PHC Aboriginal Health Improvement Committee

50% of survey complete.

Thank you for taking part in this survey about how Providence Health Care can improve health services for the First Nations, Inuit and Metis populations that we serve.

Our work as a committee has been focused by the seven traditional teachings of North American Aboriginal Peoples:

RESPECT
Having high expectations for Aboriginal people and honoring their cultures, languages and world view in our health care facilities

LOVE
Demonstrating our belief as health care providers, that Aboriginal people can and will succeed through our own commitment to their health and wellness

BRAVERY
Committing to changing our health care system through including the contributions, innovations and inventions of Aboriginal people

WISDOM
Sharing effective practices in Aboriginal health and wellness through ongoing professional development, care, teaching and research that focuses on imbuing equity

HUMILITY
Acknowledging past wrongs and that we need to learn more about the diversity of Aboriginal people and accessing key First Nation resources to enhance that state

HONESTY
Accepting that we have much to learn from one another and reviewing the factors involved to encourage change in the health care system

TRUTH
Developing measurable outcomes for Aboriginal health and wellness and using them as key indicators for how inclusive and effective our health system is

Question Title

* 1. If you reside in BC, which Health Authority do you work for?

Other

Providence Health Care

Vancouver Coastal Health

Vancouver Island Health

Fraser Health

Northern Health

Provincial Health Services Authority

Interim First Nations Health Authority

Other

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* 2. Which describes your main area of work?

Acute Care (Hospital Based)

Primary Care

Community Health Clinic

Community Agency

Aboriginal Health Services

Administration/Leadership

Community Representative

Other (please specify)

Question Title

* 3. The Providence Health Care Aboriginal Health Improvement Committee has created a vision statement:
“Aboriginal health, wellness and healing, through respect, recognition and reconciliation”. Do you support this vision?

Yes

Comments

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* 4. The Providence Health Care Aboriginal Health Improvement Committee has created a Mission statement:
“Walking together on a healing journey, that acknowledges the past and draws on indigenous wisdom and practices, we will create a culturally competent organization. Based on holism and respect, we provide accessible, equitable and meaningful care to all Aboriginal people, in all communities, in all walks of life. We hold in esteem the Aboriginal Seven Good Life Teachings and will apply them to our process and work."

Do you support this Mission Statement?

Yes

Comments

Question Title

* 5. The Providence Health Care Aboriginal Health Improvement Committee has identified five goals which we would like you to rate.

	Not at all important	Somewhat important	Don't know/neutral	Important	Very important
Establishing holistic care for Aboriginal health care at PHC	Establishing holistic care for Aboriginal health care at PHC Not at all important	Establishing holistic care for Aboriginal health care at PHC Somewhat important	Establishing holistic care for Aboriginal health care at PHC Don't know/neutral	Establishing holistic care for Aboriginal health care at PHC Important	Establishing holistic care for Aboriginal health care at PHC Very important
Lifespan approach to health improvement	Lifespan approach to health improvement Not at all important	Lifespan approach to health improvement Somewhat important	Lifespan approach to health improvement Don't know/neutral	Lifespan approach to health improvement Important	Lifespan approach to health improvement Very important
Creating a culturally competent organization	Creating a culturally competent organization Not at all important	Creating a culturally competent organization Somewhat important	Creating a culturally competent organization Don't know/neutral	Creating a culturally competent organization Important	Creating a culturally competent organization Very important
Community Engagement	Community Engagement Not at all important	Community Engagement Somewhat important	Community Engagement Don't know/neutral	Community Engagement Important	Community Engagement Very important
Improving access to all PHC services	Improving access to all PHC services Not at all important	Improving access to all PHC services Somewhat important	Improving access to all PHC services Don't know/neutral	Improving access to all PHC services Important	Improving access to all PHC services Very important

Comments

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* 6. GOAL 1: Establishing holistic care for Aboriginal health care at Providence Health Care includes the following actions. Please rate how important you think they are in achieving this goal.

	Not at all important	Somewhat important	Don't know/Neutral	Important	Very important
Caring for a person rather than illness	Caring for a person rather than illness Not at all important	Caring for a person rather than illness Somewhat important	Caring for a person rather than illness Don't know/Neutral	Caring for a person rather than illness Important	Caring for a person rather than illness Very important
Caring for a person in the context of their lives	Caring for a person in the context of their lives Not at all important	Caring for a person in the context of their lives Somewhat important	Caring for a person in the context of their lives Don't know/Neutral	Caring for a person in the context of their lives Important	Caring for a person in the context of their lives Very important
Caring for the family (however family is defined by the patient)	Caring for the family (however family is defined by the patient) Not at all important	Caring for the family (however family is defined by the patient) Somewhat important	Caring for the family (however family is defined by the patient) Don't know/Neutral	Caring for the family (however family is defined by the patient) Important	Caring for the family (however family is defined by the patient) Very important
Empowering people to makes choices for their wellness, health care and healing	Empowering people to makes choices for their wellness, health care and healing Not at all important	Empowering people to makes choices for their wellness, health care and healing Somewhat important	Empowering people to makes choices for their wellness, health care and healing Don't know/Neutral	Empowering people to makes choices for their wellness, health care and healing Important	Empowering people to makes choices for their wellness, health care and healing Very important
Addressing the moral dilemmas faced by people and their carers	Addressing the moral dilemmas faced by people and their carers Not at all important	Addressing the moral dilemmas faced by people and their carers Somewhat important	Addressing the moral dilemmas faced by people and their carers Don't know/Neutral	Addressing the moral dilemmas faced by people and their carers Important	Addressing the moral dilemmas faced by people and their carers Very important
Expanding our view of the system of health care to include traditional healing practices	Expanding our view of the system of health care to include traditional healing practices Not at all important	Expanding our view of the system of health care to include traditional healing practices Somewhat important	Expanding our view of the system of health care to include traditional healing practices Don't know/Neutral	Expanding our view of the system of health care to include traditional healing practices Important	Expanding our view of the system of health care to include traditional healing practices Very important
Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more	Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more Not at all important	Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more Somewhat important	Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more Don't know/Neutral	Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more Important	Think outside the box, be creative in providing care and meeting unique needs and say ‘yes’ more Very important

Comments

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* 7. GOAL 2: Lifespan approach to health improvement includes the following actions. Please rate how important you think they are in achieving this goal.

	Not at all important	Somewhat important	Don't Know/Neutral	Important	Very important
Recognize Aboriginal beliefs and practices regarding stages of birth, life and death	Recognize Aboriginal beliefs and practices regarding stages of birth, life and death Not at all important	Recognize Aboriginal beliefs and practices regarding stages of birth, life and death Somewhat important	Recognize Aboriginal beliefs and practices regarding stages of birth, life and death Don't Know/Neutral	Recognize Aboriginal beliefs and practices regarding stages of birth, life and death Important	Recognize Aboriginal beliefs and practices regarding stages of birth, life and death Very important
Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures	Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures Not at all important	Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures Somewhat important	Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures Don't Know/Neutral	Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures Important	Recognize and respect the revered place of Elders and Ancestors in Aboriginal cultures Very important
Acknowledge the journey that Elders have experienced	Acknowledge the journey that Elders have experienced Not at all important	Acknowledge the journey that Elders have experienced Somewhat important	Acknowledge the journey that Elders have experienced Don't Know/Neutral	Acknowledge the journey that Elders have experienced Important	Acknowledge the journey that Elders have experienced Very important
Acknowledgement of patient birthdays and special occasions	Acknowledgement of patient birthdays and special occasions Not at all important	Acknowledgement of patient birthdays and special occasions Somewhat important	Acknowledgement of patient birthdays and special occasions Don't Know/Neutral	Acknowledgement of patient birthdays and special occasions Important	Acknowledgement of patient birthdays and special occasions Very important
Being open to ceremony and incorporation of traditional practices	Being open to ceremony and incorporation of traditional practices Not at all important	Being open to ceremony and incorporation of traditional practices Somewhat important	Being open to ceremony and incorporation of traditional practices Don't Know/Neutral	Being open to ceremony and incorporation of traditional practices Important	Being open to ceremony and incorporation of traditional practices Very important
Link with the community to engage in larger scale ceremonies and celebrations	Link with the community to engage in larger scale ceremonies and celebrations Not at all important	Link with the community to engage in larger scale ceremonies and celebrations Somewhat important	Link with the community to engage in larger scale ceremonies and celebrations Don't Know/Neutral	Link with the community to engage in larger scale ceremonies and celebrations Important	Link with the community to engage in larger scale ceremonies and celebrations Very important
Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices	Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices Not at all important	Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices Somewhat important	Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices Don't Know/Neutral	Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices Important	Provide education, exposure and learning opportunities for staff through involvement in Aboriginal traditional practices Very important

Comments

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* 8. GOAL 3: Creating a Culturally Competent Organization includes the following actions. Please rate how important you think they are in achieving this goal.

	Not at all important	Somewhat important	Don't Know/Neutral	Important	Very Important
Improving Skills, knowledge and attitudes through mandatory education and training	Improving Skills, knowledge and attitudes through mandatory education and training Not at all important	Improving Skills, knowledge and attitudes through mandatory education and training Somewhat important	Improving Skills, knowledge and attitudes through mandatory education and training Don't Know/Neutral	Improving Skills, knowledge and attitudes through mandatory education and training Important	Improving Skills, knowledge and attitudes through mandatory education and training Very Important
Culturally appropriate environment e.g art work, signage, sacred space	Culturally appropriate environment e.g art work, signage, sacred space Not at all important	Culturally appropriate environment e.g art work, signage, sacred space Somewhat important	Culturally appropriate environment e.g art work, signage, sacred space Don't Know/Neutral	Culturally appropriate environment e.g art work, signage, sacred space Important	Culturally appropriate environment e.g art work, signage, sacred space Very Important
Change/Create policies to give organization support to cultural safety	Change/Create policies to give organization support to cultural safety Not at all important	Change/Create policies to give organization support to cultural safety Somewhat important	Change/Create policies to give organization support to cultural safety Don't Know/Neutral	Change/Create policies to give organization support to cultural safety Important	Change/Create policies to give organization support to cultural safety Very Important
Include cultural safety as part of our Quality and Risk work	Include cultural safety as part of our Quality and Risk work Not at all important	Include cultural safety as part of our Quality and Risk work Somewhat important	Include cultural safety as part of our Quality and Risk work Don't Know/Neutral	Include cultural safety as part of our Quality and Risk work Important	Include cultural safety as part of our Quality and Risk work Very Important
Review our systems, processes and language to address any barriers to care	Review our systems, processes and language to address any barriers to care Not at all important	Review our systems, processes and language to address any barriers to care Somewhat important	Review our systems, processes and language to address any barriers to care Don't Know/Neutral	Review our systems, processes and language to address any barriers to care Important	Review our systems, processes and language to address any barriers to care Very Important
Treat people individually as well as according to medical science	Treat people individually as well as according to medical science Not at all important	Treat people individually as well as according to medical science Somewhat important	Treat people individually as well as according to medical science Don't Know/Neutral	Treat people individually as well as according to medical science Important	Treat people individually as well as according to medical science Very Important
Including Aboriginal patients, Elders and educators in staff education	Including Aboriginal patients, Elders and educators in staff education Not at all important	Including Aboriginal patients, Elders and educators in staff education Somewhat important	Including Aboriginal patients, Elders and educators in staff education Don't Know/Neutral	Including Aboriginal patients, Elders and educators in staff education Important	Including Aboriginal patients, Elders and educators in staff education Very Important
Enabling staff to experience Aboriginal culture by attending feasts, events etc	Enabling staff to experience Aboriginal culture by attending feasts, events etc Not at all important	Enabling staff to experience Aboriginal culture by attending feasts, events etc Somewhat important	Enabling staff to experience Aboriginal culture by attending feasts, events etc Don't Know/Neutral	Enabling staff to experience Aboriginal culture by attending feasts, events etc Important	Enabling staff to experience Aboriginal culture by attending feasts, events etc Very Important
Allowing traditional ceremony and healing to be practiced at PHC	Allowing traditional ceremony and healing to be practiced at PHC Not at all important	Allowing traditional ceremony and healing to be practiced at PHC Somewhat important	Allowing traditional ceremony and healing to be practiced at PHC Don't Know/Neutral	Allowing traditional ceremony and healing to be practiced at PHC Important	Allowing traditional ceremony and healing to be practiced at PHC Very Important
Acknowledging Traditional Territories before every meeting	Acknowledging Traditional Territories before every meeting Not at all important	Acknowledging Traditional Territories before every meeting Somewhat important	Acknowledging Traditional Territories before every meeting Don't Know/Neutral	Acknowledging Traditional Territories before every meeting Important	Acknowledging Traditional Territories before every meeting Very Important
Having Aboriginal Elders employed by PHC in the same way as Pastoral Care	Having Aboriginal Elders employed by PHC in the same way as Pastoral Care Not at all important	Having Aboriginal Elders employed by PHC in the same way as Pastoral Care Somewhat important	Having Aboriginal Elders employed by PHC in the same way as Pastoral Care Don't Know/Neutral	Having Aboriginal Elders employed by PHC in the same way as Pastoral Care Important	Having Aboriginal Elders employed by PHC in the same way as Pastoral Care Very Important

Comments

Question Title

* 9. GOAL 4: Community Engagement includes the following actions. Please rate how important you think they are in achieving this goal.

	Not at all important	Somewhat important	Don't Know/Neutral	Important	Very Important
Holding regular Aboriginal Community forums to get feedback and share information	Holding regular Aboriginal Community forums to get feedback and share information Not at all important	Holding regular Aboriginal Community forums to get feedback and share information Somewhat important	Holding regular Aboriginal Community forums to get feedback and share information Don't Know/Neutral	Holding regular Aboriginal Community forums to get feedback and share information Important	Holding regular Aboriginal Community forums to get feedback and share information Very Important
Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority	Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority Not at all important	Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority Somewhat important	Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority Don't Know/Neutral	Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority Important	Statement from CEO and Senior Leadership Team that guides the organization and makes the work a priority Very Important
Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community	Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community Not at all important	Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community Somewhat important	Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community Don't Know/Neutral	Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community Important	Holding a ceremony to mark a new beginning and new relationship with the Aboriginal community Very Important
Having the traditional Halkomelem name for PHC sites included in our signage	Having the traditional Halkomelem name for PHC sites included in our signage Not at all important	Having the traditional Halkomelem name for PHC sites included in our signage Somewhat important	Having the traditional Halkomelem name for PHC sites included in our signage Don't Know/Neutral	Having the traditional Halkomelem name for PHC sites included in our signage Important	Having the traditional Halkomelem name for PHC sites included in our signage Very Important
Follow up on where PHC policies are not aligned to the goals of the Aboriginal community	Follow up on where PHC policies are not aligned to the goals of the Aboriginal community Not at all important	Follow up on where PHC policies are not aligned to the goals of the Aboriginal community Somewhat important	Follow up on where PHC policies are not aligned to the goals of the Aboriginal community Don't Know/Neutral	Follow up on where PHC policies are not aligned to the goals of the Aboriginal community Important	Follow up on where PHC policies are not aligned to the goals of the Aboriginal community Very Important
Creating a formal relationship with the interim First Nations Health Authority	Creating a formal relationship with the interim First Nations Health Authority Not at all important	Creating a formal relationship with the interim First Nations Health Authority Somewhat important	Creating a formal relationship with the interim First Nations Health Authority Don't Know/Neutral	Creating a formal relationship with the interim First Nations Health Authority Important	Creating a formal relationship with the interim First Nations Health Authority Very Important

Comments

Question Title

* 10. GOAL 5: Improving access to Providence Health Care services includes the following actions. Please rate how important you think they are in achieving this goal.

	Not at all important	Somewhat important	Don't Know/Neutral	Important	Very important
A Director who has responsibility for Aboriginal Health	A Director who has responsibility for Aboriginal Health Not at all important	A Director who has responsibility for Aboriginal Health Somewhat important	A Director who has responsibility for Aboriginal Health Don't Know/Neutral	A Director who has responsibility for Aboriginal Health Important	A Director who has responsibility for Aboriginal Health Very important
A key member of staff (nurse/social worker) who acts as a navigator	A key member of staff (nurse/social worker) who acts as a navigator Not at all important	A key member of staff (nurse/social worker) who acts as a navigator Somewhat important	A key member of staff (nurse/social worker) who acts as a navigator Don't Know/Neutral	A key member of staff (nurse/social worker) who acts as a navigator Important	A key member of staff (nurse/social worker) who acts as a navigator Very important
Improved signage in hospital and residential sites	Improved signage in hospital and residential sites Not at all important	Improved signage in hospital and residential sites Somewhat important	Improved signage in hospital and residential sites Don't Know/Neutral	Improved signage in hospital and residential sites Important	Improved signage in hospital and residential sites Very important
Cultural competence education	Cultural competence education Not at all important	Cultural competence education Somewhat important	Cultural competence education Don't Know/Neutral	Cultural competence education Important	Cultural competence education Very important
Changes to the way patients are welcomed to the hospital/clinic/residence	Changes to the way patients are welcomed to the hospital/clinic/residence Not at all important	Changes to the way patients are welcomed to the hospital/clinic/residence Somewhat important	Changes to the way patients are welcomed to the hospital/clinic/residence Don't Know/Neutral	Changes to the way patients are welcomed to the hospital/clinic/residence Important	Changes to the way patients are welcomed to the hospital/clinic/residence Very important
Changing the attitudes of staff at the front line	Changing the attitudes of staff at the front line Not at all important	Changing the attitudes of staff at the front line Somewhat important	Changing the attitudes of staff at the front line Don't Know/Neutral	Changing the attitudes of staff at the front line Important	Changing the attitudes of staff at the front line Very important
Zero tolerance policy for racism	Zero tolerance policy for racism Not at all important	Zero tolerance policy for racism Somewhat important	Zero tolerance policy for racism Don't Know/Neutral	Zero tolerance policy for racism Important	Zero tolerance policy for racism Very important

Comments

Question Title

* 11. Thinking about the physicial environment at Providence Health Care, please rate the top four actions you think we should focus on.

Create sacred space for Aboriginal patients and families to perform ceremony and healing

Male and female patients having seperate rooms/spaces

Change clinical systems to include aboriginal self identification at the time of registration, to ensure we have good data and can monitor health outcomes

Improve signage

Aboriginal Patient Navigator

Focus on providing a welcoming atmosphere eg. Look at the symbols all around us, find ways of bringing aboriginal art in

Have welcoming literature at Front/ Information Desk

Name tags/ uniform so we know who care givers are

Stop patients being cared for in hallways

Creating opportunities to activley hire more Aboriginal staff

Comments

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* 12. Thinking about our intellectual environment, please rate the top four actions you think we should focus on.

Educate our leaders and staff through formal indigenous cultural competency training and culturally competent leadership training.

Prepare information resources for leaders and staff on aboriginal health, including narratives about the experiences Aboriginal people have in our facilities

Host unit specific conversations about culture/ bias/ impact (ongoing)

Promote widely and encourage awareness of aboriginal history and clear explanation of why we need a specific focus on Aboriginal health

Clear explanation that cultural safety overall is important and that focusing on Aboriginal health is not intended to exclude other cultures - there are different needs and experiences resulting from colonization and residential schools

Review how we communicate with patients including printed information, consent forms etc

Track understanding of health literacy and how that impacts patient outcomes

Include Aboriginal people and Elders in the orientation of staff at Providence Health Care

Comments

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* 13. Thinking about spiritual environment at PHC, please rate the top four actions you think we should focus on.

Including Aboriginal teachings into our organizational mission and vision

Providing options for traditional foods to be served to patients

Aboriginal Health and wellness to be incorporated into PHC person centered care philosophy

Easy access to the people and equipment needed for traditional ceremony and healing products like smudging and a clear policy on how to help patients meet their traditional spiritual needs

Physician education to enable traditional healing to be included in patient care

Aboriginal Elder employed at Providence Health Care to support traditional ceremony and healing

Comments

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* 14. National best practice has identified that some health conditions and health services require focused Aboriginal initiatives. Thinking about our populations of emphasis and programs, what specific Aboriginal health services should Providence Health Care include?

Trauma informed care in mental health to address the impact of Residential Schools, Colonization, Generational Trauma

Aboriginal focused addiction services that incorporate traditional healing

Aboriginal focused mental health services that incorporate traditional healing

Culturally safe Residential Care for Aboriginal Elders

Culturally safe maternity services for Aboriginal parents

Aboriginal focused healthy heart and lung program

Aboriginal Health navigation service in PHC that helps patients and professionals connect to the community and specialist resources

Comments

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* 1. If you reside in BC, which Health Authority do you work for?

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* 2. Which describes your main area of work?

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* 3. The Providence Health Care Aboriginal Health Improvement Committee has created a vision statement:“Aboriginal health, wellness and healing, through respect, recognition and reconciliation”. Do you support this vision?

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* 5. The Providence Health Care Aboriginal Health Improvement Committee has identified five goals which we would like you to rate.

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* 6. GOAL 1: Establishing holistic care for Aboriginal health care at Providence Health Care includes the following actions. Please rate how important you think they are in achieving this goal.

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* 7. GOAL 2: Lifespan approach to health improvement includes the following actions. Please rate how important you think they are in achieving this goal.

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* 8. GOAL 3: Creating a Culturally Competent Organization includes the following actions. Please rate how important you think they are in achieving this goal.

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* 9. GOAL 4: Community Engagement includes the following actions. Please rate how important you think they are in achieving this goal.

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* 10. GOAL 5: Improving access to Providence Health Care services includes the following actions. Please rate how important you think they are in achieving this goal.

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* 11. Thinking about the physicial environment at Providence Health Care, please rate the top four actions you think we should focus on.

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* 12. Thinking about our intellectual environment, please rate the top four actions you think we should focus on.

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* 13. Thinking about spiritual environment at PHC, please rate the top four actions you think we should focus on.

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* 14. National best practice has identified that some health conditions and health services require focused Aboriginal initiatives. Thinking about our populations of emphasis and programs, what specific Aboriginal health services should Providence Health Care include?

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* 15. If there is anything else you would like to add

* 3. The Providence Health Care Aboriginal Health Improvement Committee has created a vision statement:
“Aboriginal health, wellness and healing, through respect, recognition and reconciliation”. Do you support this vision?