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Mi'kmaq Maliseet Atlantic Health Board Annual Report

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Mi'kmaq Maliseet Atlantic Health Board Annual Report 2012-2013 ATLANTIC POLICY CONGRESS OF FIRST NATIONS CHIEFS SECRETARIAT MI’KMAQ MALISEET ATLANTIC HEALTH BOARD ANNUAL REPORT 0 TABLE OF CONTENTS MMAHB Meetings Page Number 1. June 19, 2012 a) Agenda 03 b) Meeting Notes 04 2. October 18, 2012 a) Agenda 10 b) Meeting Notes 11 3. January 15, 2013 a) Agenda 17 b) Meeting Notes 19 4. Special MMAHB Meetings (2) a) October-November 2012 33 b) March 2013 39 Health Tech Meetings 1. June 2012 c) Agenda 51 d) Meeting Notes 52 2. October 2012 c) Agenda 55 d) Meeting Notes 56 3. January 2013 a) Agenda No Agenda b) Meeting Notes 57 Co-Chairs Meetings 1. June 2012 a) Agenda 58 b) Meeting Notes 59 2. October 2012 a) Agenda 61 b) Meeting Notes 62 3. January 2013 a) Agenda No Agenda b) Meeting Notes 64 Primary Health/NIHB Committee Meeting 1. May 2012 a) Agenda 66 b) Meeting Notes 67 2. September 2012 a) Agenda 72 b) Meeting Notes 73 3. December 2012 a) Agenda/Meeting Notes 76 b) Agenda/Meeting Notes 78 C&Y/Public Health & Primary Care Committee 1. June 2012 a) Agenda 81 b) Meeting Notes 83 1 2. September 2012 a) Agenda 88 b) Meeting Notes 90 3. December 2012 a) Agenda 98 b) Meeting Notes 100 Wellness/Mental Wellness Committee 1. May 2012 a) Agenda 103 b) Meeting Notes 104 2. September a) Agenda 108 b) Meeting Notes 109 3. January a) Agenda 117 b) Meeting Notes 119 MMAHB Coordinator Job Description 122 MMAHB Coordinator Work Plan 2011-2012 125 Note on the Content: The New Terms of Reference were accepted by the MMAHB and Atlantic All Chiefs in September 2012. The MMAHB structure was altered and is reflected in the content of this report. For example, the Primary Health Care and Public Health Committee is now the Public Health and Primary Care Committee and has absorbed the former Child and Youth Committee. There is also now a Non-Insured Health Benefits Committee. For more information on the new structure please see the APCFNC Website under Health/MMAHB www.apcfnc.ca For the Health Technicians portion where it says No Agenda the reason is that the new structure was the only topic, Therefore there was no need of a formal agenda. 2 MMAHB AGENDA Tuesday June 19, 2012 at the Crowne Plaza, Moncton 9:30am-4:00pm Coffee and Networking 9:30 Opening Prayer (Elder) Introductions, Approval of Agenda & Minutes (Chairperson) 10:00 Note: Distribute MMAHB committee member list. Acknowledgement of Standing Written Reports (Chairperson) 10:15 The following standing reports requested by MMAHB are: Heath Services Integration Fund, Aboriginal Health Human Resources Initiative, Contribution Agreement Funding, Health Information Management (ie. Panorama, Tele- health, Surveillance Capacity Project). Regional Roundtable (MMAHB Chiefs, response from FNIHB RD) 10:20 MMAHB Subcommittee Reports (Subcommittee Co-Chairs) 11:00 Co-chairs of the 3 sub-committees provide a verbal report of key issues, accomplishments or direction sought in 5 minutes with 5 min for questions. Update on 2012-13 budget and organizational change (Debra) 11:30 The RD will share budget information, speak to reductions, and comment on organizational changes affecting HQ and Regional functions & accountability. Lunch 12:15 2011-12 Financial Information (Frank) 1:00 In response to MMAHB requests, FNIHB will present year end actuals for its programs that pertain to mental health, addictions, and elder care. FNIHB will provide information specific to the implementation of the strategic action plans in these areas. 2011-12 Financial and Utilization Information on NIHB (Louise) 1:20 In response to MMAHB requests, FNIHB will present year end actuals on utilization and cost by benefit category. This will be shown for the region as well as the McIvor clients and Qalipu clients. Implications of the Financial Transparency Act (Kandace) 1:40 Kandace Terris will share what she knows about possible implications of the proposed legislation on health funding and First Nations reporting. Proposed Terms of Reference – MMAHB & NIHB Committee 1:45 The MMAHB Evaluation Steering Committee will present proposed ToR for MMAHB and a new MMAHB Committee on NIHB. This is a discussion item. Finalization will happen at the fall MMAHB. Next Meeting (date and location) 3:00 Closing Prayer 3 MMAHB Meeting June 19, 2012 Crowne Plaza, Moncton N.B. MMAHB Members Present: Attendees: Representing: Attendees: Representing: Voting members: Chief Candice Paul APC NB Co-Chair Debra Keays-White FNIHB Chief Deborah Robinson APC NS Co-Chair Christiane Poulin FNIHB Chief Brian Francis MCPEI Louise Cholock FNIHB Proxy Chief Dominic Denny CMM Agatha Hopkins FNIHB Proxy Claudia Simon MAWIW Tryna Booth FNIHB Proxy John Frank Toney UNSI Proxy Brenda Roos FNIHB Proxy Frank Fleet FNIHB Non-voting members: Elder John Joe Sark APC Elder James McGrath C&Y Co-Chair Christine Gabriel APC Elder Sally Johnson C&Y Co-Chair Laurie Nicholas PHC/PH Co-Chair Janet Pothier Wellness Co-Chair Susan Ross PHC/PH Co-Chair MMAHB Members Absent: Vice Chief Roger Augustine AFN Chief Mi’sel Joe Miawpukek Vice Chief Morley Googoo AFN Chief George Ginnish UNBI Grand Chief Ben Sylliboy Mi’kmaq Nation Chief Aaron Sock MAWIW Leila Gillis FNIHB Chief Leroy Deny UNSI Jim Millar FNIHB Chief Andrea Paul CMM Kandace Terris FNIHB Guests/Observers Present: Amanda Peters APC Wade Were FNIHB 4 Chelsea Googoo APC Peter Birney UNBI Loraine Etter APC Roseanne Sark MCPEI Chief Darlene Bernard MCPEI Peter McGregor FNIHB Opening Prayer: Elder John Joe Sark 1.) Introductions, Approval of Agenda and Minutes: Chief Candice Paul: - Minutes approved by consensus by the committee. - Approval of Agenda: Debra Keays White and Tryna Booth. 2.) Acknowledgement of Standing Written Reports: Chief Candice Paul 3.) Regional Roundtable (MMAHB Chiefs, response from FNIHB): UNSI Proxy John F. Toney: no report MCPEI Chief Brian Francis: The Chief expressed two concerns: 1) the Budget 2012 federal funding reductions, and 2) the number of PEI First Nations residents prescribed methadone. As per Action Item #6 in the MMAHB March minutes, Debra Keays-White noted FNIHB (Dr. Bailey) had committed to prepare an analysis of methadone use by community/province for MMAHB. FNIHB will aim to have this available for MMAHB’s next meeting. MAWIW Proxy Claudia Simon: no report Chief Deborah Robinson: The Chief expressed a concern regarding the regulation of marijuana growing operations on reserve, and the environmental health impacts. Debra Keays-White will contact the appropriate Health Canada authorities regarding the growing of medicinal marijuana and prepare a briefing. She will also have FNIHB’s Regional EHO to report to her on environmental health impacts. Action Item #1: Debra Keays-White will provide a briefing on the federal regulations and potential environmental health impacts of FN residents growing medicinal marijuana on reserve. APC Co-Chair Chief Candice Paul: The Chief expressed strongly her concern regarding the Budget 2012 federal funding reductions that affect First Nations organizations. She urged MMAHB Chiefs to take collective action with the AFN by sending a clear message to the Prime Minister regarding First Nations opposition to these reductions. Action #2: APC will organize a discussion among MMAHB Chiefs to discuss the impacts of the federal funding reductions in an in-camera session after the MMAHB meeting. 5 CMM Proxy Dominic Denny: Mr. Denny asked Janet Pothier to voice CMMs concerns. Janet expressed concerns regarding the Budget 2012 federal funding reductions to First Nations organizations. She raised a fear that First Nations will continue to face more funding reductions in subsequent years. She agreed to continue to discuss this matter in a separate session with MMAHB Chiefs after the MMAHB Meeting. 4.) MMAHB Committee Reports: A.) Wellness Committee: Janet Pothier referred to the Committee’s written report in the MMAHB meeting package. Janet highlighted the successful “No Harm in Trying” conference. A conference report is also found in the MMAHB meeting package. Janet mentioned that the Committee is without a FNIHB Co-chair since Charmane Kaye’s retirement. Debra Keays-White indicated that Charmane would be able to remain as the Wellness Co-Chair since she is doing a casual placement with FNIHB carrying the Indian Residential Schools Health Support Program (IRSHSP) file. Janet raised a concern that Brighter Futures-Building Healthy Communities (BF-BHC) funding may be reduced or eliminated. She also expressed a concern with the sun- setting of the IRSHSP funding. Debra also stated that she did not believe that the IRSHSP funding would end March 2013. She will ask Charmane Kaye to keep the Wellness Committee up to date as more is known about IRSHSP funding post 2012-13. Debra stated that she was not aware of any planned reductions in the BF-BHC area. In fact, FNIHB has specifically highlighted support for a continuum of mental wellness programs and services as a key area in its national strategic plan. Action Item #3: Debra agreed to confirm her understanding about the BF-BHC funding and communicate the same to Janet in writing. Janet indicated that the new illicit drug called “Bath Salts” is becoming a concern for First Nations as it is extremely dangerous. FNIHB commended Pictou Landing First Nation for its work with its local DHA on addressing this new concern. Action Item #4: Dr. Poulin stated that she would provide the Wellness Committee information on Bath Salts from the Canadian Centre for Substance Abuse. Chief Candace Paul stated the use of methadone is increasing and mental health counselling should be available for those taking it. Roseanne Sark raised a concern that NNADAP treatment centres do not admit individuals on methadone. Dr. Poulin stated that FNIHB is encouraging change through its NNADAP Modernization Framework, however, treatment centres are operated by boards of directors comprised of First Nations Chiefs.
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