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Methodology 1.5.a

Engagement with First Nations, Inuit and Métis Communities Methodology
Short description of Indicator Development of a Regional Aboriginal Cancer Plan (2015-2019).

Percentage of core First Nations, Inuit and Métis Health Tables engaged in each region.

Development of a sustainable engagement process with core First Nations, Inuit and Métis Health Tables.
Rationale for measurement A foundation of trust and mutual respect between Cancer Care Ontario and Ontario's First Nations, Inuit and Métis leadership, Health Tables and communities is essential if we are to work together to improve cancer control for Aboriginal peoples in the province. For this reason, "Building Productive Relationships" is the first Strategic Priority of both the second and third Aboriginal Cancer Strategies (ACS II and ACS III), and it is the foundational component of all work undertaken. The mechanisms put in place by Cancer Care Ontario and the Regional Cancer Programs set a course for a new relationship with First Nations, Inuit and Métis peoples, and they emphasize Cancer Care Ontario's ongoing commitment to working appropriately, effectively and sustainably with First Nations, Inuit and Métis in Ontario.
Evidence/references for rationale N/A
Calculations for the indicator ​​Development of a Regional Aboriginal Cancer Plan (ACS III: 2015―2019)

Number of regions where a Regional Aboriginal Cancer Plan was developed (final or not final) under the strategic priorities of the Aboriginal Cancer Strategy III (ACS III).

Percentage of core First Nations, Inuit and Métis Health Tables engaged

(Number of core First Nations, Inuit and Métis Health Tables engaged/ Number of core First Nations, Inuit and Métis Health Tables in region) x100

Development of a sustainable structure with core First Nations, Inuit and Métis Health Tables (ACS III: 2015-2019)

Number of regions where a Regional Aboriginal Cancer Plan has been developed AND all core First Nations, Inuit and Métis Health Tables in the region are engaged.
Standardized Rate Calculation N/A
Unit N/A
Data sources ​N/A
Time Frame See method of calculation above.
Geographic Scale N/A
Denominator description Sources: See method of calculation above.

Exclusions: See method of calculation above.

Time frame: See method of calculation above.
Numerator description ​Subset of denominator: See method of calculation above.

Restrictions: See method of calculation above.
Considerations 
  • Regional Aboriginal Cancer Plan
    Blueprint for the implementation of Cancer Care Ontario’s second and third Aboriginal Cancer Strategies (ACS II and ACS III), developed through close partnerships with core First Nation, Inuit and Métis Health Tables and Regional Cancer Program leadership. The goal of the Regional Aboriginal Cancer Plans is to ensure that First Nations, Inuit and Métis people have a voice in the delivery of cancer services, and that each Plan reflects the unique needs of communities in each region of Ontario.
  • Core First Nations, Inuit and Métis Health Tables
    Well-established boards, committees and advisory groups with a vested interest in First Nations, Inuit and Métis health. Cancer Care Ontario and the Regional Cancer Programs seek guidance and input from core First Nations, Inuit and Métis Health Tables in the regional development and implementation of the Regional Aboriginal Cancer Plans. Examples include health authorities such as the Sioux Lookout First Nations Health Authority; Aboriginal Health Circles established by the LHINs such as the Champlain Indigenous Health Circle; a group of Tribal Council Health Directors such as the Nishnawbe Aski Nation Health Advisory Group; Inuit health service providers; the Métis Nation of Ontario’s Healing and Wellness Branch.
  • Engagement of Core First Nations, Inuit and Métis Health Tables
    The Aboriginal Cancer Control Unit has worked in partnership with Regional Cancer Programs to engage the Core First Nations, Inuit and Métis Health Tables across the regions. This engagement has been initiated by the Aboriginal Cancer Control Unit which has reached out to individual tables to explore interest in meeting together. Subsequent to this initial contact, a number of in-person meetings, teleconferences, and events/presentations have been arranged to facilitate and support further dialogue and partnership.
  • Sustainable Structure
    A sustainability structure has been developed when all Core First Nations, Inuit and Métis Health Tables have been engaged in the development of a Regional Aboriginal Cancer Plan, and have agreed to an established process which ensures the opportunity to provide ongoing guidance to the cancer system at the local level.
  • Aboriginal Navigators
    Navigating the cancer system is a significant challenge for patients who are unfamiliar with medical systems, don’t speak English or French and/or must travel far from home for treatment and care. Cancer Care Ontario’s Aboriginal Navigators provide support and advocacy for First Nations, Inuit and Métis patients and families by facilitating and coordinating access to cancer services for palliative and supportive care, addressing cultural and spiritual needs, and networking with FNIM and non-Aboriginal partners to make the cancer journey a culturally safe experience for First Nations, Inuit and Métis patients and families.
  • Regional Aboriginal Cancer Leads
    Cancer Care Ontario’s Regional Aboriginal Cancer Leads are employed one-day per week to champion the strategic vision and goals of Cancer Care Ontario’s Aboriginal Cancer Strategy in collaboration with the Regional Cancer Programs in Ontario. They help to identify and respond to systemic issues relevant to First Nations, Inuit and Métis cancer needs, and ensure a First Nations, Inuit and Métis perspective is included within Regional Cancer Program strategic planning and program design.
  • Aboriginal Project Coordinators
    Regional Aboriginal Cancer Leads are employed one-day per week and are working to help the Regional Cancer Programs be culturally sensitive, informed and responsive to First Nations, Inuit and Métis cancer needs, given the amount of effort this will take, five Aboriginal Project Coordinators are in the process of being hired to help support the work of the Regional Aboriginal Cancer Leads in five regions.
Data availability & limitations Please note that we have defined “Core First Nations, Inuit and Métis Health Tables” to include established boards, committees and advisory groups with a vested interest in First Nations, Inuit and Métis health. We have actively engaged these groups with a health focus. That said, in many urban centres, such as Toronto Central, there are a number of organizations and agencies that provide a broad array of services to First Nations, Inuit and Métis clients that may be beyond health. We continue to engage these organizations as well, as there may be opportunities to share valuable information (e.g. cancer screening education) with their clients. We have included these other organizations in our estimates of the total number of Core First Nations, Inuit and Métis Health Tables in the Toronto Central region.
CSQI Year 2018