FRENCH LANGUAGE SERVICES
PLAN
2013–2018
CONTENTS
1. Introduction…………………………………………………………………………………………………………………. 3 2. Linguistic Duality………………………………………………………………………………………………………..… 4 3. Definitions……………………………………………………………………………………………………………….…... 5 4. Background……………………………………………………………………………………………………………….…. 6 5. Regional Profile……………………………………………………………………………………………………….…… 7 6. Profile of the French-speaking population/Francophone community…………………………. 8 7. Health Services……………………………………………………………………………………………………………. 10 8. Values, Vision, Mission and Strategic Priorities………………………………………………….………. 11 9. Guiding Principles……………………………………………………………………………………………….……… 12 10. Implementation………………………………………………………………………………………………………….. 13 11. Planning for French Language Service Delivery………………………………………………………….. 14 12. Key Partners……………………………………………………………………………………………………………….. 16 13. Signature and Approval of the FLS Plan for the Interlake Regional Health Authority… 17
APPENDICES
A. Government of Manitoba’s FLS Policy ………………………………………………………………………. 18 B. Map of Designated Areas under the Government of Manitoba’s FLS Policy………….…. 19 C. Map of Interlake-Eastern Region ……………………………………………………………………………… 20 D. Designated Facilities...... 21 E. Status of Designated Bilingual Positions...... 22 F. Santé en français including Organizational Chart …………………………………………………….. 23 G. Terms of Reference-FLS Community Advisory Committees………………………………………. 24 H. Terms of Reference-FLS Regional Advisory Committee……………………………………………… 25
Mobile Wellness-St. Laurent, June 2013 Photo courtesy of Lori Carrière
2013-2018 FLS Plan Interlake-Eastern RHA
INTRODUCTION
The French Language Services Regulation (46/98) of The Regional Health Authorities Act (C.C.S.M. c. R34) requires that designated Regional Health Authorities (RHAs) in the province of Manitoba develop French Language Services (FLS) Plans. In keeping with this requirement the Interlake-Eastern Regional Health Authority developed its FLS Plan for 2013 to 2018. Within the context of overall provincial and regional strategies, the FLS Plan supports an integrated approach in ensuring and improving access to health services in French in the Interlake-Eastern region.
The Senior Leadership structure of Interlake-Eastern Regional Health Authority, established in 2012, includes a Vice President of Community Service and Chief Allied Health Officer that has responsibility for French language services.
This 5-year FLS Plan for 2013-2018 will be accompanied by an annual FLS action plan. The annual FLS action plans will be developed by the Interlake-Eastern Regional Health Authority French Language Services Committee in collaboration with community partners, stakeholders and the regional management team.
The former Interlake Regional Health Authority and North Eastman Health Association have merged to become the Interlake-Eastern Regional Health Authority. There will be references, throughout this document, to the former Interlake Regional Health Authority and North Eastman Health Association when referring to content predating
April 2012.
“If you talk to a man in a language he understands, that goes to his head. If you talk to him in his own language, that goes to his heart.”
~Nelson Mandela~
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LINGUISTIC DUALITY
In Canada, linguistic duality is one of the fundamental dimensions of history. As a multicultural society, Canada’s two official languages, English and French, have retained their special status as languages used in the public domain.
Access to health services in one’s own language:
a) “means far more than simply respect for that person’s culture: it is, at times, indispensable for improving health and for people’s taking ownership of their own health.”1 b) “has a positive impact beyond demonstrating simple respect for that individual’s culture; it is vital for the improvement of individual health and the well-being of the community”.2
“Learning another language
is not only learning different
words for the same things, but learning another way to think about things.”
– Flora Lewis
``Active Offer with Ease” Workshop: St. Laurent –Pine Falls, March 2011 - Photo courtesy of Lori Carriere
1 Consultative Committee for French-Speaking Minority Communities - Report to the Federal Minister of Health, 2001 2 Canadian Nurse- March 2006 volume 102 Number 2
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DEFINITIONS
Active Offer The set of measures taken to ensure that French language services (FLS) are readily available, publicized, easily accessible and that the quality of these services is comparable to that of services offered in English.
Bilingual (Employee) An individual with the ability to communicate proficiently in both official languages (having sound knowledge and command of English and French).
Bilingualism Required The requirement to be able to communicate in both official languages, which is a bona fide occupational requirement for designated bilingual positions.
Designated Bilingual Health Facilities, Programs and Services Facility programs and services that are required to actively offer services in both French and English, pursuant to the Government of Manitoba French Language Services Policy (Manitoba FLS Policy see appendix A; for a listing of bilingual facilities see appendix D).
Designated Bilingual Position A position that must be filled by an individual who speaks both official languages and who is able to adequately deliver comparable service in both official languages, in accordance with the requirements of the FLS Policy, the Active Offer concept and the Interlake-Eastern RHA FLS Plan.
French Language Services Coordinator An RHA employee with particular and specific responsibilities for implementation of French language services in accordance with the Provincial French Language Services Policy.
French Language Services The set of written, verbal, audio-visual and electronic communications in the French language which provides information or assistance to the members of the Francophone community and which is comparable to the community’s English language communications.
Service Delivery Points Locations where RHA services are provided, including but not limited to RHA facilities, community services offices or the client’s home or workplace.
← Look for this symbol that identifies the locations and persons that offer services in French in Manitoba facilities that are designated bilingual.
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BACKGROUND The Interlake-Eastern Regional Health Authority undertakes to provide health care services in French to its French-speaking population in accordance with: The Government of Manitoba French Language Services (FLS) FLS Policy (see appendix A)
Manitoba Health’s Designation Policy for Francophone and Bilingual Facilities, Programs and Services
Regulation 46/98 of The Regional Health Authorities Act (C.C.S.M. c R34) http://www.manitoba.ca/fls-slf/pdf/fls_policy.pdf
In May of 1998, Judge Richard Chartier produced the document In October 2004, the Government of Manitoba Above All Common Sense/Avant designated Santé en français as the official toute chose, le bon sens which speaking population in accordance with the representative of the Francophone community Govidentifiedernment ofthe Ma neednitob fora’s Fcompletelyrench Langu age 1 in the areas of health and social services. Santé Sbilingualervices (F LserviceS) FLS P ocentreslicy , an andd Regul partiallyation 46/98 of the Regional Health Authorities Act (C.C.S.M. c R34) en français plays a leadership and coordination bilingual centres. Subsequently, in (See Appendix A– Map of Designated Areas under role to foster access to quality French language thMarche Gove rofnm 1999,ent of theMan Goveritoba’snment FLS Po liofcy). services (FLS) in the areas of health and social htManitobatp://www.g revisedov.mb.ca/f thels -FLSslf/p Policydf/fls_p too licy.pdf services. The composition of the Board of reflect the recommendations Directors and the various committees of Santé outlined in the Chartier Report.1 en français is based on the general philosophy http://www.gov.mb.ca/fls- that the membership of these bodies should slf/report/ include representation from government and
the RHAs in order to promote dialogue and the development of solutions by all stakeholders together. The composition of the Board of Directors and the various committees of Santé en français, including the Regional Round In April 2012 the Interlake-Eastern Tables and the Managerial Round Table, are set Regional Authority was formed. In 2013, out in Appendix F. the Interlake-Eastern Regional Health http://santeenfrancais.com/ Authority reviewed both the 2006-2011 French Language Services Plan of the former Interlake Regional Health Authority, and the 2008-2013 French Language Services Plan of the former In September, 2013, North Eastman Regional Health The Regional Health Authorities Association. Consultations were held with Act was amended to include the French Language Services Community protocol for bilingual and Advisory Committees of St. Laurent and francophone facility designation. Blue Water, and Santé en français, to A provincial Designation Policy for develop a new Francophone and Bilingual 5-year Strategic Plan for 2013-2018. Facilities, Programs and Services http://www.ierha.ca/ was created by Manitoba Health
as a result. These have been incorporated into the 2013-2018 June, 2014 Interlake-Eastern FLS plan. Page 6 of 26
2013-2018 FLS Plan Interlake-Eastern RHA
REGIONAL PROFILE
Interlake-Eastern Regional Health Authority is responsible for the planning and delivery of health care services to meet the needs of the population we serve. This is achieved through an accredited and integrated network of community and health care facility based programs and services. With an area of 61,000 square kilometres, the region extends east to the Ontario border, north to the 53rd parallel, west to the eastern shores of Lake Manitoba and south to Winnipeg’s north perimeter dipping down just past Winnipeg to slightly below the Trans-Canada Highway eastwards to Ontario. A significant portion of the region is considered northern with a remote area accessible only by air, water or a winter road system.
There are over 124,000 people living in the region with a population that increases exponentially over the summer with cottage owners and vacationers enjoying the multitude of lakes and beaches within our boundaries. We are culturally diverse with Aboriginal populations comprising 22 per cent of the region’s residents inclusive of 17 First Nation communities. We are a provincially designated bilingual regional health authority. The largest concentrations of Francophone in the region are located in the communities of St. Laurent, St-Georges and Powerview-Pine Falls.
Economically the region is diverse and includes agriculture, fishing, mining, forestry, hydroelectric power and tourism. Seasonal recreation is abundant and this activity has a direct impact on the demand for health care services in the region. There is significant disparity across the region in both terms of health and economic status. The majority of our residents report they are in good to excellent health.
Within the context of provincial policy direction, the Interlake-Eastern Regional Health Authority assesses and prioritizes health services based upon the most current information available and best practices. A region wide focus is placed on health and wellness. Strong community partnerships are essential to our success and value a collaboration approach. We welcome participation with all community groups and are committed to providing comprehensive, integrated and accessible health care services in the achievement of strategic priorities within the Interlake-Eastern Regional Health Authority.
Active Offer Workshop-St. Laurent- Photo courtesy of Lori Carrière
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PROFILE OF THE INTERLAKE-EASTERN REGIONAL HEALTH AUTHORITY’S FRENCH-SPEAKING POPULATION / FRANCOPHONE COMMUNITIES
According to the 2011 Census
Total Identifying as Bilingual French as Mother Tongue Rural Municipality population (knowledge of both official languages) (includes multiple responses)1 Number % of total Number % of total Alexander 2,983 540 18.1 365 12.2
St. Laurent 1300 435 33.5 315 24.2
Powerview-Pine Falls 1314 245 18.6 145 11.0
Source: Statistics Canada. 2012. Alexander, Manitoba (Code 4601071); St. Laurent, Manitoba (Code 4618040), Powerview-Pine Falls, Manitoba (Code 4601075). Census Profile. 2011 Census. Statistics Canada Catalogue no. 98-316-XWE. Ottawa. Released October 24, 2012. http://www12.statcan.gc.ca/census-recensement/2011/dp-pd/prof/index.cfm?Lang=E (accessed January 28, 2013).
St. Laurent The RM of St. Laurent and the RM of Alexander are The largest concentration of the French-speaking both situated on the shores of Lake Manitoba and Lake Winnipeg respectively. They experience a population per capita in the Interlake-Eastern Regional large swell in population over the summer months Health Authority is in the R.M. of St. Laurent, which is with cottage owners and vacationers, a significant located on the shore of Lake Manitoba approximately, 70 number of whom are French-speaking. kilometres northwest of the City of Winnipeg. www.rmstlaurent.ca
St. Laurent was established in 1824 by French-speaking Métis, and is today the community with the largest In terms of numbers, the Francophone population of Alexander is concentrated primarily in the concentration of Métis in Manitoba and in North community of St-Georges, with smaller pockets America². St. Laurent is located in the heart of the also living in the Albert Beach and Bird River Interlake’s cottage country. areas. The community of St-Georges is considered the heart of the Blue Water francophone community and is located just southeast of St-Georges and Powerview-Pine Falls Powerview-Pine Falls. www.rmofalexander.com www.powerview-pinefalls.com The Town of Powerview-Pine Falls and the Rural www.villagestgeorges.ca Municipality of Alexander are located on the southeast basin of Lake Winnipeg.
St-Georges is among one of the largest communities in the All three Rural Municipalities located within the Interlake-Eastern RHA’s bilingually designated RM of Alexander with a population of well over 400. The areas are members of the Association of Manitoba community originates back to 1882 with the arrival of the Bilingual Municipalities (AMBM). Members of the first settlers from Châteauguay, Quebec. These settlers AMBM have adopted a policy of actively offering bilingual services to their residents and recognize established homesteads throughout the St-Georges the French language as an added value to their and Powerview area. Today the St-Georges elderly communities. persons’ home, Foyer Châteauguay, and the Festival http://ambm.directionmanitoba.com/ Châteauguay are named to honour these ties.
1Includes those individuals identifying as having French + one other language as their Mother Tongue. ²”Analysis of the Health Service Needs of the Francophone and Metis Population of St. Laurent”, Gousseau, 2003 June, 2014 Page 8 of 26
2013-2018 FLS Plan Interlake-Eastern RHA
Education
There are two francophone schools located within the Interlake-Eastern Regional Health Authority, as well as several schools offering French Immersion programming. The table below outlines French Language Education options available to residents of the Interlake-Eastern region.
Enrolment School / Daycare* School Division* Location* Grades* 2012 École communautaire Aurèle Division scolaire franco- St. Laurent K-S4 100 Lemoine manitobaine École Communautaire St-Georges Division scolair franco- St-Georges K-S4 48 manitobaine La Prématernelle N/A St. Laurent Pre-K 28
Les P‘tits Loups N/A St-Georges Pre-K 12
R. W. Bobby Bend School Interlake Stonewall K-4 360
École Centennial School Interlake Stonewall 5-8 282 École secondaire régionale Lord Lord Selkirk School Division Selkirk S2-S4 39 Selkirk Regional Secondary École Selkirk Junior High Lord Selkirk School Division Selkirk 7-S1 60
École Bonaventure Lord Selkirk School Division Selkirk K-6 286
École Dugald School Sunrise Dugald K-8 323 École Beausejour Early Years School Sunrise Beausejour K-5 123 École Edward Schreyer School Sunrise Beausejour S1-S4 82 Powerview- École Powerview School Sunrise K-S4 148 Pine Falls *Source: https://www.dsfm.mb.ca/ScriptorWeb/scripto.asp?resultat=103879 (accessed May 7, 2013) and http://www.edu.gov.mb.ca/k12/schools/fr_imm.html (accessed May 7, 2013) **Depicts enrolment as of May 2013. In the case of dual track schools, enrollment numbers reflect students enrolled in French Immersion programming.
Early Years La Prématernelle de Saint-Laurent Inc is a French Language daycare that offers pre-school programming. The community of St-Georges also has a Centre de la petite enfance et de la famile (CPEF) which is located within L’École communautaire Saint-Georges.
La Fédération des Parents du Manitoba (la FPM) and Pluri-elles are
non-profit provincial organizations that support francophone parents, families and organizations. They offer many programs and supports to individuals and communities throughout the province, including the communities of St. Laurent and St-Georges. Photo courtesy of Brigite McDaniels Photo courtesy of École communautaire St-Georges
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Designated Bilingual Facilities
Pine Falls Health Complex St. Laurent Health Centre 37 Maple Street, Pine Falls 1 Parish Lane, St. Laurent 204-367-4441 204-646-2504
Health Services Primary Health Care
The Interlake-Eastern Health Authority’s definition Services available to the R.M of St. Laurent by the of Primary Care: “…involves responding to illness Interlake-Eastern Regional Health Authority are within the broader determinants of health. It also Public Health, Mental Health, Home Care, includes coordinating, integrating and expanding Community Wellness, Primary Care Nurse and systems and services to provide more population Nurse Practitioner. These programs and services health, sickness prevention and health promotion are housed at the Centre de santé by all disciplines. It encourages the best use of all communautaire de St. Laurent/St. Laurent health providers to maximize the potential of all Community Health Centre, which is a designated health resources.” bilingual health facility.
The St-Laurent FLS coordinator is a Registered Nurse whose position links strongly to the primary health care program and which may include direct provision of first-contact services and coordination function to ensure continuity of care responsive to community needs.
The Neil Gaudry Centre, also located in St. Laurent, is a five-bed supportive housing facility operated by the community, where the Regional Health Authority provides health care services to its tenants via the Home Care Program.
French language services in the eastern part of the region are targeted to residents of the communities of Powerview-Pine Falls and St-Georges. Health services for the Blue Water Francophone community are primarily based at the Pine Falls Health Complex and include acute care, primary health care and long-term care. Community based services such as Home Care, Mental Health, Public Health and Community Wellness are available within the community. The Blue Water FLS coordinator position is directly integrated into the Primary Health Care program via the Community Wellness program.
The status of designated bilingual positions is listed in Appendix E.
The Interlake-Eastern RHA links to other regional and provincial bilingual partners such as HealthLinks – InfoSanté, Centre de Santé de Saint-Boniface, MBTelehealth, and other designated RHAs to address service gaps that may be identified.
French in the Workplace Workshop-St. Laurent CHC
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OUR VALUES...
COLLABORATION, ACCESSIBLITY, RESPECT, EXCELLENCE, INNOVATION, and QUALITY CUSTOMER SERVICE
Manitoba Health Priorities and Goals... Capacity Building, Health System Innovation, Health Sysem Sustainability, OUR Improved Access to Care, Improved Service Delivery, Improved Health Status & VISION Reducing Health Disparities Amongst Manitobans
Connecting people and Building for Tomorrow: We are committed to making the communities OUR most of our human and financial resources to ensure that to excellent we are in the best position possible to serve our STRATEGIC communities today and into the future. All decisions are health based on evidence, ethics and efficiency. services - FOCUS Today and Tomorrow Innovation, Learning and Growth: We embrace new ideas, Building for explore opportunities, focus on innovation, and build and Tomorrow strengthen partnerships.
OUR Innovation, Keeping It Going: We will meet the needs of our clients and patients by sustaining our current levels of care and service MISSION Learning and delivery. We will choose wisely, have the courage to Growth address challenges, focus on our priorities and take action In Partnership to provide the best care possible. with our Keeping it communities Expanding Opportunities: We welcome all people we serve and through a Going with approachable, accessible and appropriate care and culture of quality services by providing the right care, in the right place, and at customer Expanding the right time. We want to contribute to the vibrancy and service, we are Opportunities health of the communities we serve. dedicated to delivering health The Best We The Best We Can Be: Each healthcare experience is as services in a unique as the person being cared for. We will deliver timely, reliable Can Be quality and safe care by doing it right and doing it well and accessible through a person-centered experience. We will be accountable for using human and financial resources wisely. manner. We Getting Better, achieve our Staying Getting Better, Staying Healthy: Challenges related to success through Healthy an engaged and education, income, culture, and social factors can make it harder to stay healthy. It is important to us to work with empowered everyone to improve their health. We plan to do this staff. through strong partnerships and by working together to find new ways to improve the health and well-being of everyone we serve. We will create a legacy of health and wellness for generations to come.
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GUIDING PRINCIPLES
The following principles will guide the RHA in its implementation of FLS based on the Active Offer concept.
1. The Government of Manitoba’s FLS Policy shall be the basis for all decisions and actions.
2. The Interlake-Eastern Regional Health Authority shall provide its French language services in a pro-active manner. To this end, the Interlake Eastern Regional Health Authority shall ensure that: a) Wherever possible services in French are evident, readily available, and easily accessible to the general public, and are equitable to those provided in English to the Francophone communities. b) Administrative policies, contracts for services from outside agencies, and the setup or reorganization of programs and services and take into account the requirement that French language services be actively provided where applicable. c) In accordance with the Manitoba Health Policy “Designation Policy for Francophone and Bilingual Facilities, Programs and Services”, designated bilingual facilities will have a public notice visible in the affected service areas indicating their designation. The notice shall be clearly visible to the public.
3. Management, who will play a critical role in creating an ambiance, culture and milieu where employee and client interaction occurs in French, shall support FLS and the Active Offer concept.
4. The regional FLS committee shall play a role of leadership to ensure appropriate and consistent implementation of the Active Offer of French language services and shall be supported by the regional management team.
5. The Interlake-Eastern Regional Health Authority shall facilitate on-going education to employees to encourage their commitment to the Active Offer concept.
6. The RHA shall make the public aware of its commitment to the Active Offer of FLS (promotional activities, articles, etc.).
7. Programs, services, resources and public information in one official language shall have a parallel counterpart in the other official language, taking into account the targeted audience or area.
8. Partnerships with other designated bilingual RHAs and community groups/organizations shall be encouraged to allow for collaboration on the implementation of French language services inter- regionally.
9. The RHA shall be innovative in creating an environment that is favourable to the recruitment of new bilingual employees.
As a general rule, designated bilingual positions shall be located in designated bilingual areas, pursuant to the Government of Manitoba’s FLS Policy.
Photo courtesy of Diane Dubé
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IMPLEMENTATION
The Interlake-Eastern Regional Health Authority has a Regional French Language Services Committee which will include representation of management and the FLS Coordinators. The Regional FLS committee is chaired by the Vice President of Community Services and Chief Allied Health Officer. Members of the regional management team will be invited to the regional FLS committee on an ad-hoc basis for matters that relate to French language services in their respective program services.
The Regional FLS committee will develop and support the implementation of the regional FLS plan as per the Government of Manitoba French Language Services Policy.
The goal is to coordinate, navigate and connect people and communities within the RHA to health services in the official language of their choice.
The mandate of the regional FLS committee: To provide recommendations to the RHA’s Senior Leadership Team as to measures required
for the implementation of the plan. To liaise with the Communities of St. Laurent, St-Georges and Powerview-Pine Falls, Santé en français and the Francophone Affairs Secretariat.
To support regional managers and directors in the implementation of the FLS plan. To review and monitor the progress of the implementation of this 5-year French Language Services Plan.
Establish policies to support implementation of the French Language Services Plan related to communication in both official languages, the designation of bilingual positions and the
recruitment of designated bilingual positions. To develop an annual action plan to implement this 5-year FLS plan.
To foster the commitment of employees for the implementation of the plan. To promote ongoing availability of health services for the French-speaking population. Report annually on FLS in the region as per guidelines of the Provincial
Francophone Affairs Secretariat. Provide regular reports to the board of directors and senior management team.
The regional FLS committee seeks input from designated communities within the region via the French Language Services Community Advisory Committees. (see Appendix G)
The mandate of the FLS Community Advisory Committee
To receive feedback from the Interlake-Eastern French-speaking population; To provide networking opportunities for Santé en français, the FLS Community Advisory
committees, and the Interlake-Eastern Regional Health Authority; To give input to the annual action plan; To foster the culture of active offer;
To support ongoing availability of health services for the French speaking population.
In 2017, the Regional FLS Committee shall review the 2013-2018 French Language Services Plan in partnership with the French Language Services Community Advisory Committees of St. Laurent and Blue Water and begin preparations for the next FLS Plan.
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Planning for French Language Service Delivery In planning for the delivery of French language services for the Interlake-Eastern RHA, we recognize the importance of an integrated approach that aligns with Provincial Health priorities and overall strategic focus of the RHA. Therefore the FLS plan includes strategic actions that support and strengthen our overall regional strategic plan. The FLS plan for the Interlake-Eastern region is therefore not a stand-alone plan, but rather a cohesive and important component of our overall strategic plan.
Capacity Building - Building for Tomorrow Making the most of our Human Resources 1. Increase bilingual workforce serving designated centres Undertake an analysis of services to determine gaps of bilingual services to clients. Collaborate with Human Resources to develop a process to designate a position as bilingual to address gaps in bilingual services. Collaborate with Human Resources on recruitment strategies for designated positions. Monitor trends of successful recruitment into designated positions. Increase promotion and accessibility of French Language training available to all staff working in designated centres and those serving designated communities.
Health System Innovation – Innovation, Learning and Growth Embracing new ideas, exploring opportunities, focusing on innovation, and building and strengthening partnerships. 1. Expand and promote use of technology and the following resources Promote availability of MB Telehealth and Health Links-Info Santé for accessing bilingual services. Santé en français Centre de Santé de Saint-Boniface website Others as they become available 2. Strengthen our partnership role to develop a stronger FLS network Collaborate with Santé en français, and other designated RHAs, organizations and groups to strengthen our partnership role to develop a stronger FLS network so we can ensure responsive health services are available in French. 3. Implement creative solutions to address gaps Develop partnerships with organizations such as l'Université de Saint-Boniface to assist with delivery of service and promote bilingual careers in the Interlake-Eastern Regional Health Authority. Contract French language services as appropriate.
Health System Sustainability - Keeping it Going Sustain our current levels of service delivery, while addressing challenges and focusing on priorities. 1. Build internal capacity Increase promotion of French language training available to all staff working in designated centres and those serving designated communities. Provide Active Offer training for staff and managers working in designated areas. 2. Encourage use of technology and available resources Promote availability of MB Telehealth and Health Links-Info Santé for accessing bilingual services. Collaborate on and promote French Language Health Promotion series offered via MB Telehealth. Build and expand bilingual resource capacity. 3. Collaborate with provincial partners Review existing research such as compiled in Linguistic Competence and Quality of Services; Business Case for Quality French-Language Health Care Services report. (Gauthier & Reid, 2012) Participate in Santé en français and Table des Gestionnaires working groups. June, 2014 Page 14 of 26
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Improved Access and Primary Care - Expanding Opportunities Providing the right care, in the right place, and at the right time – in the right language 1. Continue to build FLS capacity Enhance FLS capacity in regional programs. Support French-speaking clients on the Cancer Patient Journey. Seek resource opportunities at the local, provincial and national levels.
Improved Service Delivery - The Best We Can Be Delivering quality and safe care in the client’s official language of choice. 1. Create a workplace culture of Active Offer Provide and promote Active Offer. Improve signage and identification of bilingual services. Increase awareness and education for staff and community. Establish policies for communication, Active Offer and Public Relations.
Improving Health Status & Reducing Health Disparities Amongst Manitobans - Getting Better, Staying Healthy Listening and Learning about the French-speaking community 1. Monitor the demographics to better understand needs of our French-speaking residents Through such means as CHA assessments. 2. Incorporate existing Provincial and Regional Francophone health data into overall planning. Identify the Perceived Health Issues and Needs of Francophones in Manitoba Provincial Youth Health Survey of Francophone Youth in the Franco‐Manitoban School Division IRHA CHA Francophone Report 3. Linking with community Build strong partnerships with Francophone communities, business and economic development sectors, and regional education and social services organizations to further develop and promote health and well-being. Provide strong linkage between FLS and primary care to promote health and well-being for French- speaking residents living in designated areas.
l-r: Michelle Berthelette FLS Coordinator East, Lorraine Campbell Mental Health Regional FLS designate, Lori Carrière FLS Coordinator West.
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Key Partners
Francophone Affairs Secretariat/Secrétariat aux affaires francophones The Francophone Affairs Secretariat, established in 1981, has a mandate to advise the Government of Manitoba, and the Minister responsible for Francophone Affairs in particular, on the development of
government services in the French language, and on matters relating to the French Language Services policy in general.
Among the responsibilities of the Secretariat is the provision of assistance and guidance to the
administrative bodies covered by the French Language Services policy, including designated bilingual RHAs. The Secretariat also addresses representations or complaints from the public about French language services.
Santé en français
In October 2004, the Government of Manitoba designated Santé en français as the official representative of the Francophone community in the areas of health and social services. Santé en français plays a leadership and coordination role to foster access to quality French language services (FLS) in the areas of health and social services. The composition of the Board of Directors and the various committees of Santé en français, including the Regional Round Tables and the Managerial Round Table are set out in Appendix E.
The French Language Services Community Advisory Committees:
There are two French Language Services Community Advisory Committees that represent the French- speaking population of the Interlake-Eastern RHA, the St. Laurent FLS Community Advisory Committee and the Blue Water FLS Community Advisory Committee.
Each committee consists of representatives from:
a) Interlake-Eastern Regional Health Authority
i. VP Community Services and Chief Allied Health Officer responsible for French Language Services ii. FLS Coordinator iii. Regional management team representative
b) Santé en français or Manitoba Health
c) Community - 4 Bilingual Representatives
Please refer to Appendix G for the Terms of Reference.
Interlake-Eastern Regional Management Team The Interlake-Eastern Regional Management team has representation from all program and service areas and includes Senior Leadership with the exception of the CEO. The Regional Management Team develops and implements a program management and service delivery culture that emphasizes accountability, collaboration, communication, flexibility, innovation and tolerance. The Regional Management Team cultivates the development
of policies, processes and procedures as well as evaluation and accountability mechanisms and frameworks to
ensure the sustainable delivery of healthcare to those who access Interlake-Eastern RHA health services.
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SIGNATURE & APPROVAL OF THE FLS PLAN FOR INTERLAKE REGIONAL HEALTH AUTHORITY
______John Stinson, Chief Executive Officer, Interlake-Eastern Regional Health Authority Date
______Annie Bédard, Executive Director, Santé en français Date
______Honourable Sharon Blady, Minister of Health Date
______Honourable Greg Selinger, Minister responsible for Francophone Affairs Date
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Appendix A: PROVINCE OF MANITOBA FRENCH LANGUAGE SERVICES POLICY - March 1999
The French Language Services Policy of the Government of The availability of French language services is made Manitoba recognizes the fact that the French-speaking evident with appropriate signage and reception messages. population of Manitoba is a constituent of one of the Public information campaigns in the English language have fundamental characteristics of Canada. The policy’s a counterpart in the French language, subject to cost and purpose is to allow this community and the institutions distribution considerations. serving it to access comparable government services in the language of the laws of Manitoba. The administrative bodies to which the policy applies use the French-language media to advertise vacant staff The services provided by the Government of Manitoba are positions where French is a requirement or an asset. offered, to the extent possible, in both official languages in areas where the French-speaking population is Unless otherwise specified by the Minister responsible for concentrated. The designated areas are shown on the Francophone Affairs, only bilingual employees are accompanying map. recruited in the bilingual service centres and designated positions until such time as the bilingual personnel Administrative bodies covered by this policy consider the requirements are met. objectives of this policy and possible impacts on the Francophone community when planning and carrying out Where the staff of a bilingual service centre is completely administrative or legislative reorganizations and reforms, bilingual, the administrative body encourages the use of including boundary reorganizations. French as the language of work. French language services are provided in completely Nominations to boards, commissions, agencies, etc., take bilingual service centres located in the designated areas. due account of the language dimension of government They are also provided, as approved or specified by the policy, as well as the right of any Manitoban to use either Minister responsible for Francophone Affairs, in partially official language before quasi-judicial tribunals. bilingual service centres that have a sufficient number of designated positions and bilingual employees to ensure an This policy applies to and is implemented by the following effective delivery of such services. administrative bodies: French language services are actively offered by the All government departments and boards, administrative bodies covered by this policy. The concept commissions, corporations and special operating of Active Offer means that services in French, whether agencies reporting to them; provided by oral, written or electronic methods, are Crown corporations and extra departmental evident, readily available and easily accessible to the organizations; general public, and of comparable quality to those offered Offices of the Legislative Assembly and quasi- in English. judicial agencies subject to the requirements of Section 23 of the Manitoba Act, 1870; All correspondence with individuals or groups is in the Public utilities governed by the Public Utilities official language preferred by the recipient. Board and serving designated areas; Unless specified otherwise by the Minister responsible for Designated health facilities, social services Francophone Affairs, all forms, identity documents and agencies and Regional Health Authorities; certificates intended for the general public are in a Others as may be specified by the Minister bilingual format. responsible for Francophone Affairs. All information materials (written, audio-visual or The implementation of this policy is guided and monitored electronic) intended for the general public are produced in by the Francophone Affairs Secretariat, whose mandate a bilingual format, unless cost and distribution applies to all the administrative bodies covered by this considerations justify separate language versions. The policy. In fulfilling its mandate, the Francophone Affairs French language equivalent can be the version posted on Secretariat seeks and facilitates the implementation of the administrative body’s Internet site in circumstances this policy in a manner consistent with the concept of specified by the Minister responsible for Francophone Active Offer and makes recommendations to that effect. Affairs. Separate language versions are released The Minister responsible for Francophone Affairs may simultaneously. direct the administrative bodies covered by this policy to Unless specified otherwise by the Minister responsible for carry out certain actions to better meet the objectives of Francophone Affairs, Web sites provide information and this policy. facilitate interactions with the public in both official In order to ensure public accountability, the Francophone languages. Affairs Secretariat publishes an annual report detailing the Unless specified otherwise by the Minister responsible for results of this policy’s implementation by the Francophone Affairs, signs and public notices in the administrative bodies covered by this policy. The annual designated areas and in the bilingual service centres are in report is prepared in collaboration with these both official languages. administrative bodies. Note: The policy was adopted in 1989 and revised in 1999. June, 2014 Page 18 of 26
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Appendix B: MAP OF DESIGNATED AREAS UNDER THE GOVERNMENT OF MANITOBA’S FRENCH LANGUAGE SERVICE POLICY
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Appendix C: MAP OF INTERLAKE-EASTERN REGIONAL HEALTH AUTHORITY
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Appendix D: INTERLAKE-EASTERN REGIONAL HEALTH AUTHORITY DESIGNATED FACILITIES
Designated Francophone Facilities
Facility that delivers its services in both English and French, or in French only, and whose primary language of operation is French.
There are no designated Francophone facilities within the Interlake-Eastern Regional Health Authority.
Designated Bilingual Facilities
Facility that delivers its services in both English and French and whose primary language of operation is English.
The following are designated bilingual facilities within the Interlake-Eastern Regional Health Authority.
Pine Falls Health Complex 37 Maple Street P.O. Box 2000 Pine Falls, MB R0E 1M0 204-367-4441
St. Laurent Health Centre 1 Parish Lane P.O. Box 130 St. Laurent, MB R0C 2S0 204-646-2504
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Appendix E: STATUS OF DESIGNATED BILINGUAL POSITIONS AS OF JANUARY 2014
Positions Base EFT Designated Positions filled with Bilingual Bilingual Incumbents FLS St. Laurent 0.4 0.4 Primary Health Care St. Laurent 0.6 0.6 FLS St. Georges 0.4 0.4 Wellness St. Georges 0.6 0.6 Mental Health Oakbank 1.0 1.0 (regional FLS) Public Health Pine Falls 1.0 0 St. Laurent 0.4 0 Dietitian Pine Falls 0.4 0 Families First St. Laurent 0.5 0
PINE FALLS HEALTH COMPLEX ACUTE AND LONG 25% of positions are designated bilingual. TERM CARE Total EFTs 56.01 EFTs filled with bilingual 7.6 incumbents % filled with bilingual 13.57% staff HOME CARE PROGRAM 25% of positions are designated bilingual.
Total EFTs 11.2 EFTs filled with bilingual 2.5 incumbents % filled with bilingual 22.32% staff PRIMARY CARE EFT Designated Bilingual Positions filled with Bilingual RECEPTION/ADMITTING Incumbents Primary Care Reception 1 1 Reception/ Admitting / 1 1.3 Health Information
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Appendix F: SANTÉ EN FRANÇAIS ORGANIZATIONAL CHART
COMMUNITY Community Consultations
Santé en français Board of Directors
* 3 directors elected by the regional round tables * 4 directors appointed by Société franco -manitobaine , including one nomination from the Réseau communautaire * 1 director appointed by the Université de Saint-Boniface * 1 director appointed by the Division scolaire franco-manitobaine
Executive Director of the Francophone Affairs Secretariat, as a resource person
Round Table Urban Regional Round Tables Executive Director (Winnipeg) Central & Southeast Santé en français du Manitoba
Local Committees Other designated regions Members of the staff Santé en français (Resource Center)
Health Management Round Table; and Social Services Management Round Table
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Appendix G: FRENCH LANGUAGE SERVICES COMMUNITY ADVISORY COMMITTEES
Terms of References
MANDATE
To receive feedback from the Interlake-Eastern Francophone communities;
To provide networking opportunities for Santé en français, the FLS Community Advisory Committees, and the Interlake-Eastern Regional Health Authority;
To give input to the annual FLS action plan;
To foster the culture of active offer
MEMBERSHIP
The committee will consist of representatives from: a) Interlake-Eastern Regional Health Authority i. VP Community Services and Chief Allied Health Officer responsible for French Language Services ii. FLS Coordinator iii. Regional management team representative b) Santé en français or Manitoba Health c) Community - 4 Bilingual Representatives
MEETINGS The committee will meet a minimum of twice a year, or as needed in order to meet its purpose.
Meetings will be called and organized by the French Language Services Coordinator.
The Chairing of meetings shall be by the Interlake-Eastern Regional Health Authority. Decisions will be made by The Interlake-Eastern Regional Health Authority consensus. (RHA) undertakes to provide health care services in French to its French-speaking population in accordance with the Government of Manitoba’s QUORUM French Language Services (FLS) FLS Policy, Manitoba Health’s Designation Policy for A quorum shall be 50% of committee members. Francophone and Bilingual Facilities, Programs and Reviewed May 7, 2013 Services, and Regulation 46/98 of the Regional Health Authorities Act (C.C.S.M. c R34).
To assist in this task, the Regional FLS committee shall consult with French Language Services Community Advisory Committees (St. Laurent & Blue Water). These committees shall play a role of
support to promote appropriate and consistent
implementation of the active offer of French
Language Services.
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Appendix H: REGIONAL FLS COMMITTEE TERMS OF REFERENCE
MANDATE
The Regional FLS committee will develop and support the implementation of the regional FLS plan as per the Government of Manitoba French Language Services Policy.
The goal is to ensure people and communities within the RHA are able to connect, in the official language of their choice, to excellent health services, today and tomorrow.
The Regional FLS Committee shall:
Provide recommendations to the RHA’s Senior Management Team as to measures required for the adequate implementation of the plan.
Liaise with the Communities of St. Laurent, St-Georges and Powerview-Pine Falls;
Santé en français, the Communities of St. Laurent, St-Georges and Powerview-Pine Falls; and the Francophone Affairs Secretariat.
Review and monitor the progress of the implementation of this 5-year French Language Services Plan.
Establish policies to support implementation of the French Language Services Plan related to communication in both official languages, the designation of bilingual positions and the recruitment of designated bilingual positions.
Develop an annual FLS action plan to implement its Five-year FLS plan.
Foster the commitment of employees for the implementation of the plan. o Promote and support the language training programs sponsored by Santé en français including, but not limited to: Traditional oral French classes taken in Winnipeg or through the Telehealth network in-region (Français en milieu de santé) and/or other French language programs as they become available. o Increase Active Offer training amongst management, staff and with community.
Review and monitor any concerns or comments received by managers from the public or employees pertaining to French language services.
Promote ongoing availability of health services for the French-speaking population.
Report annually on FLS in the region as per guidelines of the Provincial Francophone Affairs Secretariat.
Provide regular reports to the board of directors and senior management team.
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MEMBERSHIP
The RHA will have a Regional French Language Services Committee, which will include the following membership:
VP Community Services and Chief Allied Health Officer, responsible for French Language Services French Language Services Coordinators Ad hoc members o Executive Director of Human Resources o Regional Manager Communications & Public Relations o Members of regional management team for matters relating to FLS in their respective programs and services o Additional membership requests as required
The VP of Community Services and Chief Allied Health Officer, responsible for French Language Services, will chair the committee.
MEETINGS The FLS committee will meet quarterly or at the call of the Chair.
Reviewed January, 2014
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