We reach First Nations people in Manitoba and strengthen physical, mental, emotional and spiritual health, using health-related applications and technology.
We see a world where all Manitoba First Nations are achieving holistic benefit from access to timely, excellent health care and traditional healing; and seeing all the positive socio-economic aspects of being connected through current technology, by First Nations, for First Nations.
The FNHSSM eHealth/ICT Unit’s mission is to tie together the clusters through eHealth systems and build capacity through the development of the ICT Centre of Excellence.
With direction and supervision from the Executive Director, the FNHSSM eHealth unit are responsible for advocating and supporting eHealth activities pertaining to MFN communities. The FNHSSM eHealth Unit provides Secretariat support to eANISKOPITAK.
EHEALTH LONG TERM STRATEGY
The eHealth Long Term Strategy – A Plan for Action 2012-2022 was passed in March of 2012 at Brokenhead Ojibway Nation by the AMC Executive Council of Chiefs, on behalf of the Chiefs in Assembly. This document encompasses an extensive plan specific to eHealth.
At the 2019 Annual First Nations Regional eHealth Conference, we dedicated a day to the coordination of a strategic planning session where direction and advice was sought by the Manitoba First Nations Health Directors and Tribal Council representation. As a result, the recommendations will be incorporated into updating the goals of the eHLTS. This is in progress and will be updated and posted upon completion.
Tying together the clusters through eHealth systems. The First Nations governance body guiding the FNHSSM eHealth Unit in the promotion, development, implementation and support of new and ongoing eHealth initiatives for Manitoba First Nations communities.
Assembly of Manitoba Chiefs & First Nations Health and Social Secretariat of Manitoba (FNHSSM) Resolution MAR-16.05
We reach First Nations people in Manitoba and strengthen physical, mental, emotional and spiritual health, using health- related applications and technology.
We see a world where all Manitoba First Nations are achieving holistic benefits from access to timely, excellent health care and traditional healing; and seeing all the positive socio-economic aspects of being connected through current technology, by First Nations, for First Nations.
As the eANISKOPITAK Stewards Circle, our mission is to guide the way and clear the path for the fast, effective and meaningful adoption of eHealth technology, capacity and sustainability in every First Nations community in Manitoba.
Representation from the seven Tribal Councils, 2 Northern Independent Nations, 2 Southern Independent nations, one Independent Chief representative from the north, one Independent Chief representative from the south. Two non-voting Elders Advisors, one female and one male and two non-voting Youth Advisors, one North and one South, between ages 18-30 are appointed by the FNHSSM Board of Directors. One representative from Southern Chiefs Organization and one from Manitoba Keewatinowi Okimakanak will be ex officio members.
Guide and clear the path to achieving the 6 Overall Goals of the Long Term eHealth Strategy by 2022.
Ensure First Nations-driven holistic planning, including:
Concurring to sovereignty and control of data and systems,
Implementing eHealth delivery in an OCAP (ownership, control, access and possession) compliant environment.
Building capacity to sustainably operate all eHealth applications that are currently governed and controlled by FNIHB-MB and Manitoba eHealth.
Address relevant eHealth issues pertaining to Manitoba First Nations.
Keep abreast of the existing achievements and current program of work relevant to eHealth activities in Manitoba First Nations communities, regionally, nationally and worldly.
Give direction to the FNHSSM eHealth Unit on eHealth Initiatives impacting Manitoba’s First Nations.
Consider, with all the relevant stakeholders, priorities and objectives for eHealth issues, standardization and interoperability.
Provide strategic advice and input to existing First Nations governance bodies, as well as provincial and federal eHealth programs, to ensure First Nations eHealth interests and requirements are always meaningfully included and met – by First Nations for First Nations.
HEALTH INFORMATION MANAGEMENT
Health Information Management is the maintenance and care of health documentation and health records. Interoperability, meaning the various systems ability to speak to each other and information sharing between applications, is the main task at hand. Currently, your health care provider is accessing records from various sources to plan and provide care to you, and document in various applications. FNHSSM eHealth Unit are pursuing this challenge and looking for options to close this gap and to ensure ALL your health information is available at the point of care.
The Health Information Management environmental scan was completed in 2018 and the chart below identifies the various applications currently being used in First Nation communities.
Points for consideration:
Costs and sustainability
Many different FN data bases
Data Ownership and Protection – Information Sharing Agreements
PUBLIC HEALTH INFORMATION MANAGEMENT SYSTEM (PHIMS)
PHIMS is a secure, integrated electronic public health record designed to assist public health practitioners in Manitoba to manage:
Vaccine inventory management
Communicable disease and outbreak
In Manitoba, PHIMS is a tripartite project between Manitoba Health, First Nations Health and Social Secretariat of Manitoba (FNHSSM), and First Nations and Inuit Health Branch (FNIHB). Support for PHIMS has been approved by the Chiefs in Assembly as part of the Manitoba First Nations eHealth Long Term Strategy.
PHIMS is used by all public health providers in regional health authorities, Manitoba Health, nursing stations and community health centres. PHIMS replaced the provincial immunization registry (MIMS). When fully implemented, PHIMS will provide authorized health-care professionals in Manitoba with the ability to collect, share and analyze a wide range of health information that is critical for managing health problems such as SARS and other communicable diseases at the regional and provincial levels.
It is important to note that PHIMS is a secure system and users must access the system using a username and password. Remote access is also available via authorized computers at off-site clinics, schools or flu clinics via a secure service.
The PHIMS First Nations deployment team has been working collaboratively with First Nations communities deploying PHIMS. Of the 63 First Nation communities in Manitoba, 31 are included in the Phase 1 deployment. First Nations and Inuit Health Branch, Health Canada, and West Region Treaty 2 and 4 Health Services are included in the Phase 1 deployment as bridging service organizations entering data on behalf of the 41 First Nations communities not included in the Phase 1 deployment.
The following diagram shows the First Nation PHIMS implementation process:
Information Sharing Agreements (ISA) are an essential part of successful tripartite deployment processes. The First Nations principles of ownership, control, access and possession (OCAP) are critical to ensuring that First Nations data is accessed appropriately and protected. First Nations Health and Social Secretariat of Manitoba (FNHSSM), Manitoba Health, Healthy Living and Seniors (MHHLS), and First Nations and Inuit Health Branch (FNIHB) have completed a comprehensive agreement that respects First Nations data and supports First Nations participation.
Tatenda Bwawa is the point of contact for communities involved with PHIMS. If you have any concerns, please feel free to contact Tatenda at: firstname.lastname@example.org
cEMR -MUSTIMUHW INFORMATION SOLUTIONS
cEMR (community electronic medical record)
Please feel free to contact the FNHSSM ProjectLead if your First Nations is interested in receiving this cEMR at your Health Centre.
Mustimuhw pronounced moose-tee-mook is a Coast Salish word meaning “all of the people” selected by Cowichan tribes elders as the name of the community electronic medical record.
The Mustimuhw Community Electronic Medical Record is an electronic client record and charting system used at a First Nation health facility. This community electronic medical record is currently deployed in 19 Manitoba First Nations. 14 of those communities are directly supported by FNHSSM.
This cEMR was built by First Nations for First Nations. It supports the multidisciplinary services provided in a FN health centre. It is Ownership, Control, Access and Possession (OCAP) compliant. It is client-centered supporting a circle-of-care approach. The cEMR is an extensive program based reporting system which can generate operational performance, planning and funder reports such as the eSDRT and CBRT.
The Citizen Health Portal which is offered with MIS, provides clients personal access to their health information, provides secure messaging between clients and providers, and improves care collaboration and coordination.
TELEHEALTH, ECHART, ACCURO COORDINATION
Please feel free to contact the FNHSSM eHealth Nurse Manager if your First Nations is interested in receiving these services at your Health Centre or Nursing Station.
Telehealth is the use of information technology to link people to health care providers, to health education, to participate in health meetings or to link to their families while they are in hospital miles away.
The Regional Telehealth Partnership oversees the deployment of telehealth throughout First Nation communities. The FNHSSM eHealth Nurse Manager is currently a committee member.
Telehealth is currently deployed in 51 Manitoba First Nations.
EChart Manitoba is a secure electronic system that allows authorized health-care providers access to your health information when needed. The system is “view only” meaning health care providers can view the information.
EChart pulls together information from many existing systems in Manitoba, including filled drug prescriptions, lab results, immunizations and x-ray reports. The source of the information inputs the results for viewing.
44 First Nations health centres and nursing stations now have access to echart.
Accuro is the Manitoba Electronic Medical Record (eMR) that is providing a product for health care providers to electronically document in medical records. The product allows for documentation in patient charts, medical billing and scheduling of appointments.
ANNUAL FIRST NATIONS EHEALTH CONFERENCE: NATIONAL & REGIONAL
“Your Connection to the World”
The First Nations Health and Social Secretariat of Manitoba (FNHSSM) eHealth conference brings together over 300 delegates who play a role in First Nations health services in Manitoba and Canada.
Participants come to connect, share ideas and learn with fellow health leaders to look at the importance of eHealth in our communities. Days 1 is focused on eHealth at a national level and Days 2 to 4 are specific to the Manitoba region.
The Truth and Reconciliation Commission of Canada Calls to Action report calls upon all Canadians to work together to close the gaps in health between non-Indigenous and Indigenous communities. EHealth can be the bridge to connect our World, our communities and our families.
Themes of Conference
The three themes include:
(1) The Power of Connection (partnerships, networking),
(2) Making the NET-WORK for you (how can eHealth work for our communities), and
(3) Looking beyond and into the future of eHealth for our First Nations (long-term).
National First Nations Ehealth Conference
FNHSSM hosted their 3rd annual conference at the Viscount Gort Hotel on February 4, 2019.
Regional First Nations Ehealth Conference
FNHSSM hosted their 4th annual conference from February 5 to 7, 2019.