Tripartite Framework Agreement On First Nations Health Governance Our association and membership are well positioned to make a significant contribution to helping First Nations determine and achieve their own health outcomes, as policy discussions focus heavily on improving health services for First Nations. Since 2005, First Nations in BC and federal and regional governments have committed, as part of the Transformative Change Agreement, to a common program to work in partnership to improve First Nations outcomes in several areas, including health. On health, First Nations have provided a series of policy agreements[1] between our nations and federal and provincial governments to facilitate the transition to a new First Nations health management structure in JC. The signing of the framework agreement in October 2011 established the legal basis for the transfer of activities from Health Canada`s first Inuit health region to the World First Nations Health Authority. For the first time in Canada, First Nations are embarking on an exciting and empowering journey to British Columbia to ensure decision-making on health services, to realize our vision of healthy, independent and vibrant children, families and communities in the United Nations. Signed by FNLC, Canada and BC on June 6, 2007. This plan builds on the Transformative Change: First Nations Health Plan and contains an agreement between the parties to create and implement a new structure for the management of First Nations health services in JC. While the FNHDA is a relatively new organization, First Nations health directors and administrators were involved in its creation, with First Nations leaders and federal and provincial governments committed to improving health services in 2005. With such broad community support, the First Nations Health Directors Association has experienced strong growth in just over two years. Our organization is currently led by a 15-member board of directors representing the five health regions of the BC and serves as a base of more than 175 health administrators working in First Nations communities, both on and off reserve, throughout the Board.C. Over the years, our association has made great strides in developing our business systems, strengthening partnerships, building our membership base, engaging the Community and providing training to support efforts to improve health care and delivery in our communities.