ᐋᔑᑯᒻ ᐱᐳᓐᐦ ᑎ ᐹ ᒋᒨ ᓯᓂ ᐦᐄ ᑭ ᓐ aashikum pipunh tipaachimuusinihiikin ANNUAL REPORT ᒥᔪᐱᒫᑎᓰᐅᓐ ᐊᓈᓈᑭᒋᐦᑖᑭᓅᒡ miyupimaatisiiun anaanaakichihtaakinuuch CREE BOARD OF HEALTH AND SOCIAL SERVICES OF JAMES BAY 2019-20 2019-20 ᐋᔑᑯᒻ ᐱᐳᓐᐦ ᑎ ᐹ ᒋᒨ ᓯᓂ ᐦᐄ ᑭ ᓐ aashikum pipunh tipaachimuusinihiikin ANNUAL REPORT 1 2 3 ᑳ ᓃᑳᓂᐱᔥᑎᐦᒃ ᐆ ᐱᒧᐦᑌᐦᐁᐤ ᓂᔒᔫ ᒥᔪᐱᒫᑎᓰᐅᓐ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ kaa niikaanipishtihk aa pimuhteheu nishiiyuu misinihiichaaukimik miyupimaatisiiun OFFICE OF THE CHAIR AND GENERAL MANAGEMENT 12 Chair and Executive 29 Executive Summary 49 Executive Summary Director ᒥᓯᓈ ᐱᔅᑭᐦᐄᑭᓐ 30 Pre-Hospital Emergency 50 AED Nishiiyuu 14 Board of Directors and Emergency Services Miyupimaatisiiun misinaapiskihiikin 15 Executive and Senior 32 Youth Healing Services With the exception of all photographs, the information in this publication may be reproduced without charge or further Management 33 Youth Protection permission, provided that the CBHSSJB is identified as the source. Download a copy at: creehealth.org 17 Corporate Services 34 Program Development Editor — Katherine Morrow 18 Organizational and Support Copy Editors — Patrick McDonagh, Jennifer Morrow, Alison Scott Development and Strategy 39 Public Health Layout & design — Alison Scott Design 20 Council of Physicians, Dentists and Pharmacists Cover photo of stained glass goose in the Eastmain CMC waiting room by Joshua Loon. 22 Council of Nurses Photography & photo editing — Tatiana Philiptchenko, with the exception of the following: 24 Service Quality and Pages 4 (first on left) & 5 (last on right): Joshua Loon Complaints Page 11: Brian Stewart Page 20: Marcel Grogorick & Marie-Jacinthe Plouffe 26 Population Health Profile Page 21: Bella Petawabano Page 23: P. Beriault Page 24 (far right): Kristen Iserhoff Pages 25, 48, 54 & 95: Marcel Grogorick Page 29 & 89: Mary Monger Page 30: Jason Coonishish Pages 32, 33 (bottom of pages), 39, 106 & 107: Maitee Saganash 4 5 6 Page 57: Jimmy Sam ᒥᔪᐱᒫᑎᓰᐅᓐ ᐋ ᐅᐦᒋ ᐱᒥᐱᔨᐦᑖᑭᓂᐎᒡ ᐋ ᒥᓯᓈᓱᑦ ᑳ ᐃᔅᐱᔨᑦ Page 60: Virgina Wabano Page 65 & 90: Jennifer Morrow ᐋᐱᑎᓰᐎᓐ ᔔᔮᓐ Page 88: Dr. Danielle Perreault miyupimaatisiiun aa uhchi pimipiyihtaakiniwich aa misinaasut kaa ispiyit Page 93: Trame Architecture aapitisiiwin shuuyaan ADMINISTRATIVE SERVICES FINANCIAL STATEMENTS Annual Report of the Cree Board of Health and Social Services of James Bay, 2019-2020 55 Executive Summary Executive Summary Breakdown of Gross © 2020 CBHSSJB 89 97 Expenses by Program Box 250, Chisasibi, QC J0M 1E0 56 Medical Affairs and Services 90 Human Resources CBHSSJB Financial 59 (DPSQA) Psychosocial 91 Financial Resources 98 ISSN 11929-6983 (Print) Statements ISSN 1929-6991 (Online) 61 (DPSQA) Health 92 Information Technology Legal deposit — 3rd trimester 2020 Resources National Library of Canada 62 (DPSQA) Allied Health Bibliothèque et Archives nationales du Québec, 2020 64 Chisasibi Hospital 93 Material Resources 66 Specialized Services 94 Wiichihiituwin 69 Community 106 List of acronyms Miyupimaatisiiun Centres (CMCs) ᐋᐆᒃ ᓃᔮᓐ aauuk niiyaan About us 1978 ᑳ ᐄᒋᔅᑖᐦᒡ ᐊᔅᒌ ᐊᒋᐦᑖᓱᓐ ᐊᑰᐦᑦ ᐧᐄᔅᑳᒡ ᓂᔒᔫ, ᒥᔪᐱᒫᑎᓰᐅᓐ (ᒥᓯᐧᐋ ᐄᔨᔨᐤ ᐄᑕᐧᐄᓐᐦ Founded in 1978, the Cree Board of Health In addition to CMCs, the CBHSSJB operates ᑳᐦ ᑎᑰᒡ ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ ᓂᑐᐦᑯᔨᓐ ᐋᐧᐄᐦᒡ ᑖᐱᑎᐧᐃᐱᔨᐦᐆᒪᑳᓐᐦ) ᐋᐧᐄᔨᒡ ᑭᓂᐧᐋᐱᐦᑖᑲᓄᐄᔨᒡ and Social Services of James Bay (CBHSSJB) is the 29-bed Chisasibi Regional Hospital, three ᑭᓂᐧᐋᐱᐦᑖᑭᓅᒡ᙮ ᒥᓯᐧᐋ ᐋᐧᐋᓐ ᐋ ᐧᐄᒋᐦᑦ ᐆᑦ ᐄᔨᔨᐤ ᐋᐱᑎᓰᐧᐄᓐ ᑭᔮ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ᙮ ᐅ ᒫᒃ ᒥᓯᓂᐦᐄᑲᓐ responsible for the administration of health and group homes for youth at risk, a Regional Public ᐊᔅᒌᔨᒡ ᐊᑰᐦᑦ ᐧᐋᒡ ᑭᓂᐧᐋᐃᐦᑖᑯᓯᑦ᙮ ᐊᓐ ᒑ ᐄᔥ ᐧᐋᓯᑕᑲᓅᐧᐄᔨᒡ ᓂᔮᔨᓐᐦ ᐱᔅᑭᑎᓯᓂᐦᐄᑭᓐᐦ ᐋᐧᐄᐦᑕᑯᒡ ᑖᓐ social services for all persons residing perma- Health Department and program planning unit, ᑭᐧᐋᐱᐦᑎᒫᔨᒡ ᐋᐱᑎᓰᐧᐄᓐᐦ ᑭᔮ ᒥᔪᐱᒫᑎᓰᐅᓐ ᒧᔮᒻ ᐋ ᑳ ᐄᔅᐲᔨᒡ ᐋᐱᑎᓰᐧᐄᓐᐦ ᐅᑦ ᒥᓯᓂᐦᐄᒐᑭᒥᑯᒡ᙮ nently or temporarily in Region 18, the admin- Wiichihiituwin (formerly Cree Patient Services) istrative region of the Ministry of Health and liaison offices in Chibougamau, Val-d’Or and ᐄᔥ ᒥᓯᓈᑖᐦᒡ ᑯᐹᒃ ᐧᐄᔔᐧᐋᐧᐄᓐᐦ᙮ ᐹᐊᓛ ᐹᑕᐧᐋᐱᓅ ᓃᑳᓂᔅᑭᒻ ᐊᓂᔮ ᒥᓯᓃᐦᐄᒑᐅᑭᒥᑯᒡ Social Services of Quebec corresponding to Montreal, and a recruitment office in Montreal. ᐊᓐ ᐅᒋᒫᐤ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ ᐊᑰᐦᑦ ᐊ ᑎᑰᒡ ᒥᔪ ᐱᒫᑎᓰᐧᐄᓐ ᑭᔮ ᓂᑐᐦᑯᔨᓐ ᐋ ᐧᐄᔨᒡ the Cree territory of James Bay. Our mandate The Head Office is in Chisasibi. is defined in Chapter S-5—An Act respecting ᐊᓂᑖ ᒋᓵᓰᐱᔨᒡ᙮ ᓃᔮᔨᓐᐦ ᐊᓂᐦᐄ ᒑᐧᑳᓐ ᐋ ᑭᓂᐧᐋᐱᐦᑖᑭᓅᐧᐄᔨᒡ, ᐊᑯᑦ ᐊᔅᑎᐱᐦᔨᒡ ᐊᓂᔮ ᑳ health services and social services for Cree The CBHSSJB is governed by an elected ᐋᐱᑎᓰᔅᑕᑲᓄᐧᐄᔨᒡ ᐅᑦ ᒥᓯᓃᐦᐄᒑᐅᑭᒥᑯᒡ: ᐊᓂᒋ ᐲᐦᑕᓰᓂᐧᐋᑲᓅᐧᐄᔨᒡ ᒑ ᒋ ᒫᒨᐧᐄᔅᑖᐦᒡ ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ Native persons. Board of Directors whose Chairperson is Bella ᒑᔅᑖᐱᑎᓰᔅᑖᐦᒡ ᒥᔪ ᐱᒫᑎᓰᐧᐄᓂᔫ ᒫᒧᐧᐃᐦᑕᐧᐃᒡ ᓂᑐᐦᑯᔨᓐ ᐋᐱᑎᓰᐧᐃᓐᔫ᙮ ᐊᓂᒌ ᒫᒃ ᑳ ᒫᒨᐧᐄᐧᐃᐱᔅᑖᐦᒡ M. Petawabano. Advisory Committees and ᐋ ᑭᓂᐧᐋᐱᐦᑖᐦᒡ ᐊᐱᑎᓰᐧᐄᓐᐦ: ᐱᒧᐦᑕᐦᐅ, ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ ᓂᑑᑯᔨᓂᔫ ᐋᐱᑎᓰᐧᐃᓐᔫ ᐊᓐ ᑭᔮ In each of the nine communities of Eeyou Istchee, Councils report directly to the Office of the the CBHSSJB operates a Community Miyupimaa- Chair, as do the Service Quality and Complaints ᐅᒋᒫᐤ ᑳ ᓈᑭᑎᐧᐋᔨᐦᑎᒃ ᐋᐦᐋᑳ ᓃᔅᑳᒑᔨᒡ ᐄᒧᐧᐄᓂᔫ tisiiun Centre (CMC), which is similar to an Inte- Commissioner and the Medical Examiner. The ᑭᔭ ᐋᐱᑎᓰᐧᐄᓂᔫ, ᑭᔮ ᐊᓐ ᑳᓂᑑᒋᔅᒑᐄᐦᑎᐦᒃ grated health and social services centre (CISSS) Executive Director is Mr. Daniel St-Amour. ᓂᑐᐦᑯᔨᓂᔫ ᐋ ᐧᐄᔅᑖᐱᔨᐦᐧᐋᒡ᙮ ᑖᓂᔨᓪ ᓭᐁᓂᑦ - ᐋᐦᒨᕐ elsewhere in Quebec. CMCs offer services in ᐋ ᐧᐄᐦᑰ ᐧᐋᒋᒫᐧᐄᑦ ᐊᓂᑖ ᒥᓰᓇᐦᐄᒐᐧᐄᑲᒥᑰᒡ᙮ general medicine, home care, dentistry, social services and allied health, among others. ᐋᑎᔑᔨᒡ ᐄᔨᔨᐅᐎᒡ ᐋᑎᔅᑳᑑᐦᒡ ᐋᐱᑎᓰᓲᐐᔨᒡ aatishiyich iiyiyiuwich aatiskaatuuhch aapitisiisuuwiiyich EEYOU ISTCHEE POPULATION JULY 2019 Chisasibi 4,920 Eastmain 862 Council of Physicians, Dentists and Pharmacists Mistissini 3,974 Board of Council of Nurses Nemaska 852 Directors Service Quality and Complaints Commissioner Oujé-Bougoumou 863 Waskaganish 2,509 Puvirnituq Waswanipi 2,082 Wemindji 1,582 Whapmagoostui 1,036 Executive Corporate Services Direction 18,681 Organizational Development and Strategy Kuujjuak For detailed information on the health status of the population please consult our website: www.creehealth.org. There is approximately an additional 5% non-permanent residents who also receive services from the CBHSSJB. The 0 to 4 year-old age group has been corrected using MSSS 2015-2018 births (+ 2019 estimates) and MSSS 2014-2018 deaths numbers. Sources: MSSS, JBNQA Cree beneficiary list, 2019; MSSS Births databases 2015-2018; MSSS Mortality databases 2012-2015; Statistics Canada 2016 Census. nishiiyuu Administrative pimuhteheu miyupimaatisiiun miyupimaatisiiun Services Kuujjuaraapik Whapmagoostui Great Whale Caniapiscau Pre-hospital Emergency Organizational Medical Affairs Health (Nursing) Human Resources La Grande Radisson Services and Emergency Quality and and Services Psychosocial Financial Chisasibi Measures Cultural Safety Medicine Resources Evaluation and Dentistry Foster Homes Youth Healing Services Accreditation Information Wemindji Group Homes Pharmacy Allied Health Community Technology Eastmain Development Youth Protection Eastmain Nemaska Distance from Montréal Client Experience Material Resources and Organizational Community Whapmagoostui 1757 km Program Development Chisasibi Performance Miyupimaatisiiun Wiichihiituwin Waskaganish Rupert Mistassini Chisasibi 1466 km and Support Hospital Centres Oujé- Complementary Wemindji 1394 km Maanuuhiikuu Bougoumou Eastmain 1232 km Services and Nemaska 1033 km Disability Programs/ Programs Mistissini Waskaganish 1130 km Special Needs Clinical Chisasibi Chibougamau Mistissini 795 km Services Midwifery Services Eastmain Matagami Oujé-Bougoumou 732 km Nursing Waswanipi 820 km Mistissini Services 109 Waswanipi 167 Public Health Nemaska St-Jean Amos 113 Cree community Awash (0-9 yrs) Specialized Oujé-Bougoumou Saguenay Services CBHSSJB office Uschiniichisuu (10-29 yrs) Waskaganish Rouyn- Administration Noranda 117 Chishaayiyuu (30+ yrs) Waswanipi Val-d’Or hospital 155 Wemindji Québec airport SERC (Surveillance, Evaluation, Research, Whapmagoostui 117 town/city Communications) Trois- Rivières autoroute 40 secondary highway 105 15 50 gravel road Gatineau Montréal Ottawa 0 100 200 300 km 11 Left to right: Daniel St-Amour (Executive Director of the CBHSSJB), Sylvie D’Amours (Minister Responsible for Indigenous Affairs), Danielle McCann (Minister of Health and Social Services), Grand Chief Dr. Abel Bosum (Grand Council of the Crees - Eeyou Istchee), Bella Moses Petawabano, (Chairperson of the CBHSSJB) and Davey Bobbish (Chief of the Cree Nation of Chisasibi). ᐆ ᐱᔅᑭᑎᓯᓂᐦᐄᑭᓇᒡ ᐊᑰᐦᑦ A new five-year health agreement with the Cree Nation ᒫᓯᓈᑖᐦᒡ ᑖᓐ ᐋᓯᓈᐦᑯᔨᒡ ᑭᔮ ᑖᓐ Government and Government of Quebec was signed ᐋ ᒋᔅᑳᑑᔨᒡ ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ on October 7th, 2019, to establish a funding framework ᓂᑐᐦᑯᔨᓐ ᐋᐱᑎᓰᐧᐄᓐ ᐋᐧᐄᐦᒡ and funding rules for the Cree Board of Health and Social Services of James Bay for 2019-2024. 1 ᑭᓂᐧᐋᐱᑖᑭᓅᒡ ᐋᐱᑎᓰᔖᐧᐄᔨᒡ ᐋᓯᓈᑰᔨᒡ ᐆᑦ ᐊᐱᑎᓰᐧᐄᓂᐧᐋᐤ This new agreement allows for further development of ᐄᔨᔨᐧᐄᔨᒡ ᐋᐦᐋᐱᑎᓰᔅᑐᐊᑳᓅᐧᐄᔨᒡ᙮ the services offered to the Cree communities of Eeyou Istchee, including specialist services, to construct new ᑳ ᓃᑳᓂᐱᔥᑎᐦᒃ facilities and to invest in information technology and uu piskitisinihiikinach akuuht human resources. maasinaataahch taan aasinaahkuyich kiyaa ᐆ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ taan aa chiskaatuuyich miyupimaatisiiun kiyaa nituhkuyin aapitisiiwiin aawiihch kaa niikaanipishtihk aa kiniwaapitaakinuuch aapitisiishaawiiyich misinihiichaaukimik aasinaakuuyich uut apitisiiwiiniwaau iiyiyiwiiyich aahaapitisiistuakaanuuwiiyich. OFFICE OF THE This chapter presents an overview of the CHAIR AND GENERAL CBHSSJB, the health of the population and the MANAGEMENT activities of the Board of Directors and Executive. ᑳ ᓃᑳᓂᐱᔥᑎᐦᒃ ᒥᔨᐱᒫᑎᓰᐅᓐ ᐆᒋᒫᐤ ᒥᔨᐱᒫᑎᓰᐅᓐ ᐊᓈᓈᑭᒋᐦᑖᑭᓅᒡ