The Transformation of Indigenous Primary Healthcare Delivery (FORGE AHEAD) program was launched in response to the growing awareness and understanding of how type 2 diabetes impacts Indigenous populations in Canada. The program created space for community-based participants from eleven First Nations communities to take leading roles in designing and implementing healthcare initiatives that reflected their unique needs, priorities, and concerns. It was a five-year program that supported the local QI teams during their assessment of available healthcare resources and the level of quality of care within their communities to generate testable ideas to create widespread improvements.
FIRST NATION PARTNERS
Tsuut'ina First Nation
Cree Nation of Waskaganish
Saugeen First Nation
Ebb and Flow First Nation
Seabird Island Band
Mishkeegogamang Ojibway Nation
Miawpukek First Nation
Kahnawake Mohawk Territory
Opaskwayak Cree Nation
Assess current healthcare delivery, funding models, and best practices used in First Nations communities in Canada.
Assess community and clinical readiness to address and adopt chronic disease care.
Enhance patient access to available community resources for chronic disease care.
Implement, evaluate, and cost community and clinical QI initiatives to improve chronic disease management.
Develop sustainment strategies and scale-up toolkits for improved chronic disease management.
REDUCTION in blood pressure and LDL cholesterol
REDUCTION in A1c
INCREASED measuring for A1c, blood pressure, and LDL cholesterol
INCREASED screening for diabetes nephropathy
INCREASE in clients receiving Canadian guideline recommended care services
Address REACH Program, Centre for Studies in Family Medicine, Western Centre for Public Health & Family Medicine, Western University, 1151 Richmond St., LONDON, ONTARIO N6A 3K7 Business Hours Monday — Friday 8am – 5pm EST
We acknowledge that Western University is located on the traditional lands of the Anishinaabek, Haudenosaunee, Lūnaapéewak and Chonnonton Nations, on lands connected with the London Township and Sombra Treaties of 1796 and the Dish with One Spoon Covenant Wampum. With this, we respect the longstanding relationships that Indigenous Nations have to this land, as they are the original caretakers. We acknowledge historical and ongoing injustices that Indigenous Peoples (First Nations, Métis and Inuit) endure in Canada, and we accept responsibility as a public institution to contribute toward revealing and correcting miseducation as well as renewing respectful relationships with Indigenous communities through our teaching, research and community service.