Ziigwan - Spring | Niibin -Summer | Dagwaagin- Fall: 2020 Community Report

The following initiatives and goals are spearheaded by the CWP-IH and are supported in longitude by WCH executive: 

  • 1. Culturally Inclusive Policy & System Transformation
    1. Creation of processes and oral agreements related to access to ceremonial practices in the health care setting, (i.e. smudging), the role of Elders and knowledge keepers, and protocols for community engagement. 
    2. Creation of Sacred/Traditional Indigenous Medicine Bundles (Tobacco, Sage, Cedar, Sweetgrass) with CWP-IH staff members, Knowledge Keeper and VP Patient Care & Ambulatory Innovation, complete with dressed (beaded) feathers and cases, and bowls, stands, etc., for clinics and CAC serving/caring for Indigenous community members and frontline staff. 
    3. Equity Access: Implementing traditional healing services (Elders, knowledge keepers, medicine people) for Indigenous staff at WCH (and eventually leaners) in collaboration with Manager, Occupational Health, Safety & Wellness & IPAC.  
    4. Collaborated on COVID-19 community response team (CRT program narrative change document) for Tkaronto houseless community and congregated living services. 
    5. WHIV application for Vendor of Record with Canadian Foundation for Healthcare Improvement (CFHI), CWP-IH supplied programming/goals overview to support the call for applications and vendor requests to support the application. 
    6. WCRI educational meetings with researchers and other staff focused on collaboration VS extraction—i.e: ‘collaborations' can quickly become imbalanced or are not enacting the 4 Rs of respect, reciprocity, responsibility & relevance and Indigenous self-determination in research: 
      1. OCAP (Ownership, Collaberation, Access and Possession of Data)
        1. Developing ceremonial research agreements
      2. Principles of Ethical Metis Research
      3. National Inuit Strategy of Research (ITK)
      4. Tri-Council Policy (statement around research with Indigenous peoples)
  • 2. Anti-Racism & Cultural Safety Training and Education
    1. Education sessions and events uplifting Indigenous excellence organized throughout hospital departments delivered by an Elder-in-Residence, Indigenous staff, sub-contracted educators, Knowledge Keepers and community/healthcare partners. These activities include:  
      1. Introductory CST sessions (bi-weekly cultural safety and relations sessions), Blanket Teaching Sessions, Open Houses & Art Tours, IEP workshops & learner accreditation 
      2. ZOOM workshops and panel discussions streamed live with Knowledge Keepers, Elders, BIPOC QT2S (Black, Indigenous, People of Colour, Queer, Trans and Two-Spirit) Community and Healthcare leaders
      3. Orange Shirt Day Program & UNDRIP anniversary 
        1. 2019: ONE, TWO
        2. 2020
      4. National Indigenous Peoples Day, History Month & Black Lives Matter  
        1. 2019
        2. 2020
    2. Educational materials for patients and staff have been curated for learners/staff and are catalogued using Indigenous land-based “Brian Deer” classification system in the WCH / UofT library. This includes online Pub-Med resources and an Indigenous curated selection of NFB media/films and corporate online streaming subscription for group screenings. 
    3. Partnership with the Faculty of Medicine to house the Office of Indigenous Medical Education at Women’s College Hospital, despite COVID-19 delays renovations commenced August 2020 (2nd floor Education/CACE).  
    4. Trauma and violence-informed care education sessions delivered in specific departments, including COVID-19 teams providing CAC, Mobile, Mental Health and escalated non-COVID-19 related healthcare.
      1. 67 WCH clinicians, staff (including leadership) have registered for the Ontario Indigenous Cultural Safety Training Certification, with seats generously funded in partnership with the CWP-IH and the Indigenous Primary Health Care Council through LHIN.
        1. The is the second wave of WCH staff to do this training and another wave will be offered in the Fall/Winter of 2020/21.
    5. Educational placements (research and clinical) for Indigenous students across the learning spectrum from high school to health professions’ programs like medicine and social work.  
  • 3. Governance & Leadership Transformation
    1. Creation of a Decision-Making Council of Elders to oversee all activities related to Indigenous health. 
    2. Installation of Indigenous art throughout hospital curated by Sara Roque and Elwood Jimmy.
    3. Provided support and guidance regarding the recruitment and hiring of Indigenous staff within the organization. 
    4. Hiring of Elders, Indigenous Summer Student and Knowledge Keeper, Indigenous Health Transformation Lead and Indigenous Education & Admin Coordinator. 
    5. Completed an environmental scan and literature review of current processes, resources and frameworks for institutional change related to Indigenous inclusion. These activities were done by an Indigenous PhD student and an Indigenous undergraduate student. 
    6. Collaborated with the First Nation Health Authority to review and pilot the Indigenous Cultural Safety (ICS) Organizational Evaluation Tool. This tool aims to assist organizations in determining how well they are supporting the needs of Indigenous clients and communities. 
    7. A member of the CWP-IH joining the new WCH Equity Council and engaging in the Anti-Black Racism initiative planning to develop an organizational anti-racism and anti-oppression strategy and action.  
  • 4. Indigenous Client Care & Outcomes
    1. Informed Consent and Culturally Safe Indigenous Cancer Screening Program for Women: 
      1. Collaboration/Partnerships with Peter Gilligan Centre For Women’s Cancers, WCH senior staff, clinicians, volunteers, Indigenous Cancer Care Navigator, Toronto Regional Cancer Care Program and The Indigenous Cancer Care Program.  
    2. Conducted sharing circles and engagement activities to guide the development of future programs in Indigenous health.  
    3. Tri-Weekly Indigenous Spiritual, Emotional and Mental wellness support sessions with Elder Senator Constance Simmonds During Stage 1 of COVID-19 (April – June 2020).
    4. Created formal and informal partnerships with numerous Indigenous organizations related to education, community, COVID-19 and clinical care:  
      1. WCH Mobile Testing Team joined the Anishnawbe Health ‘Mobile Healing RV’ Team with Dr. Lisa Richardson, joining both teams as a clinician. June 2020, Dr. Richardson was announced as Lead Medical Physician Services the Mobile Healing RV.  
      2. CWP-IH has partnered with on an Indigenous Health Services application of a ‘We Count COVID-19’ initiative revolving around Indigenous-led COVID-19 health response, research and an Indigenous COVID-19 testing site co-led by Dr Janet Smylie, (Well Living House), housed by Na-Me-Res in partnership with ICHA (Inner City Health Associates), Seventh Generation Midwives, and Women’s College Hospital and The Centre for Wise Practices in Indigenous Health. (Smylie has been recently appointed to lead the charge in assessing the pandemic's impact on people who live both on- and off-reserve.)  

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Council of Academic Hospitals of Ontario (CAHO)