Ontario Wound Interest Group (OntWIG) Framework for an Ontario Wound Care Strategy 24 th October, 2012 Webinar

Ontario Wound Interest Group (OntWIG) Framework for an Ontario Wound Care Strategy 24 th October, 2012 Webinar

Agenda Welcome & Introductions OntWIG: history and accomplishments The Ontario Wound Care Strategic Framework Recommendations Next steps

History 2008: OntWIG started as a Registered Nurses Association of Ontario (RNAO) affiliated Interest Group Unique structure: interdisciplinary health care professionals from all health sectors Majority of membership Nursing with a growing number of OT, PT, Chiropodists

Vision To support Ontarians' right to access to wound prevention and treatment, the Ontario Wound care Interest Group will influence public policy related to uptake and utilization of evidenceinformed practice

Goals Establish a network of inter-professional colleagues from all healthcare sectors interested in wound prevention and treatment Promote evidence-informed practice in wound prevention and treatment across the healthcare continuum by facilitating access to best practice guidelines Support access to timely and appropriate resources necessary for the prevention and treatment of wounds Ensure basic wound prevention and treatment is incorporated into all health care professionals core curricula

Founding Members Laura Teague, RN(EC), MN, NP Karen E. Campbell, RN, PhD Jan Marie Morgan, RN(EC), MScN Rosemary Kohr, RN, PhD Ann-Marie McLaren, DCh, BSc Pod Med, MClSc-WH Valerie Winberg, RN(EC), MN, NP

Current Executive President: Karen Laforet, RN, MClSc-WH, PhD (cand), IIWCC Past President: Laura Teague, RN(EC), MN, NP (PhD (cand) Treasurer: Valerie Winberg RN(EC), MN, NP-PHC, ENC (C), IIWCC Health Policy: Nancy Purdy, RN, PhD Communications: Debra Hanna-Bull, RN, MN, IIWCC Membership: Lyndsay Orr, BScPT, MClSc-WH Interprofessional Membership: Ruth Thompson, DCh, MClSc-WH

Out-going Board Members Elaine Calvert: Communications Nancy Purdy: Policy & Political Action

Objectives for 2009-11 Develop position statements regarding pressure ulcer staging and back-staging Lobby Accreditation Canada to adopt pressure ulcer prevention as a required organizational practice in all sectors Lobby MOH for a provincial wound care and wound prevention strategy

Position statements developed and posted on Website

Resolution RNAO AGM 2011 Pressure Ulcer Prevention WHEREAS one in four people who become institutionalized in the healthcare system develop pressure ulcers resulting in longer treatment times, higher system costs, increased length of hospital stay and decreased quality of life; and WHEREAS sector and geographical disparities exist in access to preventive and curative resources; and WHEREAS there is a current lack of consistency, accuracy and standardization in the staging of pressure ulcers impacts the ability to communicate efficiently between members of the interdisciplinary team as well as across sectors and regions; THEREFORE BE IT RESOLVED that the RNAO advocate to the Ministry of Health and Long Term Care for a comprehensive cross-sector interdisciplinary provincial wound care strategy, inclusive of sector-wide accountability for pressure ulcer prevention.

Accreditation Canada includes pressure ulcer prevention as a Required Organizational Practice ANNOUNCED JANUARY 2012

Annual Symposia Sept. 2009 Sept. 2010 Oct. 2011

Impetus for a Strategic Framework Need for standardized assessment tools across the continuum of care Need for a shareable electronic record Existing data collection tools not be utilized Inequitable access to specialized expertise, equipment and supplies

FRAMEWORK FOR AN ONTARIO WOUND CARE STRATEGY FEWER WOUNDS, FASTER HEALING

Framework Development Team Nancy Purdy Laura Teague Valerie Winberg Debbie Hannah-Bull Elaine Calver RNAO staff members Sara Clemens Josie Santos Kim Jarvie

A Coordinated Pan-provincial Strategy 1. Alignment with Provincial Government Priorities MOHLTC s Excellent Care for All Act (ECFAA) and Quality and Value in Health Care (QVHC) reform 2. Alignment with Other Wound Care Initiatives RNAO BPGs for Risk Assessment and Prevention of Pressure Ulcers; Assessment and Management of Stage I to IV Pressure Ulcers; The Wound Care Institute/Champions Workshop South West Regional Wound Care Framework Initiative North Simcoe Muskoka LHIN Wound Care Strategy

One Vision Fewer wounds: Faster healing Goal 1 Pan-provincial wound care strategy Priorities Access Principles Goal 2 Provincial wound care governing body Information Awareness Integrated Evidencebased Patientcentered Valuebased

One Vision Fewer wounds: Faster healing Two Goals Goal 1 Pan-provincial wound care strategy Priorities Access Principles 1. Pan-provincial Wound Care Strategy Goal 2 Provincial wound care governing body Information Awareness Integrated Evidencebased Patientcentered Valuebased System-level strategy will provide direction and coordinated approach to synchronize local efforts 2. Provincial Wound Care Governing Body A centralized, provincial organizing entity with the necessary resources will better Ontario s wound care from a policy perspective

One Vision Fewer wounds: Faster healing Three Priorities Goal 1 Pan-provincial wound care strategy Goal 2 Provincial wound care governing body Priorities Access Information Awareness Principles Integrated Evidencebased Patientcentered Valuebased 1. Access: People, Processes Products There is uneven access to wound care expertise, knowledge/tools, equipment, and supplies throughout Ontario 2. Information: Collection, Evaluation, Dissemination Standardized wound care services and cost data is lacking 3. Awareness: Patients, Providers, Pubic Wound care consumes close to 50% of all health activity however it is not seen as a major health issue

One Vision Fewer wounds: Faster healing Four Guiding Principles (1) Goal 1 Pan-provincial wound care strategy Goal 2 Provincial wound care governing body Priorities Access Information Awareness Principles Integrated Evidencebased Patientcentered Valuebased 1. Integrated Links between all programs, sectors and regions will serve to prevent duplication of service, optimize existing resources and ensure a seamless ribbon of care for all wound care patients 2. Evidence-based Wound care practice supported by scientific evidence and considered the gold standard in keeping with Excellent Care for All Act s definition and guiding principles

One Vision Fewer wounds: Faster healing Four Guiding Principles (2) Goal 1 Pan-provincial wound care strategy Goal 2 Provincial wound care governing body Priorities Access Information Awareness Principles Integrated Evidencebased Patientcentered Valuebased 3. Patient-Centered Picker s principles of patient-centered care have been adopted to inform the pan-provincial strategy 4. Value-based The Framework s principles and priorities are aligned with Ontario s Quality and Value in Health Care (QVHC) reform initiative

Recommendations Creation of a Provincial Structure Responsible for Provincial Wound Management Oversight 1. Coordination of Wound Care IT and Centralized Knowledge Management 2. Standardized Provincial Performance Measurement 3. Alignment and Collaboration with Provincial and National Organizations & Initiatives

Next Steps Feedback from the membership Survey to obtain commitment to the recommendations discussed today. Inter-professional support Presentation to the Ministry of Health

OntWIG s Framework recognizes that system change is underway across Ontario s health care sectors Our intent is to support this change by making recommendations to the MOHLTC for aligning, unifying and coordinating wound care initiatives across the province

For more information, please visit our website: http://ontwig.rnao.ca THANK YOU!