The creation of the Kiiwetinoong Diabetes Initiative is based on the foundation of NAN’s Health Transformation’s recommendations that a system-wide change would assure that First Nations have equal access to quality care delivered within their community as a priority (Health Transformation in Nishnawbe Aski Nation 2018). The system includes holistic models of care focussing on wellness planning, population health and the determinants of health. The process also ensures that health care providers have the necessary training to provide culturally safe and responsive care that is distinct to the Kiiwetinoong District of Ontario.
Health Transformation is not meant as a replacement to current systems within community, it is meant to enhance the system to provide holistic well-being. It is stated that the way to carry-out Health Transformation is through the Charter of Relationship Principles Governing Health System Transformation in the NAN territory signed in 2017 by Chief Alvin Fiddler and Federal and Ontario Ministers. The process is patient and community centered, focussing on urgent health needs, prioritizing the creation of new health care models for NAN territories that will promote sustainable funding for these new models.