2015/2016 Indigenous Cultural Safety Training Completions - HSP Reporting

Indigenous Cultural Safety Training Reporting

This survey is intended to be filled out by ONE representative from each health service provider funded by the South West LHIN.

Please note that long-term care homes are not required to report on Indigenous Cultural Safety training at this time.

This report should be filled out by the individual responsible for tracking ICS training across your organization. Completion certificates are not required to be submitted to the LHIN.

If you have any questions about completing this survey, please contact Vanessa Ambtman-Smith, Aboriginal Health Lead at the South West LHIN by email at Vanessa.Ambtman@LHINS.on.ca.

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* 1. Please identify which sector your organization represents:

Hospital

Addictions

Community Care Access Centre

Community Health Centre

Community Mental Health Program

Community Support Services

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* 2. Organization and Contact Information

Organization:

Name:

Job Title:

Email Address:

Phone Number:

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* 3. What is the total number of staff hired by your organization (# of people, not FTE's)?

# of staff in the organization:

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* 4. How many staff completed the Indigenous Cultural Safety Training within the 2015/2016 year?

# of font-line staff:

# of management / administrative / executive staff:

total # staff trained (front line & administrative combined):