Section 3

THE MODEL

As part of the health and social services governance process, the First Nations communities and organizations in Quebec are working collectively to develop a new model of effective governance in health and wellness that is tailored to their needs, realities and culture.

In progress since 2015, this process of collective reflection and co-construction work has made it possible to establish the foundations of this new model, in addition to defining its operation and components so that it can provide First Nations with greater autonomy for the benefit of their populations.

GUIDELINES FOR THE DEVELOPMENT OF THE EFFECTIVE GOVERNANCE MODEL

In 2016 and 2017, the First Nations identified the mechanisms and structures that will guide planning and accompaniment in the areas of health and wellness as well as decision-making. After having identified the desired changes, they developed guidelines that will be used to guide the development of the new model of effective health and social services governance.

In total, 56 guidelines were defined according to four themes: planning, accompaniment, decision-making and accountability and the directors network.

To see the complete document Guidelines for the Development of an Effective Governance Model :

Quebec First Nations’ Health and Social Services Governance Model

In 2017, participants defined and adopted a governance model based on collective reflection and guidelines. The proposed model includes local and regional governance as well as the tripartite memorandum of understanding (between First Nations and the governments of Canada and Quebec), in addition to containing the four components of effective governance, namely: authority, involvement of players, regulation and intervention.

Approach and concepts that guided the development of the model

Concrete examples of the application of the concepts of this model as part of a potential implementation