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Title: “Centering Indigenous perspectives and priorities in a Learning Health System: a case study of the new Frontenac, Lennox & Addington Ontario Health Team”
Team: Dr. Amrita Roy (Principal Investigator), Samantha Lavallee (Graduate Research Associate), Dr. Shawna Cronin, Dr. Catherine Donnelly, Dr. Mike Green, Dr. Jacqueline Galica, Dr. Morgan Slater, Dr. Colleen Grady, Dr. Joan Tranmer, Dr. Kim Morrison, Anastassiya Khrokova, Theresa Macbeth, Mike Bell, Laurel Claus-Johnson, Mireille LaPointe, Dionne Nolan, Kathy Brant, Lynn Brant, Lynda Gerow
Trainees: Samantha Lavallee (Graduate Research Associate)
Partner organizations: Frontenac, Lennox & Addington Ontario Health Team; Indigenous Health and Wellness Council; Queen’s University
Funder: Queen’s University (Catalyst Fund Grant, awarded 2021)
Description:
Indigenous peoples face health inequities driven by colonization and systemic racism. Improving accessibility, cultural appropriateness, and cultural safety of health services and systems are thus essential.
Ontario recently restructured its health system into Ontario Health Teams (OHTs). OHTs seek to provide coordinated, connected care that meets the needs of patients, providers, and populations through the Quintuple Aims: improving patient experience, improving care provider experience, improving population health outcomes, reducing costs, and addressing health equity. Indigenous health equity has been identified as a priority in the work of OHTs. To ensure that OHT projects are meeting the unique needs of Indigenous peoples, there should be a collaborative, participatory approach to planning and executing OHT activities, as well as Indigenous-specific evaluation.
The Frontenac, Lennox & Addington (FLA) OHT was successfully created following an application that brought together numerous clinical and community partners in the region, including local Indigenous health groups such as the Indigenous Health and Wellness Council (IHWC) - formerly the Indigenous Health Council (IHC) - and the Indigenous Interprofessional Primary Care Team (IIPCT).
Guided by the principles of Ownership, Control, Access, and Possession (OCAP) in ethical community-based Indigenous health research, this case study focusses on the FLA OHT to gain insight into how collaboration with Indigenous communities and partners can occur meaningfully. Through an analysis of interviews with current and former Indigenous members of FLA OHT working groups and tables, focus groups with members of FLA OHT’s Transitional Leadership Collaborative (TLC), and FLA OHT organizational documents, the project examined collaboration processes between FLA OHT and Indigenous partners.
Research objectives:
To examine collaboration processes between FLA OHT and Indigenous partners, to understand what meaningful community engagement looks like
Identify areas of strength and opportunities for improvement in advancing collaboration
Research products and intended impacts:
Framework for meaningful collaboration: Operationalize meaningful collaboration between Indigenous partners and mainstream health systems
Support an Indigenous-focussed approach to evaluation: Facilitate co-design and co-execution of health systems evaluation approaches that reflect Indigenous perspectives and priorities
Strengthen relationships: Support ongoing and future collaborative work to improve systems, as a step towards addressing health inequities advancing Truth and Reconciliation in the region
Reports:
Full Report (62 pages) – https://cdn.shopify.com/s/files/1/0722/4885/2792/files/Centering_Indigenous_perspectives_report_Final_reduced.pdf?v=1758550792
Results in Brief (8 pages) - https://cdn.shopify.com/s/files/1/0722/4885/2792/files/Centering_Indigenous_Perspectives_Results_in_Brief_reduced.pdf?v=1758648403
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