Health Canada First Nations and Inuit Home and Community Care (FNI HCC) Program - Evaluation Guide
Guiding Principles of the First Nations and Inuit Home and Community Care Program
- Respect traditional and contemporary First Nations and Inuit approaches to healing and wellness;
- Planning is community-based and community-paced;
- Programs are available to individuals of all ages with an assessed need;
- Services provided are at least as equitable, effective and equivalent to those received by the general population and they are supported by quality assurance measures; and
- Supportive to family and community involvement.
Program Objectives
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To build the capacity within First Nations and Inuit to develop and deliver comprehensive, culturally sensitive, accessible and effective home care services;
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To assist First Nations and Inuit living with chronic and acute illness in maintaining optimum health, well-being and independence in their homes and communities;
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To facilitate the effective use of home care resources through a structured, culturally defined and sensitive assessment process to determine service needs of clients and the development of a care plan;
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To ensure that all clients with an assessed need for home care services have access to
a comprehensive array of services within the community, where possible;
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To assist clients and their families in participating to the fullest extent and to utilize available First Nation and Inuit communities support services where available and appropriate in the care of clients; and
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To build the capacity within the First Nations and Inuit to deliver home care services through training and evolving technology and information systems to monitor care and services while developing measurable objectives and indicators.
Support Elements might include but are not limited to:
- Facilitation and linkages for rehabilitation and therapy services;
- Respite care;
- Adult day care;
- Mental health home-based services for long-term psychiatric clients and clients experiencing mental emotional illness. These services might include traditional counseling and healing services, medication monitoring;
- Support services to maintain independent living which may include assistance with special transportation needs, grocery shopping, accessing specialized services and interpretive services;
- Home-based palliative care;
- Social services directly related to continuing care issues; and
- Specialized health promotion, wellness and fitness.
FNI HCC Program Logic Model
Activities
- Provide Homecare Services to Eligible FNI populations
- Create/Develop Partnerships in Support of the HCC Program
- Educate, Communicate, Share and Listen to/with Community Leaders,
HCC Eligible Populations and Service Providers
- Administrate/Manage the FNI Home and Community Care Program
Outputs
- HCC Services for Eligible FNI populations
- Partnerships, Service Delivery Agreements, HCC Best Practice Models
- Communications and Educational Products for FNI Populations, Community Leaders, F/P/T Governments, Certified Training Program for Care Providers etc.
- Needs Assessments, Service Delivery & Training Plans, Knowledge Management and Information Systems (financial, ongoing monitoring evaluation)
Immediate Outcomes
- FNI Access to HCC Services - Essential and Supportive Elements
- Increased Community Capacity - Human Resources to Administer and Deliver the HCC Program
- Increased Service Delivery Awareness and Accountability - Informed Users of HCC Services and Informed Community Leaders
- Infrastructure in FNI Communities to Deliver the HCC Services - Capital and Program
Intermediate Outcomes
- Responsive, Flexible Use and Provision of HCC Services
- FNI Delivered and Administered Homecare Services
- Sustainable, Culturally Sensitive HCC Services
Ultimate Outcomes
- HCC Clients Maintaining Optimum Health
- HCC Clients Remaining in Their Homes and Communities
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