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ANHP Community Engagement Report on Home Care and Community Services

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2020 ANHP Community Engagement Report on Home Care and Community Services CA2 GILLIS CONSULTING SEPTEMBER 22, 2020. TABLE OF CONTENTS Acknowledgements ................................................................................................................................ 5 List of Figures .......................................................................................................................................... 6 List of Tables ........................................................................................................................................... 7 List of Appendices ................................................................................................................................... 8 Executive Summary ................................................................................................................................. 9 1 Improving the Patient Journey ..................................................................................................... 17 1.1 Key Recommendations ........................................................................................................ 20 1.1.1 Communication and Coordination ................................................................................................. 21 1.1.2 Culturally Congruent System Navigation ........................................................................................ 22 1.1.3 Transportation and Travel: ............................................................................................................. 22 1.1.4 Technology and Digital Health........................................................................................................ 23 1.2 Legislation and Policy ........................................................................................................... 23 1.2.1 Goals of New Legislation ................................................................................................................ 23 1.2.2 ANHP Comments on Proposed Changes ......................................................................................... 24 2 Next Steps: Phase 2 ...................................................................................................................... 25 Developing a Service Delivery Plan ...................................................................................... 26 2.1.1 Defining Project Partnerships and Development Process: ............................................................... 26 2.1.2 Communicating Results of Phase 1 ................................................................................................. 26 2.1.3 Identifying and comparing potential service models ....................................................................... 27 2.1.4 Setting Goals and Objectives for the Service Model Plan ................................................................ 27 2.1.5 Develop an ANHP Service Model Profile ......................................................................................... 27 2.1.6 Identify Needs for Operations and Sustainability ............................................................................ 28 2.1.7 Partnership and Relationship Diagram ........................................................................................... 28 2.1.8 Financial Assessment and Budget .................................................................................................. 29 2.1.9 Evaluation and Monitoring............................................................................................................. 29 2.2 Planning Evaluation Early and Getting the Right Data.......................................................... 29 3 Project Scope and Approach ......................................................................................................... 30 3.1 The ANHP Region ................................................................................................................. 31 2 | Page 3.2 The System Context ............................................................................................................. 34 3.3 Goals and Objectives ............................................................................................................ 34 3.4 Approach and methodology ................................................................................................. 34 4 Existing Environment .................................................................................................................... 37 4.1 Home Care and Community Services ................................................................................... 38 4.2 Regional Context of Program Delivery ................................................................................. 39 4.3 Federal Landscape: First Nation Home and Community Care Program Delivery .................. 41 4.3.1 ANHP On-Reserve Home and Community Care .............................................................................. 43 5 Inventory of Services Survey (ISS) ................................................................................................. 49 5.1 ISS Methodology and Challenges ......................................................................................... 49 5.2 ISS Products ......................................................................................................................... 50 5.3 ISS Respondent Key Priorities .............................................................................................. 51 6 Defining the Health of the Region ................................................................................................ 55 6.1 Health Status and Utilization Data Provided ........................................................................ 55 6.1.1 Linking Health Data to Determinants of Health .............................................................................. 57 7 Community Voice: 10 Themes from Engagement Analysis ........................................................... 58 7.1 Health Care Team Recruitment, Retention and Training ...................................................... 59 A Note about the On-Reserve Experience .................................................................................................... 59 7.2 Geographic Isolation Limits Equitable Access ....................................................................... 60 7.3 Travel Grants and Transportation Programs are Needed ..................................................... 61 7.3.1 TRANSPORT VANS AND DRIVERS .................................................................................................... 61 7.3.2 COMMUNICATION AND PLANNING ................................................................................................ 62 7.3.3 TRAVEL GRANTS FOR FAMILY ......................................................................................................... 62 7.3.4 FRONT-LINE WORKERS NOT COMPENSATED FOR TRAVEL TIME ...................................................... 62 7.4 Limited Choices other than Home or Hospital ...................................................................... 63 A Note about the On-Reserve Experience .................................................................................................... 63 7.5 Community and Front-Line Staff Safety ............................................................................... 64 A Note about the On-Reserve Experience .................................................................................................... 64 7.6 Determinants of Health........................................................................................................ 65 3 | Page A Note about the On-Reserve Experience .................................................................................................... 65 7.7 Culturally Congruent Services .............................................................................................. 66 A Note about the On-Reserve Experience .................................................................................................... 67 7.8 Governance and Oversight ................................................................................................... 67 7.9 Caregiver and Community Support ...................................................................................... 68 7.10 Technology ........................................................................................................................... 69 8 Conclusion .................................................................................................................................... 70 4 | Page ACKNOWLEDGEMENTS Funding for the Phase 1 Project was provided by the Sunset Country Family Health Team, a proud partner of the ANHP and committed organization to the ANHP OHT transformation. The ANHP Home Care and Community Services Working Group provided oversight and guidance throughout the project and included: • Colleen Neil, Sunset Country Family Health Team (Chair) • Karim Suleman, FIREFLY • Kevin Queen, District for Kenora Home for the Aged • Liz Boucha, Kenora Metis Council • Maxine Crow, Naotkamegwanning Home Care Community Services Coordinator • Vicki Barnes, KCA/Community Health Care Professionals • Lynn Moffatt, Community Support Services (DKHA) • Rosanna Tomashowski, Alzheimer Society KRRD • Adam Vinet, NWLHIN • Diane Pelletier, KACL • Corrine Coffey, LWDH • Donna Makowsky, LWDH • Maureen
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