nwt hss action plan 2006 - 2010pubs.aina.ucalgary.ca/health/62204.pdf · action plan 2006 – 2010...

Northwest TerritoriesHealth and Social Services

AAccttiioonn PPllaann22000066 –– 22001100

August 2006

Early in 2002, the Minister of Health and Social Services approvedthe Action Plan 2002 – 2005. That plan described actions on anumber of fronts, all directed toward improving the NWT health andsocial services system: improved services to people; increasedsupports to staff and trustees; development of an integrated servicedelivery model; and improvements in system-wide management andaccountability. Those actions are now either completed or ongoing.

In 2005 the Department and the Health and Social ServiceAuthorities undertook to update the system-wide strategic plan,which resulted in the development of Shaping Our Future, 2006 –2010. That document lays out the high-level strategies that will beundertaken in the coming years. This current Action Plan details thespecific actions that will be undertaken by the NWT health and socialservices system over the next five years in order to move forwardwith our updated strategic plan.

The development of the Integrated Service Delivery Model (ISDM)was one of the major accomplishments of the previous Action Plan,and forms the foundation for Shaping Our Future 2006 – 2010.Consequently, the initiatives that are detailed in this current ActionPlan are organized around the six core services of the ISDM, alongwith the addition of actions that support improved management andaccountability for the delivery of health and social services to thepeople of the Northwest Territories.

Action Issue Deliverables Timeline Accountability

Action Plan 2006 – 2010 Page 1 of 21August 2006

1. Promotion and Prevention Services

1.1 Improve the health ofcitizens and supporthealthy personal choices:

The long-term sustainabilityof the NWT health caresystem is seriouslythreatened by the fact thatthe majority of chronicdiseases, such as cancers,dental diseases, diabetes,cardiovascular deficiencies,and disabilities that in certaincases are the result ofunhealthy lifestyles and high-risk behaviours, which couldbe prevented.

Through the Healthy ChoicesFramework, Ministers of thesocial programs departmentshave committed to acollaborative and coordinatedapproach to health promotionand are leading thedevelopment ofinterdepartmental actionplans to address unhealthybehaviours.

Stable funding, equivalentto 1% of the department’sbase, will be allocatedannually to sustaincoordinated socialmarketing initiativessupporting the GNWTHealthy ChoicesFramework.

A) Tobacco Strategy

Butthead social marketingcampaign focused on 8 –14 year old smoke freecommitments

Proclamation andimplementation of theTobacco Control Act

Evaluation of the first fiveyears of the TobaccoAction Plan

Renewal of the TobaccoStrategy (2007-2012)based on the evaluationresults

2007/08, ongoing

Annual event through2010/11

October 2007

Report available in May2007

Cabinet approval bySeptember 2007

Department

PH

PH

PH

PH



B) Healthy Eating andActive Living Strategy

Healthy Eating SocialMarketing Strategy

“Drop the Pop” promotionlinked to Dental HealthPromotion Strategy -

Work with ECE to develophealthy food choicepolicies in all NWTschools

Healthy Foods in FacilitiesDirective – implement thehealthy food choicespolicy in all HSSworkplaces and facilities

Get Active Challenge

(C) Injury Prevention

Territorial Strategy onInjury Prevention ready forCabinet approval

(D) TB Action Plan

Update the TB Manual forhealth care providers

Final report on results ofthe TB Action Plan

Beginning in 2006 andcontinuing to 2010

Annual event to 2010

September 2007, ongoing

September 2006, ongoing

(see Section 2.4)

October 2006

March 2007

PHAuthorities

PH

PH

PHAuthorities

PH support to MACA lead

PH

PH



(E) STI Strategy

Pilot program for socialmarketing (in the Tlicho)

Territory-wide socialmarketing based onoutcomes from the Tlicho

Increased youthawareness documentedby an evaluation

Audit of all STI programsin all regions

March 2010

March 2007

September 2007 through2010

March 2008

March 2007

PH

PHTCSA

PHAuthorities

PH

PHAuthorities

1.2 Revitalize the systemwide oral health promotionprogram by working withthe Federal Governmentto improve dental healthservices across the NWT.This will include a greateremphasis on dental healthpromotion and moreregular treatment services.

Many regions do not havedental therapists, and as aresult many children aresuffering from poor oralhealth.

Reestablishing thecommunity-based networkof dental therapists,increasing the volume ofcommunity dental visitsand regulating the dentalsurgery plan

Prepare Joint Federal/Territorial Proposal

Implement phase 1 ofprogram improvements

Implement phase 2 ofprogram improvements

Sept 2007

April 2008

April 2009

HSATIS, PH, CFS

TISAuthorities, HSA

TISAuthorities, HSA



2. Protection Services

2.1 Improve public healthcapacity and delivery ofpublic health programs.

(a) Pandemic and healthemergency preparedness.

(b) Implementation ofregional public healthunits in accordance withISDM.

(c) Enhancingeffectiveness and fillinggaps at the communitylevel.

(d) Filling capacity gaps atthe territorial level.

The NWT has high rates ofpreventable illness, whichplaces a high burden on andthreatens the sustainability ofhealth care services.

Plans are needed at theDepartment, Authority andcommunity levels to preparefor a pandemic influenzaoutbreak.

Further prevention for theintroduction and/ or spread ofinfectious diseases.

Pandemic plansdeveloped at department,authority and communitylevels

Public health unitsestablished in the DehCho, Sahtu and Tlichoregions.

Adding CHR positionswhere there are none.

Integrating public healthservice delivery withinprimary care teams

Additional EHO position

Mammography screeningmanaged as a territorialprogram with equalaccess for all NWTwomen.

March 2007

March 2007

April 2009

April 2010

April 2007

September 2007

PHAuthoritiesMACA,CGsPLC

AuthoritiesPH

PHAuthorities

PHAuthorities

PH

PH



(e) Modernizing the PublicHealth Act.

(f) Implement the NWTDrinking Water Strategy,in cooperation with othergovernment departmentsand communitygovernments.

Safe drinking water requiresa multi-barrier approach,including:-Keeping NWT water clean-Making drinking water safe-Proving drinking water issafe

Colorectal cancerscreening program –Beaufort Delta pilotEvaluationBusiness Plan proposal

New Public Health Act –1st and 2nd Reading3rd ReadingRegulations

Centralized tracking andmonitoring system forsource water quality

Annual reporting,beginning in 2006

October 2006December 2008May 2009

Winter 2007June 2007April 2008

2006

2006

PH

BDHSSA

PHPLC

PWSMACAENR

PHAuthorities

2.2 Implement Child andFamily Servicesimprovements.

Amend the Act to ensure thatchildren in need of protectionreceive timely review by thecourts and provide thelegislative authority to allowimproved services forchildren between the ages of16-18.

Update standards forpractice for Child ProtectionWorkers.

Develop program options toallow for children and adults

Amendments to Child andFamily Services Act –1st and 2nd Reading3rd Reading

Revised standards manualfor workers

RFP/Contract award andservices in place for 5 –

February 2007June 2007

June 2007

RFP awarded bySeptember 2006

CFSPLC

CFSAuthorities

CFS



to be repatriated fromsouthern care.

Rationalize foster care ratessystem wide.

Develop a more consistentapproach for supportingadoptions of special needschildren.

10 youth

Proposal to FMB June2007New rate structure

Policy/Program guidelinesto allow for the adoption ofmore special needschildren

June 2007

April 2008

March 2007

CFS

CFS

2.3 Continue to coordinateservices to addressemerging needs incollaboration with theSocial EnvelopeDepartments:

(a) With the HousingCorporation, Implementsupport programs for thehomeless;

(b) With ECE, advanceschool programs forhealthy lifestyle choices;

To ensure that individuals /families who cannot accessprivate or governmentsubsidized housing, areprovided with shelter andother basic supports.

There is a need for earlyintervention for preventablediseases and pooreducational and healthoutcomes due to socio-economic issues.

Homelessness Frameworkdeveloped in consultationwith Social Envelopedepartments

Adequate supports forNGO agencies providingservices to the homelessidentified

Updated school healthyliving components forprevention strategies inthey healthy choicespriority areas. Adoption ofthe health promotionschool model -Policies to increase schoolphysical activity programsHealthy school foodpolicies adopted by allschool boards

May 2006

June 2006 (Business planfor 2007-10)

Sept 2009

Sept 2008

PLCECENTHC

PLC

PH



(c) With Justice, continuewith collaborative efforts tosupport individuals foundnot criminally responsible.

Need to ensure that theseindividuals are appropriatelyplaced when the Courtsdetermine that they are notcriminally responsible.

Collaboration agreementon referral mechanismsand placement locationsare secured and clientmanagement processesare developed

September 2009 TIS

3. Diagnostic and Curative Services

3.1(a)Expand use of NursePractitioners in everyhealth center, clinic andemergency room.(b)Expand use ofMidwives in primary careteams in all regions.

Expanded numbers of NursePractitioners and Midwiveswill help address workloadissues and demandscompromising patient care.

Work with RNANT/NU toimplement a process forexisting nurses tochallenge the nursepractitioner exams.

System wide plansunderway for theintroduction of NP’s andmidwives.

December 2006

May 2006 for inclusion in2007-10 business plancycle.

TISAuthoritiesDHRRNANT/NU

TISAuthorities

3.2 Reduce surgical waittimes.

Northern residents expectand deserve to receivesurgical procedures to thesame standards as are beingestablished in the rest ofCanada. All jurisdictionshave set benchmarks for thereceipt of services in five keyareas (sight restoration,cancer treatment, jointreplacements and heart

Provide surgical wait timesInformation on Stanton’swebsite

Establish multi-yeartargets for reducing waittimes.

Undertake initiatives toreduce wait times andincreased availability of

September 2006

December 2007

STHA

STHA

STHABDHSSA



surgery). operating room time- continue to increase

volume of cases fromexisting ORs

- invest strategically insurgical tools,equipment andprosthetics.

2006, ongoing

2007/08

3.3 Expand diagnosiscapabilities.

Provide more modernequipment and training toproviders to improvetreatment/diagnosis at thecommunity, regional andterritorial level.

Basic radiology trainingprogram for health centerstaff offered every twoyears.

Bone densitometryprogram initiated.

With Canada HealthInfoway, plan to invest inPicture ArchivingCommunications systemfor radiology.

Beginning 2007

November 2006

August 2006

TISFSAuthorities

STHA

STHATIS

3.4 Improve the care ofpatients throughcoordinated dischargeplanning.

Need to ensure that NWTpatients are repatriated totheir home communities or toan NWT health care centerwhere their needs can bemet.

Implement a reviseddischarge planning systembetween the NWT and theCapital Health Region inAlberta

Improve the dischargemanagement process forpatients being dischargedfrom NWT hospitals toNWT communities

August 2006

December 2006

STHACHAHSA

STHABDHSSA



3.5 Incorporate theagreed uponrecommendationsidentified in ReformingMedical Services ReportApril 2006.

To identify the most efficientand effective models for thedelivery of generalpractitioner and specialistphysician services inYellowknife and Inuvik.

Complete an analysis ofphysician services inYellowknife and Inuvik andrecommend appropriatemodels for delivery of GPand Specialist physicianservices in Yellowknifeand Inuvik.

Determine the preferredmodels and incorporatethe models into therevised ReformingFacilities & MedicalServices Report

November 2006

January 2007

TIS

TISAuthorities

3.6 Develop acomprehensive renalprogram for the NWT.

Expanding services to othercommunities will allowdialysis patients to remaincloser to homes / families.

Complete expansion ofdialysis to Hay River.

Conduct analysis ofexpansion of service to Ft.Simpson in conjunctionwith Capital HealthAuthority.

Develop a proposal for acomprehensive renalprogram

December 2006implementation

November 2006

June 2007

HRHSSASTHA

STHADCHSSA

TIS

3.7 Expand the use ofTelehealth.

To integrate sustainabletelehealth programs, servicesand applications that willincrease access to servicesat the community level.

Complete a three-yeartelehealth strategic plan.

Develop project specificproposals to meet target

August 2006

October 2006October 2007

TIS

TIS



outcomes identified in theplan, for inclusion inannual business plans

October 2008

3.8 Expand use ofLicensed Practical Nurses(LPNs) as much aspossible in support ofISDM.

Expanded utilization of LPNswould allow nurses and NPsto focus their time on higherlevel patient needs.

Review and revision ofLPNs Scope of Practice.

Complete system wideplans to expand the role ofLPNs into HSS system.

Revisions to AuroraCollege LPN trainingprogram.

Offer a revised trainingprogram

December 2006

May 2007

April 2007

September 2007

TISAuthorities

TIS

TISACDHR

TISACDHR

3.9 Support for ambulanceservices in communities.

Government needs aconsistent approach to itsambulance services.

Interdepartmental reviewand consultation of issueswith ambulance providers

Multi-year Plan.

November 2006

December 2006

PLC

PLC

3.10 Expand on theincorporation of traditionalhealth practices into thehealth system, especiallyhospitals.

Recognize and learn fromtraditional health practicesand incorporate these withmodern health care.

Strategy to beimplemented at Stanton inconjunction with Aboriginalgroups at Stanton.

Development of a plan toexpand services to otherauthorities / facilities.

April 2006

April 2007

STHA

Authorities

3.11 Review and evaluate By CRTC ruling the 811 Interim evaluation 811 December 2006 TIS



the Telecare program 1-888 call line.

number has been reservedfor access to non-emergencyhealth triage services. Anassessment of the impact ofswitching to 811 for TelecareNWT and on using 811 as aportal to route callers tovarious NGO phone lines isrequired.

feasibility study

4. Rehabilitation Services

4.1 Increase access torehabilitation teams toservice an increasingnumber of communities.

Improve the timelines/frequency of physio,occupational, audiology andspeech language services toNWT residents.

Create four rehab teamsin NWT (permanently).This will also include theincorporation of rehabaides in the staffing mix,where appropriate.

Begin implementation in2006/07 & continuefollowing two years.

TIS

4.2 Improve communitycapacity to supportrehabilitation services.

There is a need to ensurethat assessments andrecommendations made byexpanded rehabilitationteams can be followed up atthe community level.

Develop a trainingprogram for rehabilitationaides.

April 2008 TISECEACCFS

5. Continuing Care Services

5.1 Expand services foradults and elderly

People with disabilitiesrequire home care services,

Review and evaluatehome care services –

TIS



requiring special servicesin areas such as:

Long termcare/DementiaRehabilitationHome CareHome Support

access to LTC and dementiacare. Also homecareservices across the NWThave gaps in service levelsfor the elderly.

RFPReport

Complete renovations ofLTC facilities in Ft. Smith,Ft. Simpson, Hay River,Behchoko.

Support planning ofYACCS dementia facility.

Complete a review of LTCrates.

September 2006December 2006

March 2008

2007-08

June 2006

TISFSAuthorities

TIS

TIS

5.2 Expand services foridentified target groups.

Improved services inconjunction with other SocialEnvelope Departments forseniors, persons withdisabilities, and victims offamily violence.

Increasing support for peoplewith disabilities.

Implementation of SeniorsAction Plan and theDisability Action Plan

Multi-year fundingagreements that to theextent possibleconsolidate individualcontribution agreements.

Ongoing, as outlined inindividual action plans

April 30, 2006 andongoing

TISAuthorities

Divisions and Authorities

5.3 Developing supportedliving options for peoplewith disabilities or mentalillness(e.g. FASD, mentalillness) and developingrespite programs forparents with difficult-to-manage children.

To prevent long terminstitutional placement,people living with disabilitiesor mental illness requiresupported livingenvironments.

Pilot supported livingenhancements

Develop implementationplan

March 2007

June 2007

TISAuthorities

TISAuthorities



6. Mental Health and Addiction Services

6.1 Implement community-based prevention,treatment and counselingfor addictions and mentalhealth, including thefollowing initiatives:

(a) Continue to work onincreasing the skill level ofstaff working in the mentalhealth and addictionsfields;

(b) Develop next steps inthe implementation of year3 of the strategy, includinginitiatives to supportincreased treatmentservices throughNatsejeke, the SalvationArmy and mobiletreatment and on-the-landprograms.

(c) NWT addictionsawareness campaign;

A community-basedapproach to addressaddictions and mental healthissues allows services to beprovided closer to whereclients live.

There is a need to developadditional treatmentoptions including mobiletreatment and on-the-landprograms, especially foryouth.

Next Steps work plan

Stakeholder consultations

Implementation Plan

Preliminary analysis ofCommunication Plan withrecommendations onapproaches for a massmedia campaign

RFP to design campaign

November 2006

November 2006

June 2007

June 2006

September 2006 – March

TIS

TIS

TIS

TIS

TIS



b) Children and youthmental health promotion;

start up, pretest materialsand modular roll out

Development andimplementation ofawareness campaign.

Implement four programs :1)Friends for LifeResiliency Training2)Youth Net3) Talking About MentalIllness4) SAFETEEN

Evaluation

Community consultationand research on additionalmental health promotionprograms

2007

Late 2007, continuingthrough 2008/09

June 2006 – March 2007

March 2007

September 2007 – June2008

TISCFS

TIS

TIS

7. System-Wide Management and Accountability

7.1 Lay out the changemanagement strategiesand actions required tobring ISDM into fullimplementation.

More coordinated andfocused approach toimplementation is required.

Develop long term workplan for ISDM focusing onthe 6 core functions andchange mgmt processrequired to completeimplementation

August 2007 ADM

7.2 Clarify roles andresponsibilities among the

Continue working todelineate the various roles

Develop an Issues Paperidentifying where roles

March 2007 PARJSMC



Department, HSSAuthorities and NGOs.

and responsibilities acrossthe NWT health care system

and accountabilitiesoverlap and where theremay be gaps inresponsibilities

7.3 Implementcoordinated inter-jurisdictional agreements.

There needs to be amechanism to ensure thatinter-jurisdictionalagreements are undertakenin a consistent manneracross the HSS system.

Inventory of all authoritycontracts with otherjurisdictions andcommunity governments.

Recommendations forDepartmental sign off oninterjurisdictionalcontracts.

October 2006

Ministerial DirectiveDecember 2006

FS

FS

7.4 Complete theoperational reviews of allprogram and servicedelivery by the Authoritiesand the Department thatwere initiated in 2005-2006.

More consistent monitoringof program delivery andadministration.

Complete operationalreviews in all authoritiesand the Department overthe next 2 years andconduct reviews on anongoing 2-year cycle.

Develop action plans toimplement therecommendations fromcompleted reviews inInuvik, Fort Smith and HayRiver.

Expand the currentaccreditation processingto encompass socialprograms, integrate theaccreditation process with

Conduct a review of oneauthority and departmentin 2006/07.

Complete 1st round ofreviews for remainingauthorities in 2007/08

Inuvik – June 2006

Fort Smith – July 2006Hay River – July 2006

Discussion Paper –October 2006

PARFSAuthorities

BDHSSA

FSHSSAHRHSSA

YHSSAPLCPAR



the operational reviewprocess, and expand toinclude risk managementapproaches.

7.5 Complete the analysisof hospital utilization,occupancy andbenchmarks initiated in2005-2006.

To assess all four hospitalsto define where services aremost appropriately providedand determine the requiredlevels of health careprofessional supportrequired.

Revise the report basedon feedback received fromthe consultation processand incorporate the workof the Reforming MedicalServices report on thedelivery of physicianservices.

Adopt the Facility Medicalservices model andbenchmarks

Develop animplementation plan

September 2006

December 2006

February 2007

TIS

TISAuthorities

TIS

7.6 Develop a fundingmodel that providesequitable allocations to allHSS Authorities.

Funding to Authorities hasbeen based upon historiccosts as opposed to fundsneeded to deliver prescribedservices, and has resulted insome inequities.

Recommended Model

Implementation Plan

Implementation

November 2006

November 2006

April 2007

FS

FS

FS

7.6 Complete theSupplementary HealthBenefits review.

Current programs are out ofdate and complex toadminister in a consistentmanner.

A small portion of populationhas no access to

Review of benefitprograms for Non-Aboriginal northerners

Recommendations forfuture directions

August 2006

November 2006

PLC

HSA



supplementary benefits.

Consistent demands,increasing benefits,expanded coverage as wellas expectations for medicaltravel assistance for escortsare driving the system.

7.7 Undertake a systemwide review of the medicaltravel function.

The geography of the NWTrequires that many residentsleave their homecommunities to accesshealth care services. Overthe past few years therehave been many changesand improvements in theMedical Travel system.However the system is stillchallenged in providingeffective and efficientservices. In particular theregularly scheduled travelservices, approval of non-medical escorts services andissues with overalladministration of the serviceremain as concerns fornorthern residents.

Undertake a functionalreview, with a particularemphasis on the regularscheduled medical travelservices.

Implement system widechanges to the functionalaspects of the medicaltravel service.

October 2006

January 2007

PARSTHA

STHA

7.8 Continue thedevelopment of electronichealth records and otherinformation systems insupport of the delivery of

Patient information currentlyresides in a number ofseparate record systems anddatabases making it difficultfor physicians to access a

Pilot EHR program March 2007 ICIS



health and socialprograms.

complete patient record. TheEHR brings informationtogether to improve patientcare.

7.9 Coordination ofdepartment’s involvementin the Mackenzie GasProject – SEAnegotiations, JRPhearings, and monitoringimpacts.

The MGP will increase thepressure on the health andsocial service system staffand resources and NWTresidents. The governmentmust work with industry tojointly mitigate impacts.

Participate in SocioEconomic agreementnegotiations & JointReview Panel reviewprocesses

Implement mitigationmeasures to offsetexpected andunanticipated impacts

SEA negotiations April2006, ongoing

JRP hearings October2006

2008 forward

PAR

Authorities

7.10 Approve a legislativeagenda for 2006/07 andfor a new government(2008-11).

Legislation is required forthe following Acts for:

-A new Public Health Act-Amendments to Childand Family Services Act-Pharmacy Act-Change of Name Act

Other legislation that may beconsidered (2008 –11)include

-Health Professions Act-ATIPP amendments forHealth Information-Social Work ProfessionAct.

Legislation approved.

Establish prioritylegislation for the 16thAssembly.

First three Acts approvedby summer 2007

Drafting of the Change ofName act underway bySeptember 2007 andready for consideration bythe 16th assembly

2008-2010

PLC

PLC

7.11 Encourage theFederal government to

The Federal Governmentcaps its grant funding for the

Negotiate a fairreimbursement agreement

November 2007 FSTIS



continue to work towardsimproving the health ofAboriginal northerners.

provision of hospital andphysician services to FirstNations and Inuit. TheGNWT expends far more toprovide these services thenis received from the FederalGovernment.

that keeps up with servicecost increases.

8. Human Resources

8.1 Update the system-wide Retention &Recruitment Plan for theNWT's AlliedHealth CareProfessionals, Nurses andSocial Workers 2002.This includes but is notlimited to developing acomprehensive trainingplan for health and socialsevice professionals incollaboration with AuroraCollege.

The NWT faces the samechallenges as the rest ofCanada in recruitingprofessional staff andretaining existing staff. Thecompetition to hire and retainhealth and social servicesprofessionals is intense andrequires a focused anddetermined effort.

Update to the 2002Retention & RecruitmentPlan will be developed.

Aurora College, the DHSSand the 8 H&SSAuthorities will implementa coordinated training planfor training Nurses, SocialWorkers & Allied HealthProfessionals identifyopportunities for existinghealth and socialservice professionals todevelop continuingcompetencies and meetoperational needs.

June 2006

December 2006

DHR

ADM

8.2 Update strategy forrecruitment and retentionof Community HealthNurses.

Address high turnover ofnursing staff in smallercommunity health centers.

Adjust PDI to better support

Establish authority basednursing pools to rotatenurses to health centers.

New PDI grid

March 2007

August 2006

DHRAuthorities

DHR



staff.Expand CHNDevelopment ProgramImplementation (from 4 –10 communities).

April 2007 DHR

8.3 Continue to develop aphysician recruitment andretention strategy.

There are continuingchallenges in recruiting andretaining physicians, and therecommendations from theArchibald report need to beimplemented.

Completion of a physicianrecruitment and retentionaction plan

October 2006 DHRTIS

8.3 Improve CommunityHealth Representatives(CHRs) training.

CHRs provide valuable,ongoing resource in NWTcommunities, and they needto be provided withcontinuing training to expandtheir skill sets.

Training programs forCHRs to expand theirabilities.

Utilization of retired CHRsto pass along theirexperience andknowledge.

April 2006, ongoing

April 2006, ongoing (aspart of training)

PH

PH

8.4 Revitalize publicinterest and marketabilityof the social workprofession in the north.

The social work program hassuffered from low enrollmentnumbers for the past severalyears. This has resulted inlow numbers of northernresidents pursuing socialwork as a career, which hascreated recruitment andretention challenges.

New and revampedprogram curriculum anddelivery model

Marketing and promotionplan

Increased enrollment andincreased number ofgraduates

November 2007

November 2007

2008 forward

CFSDHRAurora College



TIS (Territorial Integrated Services) MACA (Municipal and Community Affairs)FS (Financial Services) ECE (Education, Culture and Employment)DHR (Department of Human Resources) FMBS (Financial Management Board Secretariat)CFS (Child Family Services ENR (Energy and Natural Resources)PH (Population Health) RNANT NU (Registered Nursing Association of NT/Nunavut)PLC (Policy Legislation and Communications) STHA (Stanton Territorial Health Authority)CGs (Community Governments) PWS (Public Works and Services)IS (Information Systems) NTHC (NWT Housing Corporation)PAR (Planning Accountability and Reporting) YHSSA (Yellowknife HSS Authority)DCHSSA (Dehcho HSS Authority) BDHSSA (Beaufort-Delta HSS Authority)FSHSSA (Fort Smith HSS Authority) HRHSSA (Hay River HSS Authority)

nwt hss action plan 2006 - 2010pubs.aina.ucalgary.ca/health/62204.pdf · action plan 2006 – 2010...

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