Presenter Disclosure. Presenter: [Jason Altenberg, Surkhab Peerzada] Relationships to commercial interests:

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1 CFPC Conflict of Interest Presenter Disclosure Presenter: [Jason Altenberg, Surkhab Peerzada] Relationships to commercial interests: Grants/Research Support: None Speakers Bureau/Honoraria: None Consulting Fees: None Other: None

2 Implementing chronic disease self care workshops in NIA - Jason Altenberg, Director of Programs and Services - Surkhab Peerzada, Regional Manager, Chronic Disease

3

4 # Local Health Integrated Network (LHIN) Self-Management Program (SMP) 1 Erie St. Clair Windsor Essex CHC 2. South West South West CCAC 3. Waterloo Wellington Langs Farm CHC 4. Hamilton Niagara Haldimand Brant Hamilton Health Sciences Corp. 5. Central West William Oslerhs 6. Mississauga Halton Halton Healthcare Services 7. Toronto Central South Riverdale CHC 8. Central Southlake Regional Health Center 9. Central East Central East CCAC 10. South East Kingston CHC 11. Champlain Bruyere Continuing Care Hospital 12. North Simcoe Muskoka South Georgian Bay CHC 13. North East Health Science North 14. North West North West CCAC

5 Why consider self-management? Empowers a person with the skills necessary to cope with their chronic condition Recognizes the individual as a key player and active participant A chronic condition requires a partnering relationship between health care provider and person with the chronic conditions

6 Program Mandates Self-Management Program Community Members Healthcare Providers Evidence-based workshops Communication and rapport building workshops

7 Provincial Overview April 14 March Workshops attended Follow-up practice sessions Health Care Providers Community Members

8 Provincial TC LHIN s SMP Community Health Care Provider Stanford workshops CAWC workshop Institute for Healthcare Communication Center for Collaboration, Motivation, and Innovation

9

10

11

12 10 High CONVICTION Low 0 10 Low CONFIDENCE High Keller & Kemp White, IHC, 2003

13

14

15 Toronto Central LHIN region Our Strategy

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17 What are Neighbourhood Improvement Areas? A replacement of City of Toronto s Neighbourhood Action Plan that involved targeted work in 13 priority neighbourhoods In place between 2005 and 2013 Introduced in 2014 through the Toronto Strong Neighbourhood Strategy 2020 by the City of Toronto to undertake targeted work in 31 neighbourhoods with low neighbourhood equity score

18 Health Care provider workshops Community Workshops Work with partners in the following fourteen priority areas: Northeast: Crescent Town, Victoria Village, Flemingdon Park O Connor, Oakridge North West: Keelesdale Eglinton West, Junction Area, Rockcliffe Smythe. Weston Mt. Dennis. Weston Pellam Park Southern Corridor: Kensington Chinatown, Little Portugal, North St. James Town, Regent Park, South Parkdale Support Organization wide trainings Training for graduating clinicians in universities within Toronto Central LHIN region

19 Implementation strategy Community Ministry Funded free workshops Embed workshops in settings familiar to participants Incentives: Tokens, workshop resources, honorarium for facilitators, grocery cards for participants (previously snacks) Trained peer facilitators with lived experiences

20 Implementation strategy Provider Ministry Funded free workshops Engage decision makers in providing training to teams of providers in colleges and universities, community health centers, family health teams, and hospitals Incentives: workshop resources, follow-up mentorship/practice sessions, breakfast and lunch Trained peer facilitators working as HCP

21 SMP partners

22 Health Care provider workshops Community Workshops Work with partners in the following NIAs: West Toronto: Beechborough-Greenbrook, Mount Dennis, South Parkdale Mid West Toronto: Keelesdale-Eglinton and Weston-Pellam Park Mid East Toronto: Regent Park East Toronto: Taylor-Massey, Oakridge, Flemingdon Park, Victoria Village, and Thorncliffe Park Support Organization wide trainings Training for graduating clinicians in universities within Toronto Central LHIN region

23

24 Case Study: Hub Model

25 Referral spaces to improve access

26 Case Study: NIA engagement

27 Taylor Massey And Oakridge

28

29 The Team

30 THANK YOU!

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