Collaborative Change Forum. knowledge exchange. February , Ottawa. Stronger together...

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1 knowledge exchange Stronger together... Thursday February 26 18:00 21:00 Burgundy Room Evening reception Friday February 27 8:00 16:00 MacDonald Room at Fairmont Château Laurier, 1 Rideau Street, Ottawa, Ontario the Canadian Patient Safety Institute learning to work together, working to learn together apprendre à collaborer, collaborer pour apprendre

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3 Intentions Develop preliminary joint priorities, strategies and initiatives to work collaboratively on key issues Discuss and enhance the draft Knowledge Exchange Strategy as a guide for inter-organizational collaboration on change initiatives Explore how we can deepen collaboration and increase knowledge development about interprofessional education, care and practice Outcomes Participants identify and begin strategizing with potential partners on key issues CIHC s Knowledge Exchange Strategy is refined and established as a vehicle for supporting the advancement of key issues that require collaboration (initial plans are conceived) Participants contribute to a greater shared understanding of how we can make inter-organizational collaboration and knowledge exchange work better Participant Pre-Work Stronger together... Thursday February 26 18:00 21:00 Burgundy Room Evening reception Friday February 27 8:00 16:00 MacDonald Room at Fairmont Château Laurier, 1 Rideau Street, Ottawa, Ontario the Canadian Patient Safety Institute CIHC is seeking further input for its Knowledge Exchange Strategy ( During the forum, participants will have an opportunity to customize the KE Framework and Guiding Questions and provide general feedback and suggestions for the overall Strategy. Our goal is to make the as useful as possible for all participants, while increasing the capacity for inter-organizational collaboration across the country. learning to work together, working to learn together apprendre à collaborer, collaborer pour apprendre

4 PROGRAM Thursday, February 26 18:00 21:00 Reception 19:00 19:10 Welcome John Gilbert, CIHC Project Lead 19:10 20:00 Keynote address The innovative possibilities of inter-organizational collaboration and how to make it work Rita Karakas, Senior Advisor, Office of Development & Alumni Engagement, Centennial College, Toronto, former CEO of Save the Children Canada 20:00 20:50 Mingling and connecting based on pre-work interests 20:50 21:00 Closing Cate Creede, Facilitator, The Potential Group 2

5 Friday, February 27 8:00 15:45 8:00 8:30 Continental breakfast 8:30 9:00 Welcome, introductions and expectations for the day Sandra MacDonald-Rencz Executive Director, Office of Nursing Policy, Health Policy and Communications Branch, Health Canada PROGRAM 9:00 10:30 What makes inter-organizational collaboration work? Panel discussion Moderator Cate Creede, Facilitator, The Potential Group Organizational Provincial Pan-Canadian Student International Lynn Stevenson, Vice President, People, Organizational Development, Practice and Chief Nurse Executive, Vancouver Island Health Authority Jennifer Murdoch, Manager Health Human Resources, Department of Health, Nova Scotia Joseph Gebran, Director of Corporate Services, Canadian Patient Safety Institute Jason Nickerson, President, National Health Sciences Students Association Rita Karakas, Senior Advisor, Office of Development & Alumni Engagement, Centennial College, Toronto, former CEO of Save the Children Canada Group discussion 10:30 10:45 Break

6 PROGRAM 10:45 11:15 Knowledge exchange strategy: A framework for increased, effective collaboration Liz Harrison, Associate Dean Physical Therapy and Interprofessional Health Sciences Education, University of Saskatchewan 11:15 12:15 Knowledge exchange feedback Group discussion 12:15 13:00 Networking lunch 13:00 14:00 What issues can collaborative knowledge exchange address? Small groups 14:00 14:45 Beyond connections: Identifying actions Small groups 14:45 15:00 Break 15:00 15:30 Collaboration and the future of health issues in Canada David Clements, Vice-President, Knowledge Exchange, Canadian Health Services Research Foundation 15:30 15:45 Priority actions: Where to from here? John Gilbert, CIHC Project Lead

7 Speaker Biographies David Clements, MPA Vice-President, Knowledge Exchange Canadian Health Services Research Foundation Phone Web x221 SPEAKERS David Clements has been a key part of the Canadian Health Services Research Foundation s knowledge exchange program since He leads a team responsible for implementing innovative programs that help healthcare managers and policymakers find and use research in their work, as well as disseminating research results. Mr. Clements has a Master s degree in the areas of health policy and public administration, and an undergraduate degree in communications. In addition to his work with national health research agencies, he has held a number of senior communications positions, including as an advisor to staff at the British Columbia Ministry of Health.

8 Cate Creede, MA, PhD SPEAKERS Organizational Practitioner The Potential Group Phone Web Cate is an organizational change and collaborative communications consultant. Her current projects are mainly in the complex network of Toronto area teaching hospitals, working to create more effective interprofessional collaboration. Other clients range from global companies to small grassroots not-for-profit agencies. Cate views her core role as creating meaningful conversations, creating new ways of talking about and framing a group s work that can inspire the entire community. Specific activities range from one-on-one coaching to full system summits. All of her work starts with identifying the strengths within any organization or system and using those to create new possibilities to generate sustainable change. Cate practice is integrated with her academic work. She completed her PhD in Human and Organizational Systems in 2008, and is now working on several research projects. Her other passion is for her work with orphaned and vulnerable children in western Uganda. Cate works mainly in Toronto, but has a growing practice in Seattle and Vancouver. 6

9 Joseph Gebran, MPH, BComm Director of Corporate Services Canadian Patient Safety Institute Phone Web or (toll-free) Cindy Steinkampf SPEAKERS Joseph Gebran has been involved in health care organizations for 20 years. He has a passion for patient safety and quality improvement, and brings a rich understanding of establishing and managing organizations and technologies in health care including new ventures and initiatives such as the Institute of Health Economics, the implementation of Total Quality Management at the University of Alberta Hospitals, and the integration of Telehealth into clinical programs at Capital Health. He works effectively and collaboratively with research and decision maker stakeholder groups. He enjoys rewarding experiences in establishing and managing Corporate Services and research funding processes, and developing partnerships between health care sectors and jurisdictions. Joe is also responsible for corporate wide services for CPSI, including legal and information technology, research grant processes and corporate planning. 7

10 John H. V. Gilbert, PhD, FCAHS SPEAKERS Project Lead Phone Web Dr. John Gilbert is Principal & Professor Emeritus, College of Health Disciplines, UBC. His many honors include a Fulbright Scholarship; a David Ross Research Fellowship; a Medical Research Council Post- Doctoral Scholarship; the Outstanding Alumnus Award of the School of Liberal Arts, Purdue University; a Killam Outstanding Teaching Award and The Distinguished Service Award of the British Columbia Institute of Technology. Dr. Gilbert is Past President, International Association for Interprofessional Education and Practice, and Faculty Advisor, National Health Sciences Student s Association. He serves on Health Canada s Health Education Task Force. He is a member of the Boards of the Michener Institute, Toronto, the BC Health Education Foundation, and the Women s Health Research Institute of B.C. He is Project Lead, the, funded by Health Canada. He serves as Co-Chair of the WHO Study Group on Interprofessional Education & Practice. Dr. Gilbert is a consultant in health education policy. 8

11 Liz Harrison, DPT, BPT, MSc, PhD Associate Dean Physical Therapy and Interprofessional Health Sciences Education Phone Web SPEAKERS Liz Harrison is Professor and Associate Dean at the University of Saskatchewan in the School of Physical Therapy, College of Medicine. Her career has spanned the clinical, academic, and research worlds. She received her physical therapy degrees and post-graduate qualifications from 1976 to 1983; her MSc in 1983, and PhD in Areas of interest include musculo-skeletal health, health care interventions and outcomes, health promotion initiatives in chronic disease, and interprofessional collaboration. Her specialist qualification as a Sports Physical Therapist, has also allowed her to work with athletes from grassroots to elite levels for more than 25 years. Liz has worked with interdisciplinary research teams involving partnerships with various community organizations, government agencies, and health authorities. She was Chair of the Health Services Utilization and Research Commission ( ) and inaugural Chair of the Saskatchewan Health Research Foundation ( ). Since 2005 she has worked collaboratively with provincial, national, and international colleagues in advancing best practices for interprofessional and client/patient centred practice, and has been a member of the Steering Committee since its inception in 2006.

12 Rita karakas SPEAKERS Senior Advisor Office of Development, Centennial College Phone Web x Rita Karakas has more than 20 years of global experience in both the government and non-government sector. An expert in international development and humanitarian service delivery, Ms. Karakas is the former CEO of Save the Children Canada ( ), and has worked extensively with global organizations such as the International Federation of Red Cross Red Crescent Societies, the Australian Government s Aboriginal and Torres Strait Island Council, Oxfam International, the federation of Oxfam Affiliates. She has demonstrated her ability to bring about continual and recognizable transformation at the United Way/Centraide Canada, YWCA of/du Canada, TVOntario, and Oxfam Great Britain. Ms. Karakas has senior level experience in programme and policy design with specialisation in human-rights based programming, including extensive experience in international development and humanitarian service delivery, change management, performance management and innovation systems, learning and development (primarily focused on adult learning). She has specialist professional expertise in the development of performance management systems which promote accountable, effective and collaborative cultures in complex organizations. 10

13 Sandra MAcDonald -Rencz, RN, MED, CHE Executive Director Office of Nursing Policy, Health Canada Phone Web SPEAKERS In her role as executive director, Sandra MacDonald-Rencz participates on a variety of national and international committees such as the International Council of Nurses, the Nursing Sector Study and Health Human Resources Strategy Coordinating Committees and other major working groups concerned with health services, systems knowledge and policy development in order to provide advice and support to the policy work of Health Canada. Sandra has a degree in nursing, a graduate degree in education and is a Certified Health Executive with the Canadian College of Health Service Executives (CCHSE). She has held senior positions with CCHSE, CNA, and the Canadian Council on Health Services Accreditation, and was co-chair of the National Initiative for Telehealth Guidelines (NIFTE). She has also authored several publications on quality and health system evaluation. 11

14 Jennifer Murdoch, RN, MHSc SPEAKERS Manager Health Human Resources Department of Health, Nova Scotia Phone Web Jennifer Murdoch is the Manager of Health Human Resources (HHR) in the Department of Health for the Province of Nova Scotia. Jennifer is also a Registered Nurse and trained midwife. In her role she has helped to position the Department to adopt a strategic, population health needs-based methodology for planning with a focus on education and training, supply and productivity, research, infrastructure and recruitment and retention. Jennifer is the Co-Chair of the Atlantic Advisory Committee for the Health Human Resources (AACHHR) that reports to the four Deputy Ministers of Health and four Deputy Ministers of Education in the Atlantic Region. The overall goal of AACHHR is to enhance intraregional cooperation on issues relating to health human resources. Recognizing her own desire for ongoing professional development, Jennifer embarked on a PhD at Dalhousie University in the Interdisciplinary PhD program in health human resources strategies with an emphasis on system policy and planning using competency based care and interdisciplinary health care teams. 12

15 Jason Nickerson, BHSc, RRT, M A(c) President National Health Sciences Students Association Phone jwnicker@interchange.ubc.ca Web Jason Nickerson is the current president of the National Health Sciences Students Association (NaHSSA), and is a Master s student at the University of British Columbia where he is completing a study to examine the transition from education to practice for students completing a program in interprofessional education. Jason is also an Affiliate Student with the Western Regional Training Centre for Health Services Research. Jason completed his undergraduate training at Dalhousie University, earning a Bachelor of Health Sciences degree in respiratory therapy as well as a specialization in anesthesia and is a current clinician with St. Paul s Hospital in Vancouver, British Columbia. Mr. Nickerson has also served as a medical volunteer with the Ghana Health Service, working in anesthesia at the Cape Coast Regional Hospital in Cape Coast, Ghana. As the current president of the NaHSSA, Jason holds positions with the and the Accreditation of Interprofessional Health Education project of the Association of Faculties of Medicine of Canada. SPEAKERS 13

16 Lynn Ste venson, RN, PHd, fcchse SPEAKERS Vice President, People, Organizational Development, Practice and Chief Nurse Executive, Vancouver Island Health Authority Phone Karen Nash Web Dr. R. Lynn Stevenson, RN, PhD, is Vice-President People, Organizational Development, Practice and Chief Nurse Executive for the Vancouver Island Health Authority. Prior to this appointment she held executive positions in Fraser Health, the British Columbia Cancer Agency and the former Capital Health Region. Lynn holds a PhD in nursing with a focus on organizational change, leadership and practice. She is a Fellow of the Canadian College of Health Service Executives; an EXTRA Fellow and holds Adjunct Professor positions in the Schools of Nursing at the Universities of British Columbia and Victoria. Lynn is involved in many research initiatives, most recently as a core team member on the Canadian Patient Safety Institute research related to safety in community care which builds on her fellowship research. In 2008 she received the National Nursing Leadership Award from the Canadian College of Health Service Executives. 14

17 participating OrganizationS Accreditation Canada Accreditation of Interprofessional Health Education Assembly of First Nations Association des médecins de langue française du Canada Canadian Patient Safety Institute Canadian Public Health Association Canadian Health Services Research Foundation Centennial College PARTICIPANTS Association of Canadian Academic Healthcare Organizations Association of Canadian Universities and Colleges of Canada Canadian Association of Allied Health Programs Canadian Mental Health Initiative Canadian Health Leadership Network Canadian Healthcare Association Canadian Institutes of Health Research Canadian Interprofessional Health Canadian Network of National Associations of Regulators Department of Health, Nova Scotia Emerging Health Leaders Health Action Lobby Health Council of Canada Health Canada Longwoods Publishing Corporation National Health Sciences Students Association Public Health Agency of Canada Quality Worklife Quality Healthcare The Potential Group Vancouver Island Health Authority 15

18 PRE-WORK Pre-Work Responses Accreditation of Interprofessional Health Education Project David Hill, Steering Committee Member Mission/Goal Engage eight accreditation bodies in a process of developing principles/ guidelines for use in formulating standards for interprofessional health education, and create a resource on best practices for program review. Use the principles/guidelines and the best practices resource to begin the process of enhancing accreditation standards and the program review process in the partner organizations. Share knowledge of the value of interprofessional health education and accreditation among a wider audience. Priority Issues Institutional commitment (universities, colleges, health care facilities) to interprofessional educational opportunities; curriculum initiatives in academic programs concerning interprofessional learning; obtaining consensus from accrediting bodies on principles for the accreditation standards to be used for interprofessional health education activities. 16

19 Céline Monette, CEO Association des médecins de langue française du Canada Mission/Goal To be a partner of French physician for innovation and social engagement PRE-WORK Priority Issues Interprofessional knowledge exchange Continuing professional development Research and innovation in knowledge transfer and continuing professional development Partnership strategy 17

20 PRE-WORK Association of Canadian Academic Healthcare Organizations Tina Saryeddine, Assistant Vice President Research and Policy Analysis Mission/Goal The mission of ACAHO is to advance and promote excellence in the delivery of high-quality health services, in the teaching and educational experience of healthcare professionals, and in the health research and innovation enterprise. Priority Issues Role of teaching and research hospitals in generating and disseminating best practices for use across the health-care system New models of care for addressing HHR shortages and improving access and patient flow. 18

21 Association of Universities and Colleges of Canada Dawn Jeffrey, Senior Policy Analyst Mission/Goal The Association of Universities and Colleges of Canada is the voice of Canada s universities. We represent 94 Canadian public and private not-for-profit universities and university-degree level colleges. Since 1911, we have provided strong and effective representation for our members, in Canada and abroad. Our mandate is to facilitate the development of public policy on higher education and to encourage cooperation among universities and governments, industry, communities, and institutions in other countries. We provide services to member universities in three main areas: public policy and advocacy communications, research and information-sharing scholarships and international programs Priority Issues AUCC released the second edition of its flagship publication Momentum: the 2008 report on university research and knowledge mobilization. It provides an in-depth account of Canadian R&D with particular emphasis on the activities of the university sector. It also examines how several drivers of change will impact university research in Canada and internationally in the years to come. The report explores how Canadian universities collaborate with other sectors, looking at the breadth and depth of research partnerships, the mechanisms and programs that support them, and the opportunities and challenges they face and the benefits of these research partnerships. Therefore, we are interested in expanding our knowledge of partnerships and other organizatons experiences, best practices, and challenges. PRE-WORK 19

22 PRE-WORK Canadian Association of Allied Health Programs (CAAHP) Lorie Shekter-Wolfson, President Vision To shape the future of health sciences education within the college and institute system. Mission To be the national voice for health sciences education. Goals To be a forum for collaboration and information exchange amongst institutions involved in health sciences education To profile and promote best practices and innovation within the college and institute system To be an advocate on key issues and trends with government, professional associations and other stakeholders Priority Issues To be connected with all post-secondary institutions and health care sector (key associations) in a meaningful way, in order to ensure better alignment To look and learn from each other to support models of interprofessional education (through sharing research, initiatives, promising practices and competencies) 20

23 Canadian Healthcare Association Pamela Fralick, President & CEO Mission/Goal CHA is the recognized champion for a publicly funded health system that provides access to a continuum of comparable services throughout Canada. It is a leader in developing, and advocating for, health policy solutions that meet the needs of Canadians. PRE-WORK Priority Issues Sustainability of the Health System Governance/Accountability Continuum of health (Prev & Promo) Health Human Resources Patient Safety and quality care QW-QHC (Quality Worklife-Quality Health Care CHLNet (Canadian Health Leadership Network) Home Care Long Term Care Aboriginal health 21

24 PRE-WORK Grace Mickelson, Co-chair, Partnerships & Knowledge Exchange Committee Mission/Goal Provide national leadership in moving health care providers, teams and organizations toward improved collaboration in health care practice. Priority iissues Embed existing knowledge about interprofessional education and collaborative practice in health/education systems. Identify knowledge gaps and develop a research and evaluation agenda that clarifies how IPE and CP can support health system improvement. Collaborate on curriculum development and reform in undergraduate and continuing education programs to improve collaborative practice capabilities. Increase the voice and participation of patient/clients/communities. Advance student leadership. 22

25 Canadian Network of National Associations of Regulators Louise Sweatman, Chair DESCRIPTION Mission/Goal The Canadian Network of National Associations of Regulators (CNNAR) is the federation of national organizations whose provincial and territorial members are identified in legislation as responsible for protection of the public through the self-regulation of professions and occupations. MANDATE CNNAR supports the self-regulation of professions and occupations. This support may be achieved through: 1. facilitating collaboration at the national level amongst members, with federal government, federal agencies, and with other national and international groups, 2. increasing the understanding of the Canadian public, governments and others, of the benefits of self-regulation to Canadians, 3. monitoring and responding to appropriate federal legislation and policies, 4. serving as an information clearinghouse on common issues, and 5. developing and sharing resources PRE-WORK Priority Issues CNNAR is an interprofessional network of national organizations. Collaboration takes place in the form of networking sessions, roundtables on common issues, hosting conferences, inviting guest speakers on topics of mutual interest. Issues of importance are: self-regulation mobility foreign credential and competency assessment national standards, guidelines 23

26 PRE-WORK Canadian Patient Safety Institute Joseph Gebran, Director, Corporate Services Mission/Goal The Canadian Patient Safety Institute (CPSI) was established in 2003 as an independent not-for-profit corporation, operating collaboratively with health professionals and organizations, regulatory bodies and governments to build and advance a safer healthcare system for Canadians. CPSI performs a coordinating and leadership role across health sectors and systems, promotes leading practices and raises awareness with stakeholders, patients and the general public about patient safety. 24 Education Research Priority Issues Patient Safety Competencies Patient Safety Officer Course Governing for Patient Safety Canada s for Patient Safety and Quality Improvement (April 2009 in Toronto) Annual Research Competition Annual Patient Safety Studentships Patient Safety Programs in Non-Acute Settings (Homecare, Long Term Care, Mental Health, EMS, Primary Care) Patient Safety Chair in Community Based Settings - Awarded to Dr. Chaim Bell, U of T (in partnership with CIHR) Research Programs - REISS 2005, 2008, 2009 (in partnership with CHSRF) Programs and Interventions Safer Healthcare Now! Campaign Canada s Hand Hygiene Campaign WHO Patient Safety Solutions and High 5s

27 Tools and Resources Root Cause Analysis Canadian Adverse Event Reporting and Learning System Canadian Medication Incident Reporting and Prevention System Canadian Patient Safety Institute (CPSI) Pierrette Leonard, Senior Advisor - National Partners pleonard@cpsi-icsp.ca PRE-WORK Mission/Goal CPSI performs a coordinating and leadership role across health sectors and systems, promotes leading practices and raises awareness with stakeholders, patients and the general public about patient safety Safety Competencies Simulation Priority Issues 25

28 PRE-WORK Canadian Public Health Association Barbara Foster, Senior Policy Analyst Mission/Goal The Canadian Public Health Association (CPHA) is a national, independent, not-for-profit, voluntary association representing public health in Canada. CPHA s members believe in universal and equitable access to the basic conditions which are necessary to achieve health for all Canadians. Communities of Practice Social Determinants of Health Priority Issues 26

29 The College of Family Physicians of Canada Francine Lemire, Associate Executive Director Professional Affairs Mission/Goal The College of Family Physicians of Canada is a national voluntary organization of family physicians that makes continuing medical education of its members mandatory. The College strives to improve the health of Canadians by promoting high standards of medical education and care in family practice, by contributing to public understanding of healthful living, by supporting ready access to family physician services, and by encouraging research and disseminating knowledge about family medicine. Goals As the voice of family medicine in Canada, The College of Family Physicians of Canada (CFPC) will: Goal #1 champion quality health care for all people in Canada, Goal #2 support its members in providing quality patient care through education, research and the promotion of best practices, Goal #3 ensure that the role of the family physician is well understood and widely valued. Priority Issues Integration of mental health care in family practice-we have focused on the psychiatrist-family physician dyad. How do we successfully integrate other professionals; how do we meaningfully include the patient or client as a full member of the team? Same would apply to other areas of care scope of practice issues: maximizing scope of practice-impact on HHR planning Needs based HHR planning Sustaining and enhancing continuity of care through collaborative approaches PRE-WORK 27

30 PRE-WORK Emerging Health Leaders Emily Gruenwoldt, Founder, Co-Chair (National) Mission/Goal To provide opportunities to support the development of emerging health leaders through the creation of knowledge exchange networks, educational events, mentoring relationships and informed health care and related discussions Priority Issues Establishing a mentorship program to span 3 generations of leaders - students, emerging leaders and established leaders. Expanding our reach to emerging leaders across the country Building a portal for our membership to network with each other online. 28

31 Jeanne Besner, Chair Health Council of Canada Mission/Goal Fosters accountability and transparency by assessing progress in improving the quality, effectiveness and sustainability of the health system. Through insightful monitoring, public reporting and facilitating informed discussion, the Council shines a light on what helps or hinders health care renewal and the well-being of Canadians. PRE-WORK Priority Issues Improvement of primary health care delivery, through use of interprofessional teams; value for money in health care, including more effective/efficient utilization of health care providers. Health Human Resources, Department of Health Nova Scotia Jennifer Murdoch, Health Human Resources Manager Jennifer. Murdoch@gov.ns.ca Mission/Goal To lead the transformation to a sustainable, representative health care system that delivers optimal health options for Nova Scotians HHR Information Systems Models of Care Initiative Basic Workforce Planning Issues Priority Issues 29

32 PRE-WORK Longwoods Publishing Dianne Foster Kent, Editorial Director Mission/Goal Publishing in health services research and policy Priority Issues What are the benefits to the overall system? Policy implications and recommendations? Who s doing it well - why are they succeeding? Lessons and best practice to share with readers, etc. Quality Worklife-Quality Healthcare Eva Szczerba, Executive Director eva.szczerba@qwqhc.ca Mission/Goal The overall goal of the QWQHC is to drive improvements in quality worklife and quality healthcare through building system-wide sustainable engagement, action, accountability and knowledge exchange. Priority Issues Creating linkages with other collaboratives/networks to build on our respective experiences, networks, resources, etc. Supporting frontline organizations in improving quality of worklife Measurement of progress in quality of worklife, which can include interprofessional collaboration as an indicator or desired outcome Enriching our s knowledge and awareness of interprofessional collaboration initiatives and leading practices 30

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