Context: How health and wellbeing are defined and assessed is a priority area for Indigenous health stakeholders due to continuing health risks and inequities faced by Indigenous communities. Moreover, what is “at risk” and what counts as an indicator are often determined without input or approval directly from Indigenous peoples. Indigenous perceptions and understanding of wellbeing and healthcare priorities may differ, extend, or conflict with current reporting frameworks. In order to monitor and analyze healthcare system performance with respect to the Indigenous community, a thoughtful approach should be taken to identify Indigenous-specific indicators, congruent with Indigenous approaches to evaluation.

Objective: To identify and synthesize key Indigenous-specific indicators and priorities for health systems.

Design: Rapid review of peer-reviewed academic and grey literature. Databases searched: MEDLINE, EMBASE, PsychINFO, Cochrane, CINAHL, and PROQUEST; and, Google Scholar for grey literature. Screening is in progress at the time of abstract submission. Upon completion of full-text screening, data extracted from included papers will be the year, location, indicators identified, and other notable points/themes. The final analysis will summarize, map, and synthesize this information, and report findings around common trends, and patterns. Areas of paucity in the field and potential goals for future research will also be identified.

Anticipated Results: Initial impressions from eligible articles suggest key priorities for Indigenous peoples include: maintaining connection to Indigenous culture, lands, and community; access to traditional healers and Elders; harmony between mental, physical, social, ecological, and spiritual wellbeing; investment in Indigenous community development, ownership, and capacity building; and provision of culturally responsive, safe, and competent healthcare service delivery.

Conclusions: Indigenous communities conceptualize individual health as a multifaceted construct that incorporates physical, mental, emotional, spiritual, social, ecological, and economic wellbeing. Indicators of health systems performance vis-a-vis Indigenous health should therefore reflect this complexity through a coordinated and comprehensive evaluation approach that respects Indigenous knowledge, culture, language, and ways of knowing. This rapid review will synthesize indicators, thereby informing future research and action.