Framework policy


Framework policy
Framework Policy on
Continuing Care in
First Nations
Communities of
Conference on clients with decreasing independence
May 10, 2017
Key findings
Desired scope of the project
Steps in the process
Basic structure and priorities
2017-2019 Schedule
Background (1/3)
• From 2012 to 2015, Timiskaming First Nation (TFN) worked on the
development of a Framework Policy on Continuing Care of Elders in First
Nations Communities of Quebec.
• Project carried out as part of Health Canada’s Health Services
Integration Fund (HSIF).
• Project objectives:
 Develop a framework policy on continuing care of elders in First Nations
communities of Quebec.
 Implement, in collaboration with both levels of government, the regulatory
and funding conditions allowing First Nations communities that wish to do
so to ensure a continuum of services for the care of elders.
Background (2/3)
Key activities by TFN
• Research and drafting of a situation analysis
(coordination committee) – DRAFT VERSION
• Presentations to various tables (Directors Network,
Assembly of Chiefs, First Nations Health Forum)
• Coordination mechanisms used: coordination
committee, validation via different tables, transfer to
Background (3/3)
• June 2015: Project transferred to the FNQLHSSC
(Chiefs’ resolution)
• Planning and development of a process for
continuing the project (FNQLHSSC and Timiskaming)
• Tabling of a project proposal with the HSIF for the
continuation of the project (2016-2019) by the
Key findings
- Non-treaty Aboriginal communities in Quebec would like to provide
services to their clients with decreasing independence that are
comparable to those offered by the province.
- Several factors influence the development of a continuing care program
(geographic/demographic situation,
structural/organizational/jurisdictional differences, etc.).
- This results in a fragmentation in the delivery of services to individuals
with decreasing independence.
How can the continuum of services to non-treaty First Nations
communities of Quebec be improved?
Desired scope of the project
• Description: The framework policy is designed to prevent the
fragmentation in the delivery of services to individuals with
decreasing independence and thus promote an integrated
approach adapted to First Nations. Services must therefore be
aligned with traditional approaches and local culture in terms
of health and social services.
• Overall objective: The objective of the framework policy on
continuing care is to develop an integrated approach to the
delivery of services to individuals with decreasing
independence and involves the implementation of mechanisms
in order to provide optimum and equitable coordination of
services, thereby ensuring a continuum of services.
Definition of a Framework Policy
• A framework policy may be used to define the
strategic directions, basic principles and action plan
that inform the development of a project so that it
aligns with the organization’s mission. It is used as a
reference in developing the policies, regulations,
guidelines and procedures that will help effectively
run an organization, service or program according to
available resources.
What Is the Framework Policy on
Continuing Care?
• The Framework Policy on Continuing Care is the
instrument that will set out the practices and uphold a
culture of quality and excellence in managing the
programs and services for people with loss of
independence living in non-treaty First Nations
communities in Quebec. The document explicitly
states stakeholders’ commitment to improving the
continuum of services in First Nations communities.
Main steps in the process
Current situation
Framework policy
Steps in detail (1/2)
Situation analysis: Document the situation of continuing care
services in communities in Quebec and Canada.
Framework policy:
• Determine the methodology to develop the framework policy.
-Develop a consultation and validation process
-Establish an expert committee and a steering committee
• Identify the content of the framework policy in partnership with
INAC, Health Canada, MSSS and SAA.
• Approve the content of the framework policy (by all partners).
Steps in detail (2/2)
Administrative framework:
• Identify the basis for the implementation of the framework policy
(management and delivery of care and services).
• Identify the responsibilities of each partner.
• Deploy the implementation mechanisms identified in the
framework policy.
• Identify implementation-related issues as well as solutions to
remediate the situation.
Basic Structure of the Framework Policy
After analyzing the Timiskaming First Nation’s (TFN)
recommendations and the work done by the
committees, we propose including the following in the
Framework Policy:
• Areas of application
• Target clientele
• Guiding principles
• Priorities
• Measures/Actions and, if necessary, temporary
Priorities and Action Measures
Financial model
Skills development
Pooling and promoting shared services
Continuing care and service integration
Cultural perspectives
Home care and support
Adult residences
Specialized services
Service agreements with institutions in
the provincial network
Responsible party
and collaborators
Possible Contents
Service organization
Administrative organization
Work-force planning
Shared management
Personnel development
Accountability subjects
2017-2019 Schedule
Fall 2017
Expert Committee Committee
Workshop on action measures
Fall 2017
Workshop on action measures
Board members
Board of Directors
Approval of the proposed action measures
Presentation to
AFNQL Chiefs
the AFNQL Chiefs
Approval of the proposed contents of the
Framework Policy on Continuing Care and
action measures framework (by resolution)
Dissemination and training on the Framework
Policy on Continuing Care
Thank you for your time!
Kathleen Jourdain
Programs Agent – Services for Persons with Decreasing Independence
418-842-1540, ext. 2706
[email protected]

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