Siksika Health Services - First Nations (Alberta) Technical Services

Siksika Health Services
October 15, 2014
First Nations Technical Services Advisory Conference
Garrett Alexander, Sr. IT Tech
In our every deliberation, we must
consider the impact of our decisions on
the next seven generations….
By teaching our children to share, we
instill in them a value of health, wellness,
belonging & identity
ABOUT SIKSIKA HEALTH SERVICES
VISION STATEMENT
Quality Health Care and Wellness for Siksika
MISSION STATEMENT
To improve and promote Siksika’s quality of life through
safe, accountable and efficient health service delivery
based on the needs of Siksika Nation members.
LOCATION
Siksika Health Services is located on Siksika First Nation,
which is about 100 km east of Calgary, Alberta. It is the
second largest reserve in Canada with a population of
approximately 7000 people.
Siksika Nation is the second largest reserve in Canada,
geographically
SHS Logo
Iinii (Buffalo) is a sacred animal among the Blackfoot people. It
symbolizes our "way of life", protection, strength and healing of
the mind, body, and spirit. Iinii was a source of survival,
spirituality and healing. It is a gift given to us by our Creator
What Do The Coloured Circles Represent?
• The four aspects of life
• The four races living in balance, peace and harmony
• The four pillars of Primary Care - Teams, Access, Information
and Healthy Living
What Do The Seven Hooves Represent?
• The seven sacred traditional societies
• The life cycle that we pass through from infancy to Elderhood
• Recognition of the Treaty 7 & Blackfoot Confederacy and its
lasting impact on our people
For "as long as the sun shines, the grass grows, and the river
flows." Chief Crowfoot, 1877
ORGANIZATIONAL CHART
SIKSIKAWA
CHIEF & COUNCIL
(SHS Members)
SIKSIKA HEALTH
BOARD
Chief Executive
Officer
Associate Senior
Manger
ELDERS
LODGE
PRIMARY
CARE
PROFESSIONAL
SERVICES
COLOR CODED LEGEND:
FNIHB Funded
Future Development
Siksika Nation Funded-INAC Funding
* Provincial Funded-INAC Funding
EMERGENCY
SERVICES
Contracted Services
COMMUNITY
WELLNESS
* Family
Violence
Prevention
FACILITIES
MANAGEMENT
SIKSIKA HEALTH SERVICES HISTORY
1890
First hospital built in North
Camp area of Siksika
1924
15 bed Blackfoot Indian
Hospital built & opened
1955 – 70’s
MSB controls financial
aspect for health services
& hospital
1977
Siksika Medicine Lodge
built & operated with 17
staff, delivery of public
health education & clinical
services
1989 - 99
Pharmacy opened,
Diagnostic, dental,
optometrist, Home Care,
EMS, Brighter Futures &
Mental Health programs &
services
89 – 99
Elders Lodge transferred to
Health, Soaring Eagle Crisis
response unit, Parenting &
FAS programs est.
2000
Head Start, SLICK, Fire
dept. est.
2002 - 04
Presentation to UN Forum
– Treaty Right to Health,
Meals on Wheels pgm
2005
Phase 1 of Accreditation
journey, Siksika Nation
Peace Time Emergency
plan developed
2006
Agreement with CHR to
integrate Picture Archiving &
Communications System
(PACS) – Diagnostic Services
NFPA 1001 awarded to Siksika
Fire & Rescue
SIKSIKA HEALTH SERVICES HISTORY
2007
Grand opening of Siksika
Health & Wellness Centre
Accreditation achieved &
ongoing (Federal & Prov.)
2008
Siksika Nation awarded
National Youth Solvent
Abuse Treatment Centre
DUPP pgm est. &
Community Health Shuttle
Phase II
Dental Optical suite
construction commences
& Supernet/Physicians
Operating System pgm
implemented
2009
BCR #08-23 approval for
Siksika Health Services to
move forward as a federal
corporation
5yr Bus. & Op’s Plans
July 2009
Industry Canada approves
Siksika Health Services for
designation as Fed. Corp.
2010
ARP (Alt. Relationship Plan)
1st Physician graduate
1st Paramedic graduate
Comm. Health Plan launch
2011
Community Health
Immunization Pgm (CHIP)
2012
Information Sharing
Agreement
2013
Governor General’s
Commendation for
Outstanding Service
received
2014
Accreditation Status retained
for 3 years
Siksika Health Services Plans
Siksika Health Services through Team
work, has successfully developed and
implemented the following plans and
reports:
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•
•
•
•
•
•
Strategic Plan
Business Plan
Operational Plan (Annual)
Community Health Plan
Peace Time Emergency Plan
• Pandemic Plan
• Contingency Plans
Communications Plan
Mortality Analysis (research report)
PROGRAMS AND SERVICES SHS
Nationally Accredited Programs/Services
• Community Health
• Clinical Services including diagnostics
• Community Wellness
• Home Care
• Information Technology
• Emergency Services
• Administration and Finance
• Facilities Maintenance
• Contracted professionals including
Physicians, Dentist, Optometrist,
Pharmacist
• Siksika Elders Lodge
http://www.cbc.ca/player/News/Canada/Calgary/ID/2421203822/
PARTNERSHIPS
1. FNIHB
2. Alberta Health-ARP for physicians
3. Alberta Health Services-Chronic Kidney disease prevention program, FASD,
Rheumatology Program
4. Primary Care Network-Funding for Nurse Practitioner
5. Radiology Consultants Associated-Diagnostic Imaging and Ultrasound services
6. Calgary Laboratory Services-Laboratory Services
7. University of Calgary Family Medicine program-recruitment of new physicians
8. Various Nursing programs –recruitment of staff
9. Nike
10. Victor Walk-For prevention of child sexual abuse
11. Alberta Blue Cross
12. Ronald McDonald House (Care Mobile)
PARTNERSHIPS
SUPERNET SUCCESS STORY
TECHNOLOGY
ELECTRONIC MEDICAL RECORDS:
GIS SYSTEMS:
• Map for Home Care, Community Health,
EMS and Ambulances
• Track historical bundle locations
• Emergency planning for use during disasters
CHIP Community Health Immunization such as:
• Electrical outages
Program
• Flooding
• Immunization
• Blizzards
• Information sharing
• Other storms
• Patient information and medical record
• Program planning
• Statistical purposes
CARE
•
Community Assessment Response and
Empowerment (Home Care)
OUTSIDE DATA COLLECTION:
• Drug usage analysis
• Death book analysis
• SHS began analyzing data collected
from the 1950’s-2006 for various
diseases and top five causes of death
THE NEED FOR GROWING TECHNOLOGY
1. TELEHEALTH:
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Specialists remote visits
Dermatology
Wound Care
Specialist Consultations
Family meetings
Mental Health Consultations
Dietician Services
Discharge Planning
2. DIAGNSOTIC INFRASTRUCTURE
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•
Diagnostic Imaging
Ultrasound Services
DATA SERVICES CHALLENGES
1. FUNDING:
•
•
Physician Office System Program (POSP)
Cybera
2. CREATING PARTNERSHIPS:
•
Alberta Health Services
3. TECHNICAL:
• Infrastructure
• Manpower
• Resources
• Human
• Financial
• Outside contractors
DATA SERVICES SUCCESSES
1.
2.
3.
4.
5.
6.
7.
8.
Leader in First Nations Information Technology Management
Information systems have benefitted the community
Health indicators
Assisted with financial planning for other projects/community health planning
Greater knowledge base for partners, public and community
Increased health awareness for staff and community
Strategic planning is easier
Increased visibility of indicators, patterns, health trends, population trends and
movement of population within province or country
9. Ability to implement plans and reports such as:
• Annual operational plan
• Peace time emergency plan
• Memorandum of Understanding in partnership with Calgary Health RegionAlberta Health Services
INFORMATION SHARING AGREEMENT
BACKGROUND
The Government of Alberta and Siksika Nation made
history by signing the first information sharing agreement
to enable the 2-way electronic flow of immunization
between a provincial government and a First Nation’s
Health Service to strengthen child and public health.
PRIVACY MATTERS
Privacy Impact Assessments have been completed and is
registered with the Office of the Privacy Commissioner
(OIPC)to ensure privacy of health information. Built in
“permissions” ensure that patient information is viewed
by those with proper clearance.
2013 FLOOD
• In the days leading up to June 19, 2013, southern Alberta, experienced
heavy rainfall that triggered catastrophic flooding described by the
provincial government as the worst in Alberta's history.
• Areas along the Bow, Elbow, Highwood, Red Deer, Sheep, Little Bow,
and South Saskatchewan rivers and their tributaries were particularly
affected.
• A total of 32 states of local emergency were declared and 28 emergency
operations centres were activated as water levels rose and numerous
communities were placed under evacuation orders.
Assessing the Damage
• Siksika Health Services was an early adopter of the Community Mapper
(from Okaki Health), which provided the community with a simple,
secure web-based means to create and manage community maps.
• Paper-based maps created from this information were used to coordinate
the response in previous natural disasters and emergencies in 2008, 2010,
2012.
• When the 2013 floods occurred, there was an urgent need to track the
damage, to coordinate response and recovery efforts, and to synthesize
and present this information quickly obtain support from government
agencies.
Siksika Health & Community Mapper
Tools to work with maps
Users can select layers to view and edit, just like in a local GIS.
Tracking Response and Recovery
• Helicopter photos and field data
collection were used to validate and
adjust flood impact boundaries.
• Needs assessments and housing
inspection results were updated on an
ongoing basis.
• Information on water sources,
sewage treatment, bridges and
roadways, agricultural land,
neighborhoods were all incorporated
into community mapper layers.
• Historical flood images were also
incorporated to create a potential
flood impact zone to guide future
development.
GIS and the 2013 Floods
• The flooded area affected a large part of
the entire Reserve.
• Roughly 250+ were affected, and that’s
not including the Hidden Valley Golf
Resort which had 300 cabins.
• Certain neighborhoods were completely
destroyed by the flooding, with people
needing to be cared for in temporary
shelters.
• GIS was critical in assessing and
communicating impact and engaging relief
partners in the initial response.
• GIS is critical in coordinating the ongoing
relief efforts between departments, which
will last for years.
• GIS was and is critical to simplify
communication and reporting to funders.
Siksika Nation Map of Flooded Areas
Flood Zone
THROUGH ADVERSITY COMES DISBELIEF….
THROUGH ADVERSITY COMES COMPASSION, FRIENDSHIPS &
PARTNERSHIPS
THROUGH ADVERSITY COMES HOPE & APPRECIATION
THANK YOU & KAA TII MAAT SIIN
Siksika Health Services