Since the very beginning, the Timiskaming First Nation has worked hard at obtaining autonomy over the administration and delivery of our Health and Social Service programs. It is the goal of TFNHSS to improve the quality of its programs and services for the benefit of all community members who make up our clientele. It is the hope that the Policies and Procedures Manual will provide clear direction to both TFNHWC staff as well as the community regarding the operations at TFNHWC.
These policies and procedures were developed by TFNHWC Committee in partnership with the Centre staff.
The basis of policy development was:
- TFNHSS Vision, Values, Mission, Philosophy and Principles
- TFNHSS Code of Ethics
- TFNHSS Health Plan
- Identified by Accreditation Canada as areas that required development
- Identified areas for policy development based on risk-management discussions related to client complaints, incident reports, and adverse event reports.
- Applicable TFN Band Council Resolutions and directives, national accreditation standards and provincial and federal laws
- Evidence-based and following best practices
- The documents were developed by the TFNHWC Committee
- The Committee may send to Chief and Council, for review and feedback
The TFN Band Council’s authorities and responsibilities relating to policy include:
- Make and approve by-laws, regulations, rules, codes, directives, guidelines or other authorizations, standards, declarations, notices, requirements and directions.
- Approve policies and objectives and ensure the administrators carry them out.
- Communicate with the Administrators in accordance with these regulations and other applicable TFN policies.
- Support the Administrators in decisions made in accordance with TFN Band Council
- Guidelines, regulation and other TFN policies.
Changes made to this manual and annexes will be made in consultation with the TFNHWC Committee and the TFNHWC Team to ensure that it continues to meet applicable TFN standards, national accreditation standards, federal and provincial laws and standards.
This document will be evaluated, monitored and updated to reflect new and revised policies on an annual basis and in the case of unintended negative impacts.
The adoption of this policy manual and guidelines regulates operation for TFNHWC
All of the buildings listed are managed by the Health & Social Services Sector. The TFNHWC encompasses many programs and services, which are geared toward the physical, mental, emotional and spiritual health of all community members, from prenatal to in-home care programs for seniors. Specific buildings within the community cater to various areas of physical, mental, emotional and spiritual health, such as:
TFNHSS Building (Health Centre)
Community Youth Centre (Recreation Centre)
Youth Theater Centre (Recreation Centre)
TFN Traditional Pow-Wow Grounds
Accreditation Primer Award
The Timiskaming First Nation Health & Wellness Center (TFNHWC) is very pleased to announce that we has successfully achieved Primer Accreditation Status with Accreditation Canada. The decision followed a thorough assessment of its services by surveyors from Accreditation Canada in September 2018. The survey team spent three days at the TFNWHC, evaluating the organization against national standards.
Quality, safety, and reliability are extremely important to every member of the TFNHWC team – from our management team to our Nursing, First-line and Social Development staff. Accreditation touches our entire organization, not simply a select few programs or services. These initial results demonstrate our commitment to quality service and continuous improvement, and this is just the beginning of our accreditation journey.
Accreditation is an ongoing process of assessing healthcare and social services organizations against standards of excellence to identify areas of expertise and opportunities for development. The TFNHWC will use the results of Accreditation Canada’s assessments to improve the quality and safety of its services as the organization continues to grow.
We know that quality and safety are what matter most to our clients, and we participate in accreditation because our clients are what matter most to us. We believe that continuous improvement is imperative and as an organization we are fully committed to the accreditation process.
Director of Health said "Becoming accredited is about providing better programs and services for the members of our community."
Accreditation is an intensive process by which an organization’s processes, policies, and procedures are examined by industry experts against a set of quality standards. To achieve this award, the TFNHWC met or exceeded the rigorous primer standards, for health care as defined by Accreditation Canada. Some of the standards that the Accreditation Primer Award are based upon are Client Safety, Infection Prevention and Control, Employee Safety, and Healthy Work/Life Balance among others.
Achieving accreditation provides TFNHWC clients, their family, and loved ones with the assurance that they are receiving the best care possible. TFNHWC employees know that they are working for an organization that is committed to providing a safe working environment where caregiving performance is recognized and rewarded. Our partners in the Gourerment and in the community will recognize that achieving accreditation demonstrates that TFNHWC has built a culture of quality, safety and excellence, and puts our Health Centre on the map as a leading health care provider amoung Frist Nations.
Accreditation is part of a philosophy of Continuous Quality Improvement and the TFNHWC will continue to focus on, and invest in, furthering quality of the home care services being provided.
What is the Accreditation Primer?
The Accreditation Primer is a health organization’s first step on the Qmentum accreditation journey.
Qmentum, Accreditation Canada’s innovative accreditation program, is based on expert consultation and uses the latest research and evidence to drive quality improvement and patient/client safety.
The Primer offers a structured process of assessment and evaluation. New Accreditation Canada client organizations can assess and improve fundamental elements of quality and safety in key areas such as strategic planning, service delivery, communications, human resources, ethics, and risk management before moving into the subsequent and more in-depth phase of Qmentum.
How does the Primer help improve care and service?
The Primer is an opportunity for organizations to identify areas for improvement and develop action plans to address them. As standards and best practices are integrated into daily operations, they experience system-wide improvements in teamwork, patient safety, and performance management and measurement.
What are the benefits of undergoing the Primer?
- Better understanding of the power of accreditation to drive quality and safety;Increased staff understanding of and participation in the accreditation process;
- Feedback and coaching from experienced health professionals;
- More accountability and credibility in the health services field;
- Access to standards of excellence;
- Greater potential for success under Qmentum.
How are programs and services assessed?
1. Anonymous questionnaires are completed by staff and clients, addressing:
Client and service provider safety and competence;
- Emergency preparedness;
- Infection prevention and control;
- Medication management;
- Care planning;
- Physical environment and equipment maintenance.
Questionnaire results are compiled by Accreditation Canada and provided to the client organization through its Quality Performance Roadmap.
The Roadmap is an online tool that displays results using green, yellow, or red flags to identify areas of strength (green flags) and areas needing attention (yellow and red flags).
2. On-site survey
Peer surveyors tour the facility, meet with staff and clients, and assess organizational performance against the standards. Surveyors gather information and evaluate compliance using tracers, which involve:
Reviewing, files and documents:
Surveyors review client, human resource, or other files and documents.
Talking and listening:
Surveyors talk with staff, clients, families, stakeholders, and organizational partners.
Surveyors observe processes, procedures, and direct care activities in service areas.
Surveyors record their perceptions and observations about what they see, hear, and read.
3. Primer Report
The organization receives a detailed report that shows results from the Primer on-site survey and identifies next steps.
How are Primer organizations recognized?
Successful organizations earn an Accreditation Primer Award and can display the accreditation banner and use the ‘Accredited’ seal, demonstrating in a very tangible way their commitment to quality and safety.
Primer accreditation is in effect for a maximum of two years. During those two years, client organizations are expected to undertake the Qmentum program and work toward being accredited under Qmentum.
What support does Accreditation Canada provide?
An Accreditation Specialist is assigned to each client organization to act as a guide and a consultant for every step of the Primer process. Comprehensive education sessions and resources, a secure Client Organization portal, and fast and effective technical support all ensure the process goes smoothly.