Roundtable Discussion Advancing Workplace Mental Health in Healthcare Settings. BC Roundtable Summary Report
|
|
- Abigayle Preston
- 6 years ago
- Views:
Transcription
1 Roundtable Discussion Advancing Workplace Mental Health in Healthcare Settings BC Roundtable Summary Report Prepared by: The Mental Health Commission of Canada and HealthCareCAN December 2015
2 Table of Contents Backstory...2 Purpose...3 People...3 Roundtable Discussions...3 Panel Discussion: Learning from the Case Studies...4 Group Discussions...5 Supporting the implementation of the Standard in healthcare settings...7 Next Steps...9 Participant List Advancing Workplace Mental Health in Healthcare Settings 1
3 Backstory In January 2013, Canada became the first country in the world to launch a voluntary standard on psychological health and safety in the workplace. The National Standard for Psychological Health and Safety in the Workplace (the Standard) is a voluntary set of guidelines, tools and resources focused on promoting employees psychological health and preventing psychological harm due to workplace factors. The Mental Health Commission of Canada (MHCC) championed its development and soon after its launch, HealthCareCAN released Psychological Health and Safety in Canadian Healthcare Settings, a policy statement that encourages its members and all health stakeholders to commit to taking action to implement the Standard. Since its launch, numerous healthcare organizations across Canada have begun to implement the Standard. These organizations recognize the significance of protecting and promoting the psychological health of the healthcare workforce. Simply put, good psychological health is integral to being an effective healthcare worker and protecting the psychological health of healthcare workers may contribute to fewer medical errors and patient-safety incidents. Evidence-based research is, however, needed. To help address this, MHCC is leading a multi-year Case Study Research Project following over 40 Canadian organizations as they implement the Standard. Fifteen of these organizations are in the health sector. They represent a wide range of organizations including large academic health sciences centres, local family health units, regional and provincial health authorities and private industry. MHCC and HealthCareCAN are committed to broadening the awareness and importance of workplace mental health and the Standard within the healthcare sector across Canada. To achieve this, together we are co-hosting a series of roundtables in various Canadian locations at events that will strategically leverage existing efforts (i.e. relevant conferences). The first roundtable meeting was held on November 2, 2014 at the Metro Toronto Convention Centre as an invitation-only pre-conference roundtable session at the 2014 HealthAchieve conference. A similar second roundtable meeting was held on June 17, 2015 at the Prince Edward Island Convention Centre in Charlottetown following the 2015 National Health Leadership Conference. The third session was held following the BC Health Leaders Conference in Vancouver, British Columbia, on October 22, This summary report provides an overview of the third session in this series, where possible, building on findings from the previous two roundtables. Advancing Workplace Mental Health in Healthcare Settings 2
4 Purpose The overall purpose of the series of roundtables is to build relationships, coordinate efforts and identify areas of collaboration among healthcare organizations who are implementing or who wish to begin implementing, the Standard. Specifically, the objectives are to: 1. Take stock of the Standard and its implementation in the health sector; 2. Learn from those who are implementing the Standard in the health sector; 3. Explore ways to increase uptake of the Standard within the sector; and 4. Identify and share tools and resources that can assist with the implementation of the Standard and identify tools and resources that are missing and could be developed. People The third roundtable brought together 14 health leaders from various health care organizations including Presidents and CEOs, Vice-Presidents, Directors, and Advisors from the acute, long term care and home care sectors as well as health authorities. The bulk of participants represented organizations located in the Western Provinces and the North; adding diversification from the Ontario-focus of the first session in Toronto and the Atlantic-focus of the second session in Charlottetown. Four of the participants were from organizations participating in the MHCC Case Study Research Project. The others expressed interest in workplace mental health. Some are members of HealthCareCAN. The complete list of participants can be found on page 10. The roundtable series was co-hosted by HealthCareCAN and the Mental Health Commission of Canada (MHCC). The third session in BC was facilitated by Ed Mantler, Vice President of Programs and Priorities at the MHCC. Jennifer Kitts, Director, Policy & Strategy presented on behalf of HealthCareCAN. Staff from the MHCC and HealthCareCAN attended the roundtable to support its facilitation, record the discussion and prepare this summary. Roundtable Discussions The format of the roundtable was largely based on facilitated discussions including break-out group sessions. The Agenda included: 1) Opening remarks, including an overview of workplace mental health and the Standard and the purpose of these roundtable sessions 2) Introductions 3) Facilitated discussions a. Panel discussion: learning from the case studies b. Group discussion I enablers to support committing to implementing the Standard c. Group discussion II barriers and challenges to committing to implementing the Standard d. Group discussion III supporting implementation of the Standard in healthcare settings 4) Next steps The facilitated discussions are summarized below. Advancing Workplace Mental Health in Healthcare Settings 3
5 Panel Discussion: Learning from the Case Studies With a panel of four case study representatives, each took the lead answering one of four questions. Remaining panel members provided additional input, where applicable. Question 1: What was the reason or precipitating factor(s) behind your organization addressing workplace mental health and committing to implementing the Standard? Fiona O Connor from Regina Qu Appelle Health Region, shared that at the time there wasn t an issue with high staff turnover or sick rates, but the mental health clinic within the larger organization wanted to be proactive towards these and related issues that many organizations face. The health of staff was considered a priority and as a mental health clinic there was a need to walk the talk to ensure the promotion of staff mental health was present. Regina Qu Appelle surveyed employees revealing low staff morale and engagement, but with no follow-up. There was recognition that the Standard could help guide strategies to address this. Jennifer Yelland from Alberta Health Services added that there were monetary drivers to implementation of the Standard in their organization due to poor results for incidence of injury and unexplained absences. Question 2: What was one of your organization s first key decisions or steps once committed to implementing the Standard? Wolf Klassen of Toronto East General Hospital indicated that their corporate strategy was light on addressing staff wellness so they created a policy on psychological health and safety for staff. Prior to the Standard, they followed the Excellence Canada program which recommended a mental health plan and when the Standard came out they saw it as an opportunity to refresh the plan. This exemplifies what is true of other organizations; they already had some pieces in place, they weren t starting from scratch and a policy statement can be a starting point. Lauren Mathany from BC Provincial Health Services emphasized that you can t do it all at once and that it needs to be based on continuous improvement. Question 3: What leadership was in place or required for your organization to commit to implementing the Standard? Jennifer Yelland, Alberta Health Services, shared that in their large organization (over 100,000 employees across the province) there needed to be a targeted approach and it was key to find a leader with passion and a vested interest in workplace mental health. This was hard to find due to competing priorities and rejection by some that psychological safety sounded like jargon and fluff. Educating leaders on the importance is key while addressing language barriers. Leaders need to understand what is in it for them and drive the bottom line and patient care etc. Jennifer stressed that it takes time and recommends focusing on the early adopters at top levels to keep moving forward. Question 4: What have been the early (or not so early) successes or outcomes? Advancing Workplace Mental Health in Healthcare Settings 4
6 Lauren Mathany, from BC s Provincial Health Services Authority, indicated that the critical incidence/emergency services area of the organization has been the focus of their efforts to date. Peer support was key to their efforts; of their 4000 paramedics there were originally four peer defusers, who were experiencing - or were on the verge of experiencing - burnout, and now there are 58. Union support was a challenge early in the process, but now the organization has their dedication and support. Overall, the number one success has been that staff are now talking about mental health in a positive way; there has been a decrease in the blaming culture. They are now in a position to grow beyond their starting focus of critical incidence/emergency services. Jennifer Yelland added that it is important to acknowledge the small successes and recognize that your organization may already be doing some of what is outlined in the Standard. Group Discussions The room was divided into two separate tables, with a mix of participants, case study representatives and one MHCC/HealthCareCAN staff at each table to help facilitate the discussions. Tables were asked to consider the following question, reporting back on their top three enablers. What are or could be the enablers for implementation in your organization? Vancouver Both tables identified strong organizational leadership or CEO/senior leadership team commitment as one of the top three enablers to successful implementation of the Standard. The remaining top three enablers at each table varied. They included culture shift, leveraging existing networks, growing awareness among staff and using data and metrics to support implementation. You need senior level commitment to improve the employee experience. You can t improve the patient experience without improving the employee experience. Other suggested enablers that were identified at the Vancouver roundtable included support from the Ministry of Health, Board support, human resources support, strong relationship and trust of the union(s), and partnerships and committees in place. Themes Enablers When comparing the Vancouver, Charlottetown and Toronto roundtables, a very strong theme emerges in relation to enablers for implementation of the Standard: All three roundtables identified leadership and senior leadership as a top key enabler. Visible leadership commitment; buy-in from a strong leadership team; and, leadership that is focused on quality and a culture of safety are some of the aspects of leadership that were identified. While not a top three, organizational culture was identified as a key enabler by all three roundtables. The Charlottetown roundtable identified organizational culture as an enabler in general. The Toronto roundtable identified culture in relation to the need for leadership that is focused on quality and a culture of safety. And the Vancouver roundtable identified culture in relation to strong organizational leadership and a culture shift that embodies the value system of a caring organization. Advancing Workplace Mental Health in Healthcare Settings 5
7 Staff engagement in varying forms was also identified in two of the three roundtables as a top enabler. The Toronto roundtable identified it in relation to the need for a commitment to improving the work environment through staff engagement and empowerment. And the Charlottetown roundtable identified it in relation to the need to develop strategies and clear objectives, including communication and staff engagement, to support implementation. Using data and metrics to support implementation of the Standard was identified as a priority key enabler in two of the three roundtables. Existing data and metrics, such as absenteeism reports and employee surveys, are rich in information and can help an organization determine where to start with implementation. What are or could be the barriers or challenges to implementation in your organization? Vancouver Still divided into two tables, the groups were asked to consider the above question and report back on what they see as the top three barriers to implementation. There was significant overlap in the two table s responses. Both identified stigma and competing/too many priorities as top barriers. Other top barriers included lack of leadership and a culture that supports change, physician involvement and language (the need to translate this work into on the ground language). There is change fatigue and a sense of the flavor of the week. This is not a side-of-the-desk assignment. There is a lack of tools and resources with 101 priorities already on the table. Additional barriers identified during this group discussion included lack of time and resources, sustainability, lack of knowledge, fear, lack of trust, change fatigue (rapid and constant change), not knowing where to start and lack of communication. Themes - Barriers Comparing the Vancouver discussion with the Charlottetown and Toronto sessions, there are some very strong similarities among the identified barriers: All three roundtables identified competing priorities among their top three barriers to implementing the Standard in their organization; managers are busy, face tight budgets and increasing demands on their time. Stigma was identified as a top three barrier by two of the roundtables; it was also identified by the other roundtable as a barrier to implementing the Standard. Lack of awareness, a factor that has many inter-related sub-components, including what is the Standard? and how the Standard differs from other initiatives, was identified as a barrier by all three roundtables (as a top three by one roundtable). Lack of union support or labour relations challenges was identified by two of the roundtables. The overall complexity of implementation itself and not knowing where to start was Advancing Workplace Mental Health in Healthcare Settings 6
8 identified by two of the roundtables. Supporting the implementation of the Standard in healthcare settings The Toronto roundtable session involved identifying tools and resources that are or could be useful for supporting implementation. The group identified several promising practices and ideas being used in the healthcare sector for implementation of the Standard and/or to improve workplace mental health, as well as specific tools and resources. Both are listed below and were shared at the roundtable sessions in Charlottetown and Vancouver. Participants were invited to add to the lists during or after the sessions via , but there were no further additions provided. Promising practices identified at the Toronto roundtable included: Setting up a leadership committee; Leveraging the joint occupational health and safety committee; Tracking staff engagement using a quarterly pulse survey; Issuing a quarterly dashboard report; Peer support program; Having the health and wellness team partner with in-house psychiatry and mental health staff; Leadership development and coaching programs; Emotional intelligence training; Providing health care workers with tools to help increase their reflective capacity; Employee grounding program; and, Offering online cognitive-behavioral therapy programs for employees. Specific tools and resources being leveraged by the healthcare organizations at the Toronto roundtable included: NRC Picker Survey LEAN management tools Connor-Davidson Resilience Scale (CD-RISC) Stigma scales developed by Scott Patton Stress & Satisfaction Offset Score (SSOS) Resources freely available on the Great-West Life Centre for Mental Health in the Workplace website ( Advancing Workplace Mental Health in Healthcare Settings 7
9 Over the course of the year that the three roundtables took place, MHCC and HealthCareCAN s planning evolved. Building on discussions from the earlier roundtables, the Vancouver roundtable dedicated time to three questions to help inform planning and identify next steps to further support implementation of the Standard in healthcare settings. Question 1: What are the unique characteristics of the healthcare work setting in relation to workplace mental health? Question 2: What kind of new support/resource could we develop that would address these unique characteristics? Questions 3: What would or could a by health, for health resource look like? From this discussion, a list of characteristics specific to healthcare settings emerged. These included stigma, limited access to updated technology, the complex environment (i.e. shift work, wide variety of roles/disciplines, repeated exposure to and dealing with trauma, employees of varying ages, decreasing budgets, etc.), role as helpers/caregivers, workload and time, employee/health provider self-diagnosis, regulations. It s not just a job work comes home with us. The workload is unrelenting with no end in sight. You are never off. Exposure to trauma is a regular occurrence; it becomes normalized. From this list, participants were then asked to imagine specific supports and resources that could be helpful in supporting the implementation of the Standard specifically in the health sector. Key suggestions are outlined below: Create a network or hub of resources: for mentoring, education, sharing information and resources, tools to gauge one s own health, a list of experts willing to help across Canada. Provide education: workplace curriculum for health professionals to include more than physical safety; webinars and online education. Develop a Community of Practice: to learn from champions and other stakeholders. Identify Champions and Develop Campaigns: awareness and facilitating the ability to have the conversation; include in daily huddles. Develop and/or share tools: communication and access to existing tools. Physicians tend to be isolated; tools to use for yourself to know if you are healthy could be effective. We need to create safe environments, break down the barriers and stigma. Delving deeper into what a potential resource by health, for health could be, the concept of a guide or lengthy document to facilitate implementation of the Standard for healthcare was not seen as a necessity or priority. Short, concise and with checklists were the preferred characteristics of a tool or guide, or even training on how to use the existing guide Assembling the Pieces was suggested. It was agreed that something online and easily accessible was key. A formal network that could be online and perhaps also inperson was well received by this group as well as providing specific data and experiences perhaps from champion organizations. Leveraging Accreditation Canada as a resource was also discussed. Advancing Workplace Mental Health in Healthcare Settings 8
10 There needs to be something that is practical, easy to use, accessible and quick; a network to not only connect to resources and tools, but to experts and people. Findings from these discussions aligned with factors for consideration that surfaced from previous sessions include, that: There is generally not an appetite to develop a specific guide for the health sector; the sector is already used to adapting CSA standards for their own purposes. A cross-case analysis of what is working and what needs improvement with respect to implementation of the Standard in the health sector is needed. An awareness push for the Standard and implementation guide is needed. Aligning medical schools and other health professional/provider programs with the Standard is needed. Connecting efforts with Accreditation Canada is necessary. Next Steps The roundtable series not only met, but in many ways exceeded expectations. They were well attended by very engaged participants - some who admitted their lack of knowledge at the start expressed satisfaction and motivation by the end. Case study organizations demonstrated that they are true champions, sharing their journey and motivating their peers to start their journey. All three-hour sessions ended with a positive, lively energy in the room, which speaks to the enthusiasm, interest and sense of ability to take action that was achieved within a short but rather jam-packed session. Participants felt heard while also arming themselves with a wealth of information and connections to move forward in their organizations. The MHCC and HealthCareCAN also gained by having a clearer sense of next steps to continue their partnership and facilitate their dedication to advancing mental health in healthcare settings and supporting the implementation of the Standard within the health sector. As we reflect on this past year of roundtables, we are now entering the next phase of our partnership and activities. We are funding a cross-case analysis of the healthcare organizations that are participating in the MHCC Case Study Research Project, with interim results tentatively expected for release at NHLC in June We are also moving forward with exploring the development of a Community of Practice that will start a more formal network and guide the development of any future by health, for health tools or initiatives. Advancing Workplace Mental Health in Healthcare Settings 9
11 Participant List Healthcare Organization Representatives: Karen Baillie Chief Executive Officer Menno Place Sarah Bell Provincial Executive Director, Children and Women's Mental Health and Substance Use Programs, BC Children s Hospital Bob Breen President and CEO Louis Brier Home & Hospital and Weinberg Residence, Denominational Health Association Dr. Catherine Clelland Head, Department of Family Practice Royal Columbian Hospital, Fraser Health (HealthCareCAN MEMBER) Jennifer Conley Chief Executive Officer Athabasca Health Authority Sandy Coughlin Director - Occupational Health & Safety Providence Health Care (HealthCareCAN MEMBER) Christine Devine Wellness Specialist Toronto East General Hospital (CASE STUDY) Jeanette Lee Director, Human Resources Menno Place Lauren Mathany Manager, Healthy Workforce Strategies Workplace Health, Provincial Health Services Authority, (HealthCareCAN MEMBER) (CASE STUDY) Michelle Medland Regional Director, Vancouver St. Elizabeth Health Care Tracey Newlands Director, Occupational Health and Safety Island Health (HealthCareCAN MEMBER) Carol Gillis Executive Director, Corporate Services Keewatin Yatthé Regional Health Authority Susan Good Director, Leadership & Organization Development Fraser Health (HealthCareCAN MEMBER) Anne Harvey Vice President, Employee Engagement Vancouver Coastal Health Authority (HealthCareCAN MEMBER) Dave Keen Executive Director, Workplace Health Fraser Health (HealthCareCAN MEMBER) Wolf Klassen Vice President, Program Support Toronto East General Hospital (CASE STUDY) Ricky Kwan Executive Director George Derby Care Society Diane Lau Executive Director Sara Riel Fiona O Connor Director, Mental Health Clinic Regina Qu Appelle Health Region, (CASE STUDY) Stephanie Lauren Thomas Client Service Coordinator Saint Elizabeth Health Care Jennifer Yelland Senior Health & Wellness Advisor, Workplace Health & Safety, Human Resources Alberta Health Services (HealthCareCAN MEMBER) (CASE STUDY) Patty Yoon Operations Leader, Tertiary Mental Health Neuropsychiatry Program - Alder Unit Specialized Eating Disorders Program, Providence Health Care (HealthCareCAN MEMBER) Advancing Workplace Mental Health in Healthcare Settings 10
12 MHCC and HealthCareCAN Representatives: Ed Mantler Vice President, Programs and Priorities Mental Health Commission of Canada Sandra Koppert Program Manager Prevention and Promotion Initiatives Mental Health Commission of Canada Jennifer Kitts Director, Policy and Strategy HealthCareCAN Susan Anderson Senior Policy Analyst HealthCareCAN Advancing Workplace Mental Health in Healthcare Settings 11
Ministry of Health Patients as Partners Provincial Dialogue Report
Ministry of Health Patients as Partners 2017 Provincial Dialogue Report Contents Executive Summary 4 Introduction 6 Balanced Participation: Demographics and Representation at the Dialogue 8 Engagement
More informationCanadian Hospital Experiences Survey Frequently Asked Questions
January 2014 Canadian Hospital Experiences Survey Frequently Asked Questions Canadian Hospital Experiences Survey Project Questions 1. What is the Canadian Hospital Experiences Survey? 2. Why is CIHI leading
More informationPTSD Conference. Causes, Consequences & Responses
PTSD Conference Causes, Consequences & Responses Discussion Panel From Mental Health Promotion to Building Resilience: Comprehensive Strategies for Preventing Operational Stress Injuries Memorial University
More informationVolunteers and Donors in Arts and Culture Organizations in Canada in 2013
Volunteers and Donors in Arts and Culture Organizations in Canada in 2013 Vol. 13 No. 3 Prepared by Kelly Hill Hill Strategies Research Inc., February 2016 ISBN 978-1-926674-40-7; Statistical Insights
More informationAdvancing Social Purpose in Advanced Education Administration and Finance Functions to Strengthen Social Infrastructure in Canada
Advancing Social Purpose in Advanced Education Administration and Finance Functions to Strengthen Social Infrastructure in Canada CAUBO 2018 CONFERENCE Vancouver, BC June 2018 Aide-Mémoire On June 12 2018,
More informationNational. British Columbia. LEADS Across Canada
LEADS Across Canada National Accreditation Canada Canadian College of Health Leaders Canadian Institute of Health Information Canadian Agency for Drugs and Technology in Health Canada Health Infoway Canadian
More informationEnabling Effective, Quality Population and Patient-Centred Care: A Provincial Strategy for Health Human Resources.
Enabling Effective, Quality Population and Patient-Centred Care: A Provincial Strategy for Health Human Resources Strategic Context Executive Summary A key proposition set out in Setting Priorities for
More informationMinistry of Health Patients as Partners Provincial Dialogue Event Summary Two Day Annual Event
Ministry of Health Patients as Partners 2015 Provincial Dialogue Event Summary Two Day Annual Event Contents Executive Summary... 2 Introduction... 3 Dialogue Overview... 5 Experiences with Patient- and
More informationMental Health Series in. Canadian Nurse. Improving Psychological Health in the Workplace. April,
Mental Health Series in Canadian Nurse Improving Psychological Health in the Workplace April, 2014 www.mentalhealthcommission.ca FEATURE THE MENTAL HEALTH SERIES Canadian Nurses Association/Mental Health
More informationSunrise Regional Health Authority
Sunrise Regional Health Authority Main points... 128 Background... 129 Audit objective, criteria, and conclusion... 130 Key findings and recommendations... 131 Set expectations that influence labour costs...
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/30/2014
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/30/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationSUMMARY. Workshop Summary WORKSHOP. Julia Langton, Kim McGrail, Sabrina Wong July 2015
WORKSHOP SUMMARY A Matrix Approach to Primary Care Performance Measurement: Developing a High Quality Information System Aligned with Modern Primary Care Practice Julia Langton, Kim McGrail, Sabrina Wong
More informationStrategic Priorities: Narrative Report. Performance Monitoring Plan
Strategic Priorities: Narrative Report Performance Monitoring Plan October 2016 2013 2017 Introduction The Sudbury & District Health Unit s (SDHU) 2013 2017 Strategic Plan includes five Strategic Priorities
More informationAccountability Framework and Organizational Requirements
Ministry of Health and Long-Term Care Accountability Framework and Organizational Requirements Consultation Document Population and Public Health Division May 2017 Ministry of Health and Long-Term Care
More informationMeaningful Patient and Family Partnerships: Evidence and Leadership
Meaningful Patient and Family Partnerships: Evidence and Leadership 6 th International Conference on Patient- and Family-Centered Care Westin Bayshore Hotel, Vancouver, BC August 7, 2014 cfhi-fcass.ca
More informationTransforming Health Care Through Digital Innovations
Transforming Health Care Through Digital Innovations With Digital Health Week occurring on November 13-19, the Centre for the Future of Health will be focusing on the value of and opportunities with digital
More informationPatients as Partners Provincial Dialogue Event Summary. March 31, 2014
Patients as Partners 2014 Provincial Dialogue Event Summary March 31, 2014 Table of Contents Executive Summary... 2 Introduction... 3 Method... 4 Patients as Partners: What have we learned and how can
More informationSupporting knowledge translation at Holland Bloorview Kids Rehabilitation Hospital
Evidence to Care Supporting knowledge translation at Holland Bloorview Kids Rehabilitation Hospital Shauna Kingsnorth, Christine Provvidenza, Julia Schippke, & Ashleigh Townley September 29 th, 2015 The
More informationImproving access to palliative care in Ontario ENHANCING ACCESS TO PATIENT-CENTRED PRIMARY CARE IN ONTARIO
Improving access to palliative care in Ontario ENHANCING ACCESS TO PATIENT-CENTRED PRIMARY CARE IN ONTARIO 15 OCTOBER 2016 Enhancing Access to Patient-centred Primary Care in Ontario McMaster Health Forum
More informationThe Canadian Healthcare System: An Overview June 8, 2017
The Canadian Healthcare System: An Overview June 8, 2017 Presentation to the IHF Hospital Executive Study Tour By Bill Tholl, President and CEO, HealthCareCAN Thursday, June 8, 2017 Better Together HealthCareCAN
More informationFastest Growing Industries: Health Care. A guide for newcomers to British Columbia
Contents 1. Overview of the Health Care Industry... 2 2. Occupations in the Health Care Sector... 4 3. Hiring Forecast by Region... 6 4. Finding Jobs... 7 5. Additional Resources... 8 1. Overview of the
More informationAgenda Item 8.4 BRIEFING NOTE: Toronto Central Local Health Integration Network (LHIN)
Agenda Item 8.4 BRIEFING NOTE: Toronto Central Local Health Integration Network (LHIN) SUBJECT: Voluntary Integration of the Assisted Living and Attendant Outreach Services from the Canadian Red Cross
More informationQuick Facts Prepared for the Canadian Federation of Nurses Unions by Jacobson Consulting Inc.
Trends in Own Illness- or Disability-Related Absenteeism and Overtime among Publicly-Employed Registered Nurses: Quick Facts 2017 Prepared for the Canadian Federation of Nurses Unions by Jacobson Consulting
More informationEvaluation Framework to Determine the Impact of Nursing Staff Mix Decisions
Evaluation Framework to Determine the Impact of Nursing Staff Mix Decisions CANADIAN PRACTICAL NURSES ASSOCIATION A. Introduction In 2004, representatives from the Canadian Nurses Association (CNA), the
More informationRelated Electronic Written Submissions (
Self-Care This chapter includes the following topics: Delivery of Services and Costs Education and Access to Information The Nurse Line and Phone-Based Health Services The Canada Food Guide The BC Health
More informationUsing Innovation to Maximize Behavioral Health Accommodations. Regions Hospital Case Study
Using Innovation to Maximize Behavioral Health Accommodations Regions Hospital Case Study DISCLAIMER The following slides are provided for informational purposes only and do not constitute legal advice.
More informationReview of the 10-Year Plan to Strengthen Health Care
Review of the 10-Year Plan to Strengthen Health Care House of Commons Standing Committee on Health Dr. Marlene Smadu, President, Canadian Nurses Association Ottawa, Ontario May 27, 2008 INTRODUCTION The
More informationKINGSTON GENERAL HOSPITAL BRIEFING NOTE
KINGSTON GENERAL HOSPITAL BRIEFING NOTE TOPIC OF REPORT: SUBMITTED TO: SUBMITTED BY: Patient- and Family-Centred Care (PFCC) Patient Care and People Committee Daryl Bell, Lead, PFCC & Co-chair, Patient
More informationDesigning Sustainable Change: The IDEAS Initiative and Mobilizing Support for Quality Improvement. Session 3
Designing Sustainable Change: The IDEAS Initiative and Mobilizing Support for Quality Improvement Session 3 2 Presenter Disclosure Presenters: G. Ross Baker, Amir Ginzburg, Patti Cochrane, Clint Atendido,
More informationEMPLOYEE HEALTH AND WELLBEING STRATEGY
EMPLOYEE HEALTH AND WELLBEING STRATEGY 2015-2018 Our community, we care, you matter... Document prepared by: Head of HR Services Version Number: Review Date: September 2018 Employee Health and Wellbeing
More informationThe Way Forward. Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador 2 Table of Contents Introduction... 2 Background... 3 Vision and Values... 5 Governance... 6
More information5/1/2018. The Role of Resilience and Mindful Leadership in Nursing. Learning Objectives. Common Terms Compassion and Compassion Fatigue
The Role of Resilience and Mindful Leadership in Nursing Cindy Rishel PhD RN OCN NEA-BC Clinical Associate Professor Learning Objectives Describe the concept of resilience and identify specific attributes
More informationTrans Care BC. Program Update. April 2018
Trans Care BC Program Update 1 April 2018 Message from the director As we pass by Trans Care BC s second year as a program, we are grateful for the community voices that have informed planning and program
More informationHealth Quality Ontario Business Plan
Health Quality Ontario Business Plan 2017-20 October 2016 Table of Contents 1 Executive Summary...1 2 Mandate and Strategy...2 3 Environmental Scan...4 4 Programs and Activities...5 5 Risks... 18 6 Resources...
More informationFour Initiatives for Healthcare Change in BC
Four Initiatives for Healthcare Change in BC Executive Summary Presented by Astrid Levelt, Cogentis Health Group Inc. Healthcare in British Columbia is a complex labyrinth of services and expectations.
More informationGuidelines. Working Extra Hours. Guidelines for Regulated Members on Fitness to Practise and the Provision of Safe, Competent, Ethical Nursing Care
Guidelines Working Extra Hours Guidelines for Regulated Members on Fitness to Practise and the Provision of Safe, Competent, Ethical Nursing Care September 2011 WORKING EXTRA HOURS: FOR REGULATED MEMBERS
More informationQuality Improvement Strategy 2017/ /21
Quality Improvement Strategy 2017/18-2020/21 Contents Section Title Page Number Foreword from Chair and Chief Executive 2 Section 1 Introduction What does Quality mean to us? What do we want to achieve
More informationValue of Safety Improvement Collaboratives for Home Care: Strategies and Outcomes
Value of Safety Improvement Collaboratives for Home Care: Strategies and Outcomes Presented by: VIRGINIA FLINTOFT, Manager, Central Measurement Team, Canadian Patient Safety Institute NARDIA BROWN, Clinical
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
2018-2019 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario Click here to enter text. This document is intended to provide health care organizations in Ontario with guidance
More informationVisit to download this and other modules and to access dozens of helpful tools and resources.
This is the third module of Coach Medical Home a six-module curriculum designed for practice facilitators who are coaching primary care practices around patient-centered medical home (PCMH) transformation.
More informationMidlothian Health and Social Care Partnership
Midlothian Health and Social Care Partnership the right care the right support the right time This document is a draft, work in progress version. It includes current thinking on priorities / direction
More informationChurch- Run Military Ministries
Church- Run Military Ministries March 2013 Global Scripture Impact Executive Summary Over the next five years, more than 1 million people who have served in the U.S. military will integrate back into society
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/26/2018 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationSTANDARDS OF PRACTICE 2018
STANDARDS OF PRACTICE nurse pr ac titioner 2018 RESPONSIBILITY AND ACCOUNTABILITY ASSESSMENT AND DIAGNOSIS COLLABORATION, CONSULTATION AND REFERRAL LEADERSHIP AND ADVOCACY CLIENT CARE MANAGEMENT CRNNS
More informationEnhanced Orientation for Nurses New to Long-Term Care
64 manitoba Enhanced Orientation for Nurses New to Long-Term Care Deanne O Rourke, RN, MN Research to Action Project Coordinator Winnipeg, MB Abstract The Manitoba pilot project, Enhanced Orientation for
More informationPartnership HealthPlan of California Strategic Plan
Partnership HealthPlan of California 2017 2020 Strategic Plan Partnership HealthPlan of California 2017 2020 Strategic Plan Message from the CEO While many of us have given up making predictions, myself
More informationRNAO s Framework for Nurse Executive Leadership
1. Framework Overview The Framework for Nurse Executive Leadership is a unique model that is designed to delineate, shape and strengthen the evolving role of the nurse executive leader in Ontario and beyond.
More informationImproving the Last Stages of Life Preliminary Feedback from Law Reform Consultations in Ontario
Improving the Last Stages of Life Preliminary Feedback from Law Reform Consultations in Ontario Ryan Fritsch, Project Lead ICEL2 Conference Halifax September 2017 LCO s Improving Last Stages of Life Project
More informationEnd-of-Life Care Action Plan
The Provincial End-of-Life Care Action Plan for British Columbia Priorities and Actions for Health System and Service Redesign Ministry of Health March 2013 ii The Provincial End-of-Life Care Action Plan
More informationOrganizations that are highly successful in achieving
Engaging Leadership Improving Care for British Columbians: The Critical Role of Physician Engagement Julian Marsden, Marlies van Dijk, Peter Doris, Christina Krause and Doug Cochrane Abstract Canadian
More informationNova Scotia Public Reporting Serious Patient Safety events? Advancing Patient Safety & Quality?
Nova Scotia Public Reporting Serious Patient Safety events? Advancing Patient Safety & Quality? Catherine Gaulton, Chair Health Achieve November 3, 2014 Agenda Who we are? The Mandate The Language we Use
More informationProgram Design: Mental Health and Addiction Nurses in District School Board Program
Program Design: Mental Health and Addiction Nurses in District School Board Program September 6, 2011 Table of Contents Program Design: Mental Health and Addiction Nurses in District School Boards Program
More informationWhat Are the Key Ingredients in a Secret Sauce for Leadership Development?
What Are the Key Ingredients in a Secret Sauce for Leadership Development? Canadian Health Leadership Network NHLC (Vancouver, BC) June 13, 2017 at 7:15am Canadian Health Leadership Network: A case study
More informationPrimary Health Care The foundation of our health care system
Primary Health Care The foundation of our health care system October, 2015 Lynn Edwards Dr. Tara Sampalli National and Local Context PRIMARY HEALTH CARE How PHC has Evolved in Canada Late 1990s Recognition
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/16/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationThe Regulation of Counselling Therapy in Newfoundland-Labrador 2018 FACT-NL Steering Committee
The Regulation of Counselling Therapy in Newfoundland-Labrador 2018 FACT-NL Steering Committee Introduction The Federation of Associations of Counselling Therapists in Newfoundland-Labrador (FACT-NL) is
More informationThe Regulation of Counselling Therapy in Newfoundland-Labrador 2018 FACT-NL Steering Committee
The Regulation of Counselling Therapy in Newfoundland-Labrador 2018 FACT-NL Steering Committee Introduction NADTA- North American Drama Therapy Association The Federation of Associations of Counselling
More informationOphea s Healthy Schools Certification ELEMENTARY & SECONDARY
Ophea s Healthy Schools Certification ELEMENTARY & SECONDARY About Ophea Ophea is a not-for-profit organization that champions healthy, active living in schools and communities and is led by the vision
More informationThe Ontario Centre of Excellence for Environmental Health (OCEEH) Business Case (BC)
The Ontario Centre of Excellence for Environmental Health (OCEEH) Business Case (BC) About the OCEEH BC Project QUESTIONS AND ANSWERS 1) What are the vision, mandate and goals of the OCEEH? The vision
More informationPromoting Psychological Safety for Physicians
Doctors of BC Position Promoting Psychological Safety for Physicians Last updated: June 2017 Doctors of BC commits to working with the BC Ministry of Health, health authorities, and other stakeholders
More informationKnowledge Translation Plan
2015 Knowledge Plan Island Wendy Young & Dawn Waterhouse May 2015 Table of Contents Table of Contents... 1 Background... 2 How the Knowledge Plan was Informed... 2 How the Knowledge Plan is structured...
More information2016 B.C. Public Library Board Governance and Planning Survey Results. A report of the British Columbia Library Trustees Association
2016 B.C. Public Library Board Governance and Planning Survey Results A report of the British Columbia Library Trustees Association Sarah Felkar and Barbara Kelly February 2017 Table of Contents Introduction...
More informationAlberta Breathes: Proposed Standards for Respiratory Health of Albertans
Alberta Breathes: Proposed Standards for Respiratory Health of Albertans The concept of Alberta Breathes and these standards was developed in consultation with over 150 health professionals and stakeholders
More informationFrom Clinician. to Cabinet: The Use of Health Information Across the Continuum
From Clinician to Cabinet: The Use of Health Information Across the Continuum Better care. Improved quality and safety. More effective allocation of resources. Organizations in Canada that deliver mental
More informationACTION ENTREPRENEURSHIP GUIDE TO GROWTH. Report on Futurpreneur Canada s Action Entrepreneurship 2015 National Summit
ACTION ENTREPRENEURSHIP GUIDE TO GROWTH Report on Futurpreneur Canada s Action Entrepreneurship 2015 National Summit REPORTING BACK INTRODUCTION Futurpreneur Canada launched Action Entrepreneurship in
More informationOpportunities Fund INCLUSIVE LOCAL ECONOMIES. 2017/2018 Program Guidelines METCALF FOUNDATION. We focus our efforts on three areas:
INCLUSIVE LOCAL ECONOMIES Opportunities Fund 2017/2018 Program Guidelines METCALF FOUNDATION The George Cedric Metcalf Charitable Foundation s mission is to enhance the effectiveness of people and organizations
More informationMassachusetts Healthcare Workforce Summit Devens Commons September 25, 2015
Massachusetts Healthcare Workforce Summit Devens Commons September 25, 2015 Diversity in the Nursing Workforce Deborah Washington, PhD, RN INSTITUTE OF MEDICINE REPORT: FUTURE OF NURSING Leading Change,
More informationNorth Zone, Alberta Health Services, Alberta
North Zone, Alberta Health Services, Alberta NRoR Shelly Pusch Chief Zone Officer, North Zone Shelly Pusch has worked in health for almost 30 years and has a devoted interest in rural Alberta. She is currently
More informationHealth PEI Board Meeting January 9, 2018 M2/3 16 Garfield Street
Health PEI Board Meeting January 9, 2018 M2/3 16 Garfield Street ITEM TOPIC PRESENTERS PURPOSE 1.0 CONVENING THE MEETING In Di De 1.0 Call to Order P. Horne, Chair 1.1 Approval of Agenda Board 1.2 Declaration
More informationBC Nursing Research Initiative. Summative Evaluation. Final Report: June, 2016
BC Nursing Research Initiative Summative Evaluation Final Report: June, 2016 BC Nursing Research Initiative Summative Evaluation Table of Contents Executive Summary...1 Background...9 Evaluation Plan and
More informationAboriginal Suicide Critical Incidence Response Team. C o o r d i n a t o r s G a t h e r i n g
Aboriginal Suicide Critical Incidence Response Team C o o r d i n a t o r s G a t h e r i n g First Nations Health Council All Rights Reserved Table Of Contents Section 1 Aboriginal Suicide Critical Incidence
More informationBackground: As described below, 70 years of RN effectiveness makes it clear that RNs are central to a high-performing health system.
Background: Nurses are the largest group of regulated health professionals in Canada, accounting for about half the health-care workforce. This includes more than 115,000 Ontario registered nurses (RN)
More informationBetter has no limit: Partnering for a Quality Health System
A THREE-YEAR STRATEGIC PLAN 2016-2019 Better has no limit: Partnering for a Quality Health System Let s make our health system healthier Who is Health Quality Ontario Health Quality Ontario is the provincial
More informationMoving forward on mental health and substance abuse: The time is now!
CNA Webinar Series: Progress in Practice Moving forward on mental health and substance abuse: The time is now! Louise Bradley President & CEO, Mental Health Commission of Canada Michel Perron Chief Executive
More informationNorth East Behavioural Supports Ontario Sustainability Plan
North East Behavioural Supports Ontario Sustainability Plan - 2 - NORTH EAST LHIN BSO SUSTAINABILITY PLAN The development of the North East BSO sustainability plan has provided the North East LHIN with
More information4.7 Workplace Accident Investigation Policy
4.7 Workplace Accident Investigation Policy Intent The Workplace Accident Investigation policy is intended to provide investigatory procedures in compliance with provincial legislation in the event of
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationReal Change for Real Results: Pan-Canadian Collaboration on Healthcare Innovation. House of Commons Finance Committee 2016 Pre-Budget Consultations
Real Change for Real Results: Pan-Canadian Collaboration on Healthcare Innovation House of Commons Finance Committee 2016 Pre-Budget Consultations February 2016 EXECUTIVE SUMMARY This submission outlines
More informationMental Health and Wellbeing in the Workplace. White Paper
Mental Health and Wellbeing in the Workplace White Paper Mental Health is of increasing concern It seems as though everywhere we turn the headlines are about mental health and the challenges we are currently
More informationNCLEX-RN 2015: Canadian Results. Published by the Canadian Council of Registered Nurse Regulators (CCRNR)
NCLEX-RN 2015: Canadian Results Published by the Canadian Council of Registered Nurse Regulators (CCRNR) March 31, 2016 Contents Message from the president 3 Background on the NCLEX-RN 4 The role of Canada
More informationOutpatient Services - Federal Mental Health Parity (FMHP) Outpatient Outlier Model Refresher. Mini Webinar Series June 2011
Outpatient Services - Federal Mental Health Parity (FMHP) Outpatient Outlier Model Refresher Mini Webinar Series June 2011 1 Agenda Introductions. Clinical Model. ProviderConnect SM Outlier Model Demonstration.
More informationImproving teams in healthcare
Improving teams in healthcare Resource 1: Building effective teams Developed with support from Health Education England NHS Improvement Background In December 2016, the Royal College of Physicians (RCP)
More informationA FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE
A FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE Health care workers have the right to do their jobs in a safe environment free of violence. Hospitals that are safer workplaces
More informationNBA PR Process Member Toolkit
MAY 2017 NBA PR Process Member Toolkit BC NURSES UNION NBA PROFESSIONAL RESPONSIBILITY PROCESS PR PROCESS NBA PR PROCESS MEMBER TOOLKIT www.bcnu.org Page 2 TABLE OF CONTENTS Contact Information... 4 Article
More information2014/15 Quality Improvement Plan (QIP) Narrative
2014/15 Quality Improvement Plan (QIP) Narrative 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop a quality improvement plan.
More informationDate of publication:june Date of inspection visit:18 March 2014
Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of
More informationImproving Clinical Flow ECHO Collaborative Change Package
Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk
More informationALBERTA HEALTH. No disclosures or conflict of interest to declare!
NATIONAL CERTIFICATION THE ALBERTA EXPERIENCE Susan Jacka, IPC, Alberta Health Sue Lafferty, IPC, Alberta Health Services Catherine Williamson, MDR, Alberta Health Services CAMDR Conference 18 October,
More informationOptimizing Patient Care Transitions
Optimizing Patient Care Transitions Leveraging ereferral Technology in a Time of System Change In this time of unprecedented change, health care leaders are challenged to improve the quality, access and
More informationBRITISH COLUMBIA MENTAL HEALTH AND ADDICTION SERVICES. An agency of the Provincial Health Services Authority
BRITISH COLUMBIA MENTAL HEALTH AND ADDICTION SERVICES An agency of the Provincial Health Services Authority PROVINCIAL HEALTH SERVICES AUTHORITY (PHSA) PROVINCIAL AGENCIES BRITISH COLUMBIA MENTAL HEALTH
More informationBuilding a Culture for Patient- Centered Team-Based Care in Wisconsin
Building a Culture for Patient- Centered Team-Based Care in Wisconsin Summary of the Proceedings Executive Summary Wednesday, November 12, 2014 9:00 am - 3:45 pm Glacier Canyon Lodge Wisconsin Dells, WI
More informationUpdate on the Specialized Program for Interdivisional Enhanced Responsiveness (SPIDER) Community Development and Recreation Committee
CD8.3 STAFF REPORT ACTION REQUIRED Update on the Specialized Program for Interdivisional Enhanced Responsiveness (SPIDER) Date: November 9, 2015 To: From: Wards: Reference Number: Community Development
More informationCOLLECTIVE IMPACT: VENTURING ON AN UNFAMILIAR ROAD
COLLECTIVE IMPACT: VENTURING ON AN UNFAMILIAR ROAD Hilary Pearson Summary In 2010 Hilary Pearson wrote in about the emerging trend of creating Funder Collaboratives to address the challenges of the 2008/2009
More informationPlanning to Improve the Health of a Diverse Population
Planning to Improve the Health of a Diverse Population The Role of Information Technology Dr. Mary-Lyn Fyfe Chief Medical Information Officer Island Health June 2015 Objectives Discuss One Approach to
More informationHEALTH WORKFORCE PLANNING: CHANELLING YOUR INNER PLANNER
HEALTH WORKFORCE PLANNING: CHANELLING YOUR INNER PLANNER HealthAchieve November 7, 2017 Denise Cole, Assistant Deputy Minister Health Workforce Planning & Regulatory Affairs Division Ontario Ministry of
More informationAssessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1
EVALUATION Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1 Research Summary No. 9 March 2012 Introduction The current model of primary care in the United States is
More informationPriority Agenda Introduction. Who are Medical-Surgical Nurses?
Priority Agenda 2017 Introduction AMSN is the professional nursing organization dedicated to the specialty of medical-surgical nursing. There are approximately 600,000 medical-surgical nurses in the US,
More informationRequest for Proposals: Organic Market Research Study
Request for Proposals: Organic Market Research Study Project Overview The need for a consumer study examining barriers to local organic purchases was identified as a priority action in the 2014-18 New
More informationDriving Incremental Change to Achieve Organizational Change. Practice Transformation Academy Webinar #3
Driving Incremental Change to Achieve Organizational Change Practice Transformation Academy Webinar #3 Presenters National Council for Behavioral Health Mental Heath Association of Greater Lowell Kate
More informationWisconsin Medical Society Physician Experience Task Force Efforts
Wisconsin Medical Society Physician Experience Task Force Efforts Heather Schmidt, DO Medical Director Health and Wellness Agnesian Healthcare 1 Disclosures Nothing to disclose. 2 Learning Objectives Understand
More information