MINUTES Lakeland Communities Health Advisory Council Thursday, September 21, 2017 5:00 p.m. to 8:00 p.m. Redwater Health Centre, Conference Room 4812 58 St., Redwater, AB Council Members: Alberta Health Services: Pat Palechuk (Chair), Mel Smith (Vice Chair), Robert Deresh, Zicki Eludin Cindy Harmata, Dr. Albert Harmse, Andrea Jackson, Deborah Whetstone Public: 0 Regrets: Adriaan Botha, David Beale, Robert Brassard, Marvin Fyten, DeAnne Geleta, Parrish Tung Agenda Item Discussion Action Welcome and Introductions Pat Palechuk welcomed all those in attendance to the meeting. Mel thanked ppl coming to Redwater on behalf of the Town. Welcome. 1. Council Quorum 2. Approval of Agenda As per the Health Advisory Council Bylaw, Article 9, Section 9.4: A quorum shall consist of 50 per cent plus one (1) of the members in office. A resolution may be passed, or action taken on any matter, only where a duly constituted meeting has been called and a quorum is present at the time the resolution is put forward. In the event that a quorum is not present, the meeting may proceed; however, any action or resolution shall be deferred to the next meeting where a quorum is present Council did not reach quorum so the meeting continued as an information meeting. As the required quorum was not achieved at this meeting, see Bylaw Article 9, Section 9.4, the agenda cannot be approved. A review of the agenda took place. Andrea Jackson will present May and September meeting minutes for approval on Thursday November
3. Approval of Minutes As the required quorum was not achieved at this meeting, see Bylaw Article 9, Section 9.4, the agenda cannot be approved. A review of the minutes for revisions took place. 16, 2017 when quorum will be achieved. 4. Presentations 3.1. Indigenous Health Brenda Paul- Laboucan, Aboriginal Engagement Officer Brenda Paul-Laboucan began by acknowledging that council is in Treaty Six traditional territory. Brenda identified differences in the health status of Indigenous peoples in comparison to others - Indigenous people have higher rates of cancer and diabetes; life expectancy is lower; trips to the emergency room are higher; infant mortality is higher. Reasons for poor health include colonization; the Federal Policy of Assimilation; introduction of the Indian Act (the only act in Canadian Law based on race); Residential School trauma (number one reason for poor school health); the Sixties Scoop, where children were legally taken from their homes by government workers and removed from family, community and culture. For further context, Brenda recommends reading the Truth and Reconciliation summary report, found here. The first step towards creating solutions is in building relationships. It s critical to understand historical trauma, the relationship Indigenous people have with the Crown and their unique needs for healthcare. As per the Royal Commission on Aboriginal People (1997), we need to provide services that recognize and affirm Aboriginal peoples identity; involve them in decision-making; aide in the development of Aboriginal services institutions and develop a strategy to address the healing needs of those affected by the legacy of residential schools. AHS Indigenous Health Program now has as part its core functions community engagement, cultural competency and communications and marketing. Within community engagement it focuses on customized healthcare approached, patient navigation and care, traditional wellness and cultural supports and emergency and disaster response. The north has an Indigenous Health Program but it s not provincial. Brenda works with Edmonton, south. AHS Wisdom Council provides advice and guidance to its President and CEO; the Indigenous Health Program acts as a secretariat. The Indigenous Health Plan s objectives are to strengthen relationships and increase accessibility, coordination and quality of health services. 2 P a g e
Brenda highlighted Indigenous people s biggest strength - the ability to love and forgive. In order for reconciliation to occur Indigenous people and Western society need to walk together to determine how to move forward. Reconciliation isn t about blame it s about honouring what s happened in the past and moving forward, to ensure it doesn t happen again. 3.2. Rural Health Professions Action Plan (RhPAP) Kim Fleming, Rural Health Professions Development Consultant Rebekah Seidel, Rural Health Professions Development Consultant Kim and Rebekah presented an overview of RhPAP, the Rural Health Physician Action Plan. RhPAP has been operating for over 25 years and during this time has focused on supporting the attraction and retention of physicians. With its new mandate, it has expanded its scope to include physicians and allied health professionals. RhPAP currently has six rural consultants and there has been a deliberate move to have the majority of its staff reside in rural communities in Alberta. One director serves areas in the south, central and northern Alberta and there are 50+ attraction and retention committees across rural Alberta. Some of the work RhPAP does is as follows: - Serve rural community attraction and retention committees - Provide tools and resources for new and existing committees - Provide an annual attraction and retention conference - Assist with medical resident physician accommodations - Assist with rural physician development - Amplify the rural voice by increasing awareness by-way of enhancing communications, and, - Policy advisory. To aide in the development of health professions area, Rebekah advises a lot of this work has focused on establishing partnerships with a wider net of professions, beyond that of physicians. Another key component for RhPAP is the medical skills weekend offered to post-secondary students. Here, students have an opportunity to learn about practice in rural communities. Since 2004 it has hosted over 40 of these weekends in 34 communities in Alberta. Cindy Harmata, Senior Operating Officer, adds the North Zone has a maternity care plan developed that s just being socialized and it would like to partner with RhPAP on it moving forward. 5. Business Arising 5.1. Community No public were in attendance. 3 P a g e
Input 6. Old Business 5.1. Business Arising from the Minutes of May 18, 2017 Below are action items from the meeting held Thursday, May 18, 2017: Andrea Jackson will invite Brenda Paul-Laboucan to present in September about the Indigenous Health program. Complete. Greg will enquire about nurses in Redwater. Complete. Andrea to ask Chelsea Crowshoe about folders for members from Indigenous Sensitivity session. In progress. Andrea will resend the document for business cards to members. Complete. Andrea will enquire about a contact in mental health to connect Zicki with for Cenovus. In progress. 6. New Business 6.1. North Zone Leadership Update Cindy Harmata, Senior Operating Officer, North Zone 6.2. Physician Cindy Harmata provided the following highlights: Athabasca and Boyle will be working on implementing aspects of CoACT to their sites. Both locations are working towards transitioning to the CoACT model of healthcare delivery and transfer of information. This will include rapid rounding; collaborative care; NOD (name, occupation, date); white boards all to give patients a better sense of their own care. Pilot sites have been in Barrhead, Peace River, Fort McMurray and Grande Prairie. The North Zone is moving towards a centralized staffing model that will incorporate electronics and ability to text. A staffing office s entire job is to fill shifts so it is anticipated this will aide in doing so efficiently. The Heli-pad service in Boyle has been restored (Aug. 10) in consultation with Navigation Canada and final inspection by Facilities Maintenance and Engineering (FM&E). Intermittent temporary closures may be necessary for the duration of all projects but will be in conjunction with Navigation Canada and FM&E. The dialysis renovation is currently underway at William J Cadzow Health Centre in Lac La Biche, with a targeted completion of December 2017. Cindy adds the dialysis bus and its model are being retired in favour of permanent sites due to cost, space and workforce sustainability limitations. In order for a permanent site to be enabled, there must be a minimum of 12 patients within the community. Deborah Whetstone provided a physician recruitment update: Bonnyville successful in recruiting one family medicine with anesthesia; five family medicine physicians; two Andrea to enquire about a presentation from Northern Alberta Renal Program re: dialysis statistics in communities and options. 4 P a g e
Recruitment Report Deborah Whetstone, Manager, Medical Affairs North Zone 6.3. Report from the Chair Pat Palechuk 6.4. Work Plan Updates additional family physicians that have signed contracts. Cold Lake one family medicine physician; one family medicine with obstetrics; one OBGYN. Elk Point arranging a site physician in October with a physician. He/she doesn t need an assessment so movement should be speedy; Lac La Biche one family with obstetrics physician by February; family medicine with anesthesia and his wife; contract pending with family medicine with enhanced skills in obstetrics. All positions will be filled. St. Paul postings family medicine and family with low-risk obstetrics are incoming. Athabasca a physician is interested and will not require an assessment so is pending; we are waiting to fill the other posting. Smoky Lake Locum coverage is filling in for a physician who is away ill (two locums). Pat Palechuk provided the following update: June 15 Pat and others participated in an engagement session on AHS ethical framework. June 23 highlights from the Council of Chairs meeting are that terms of reference have been determined and Fall Forum planning is well underway. In addition, questions were brought forth about navigators, to which this HAC would like to learn more about. Finally, Pat expressed gratitude for the way Dr. Verna Yiu responded to the racial slur incident in the South. August 14 during a teleconference on Continuing Care, Pat brought forth staffing, the lack of recreation on weekends, food, access to events (transportation) and signage in facilities. September 28 AHS North Zone leadership, community engagement and local stakeholders are gathering in Cold Lake and St. Paul for engagement. Pat Palechuk and Mel Smith will be in attendance. November 29 The College of Physician and Surgeons of Alberta is coming to Cold Lake to reach out to community for a town hall-style meeting. Pat encourages HAC representation. Pat is uncertain why people won t make appointments to see a newly acquired psychologist (private). Cindy Harmata reminds it s important for services such as mental health to go out to where the people are. For example, to have roving teams out in communities. North Zone is currently looking at changes to its mental health model and accessibility. Andrea Jackson provided an update on workplan progress members have collected information about local medical transportation services from within their communities. Updated collation of the information was provided to council via email. Andrea will enquire about the various types of navigators in North Zone for presentations. Motion to be made in November to approve changes of dates of completion to tasks. 5 P a g e
6.5. Advisory Council Officer Update Andrea Jackson 6.6. Council Round Table and Goods News Stories Andrea Jackson provided the following update: Budget the balance of councils Community Engagement budget is $5,000; 2016/17 Annual Reports final drafts go to AHS Board September 28 for final approval; The next information session is October 3 and will cover Health Link and myhealthalberta.ca system navigation; The Advisory Council Fall Forum is scheduled for October 27/28 in Edmonton. All members are encouraged to attend; The AHS Board and leadership want to know how to share the AHS 2017-20 Health and Business Plan with the public in a meaningful way, and are looking to HACs for guidance. Pat Palechuk attended the 2017 Grey Matters conference in Hinton. The conference focused on the importance of an active seniors community. Pat is interested to know if Mental Health First Aid for Seniors training is available in North Zone. Pat added the hospital auxiliary in Smoky Lake has purchased Sonicare ultrasound machine. Mel Smith queried the status of Vilna to which Cindy Harmata responded work is in progress to engage with the community regarding status update. Andrea will resend links to Advisory Councils social media accounts. Andrea will enquire about MHFA training in North Zone. 7. Date of Next Meeting 8. Meeting Evaluation and Adjournment Zicki Eludin advises AHS has agreed to install the CT scanner purchased by the Foundation, much to the delight of the foundation and locals. The foundation has agreed that monies left over from the CT scanner will be put towards a cataract surgery machine, as requested by a local Optometrist. Robert Deresh advises the Man Van for men s prostate cancer screening comes to Lac La Biche once per year, as does mobile mammogram for women. The community would like these mobile services increased to twice/year. Cindy Harmata says these initiatives are provincial so she ll enquire about their schedules. Date: Thursday, November 16, 2017 Time: 5:00 p.m. to 8:00 p.m. Location: Cold Lake Health Centre, Education Room 314 25 St., Cold Lake, AB. Moved by Mel Smith for the meeting to adjourn at 8:05 p.m. *Please note that these minutes are in DRAFT form and are subject to change and approval at the November 16, 2017 Council meeting. Cindy will enquire if there s opportunity for expansion of man van and mobile mammography. 6 P a g e