Communicable and Non-Communicable Diseases, and the Environment

Dr. Wadieh R. Yacoub MB, BCh, FRCP(C)
Medical Officer, Director, Health Protection - Health Assessment and Surveillance
First Nations and Inuit Health Branch, Alberta Region Dept. of Health

• The First Nations population pyramid in Alberta and Canada
• The life expectancy of First Nations in Alberta
• The leading causes of death among First Nations in Alberta
• The picture of diabetes among First Nations in Alberta: is there good news?
• The distribution of cancer among First Nations living in Alberta
• Is there good news about tuberculosis?
• How about environmental health and the impact of economic development?

3:15

Refreshment Break

3:30

"Unpacking the Backpack" a One Woman Show and Interactive Meditation on Aboriginal People and Mental Health

Charlene Hellson, BA
Mental Health Coordinator, Calgary Zone
Aboriginal Health, Population & Public Health
Alberta Health Services

4:15

Physician Recruitment and Retention in Aboriginal Healthcare Delivery

Peter Lindsay, MD,CCFP,FCFP
Provincial Medical Director, North
Aboriginal Health
Community and Rural Health Services Development
Alberta Health Services
Lead Physician, Grande Prairie
Primary Care Network

David Kay, CHE, FACHE
Executive Director
The Alberta Rural Physician Action Plan

• Scanning the current status
• Needs and supply analysis
• Traditional recruitment methods
• Cross cultural challenges and strategies
• Promising recruitment initiatives and programs
• Retention challenges and strategies
  • Physicians
  • Nurses and allied healthcare workers

5:00

Conference Adjourns for the Day

April 17, 2013

8:15

Continental Breakfast

9:05

Co-Chairs' Opening Address

9:10

E-health and Health Privacy Strategy Framework for Aboriginal Health – Ensuring Effective Data Stewardship for Personal and Collective Health Information

Bonnie Healy
Operations Manager
Alberta First Nations Information Governance Centre
Assembly of Treaty Chiefs of Alberta

Rick Klumpenhouwer
Partner
Cenera

• Update and report on e-health initiatives
• Impact and benefits of e-health for indigenous communities
• Challenges and emerging concerns
• Cost and risk assessment
• How to approach e-health procurement for best results
• Opportunities ahead
• Privacy management and protection
• Legal framework for health privacy
• Privacy compliance obligations and risks
• Personal data protection
• Community/collective data protection and use
• OCAP principles and methods
• Supporting research while protecting individual and collective rights to privacy

10:15

CASE STUDY

eMentoring to Promote Health Professional Employment Opportunities for Aboriginal Youth

Katherine Wisener, M.A. 
Research Coordinator, eHealth Strategy Office
Faculty of Medicine, University of British Columbia

• The need to increase the number of practicing Aboriginal health professionals by supporting successful education transitions into post-secondary health science programs
• eMentoring as an early-intervention innovation that connects Aboriginal youth with supportive mentors they would otherwise be unable to meet
• Program parameters and community-based research model with First Nations communities and School Districts across British Columbia
• Building cultural competency in post-secondary institutions as eMentors (post-secondary health science students) undergo cultural awareness training and build meaningful relationships with rural/urban Aboriginal youth

10:45

Coffee Break

11:00

Distance and Telemedicine Strategies for Better Rural and Remote Healthcare

Orpah McKenzie
Director of eHealth Services
Keewaytinook Okimakanak eHealth Services

Donna Roberts, RN, BN
Clinical Services Coordinator
KO eHealth

• Using distance medicine to facilitate community based care delivery
• Improving access to healthcare using technology
• Organization and delivery model
• How the sites work
• Technology used
• Specialist services
• Cultural safety and appropriateness
• Programs and benefits
• Challenges and how they are being addressed

11:45

CASE STUDY

The Integrated Model of Care at Bigstone Health Commission

Barry Phillips
Chief Executive Officer
Bigstone Health Commission

• The model, the vision and the attributes
• Key objectives and priorities
• Governance and accountability structures
• Physical layout and therapeutic objectives
• Focus on maternal and child health
• Addressing the needs of seniors in the community
• Treating the whole person – holistic philosophy and care deliver
• Financial and administrative processes and NIHB

12:30

Networking Luncheon

1:45

Are We Achieving Healthcare Objectives for Métis Peoples?

Bruce Dumont
President, Métis Nation British Columbia
Minister of Health, Métis National Council

The Canada Health Act sets out as the primary objective of Canadian health care to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers.

Accessibility, Quality, Sustainability

• Colonial baggage and community health
• Accessibility and remote locations
• Cultural safety and health outcomes
• Holistic and traditional approaches to health
• Integrated multi-disciplinary healthcare
• The need for better models
• Developing models and approaches
• Results to date – successes and areas where we are not quite there yet
• Looking forward to what is on the horizon

2:30

Primary Healthcare Delivery – Models that Work for Indigenous Peoples

Margaret Kargard
Clinical Services Team Leader
Siksika Health Services
Project Lead, Primary Care Projects, Alberta First Nations

• The need for better models
• Cultural safety and health outcomes
• Holistic and traditional approaches to health
• Integrated multi-disciplinary healthcare
• Developing models and approaches
• The need for data to monitor performance
• Results to date – successes and areas where we are not quite there yet
• Looking forward to what is on the horizon

3:00

Refreshment Break

3:15

"Rites of Passage": Comprehensive Holistic Strategies for Advancing Youth Mental Health

Roberta Stewart
Mental Health Manager
Nisga'a Valley Health Authority

Lydia Stephens
Community Wellness Counsellor
Nisga'a Valley Health Authority

Lorna Azak
Community Wellness Counsellor
Nisga'a Valley Health Authority

The Nisga'a Nation has recently embarked on a comprehensive program for promoting wellness, safety and mental health while taking measures to reduce violence, crime and suicide rates. Among the key aspects of this integrated and comprehensive approach are:

• Traditional culture/language and mental health
• Meeting the special mental health needs of the young
• Violence and abuse reduction
• Crisis counseling and intervention
• Suicide prevention
• Integrated approach and role of RCMP and

4:15

The ABCs of Non-Insured Health Benefits Claims (NIHB)

Julia Adams
Chief Executive Officer
Nisga'a Valley Health Authority

Lisa Gosnell
Team Lead, NIHB
Nisga'a Valley Health Authority

• Who is eligible
• What is covered
• How to access the benefits
• Common problems and road blocks
• How to get around them

5:00

From Aboriginal and First Nations Communities:

• Health Directors
• Directors and Managers of Community and Social Services
• Chiefs, Community Leaders and Band Council Members

From Health Service Organizations:

• Health Directors and Managers of:
  • Aboriginal/Population Health
  • Population Health
  • Chronic Disease
  • Health Promotion
• Medical Practitioners, Nurse Practitioners

Representatives from:

• Health Canada
• Indian and Northern Affairs Canada
• Regional Health Authorities
• Federal, Provincial and Municipal Governments
• Health Focused Associations
• Consulting Companies
• Health Sector Suppliers

Okii! Tansi!! Hello and welcome!

This is an exciting and challenging time in the planning and delivery of health programs for First Nations, Inuit and Métis communities. Funding cuts, the increasing demands of population growth, developing population health challenges and chronic illnesses including diabetes, mental health and AIDS/HIV make it imperative that resources be used in the most effective way possible to bring down existing barriers to wellness.

This Insight Information program, the 8th such annual event, will focus on the successful strategies that are being brought to bear to manage and reduce these health challenges whether from a big picture planning and policy perspective, or at the granular front lines of care delivery. Focusing on community based and co-managed health initiatives, speakers will share developments on topics such as:

• The Important Role of Research in Health Improvement for Indigenous Peoples
• The Health Status of First Nations Living in Alberta
• E-health Strategy Framework for Aboriginal Health
• Using IT to Improve Access to Healthcare
• Are We Achieving Healthcare Objectives for Métis Peoples?
• Primary Healthcare Delivery – Models that Work for Indigenous Peoples
• "Rites of Passage": Comprehensive Holistic Strategies for Advancing Youth Mental Health

This is a unique opportunity to dialogue with colleagues from across the western provinces and beyond about the practical steps that are being taken to address health disparities and their underlying or root causes, and to celebrate the improved health outcomes that are beginning to emerge.

We look forward to seeing you there!

Dr. Malcolm King, PhD
Scientific Director
CIHR Institute of Aboriginal Peoples' Health

Dr. Esther Tailfeathers, MD
Family Physician, Fort Chipewyan
Medical Director, Aboriginal Health Program, South, Alberta Health Services

MEDIA PARTNERS

Please note: Full payment is required in advance of conference dates. Please make all cheques payable to Insight Information.