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Chronic Disease Prevention and Management in Miawpukek First Nation

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Title: Chronic Disease Prevention and Management in Miawpukek First Nation


1
Chronic Disease Prevention and Management in
Miawpukek First Nation
  • Needs Assessment for Information Management and
    Analysis System
  • Theresa OKeefe, Director, Conne River Health and
    Social Services
  • Susan Hollett, President, Hollett and Sons Inc.
  • Joanne Hussey, Research Consultant, Hollett and
    Sons Inc.

2
ACKNOWLEDGEMENTS
  • Funding for project provided by Chronic Disease
    Prevention Division, First Nations Inuit Health
    Branch, Health Canada
  • Contributions to content review
  • staff of Health Information Analysis E-Health
    Solutions of First Nations Inuit Health Branch of
    Health Canada Atlantic
  • Health Information Network Branch of
    Newfoundland Labrador Centre for Health
    Information (NLCHI)
  • CRHSS Staff

3
Purpose of Project
  • The purpose of this project was to complete a
    Needs Assessment of the information collected
    analysed for Chronic Diseases in Conne River
  • It represents the first phase in establishing a
    Health Information System HIS for Conne River
  • The overall development of a HIS has been divided
    into two phases
  • Phase One Needs Assessment plan
  • Phase Two Implementation strategy work plan
  • This presentation deals with Phase One as well as
    providing recommendations for Phase two

4
Presentation Overview
5
Miawpukek First NationConne River, Newfoundland
6
Miawpukek First Nation Conne River
7
Miawpukek First Nation Conne River
8
Profile of Conne RiverPopulation870 on-reserve
1900 off-reserve
9
Economic and Social Conditions
Social conditions are good to very good,
housing is adequate, roads are paved well
maintained, school, daycare, youth center, band
administration, ambulance fire fighting
services, church employment is high based on a
work for welfare program for 2004 personal
income per capita for province was 20,600 in
Conne River it was 12,300
10
Education status in Conne River based on 2001
Census
11
Chronic Diseases according to Public Health
Agency of Canada (PAC) for NL
12
Organization ChartConne River Health and Social
Services
13
Community Satisfaction
  • Band members satisfaction with selected CRHSS
    programs
  • Non-band members satisfaction with selected CRHSS
    programs

These survey results come from a program
evaluation completed in 2006. Low levels of
satisfaction reveal a lack of awareness of
certain programming as opposed to lack of
satisfaction. Overall, high satisfaction level
with programs.
14
Objectives and Methodology
15
Current Information Management and Reporting
Structure Three Areas
16
Technical
  • Majority of information is in paper form stored
    in multiple filing systems time consuming to
    retrieve
  • Some electronic reports are fed directly into
    provincial or federal government systems but are
    not reported back to the community there is a
    lack of two way sharing
  • Daily computer use is the norm with program staff
    as seen in chart below

17
Behaviour of Individuals
  • Staff reported a low level of satisfaction with
    current system for collecting information (57
    surveyed not satisfied) many reports, duplicate
    reporting, filling out forms based on volume

18
Organizational Context Internal
Reporting Practices
  • Solid lines - sharing
  • Broken lines partial sharing
  • Loss of data collected

19
Organizational Context External
Reporting Practices
Solid line sharing Broken line partial
sharing Loss of information No feedback
loops
20
Organizational ContextGoal of Integrated
Information Management Flow
21
Building the Foundation for a HIS Involves
22
Causal links between Risk Factors
Chronic Diseases
The prevalence of these behaviours is a
powerful indicator of the risk a population
faces for developing Chronic diseases
23
Potential Impact of
Health Promotion Strategies Chronic
Diseases
24
Needs Assessment Findings
25
Recommendation 1 Develop and Secure funding
for a Health Information System for CRHSS
26
Recommendation 2 Encourage ongoing community
support
27
Recommendation 3 Improve information sharing
relationships
28
Recommendation 4 Designate Responsibility for
HIS
29
Recommendation 5 Develop individual staff
training plans
30
Recommendation 6 Revise job descriptions to
reflect responsibilities for data analysis and
information use
31
Recommendation 7 Develop standards for data
collection, analysis and reporting
32
Recommendation 8 Develop standards for
information use
33
Recommendation 9 Establish Chronic Disease
Indicators
Common Risk Factors
Indicators
The majority of this information is being
recorded by CRHSS, plus some historical data may
be available if manual analysis is done with
the data
34
Recommendation 10 Establish baselines
35
Recommendation 11 Update CRHSS Community
Health Plan to include HIS
36
Recommendation 12 Develop Appropriate Privacy
Confidentiality Measures
37
Recommendation 13 Pursue development of a
Health Technology Plan for CRHSS
38
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