CHIEF and COUNCIL ORIENTATION

PETER BALLANTYNE
CREE NATION HEALTH
SERVICES INC.
1995 – 2015
Peter Ballantyne Cree Nation
• Multi-Community Band
• 8 separate, distinct
communities
• Majority of the communities
are spread through a
traditional territory of approx.
51,000 sq. kms in the NE part
of Saskatchewan
PBCN COMMUNITIES
PBCN HEALTH SERVICES
TRANSFER
PRE- TRANSFER
• Prior to 1995 all services for PBCN were provided
by MSB
• Early 1990 PBCN began the pre-transfer process
with Comprehensive Needs Assessments and
Community Consultations being completed in
1991
• Part of this process was meant to determine if
Transfer was the best option for the community
members
PRE- TRANSFER
• Decision to proceed with Transfer was made with
the understanding that it would be set up as a
separate entity to protect the funding for Health
services and ensure sustainability & accountability
Peter Ballantyne Cree Nation
• Closest hospital 2.5–3 hours
and 1.5 to 2 hours (mainly
gravel)
• Total Population of over
11,000
• On-Reserve Transferred
Communities population 6788
TRANSFER
 Incorporated under the Non-Profit Corporations Act
 Health Board was appointed by Chief & Council &
mandated as the governing authority responsible for
delivering Health Services
 March 17, 1995 Signing of First Agreement
PARTIES TO THE
HEALTH TRANSFER AGREEMENT
Health Canada
Chief & Council
PBCN Health
Services Inc
UNIQUENESS
• At the time, it was the largest
single band transfer in Canada
• Only Tripartite Agreement
• First Incorporated Organization
to deliver services under First
Nations Health Transfer
PBCN HEALTH TRANSFER
FIRST
SECOND:
THIRD:
FOURTH:
FIFTH:
1995-2000
2000-2003
2003-2009
2009-2014
2014 – 2024
(First 10 year Agreement)
20 Years of Transfer
Governance
Chief & Council
Portfolio Councilors
Board of Directors
Elder
Health Committees
Peter Ballantyne Cree Nation Health Services Inc.
Governance/Authority Chart
PBCN Membership
Second Level Support (PA)
Assistant Executive Director
- Capital/Maintenance Manager
- Information Technology
Primary Care & Community Health Manager
- Community Health Manager
- Home & Community Care Manager
- Dietitian
- Emergency Response Coordinator/Trainer
- Tobacco Control Program Coordinator
- Nursing Program Assistant
- Maternal Child Health Manager
Holistic Health Manager
Human Resource Manager
Finance Manager
- Accounting Clerk
- Accounts Manager
Executive Assistant-NIHB Navigator
- Receptionist
Chief & Council
Board of Directors
Executive Director
First Pharmacy Plus
PBCN Ambulance
Health Directors
Health Committees
(S.E., D.L., P.N.)
Nursing
Coordinator
Holistic Health
Coordinator
Dental Therapist
Home Care
Nurse/Assessors
LPNs
Home Health Aids
Home Living Assistant
Elder Coordinator
Chief
Health Portfolio Councillors
Primary Care Nurses
LPNs
Nursing Clerk
Pharmacy Clerk
Diabetes Support
Worker
Community
Health
Developers
Dental Assistant
Head Start Coordinator
Head Start Assistant
Program Support Services
-Admin. Assistant/Clerk
-Janitor
-Medical Transportation Clerks
-Maintenance
-Medical Transportation Drivers
-Security
-Telehealth Coordinator (PN)
-Receptionist
Holistic Health Developers
Family Outreach Workers
Youth Workers
IRS Workers
Admin Supervision
Clinical Supervision
Peter Ballantyne Cree Nation
Leadership - Chief and Council
• Signatory to the Health Transfer Agreement
• Ensure compliance, and monitor proper administration of health
programs and services as outlined in the terms of the HTA and
other affiliated health program Agreements
• Delegate authority through BCR to the Board of Directors for the
administration of health programs and services as set out in the
HTA
• Assign Health Portfolio Councilors to act, along with the Chief, in
an ex-offio capacity on the Board
Leadership – Health Portfolio Councilors
• Act as liaisons, advisors and political advocates to the Board of
Directors on behalf of Chief & Council
• Oversee the general administration and coordination of health
services
• Act as Trustees for the membership and are responsible and
accountable to the membership on overall community health
matters
• Have no vote
• Permitted to attend all meetings of the Board of Directors, at their
pleasure
•
•
•
•
Board is made up of an Elder and 10 Directors
representing each of the PBCN Communities
They are community members appointed by Chief and
Council for 2 year terms
Hold the legitimate, corporate power to make decisions
for the organization as a whole
Responsible to deliver, administer & implement the
mandate of the HTA on behalf of the Cree Nation

Responsible to approve overall policy direction &
financial control to ensure that PBCN Health Services:
 is legally operated
 provides effective services and programs
 administers finances properly & according to the terms of
the HTA

They are accountable to Chief & Council and are
linked to them through the Health Portfolio Councilors

Accountable to the PBCN membership through
community meetings, health committees, the Audit and
the Annual Report
Health Committees
Health Committee Representatives:





Board Members
Health Portfolio Councilor
Elder
Youth Rep ((between 13 & 17)
Members at large

Recommended by local HPC and approved by Chief
and Council through BCR for 2 year terms

Have no legal Authority

Provide advice to the HB, HDs & Program Managers
on:
- matters pertinent to improving health services in their
community,
- guidance on local health concerns,
- local policy direction and
- approval of community projects and budgets.

Play an important role in the selection and hiring of
community health staff (no termination authority)
Peter Ballantyne Cree Nation Health Services
CENTRAL OFFICE
CENTRAL OFFICE
Overall administration and management







Consultation and technical support
Program planning and coordination
Clinical supervision of Professional Staff
Capacity development and training
Financial control and reporting
Capital Assets and Inventory control
Human Resource Management
All Funding and Agreements are managed through
Central Office
Relationships – Accountability - Communication
PBCN
Membership
Health
Centers
Health
Committees
PBCN
HEALTH
SERVICES
INC.
Board
Chief &
Council
PBCN Membership
* C & C Community Meetings
* Health Specific Community
Meetings
* Annual Program Report & Audit
* Focus Groups/Surveys for input
into Service Delivery Planning
Health Committees
Chief & Council
* Report at C & C Quarterly
Meetings
* Annual Meeting
* Written Annual Program Report &
Audit
* Board Meetings through HP
Councilors & Chief
PBCN HEALTH
SERVICES
* Participate in Interviews
* Work together on approval of
community annual budgets &
program plans
* Provide Annual Orientation
* Annual Meeting
* Report/participate in HC Meetings
as requested/required
Board of Directors
* Program Reports at
Quarterly Meetings
* All policies, budgets,
Agreements etc.
RELATIONSHIP WITH HEALTH CENTERS
BUDGETS
* Operational - Work with HD-HC
Health Board
* CB Programs – Project Teams
Health Committee
COMPLAINTS
* All complaints are in writing
* Directed to HD
* Next step ED
* Board of Directors
PBCN Health Services
Central Office
HUMAN RESOURCES
* Personnel Policies
* Interviews
PLANNING &
PROJECT TEAMS
* Established for each target group
* Draft annual program plans
&budgets
* Hold focus groups with target
group
THEN & NOW
THEN & NOW
AGREEMENT
1995
2015
5 Year Transfer
10 Year BLOCK
Nursing & Community Health Developers
Clerical
NNADAP
O&M including Janitorial & Maintenance
MCCAR
SET AGREEMENTS
Physician/Dental Travel
Medical Transportation Clerks
Communicable Disease Control
Brighter Futures
Home Care Nursing
Prenatal Nutrition
All Programs other than those under
NIHB & IRS
SET AGREEMENTS
Physician & Dentist Travel
Dental Therapy
Specialist Travel
MT Clerks
Van Based MT
Indian Residential School Program
Transferred Communities Population
– 1995 - 2015
THEN & NOW
1995: 2,692
2015: 6,788
Change:
4,096
THEN & NOW
CAPITAL BUILDINGS & AFFILIATES
1995
2015
 3 Primary Care Centers with
attached Nursing Residences
 3 Primary Care Centers
 1 Community Health Center
 2 Affiliate Centers
 2 Community Health Centers
 Ambulance Center & Residence
 3 Family Wellness Centers (AHS)
 33 Residences for Professionals & Visitors
 Central Office Building (PA)
Currently planning either a youth center or
Drop In Center for 3 communities
THEN & NOW
Human Resources
Transfer includes:
First Level – those services offered directly in the community
Second Level – administration, coordination, training & technical
support provided from PA Central office
Management
1995
2015
18
12
Direct Service
Delivery
Admin & Program
Support
Total
34
95.5
8
40.5
60
148
FTE
Human Resources
ACCOMPLISHMENTS &
SUCCESSES
BUSINESSES & PARTNERSHIPS
PBCN Ambulance
PBCN Pharmacy
ACCOMPLISHMENTS &
SUCCESSES
CAPACITY BUILDING
CORE TRAINING
LPN
NORTHERN MENTAL HEALTH & ADDICTIONS
HEALTH DIRECTORS
EMERGENCY & TRAUMA RESPONSE
ACCOMPLISHMENTS &
SUCCESSES
EMERGENCY RESPONSE
AMBULANCE
HORIZONTAL TRANSPORTATION VEHICLES
EMERGENCY & TRAUMA RESPONSE TRAINING
 First Aid/CPR Instructors
 First Responders
 Emergency Medical Responders
 Numerous Trauma Response Nurses Training
ACCOMPLISHMENTS &
SUCCESSES
TECHNOLOGY
TELEHEALTH
PBCN DATA COLLECTION SYSTEMS
REMOTE PRESENCE
 Pediatric Trauma Specialist
 Physiotherapy
 Specialist Follow-up
 Ultrasound
 Dermatology
OTHER INITIATIVES IN
PROGRESS
Home Hemo-Dialysis
Point of Care Lab Testing
Primary Care & Chronic Disease
Re-Design
Mental Health & Addictions
Strategy
Thank - You