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2012 Program To download the Final Program, click here.
Note: To view presentations, please click on the blue links. *Sessions will be added to this site as they are received and permission is granted. Monday, June 4, 2012
1. Extra interventions - Health system transformation for integrated, patient-centered primary healthcare (Panel) Achieve results
Drawing on their own EXTRA quality improvement interventions, healthcare leaders from the Capital Health District Authority (CHDA) in Nova Scotia will present successful change management practices leading to transformation of a health system toward more integrated and patient-centered primary care services. The CHDA developed its 3E decision framework to ensure an evidence informed approach to service innovation and transformation. Through stakeholder engagement and focused on person centered care, the Primary Care Strategy was developed, fostering collaboration and coordination of healthcare services. This required engagement of different organizations and providers, examination of their relationships and roles, and development of coalitions and networks to promote and establish integrated patient-centered, community and primary healthcare services. Community health indicators were developed to allow for measurement of the effectiveness of the health system at a population level. Development of the evidence-informed indicators required implementation/establishment of a Population Health Committee of the Board, surveying and engagement of stakeholders as well as processes for monitoring and reporting of indicators and results. These presentations will be followed by an interactive discussion on challenges and lessons learned.
Moderator:
Kenneth Baird, CHE - Capital District Health Authority
Panelists:
Kenneth Baird, CHE, Rick Gibson, Lynn Edwards, Shannon Ryan Carson - Capital District Health Authority
Mary Russell, FCCHL - Nova Scotia Department of Health and Wellness
Brendan Carr, CHE - Vancouver Island Health Authority
2. The Mental Health Strategy for Canada: An Agenda for Change(Invited session) System transformation
The mental health system is in need of transformation. The upcoming Mental Health Strategy for Canada sets out an agenda for change. Mary Bartram, Director, Mental Health Strategy with the Mental Health Commission of Canada, will provide an overview of key recommendations, the process of engagement and consensus building that has informed the Strategy, and key challenges and opportunities for its dissemination.
Presenter:
Mary Bartram - Mental Health Commission of Canada
3. Successful strategies and practices (Oral abstract presentations) Achieve results
This session will feature presentations on a strategic human resources plan using the LEADS framework as foundation, a strategy to enhance organization efficiency and support a culture of continuous improvement and customer satisfaction, and the use of Accreditation Canada's governance standards to evaluate and improve board performance.
Kara Kitts, Mary Madigan-Lee, John King, CHE - St. Michael's Hospital
Cathy Hamilton, Asha Chouhan, Sandra Bogle - Ministry of Health and Long-Term Care
Wendy Nicklin, FACHE, CHE, Jonathan Mitchell, CHE, Bernadette MacDonald, Michelle Lee - Accreditation Canada
4. A comprehensive model for medication management for high risk care transitions (Panel) Achieve results
Objective: To demonstrate the benefits of a comprehensive medication reconciliation and management model for complex clients receiving home care services.
Activities, Methods, Innovations: This pharmacist led home visit model improves the communication, medication coordination and follow up by an inter-professional team of health providers for high risk clients at care transitions. Three organizations collaborated on the development of this model. Central CCAC provided case management services, identified high risk clients at hospital discharge, and developed the software to interface with the CCAC's electronic records.
York Central Hospital provided the expert clinical pharmacists to carry out the home based medication reconciliation and medication reviews. The Institute for Safe Medication Practices provided medication quality improvement coaching and clinical medication reconciliation tools to support model alignment with provincial and national medication safety initiatives, such as Safer Healthcare Now, and Accreditation Canada program standards. The key leadership aspects contributing to the success of this model are organizational, clinical, legislative, government funding, and technology development. Results: This innovative model supports medication discrepancy identification and resolution, while engaging clients in managing their medications through education, medication scheduling, follow-up, and improved pain management. While improving the client experience, the model also reduced falls among the elderly, adverse drug events, and ER visits or hospital re-admissions. Conclusions: This program improves client safety, taking an important step toward safe medication use for complex patients moving from one care setting to another. Looking ahead, our aging population will increase the number of patients at high risk transitions. Using these results, we can build health system capacity for medication management at local, national and provincial levels. Moderator:
Dannie Currie, CHE - Canadian Patient Safety Institute
Panelists:
Cathy Szabo, CHE - Central Community Care Access Centre
Altaf Stationwala - York Central Hospital
Marg Colquhoun - ISMP Canada 5. System transformation for improved care (Oral abstract presentations)
System transformation
Presentations in this session will focus on bereavement care best practices implemented by the Victorian Order of Nurses (VON) Yarmouth, a successful model of care for mental health patients with ‘extraordinary needs’ in Ontario and the experiences, success and accomplishments of a provincial hospital formulary in New Brunswick.
Megan Aston - Dalhousie University
Tracy Carr - University of New Brunswick
Ariella Lang - VON Canada
Suzanne d'Entremont - VON Canada Eastern Region
Fabie Duhamel - Université de Montréal
Andrea Fleiszer - McGill University
Andrew Palmer, CHE - Grand River Hospital
Deborah Corring - Regional Mental Health Care
Faith Louis - Horizon Health Network 6. Creative engagement initiatives (Oral abstract presentations) Engage others
This session will highlight an innovative quality and performance improvement plan at Credit Valley Hospital, an online public engagement project at the South East Local Integration Health Integration Network and lessons learned from the Leadership Continuity Plan at Vancouver Island Health Authority.
Michael Heenan, CHE, Rhonda Warrian, CHE, Helen Anderson, Cheryl Hoare - The Credit Valley Hospital
Michael Alexander - South East Local Health Integration Network
Shauna Fenwick, Zoe Macleod, Anne Schultz - Royal Roads University
Karen Pettit, Barb Severyn - Vancouver Island Health Authority
7. Innovative system transformation (Oral abstract presentations) System transformation
This session will feature presentations on a province-wide collaboration initiative in Saskatchewan to build high performing business support functions, innovations at Alberta Health Services, a quality and safety monitoring and improvement system at Providence Care and lessons learned from the transformation of the admission process at Donald Berman Maimonides Geriatric Centre.
Hy P Eliasoph, CHE, Mike Shaw - Healthtech Consultants
Tom Noseworthy - Alberta Health Services
Maureen McGuire, CHE, Kathi Colwell, Kathy Flegg - Providence Care
Linda August, CHE, Lucie Tremblay, CHE - Donald Berman Maimonides Geriatric Centre
8. Perspectives on raising the bar for healthcare governance and leadership in Canada(Panel) Achieve results
In response to changes in the governance landscape and best practices, Accreditation Canada released updated Governance and Leadership Standards and an updated Governance Functioning Tool in September 2011. Marking the end of a year-long revision project, an extensive review of literature was coupled with engagement of senior leaders. Leaders from across Canada participated in the Accreditation Canada Standards Working Group and the national consultation process administered in partnership with the Canadian College of Health Leaders. Wendy Nicklin, President and CEO of Accreditation Canada, will outline how the revised standards support the leaders of Canadian healthcare organizations and governing bodies to meet the growing demand for excellence in governance and leadership practice. Accreditation results of the past two years will be presented across all sectors and from all regions of the country showing that organizations excelling in governance practice perform significantly better in patient safety. Wendy Nicklin will discuss the strengths of some Boards and opportunities for improvement. Ray Racette, President and CEO of the Canadian College of Health Leaders, will outline how LEADS in a Caring Environment, a Leadership Capability Framework, has brought about changes to the Leadership and Governance standards for Canadian healthcare organizations. LEADS strengthens healthcare leadership capacity through identification of key skills, abilities, behaviours and knowledge required for health leaders at all organizational levels. Tom Philpott, Executive Director of the Community for Excellence in Health Governance (CEHG), will present on why the governance standards are important, referencing specific standards, as well as lessons from government inquiries and current trends. He will also discuss the importance of continuous learning, through both formal education as well as from peers. Participant perspectives will be welcomed in discussion with the panelists.
Moderator:
Bernadette MacDonald - Accreditation Canada
Panelists:
Wendy Nicklin, CHE, FACHE - Accreditation Canada
Ray Racette, CHE - Canadian College of Health Leaders
Thomas Philpott, CHE - The Community for Excellence in Health Governance 9. Purpose is the invisible leader(Panel) System transformation
Public Health in Nova Scotia has a ten-year blueprint for the future. Our first challenge was to articulate and be guided by a collective vision for the public health system.
We initiated a process that would catapult us into a new beginning, an approach that would foster leadership and innovation, demand the collective intelligence of all stakeholders, and take into account the complexity of public health. Using Theory U, an innovative yet sensible process for collectively creating solutions to complex problems in order to foster profound systemic change, we found a way to come together as stakeholders, public health workers and partners to co-create the kind of change the system requires. A core team of public health practitioners and partners set out to explore the current state of the public health system from various points of view to better understand what is needed from public health. This work provided rich information and insights. We heard some very hard things, some conflicting things, and some things that need attention. We shared these learnings with stakeholders, sought validation for what we had heard, and began to define areas where, if we put our attention, focus and resources, we could have a huge impact on the health of Nova Scotians into the future. Then we gathered as leaders to internalize our learning, consider our roles within the wider system, and brainstorm and agree on a number of interventions. We have articulated a common vision and made a commitment to public health's future through our purpose, participatory leadership, relationships, core functions, competencies and standards. Our transformation requires whole-system thinking, is focused on successes, seeks innovation, and is forward-looking and action-oriented Moderator:
Holly Gillis - Public Health, Capital Health
Panelists:
Kim Barro - Public Health, Capital Health
Janet Braunstein-Moody - Nova Scotia Department of Health and Wellness
Melanie Newell - Public Health, South Shore Health
Carol MacKinnon - Annapolis Valley Health, South Shore Health and South West Health
10. Healthcare by design: Innovation through design thinking – Part 1 (Workshop) System transformation
Why is the Mayo Clinic, one of the most innovative hospitals in the world, now instituting yearly conferences (Transform 2011: designing solutions - inspiring health) focusing on design thinking? Why is the largest healthcare organization in the United States, Kaiser Permanente now applying design thinking to every aspect of their operations (Total Health)? They are doing it because healthcare organizations are seeing the value of taking lessons learned from the world of design and applying it to the world of healthcare. From medical records to medication administration to patient experience and employee satisfaction, health systems are recognizing that design thinking can be a valuable mental process in promoting innovation, teamwork and a human centered organization.
Originally design thinking was a term that was coined for product designers and specialists to develop innovative consumer products. But today, with products being defined as experiences, other professions are using the design thinking approach as a way to help drive innovations around designing better customer/user/patient experiences. In this workshop, participants are going to learn how design thinking can be used as a creative problem-solving approach that goes beyond process analysis or quality improvement to address the overall healthcare experience and delivery. Through a series of design exercises using design thinking methods such as ethnographic and observational techniques, visualization, prototyping, storytelling, and brainstorming, participants working in teams are going explore ways to improve facilities, services and experiences. The objective of this workshop is to:
Presenter:
Glen Hougan - NSCAD University / Wellspan Research and Design
11. People first: Stay at work, return to work re-design - Lessons learned in a BC pilot project at Vancouver Coastal Health (VCH)(Panel) Develop coalitions
At the conclusion of this presentation participants will understand the key elements of an innovative disability management project, the benefits and unintended consequences of that project and how applying a project management approach led to greater collaboration and enhanced outcomes. Beginning in Feb. 2009 VCH negotiated Letters of Understanding with our 3 major union partners to move disability management services in house from a third party provider. Early results were very encouraging with projected cost savings of $17.6 million over 10 years and the lowest incidence of new LTD claims for Nurses in the province. Unintended consequences were a 300% increase in volume of work, poor quality data, significant customer service complaints from unions, managers and staff, focus on early intervention to the detriment of other issues (WSBC, LTD, DTA) and lack of collaboration between Disability Management staff and their counterparts in Labour Relations. VCH applied a project management approach to these issues and focused on supporting injured and/or ill workers to return or stay at work through a number of interventions including; transitional work, modified work, accommodation into own or other job. This work engaged a multi-disciplinary team including support from LEAN transformation services to achieve optimal outcomes while maintaining productivity gains. This project produced significant changes in how the work was tracked, defined and allocated resulting in improved outcomes while continuing to maintain and enhance gains, both human and financial, of decreasing the incidence of needless work disability.
Panelists:
Catherine Fast, Judy Doyle - Vancouver Coastal Health 12. Shared care: Specialist support for community-based patients - Doing more for less(Workshop) System transformation
Pressures and increasing challenges on the health care system call for transformation and system redesign. Shared care models present opportunities for collaborative and innovative solutions allowing the patient to benefit from specialist expertise in "real time" while maintaining the benefit of continuity of care from their family physicians (FPs). This workshop highlights methods to identify FP needs, engage physicians/administrators in dialogue, develop tools and collaborate on shared care.
In 2010 Providence Health Care partnered with the Shared Care Committee and Vancouver Coastal Health to facilitate collaboration with specialists and FPs to transform care for patients with complex chronic conditions. This initiative facilitates interaction between FPs and specialists to develop and implement tools and processes to streamline care for this patient group. The initiative aims to increase access to specialists through telephone advice prototypes, expedited referral and re-referral processes, with a focus on improving communication, knowledge translation and role clarification. A team of specialists, FPs, patients, clinical/admin leaders, and quality and change specialists was created to address the identified areas of work. Prototypes were developed using the "PDSA" model for improvement. While prototypes were designed to address the urban environment, the objective was to develop strategies to scale throughout BC in differing medical contexts. Guided by The Institute for Healthcare Improvement's "Triple Aim", evaluation of the work was performed using qualitative/quantitative measures. Initial findings indicate broad uptake of prototypes with the avoidance of unnecessary consults and ER visits. This panel will enable learners to:
Moderator:
David Thompson, CHE - Providence Health Care
Panelists:
Garey Mazowita, Margot Wilson, CHE, Bob Levy - Providence Health Care
Clay Barber - Shared Care Committee 13. Engagement - Networks, partnerships and collaborative (Oral abstract presentations) Engage others
This session will feature presentations on family physician networks in Nova Scotia, successful strategies in physician engagement at the Jim Pattison Outpatient Care and Surgery Centre and lessons learned from the BC Rural Collaborative governance framework.
Rick Gibson, Kim Peterson - Capital Health
Allan Holmes, Lisa Chu, CHE - Jim Pattison Outpatient Care and Surgery Centre, Fraser Health Authority
Caroline Rafferty - GE Healthcare
Donna Lommer - Interior Health
Jane Lindstrom - Northern Health Authority
14. Leadership development challenges (Oral abstract presentations) Lead self Presentations in this session will highlight a study on transparent leadership at Capital District Health Authority, the results of an action research study on leadership development for managers in Ontario hospitals and the courage required to be a senior leader in today’s healthcare organizations.
Ashwin Kutty - Capital District Health Authority
Cyndi Gilmer - Trent Fleming School of Nursing
Marcy Saxe-Braithwaite, CHE - Western Management Consultants
David Keselman, CHE - Stanton Territorial Health Authority
15. System transformation - Sustainability (Oral abstract presentations)
System transformation
This session will feature presentations on the success of the Canadian Blood Services’ transformation; an analysis initiative at St. Joseph’s Health Centre is linking quality improvement activities to achieve organizational goals and a unique model for care delivery at McGill University Health Centre.
Graham Sher - Canadian Blood Services
Ivan Yuen - St. Joseph's Health Centre
Susan Drouin - McGill University Health Centre
Paula Rozanski, CHE - Saint-Thomas Health Centre
16. Services de santé en français - Qualité et sécurité (French oral abstract presentations) Achieve results/Develop coalitions Cette séance traitera de la formation sur l’aphabétisme en matière de santé, le besoin de services de santé en français partout au pays et l’amélioration de la qualité de vie des adultes d’expression française en perte d’autonomie dans la région de Toronto.
Nathalie Boivin - Université de Moncton
Colette Rivet - Société Santé en français
Monique Charron, Gérard Parent - Les Centres d'Accueil Héritage
17. Leadership and health system reform: A progress report (Invited) System transformation
This concurrent session will review the genesis of this unique approach to bringing senior decision-makers together with applied health service researchers to better understand the role of leadership in effecting health systems redesign. The session will describe: the research method being used to study complex adaptive systems (i.e. Participatory Action Research in case settings); the challenge of developing large networks of researchers and senior decision makers across Canada; a process of selecting five regional case studies and a national case study; and assess some of the preliminary empirical results from the regional and national case studies. Finally, the session will outline the next steps for the project, including planned knowledge translation and mobilization initiatives.
Presenters: Dr. Graham Dickson - Leadership & Learning Collaboratory/Royal Roads University
Bill Tholl - Canadian Health Leadership Network
Select members of the Partnerships for Health System Improvement (PHSI) research collaborative.
18. Healthcare by design: Innovation through design thinking - Part 2 (Invited) System transformation Why is the Mayo Clinic, one of the most innovative hospitals in the world, now instituting yearly conferences (Transform 2011: designing solutions - inspiring health) focusing on design thinking? Why is the largest healthcare organization in the United States, Kaiser Permanente now applying design thinking to every aspect of their operations (Total Health)? They are doing it because healthcare organizations are seeing the value of taking lessons learned from the world of design and applying it to the world of healthcare. From medical records to medication administration to patient experience and employee satisfaction, health systems are recognizing that design thinking can be a valuable mental process in promoting innovation, teamwork and a human centered organization.
Originally design thinking was a term that was coined for product designers and specialists to develop innovative consumer products. But today, with products being defined as experiences, other professions are using the design thinking approach as a way to help drive innovations around designing better customer/user/patient experiences. In this workshop participants are going to learn how design thinking can be used as a creative problem-solving approach that goes beyond process analysis or quality improvement to address the overall healthcare experience and delivery. Through a series of design exercises using design thinking methods such as ethnographic and observational techniques, visualization, prototyping, storytelling, and brainstorming, participants working in teams are going explore ways to improve facilities, services and experiences. The objective of this workshop is to:
Presenter:
Glen Hougan - NSCAD University / Wellspan Research and Design Tuesday, June 5, 2012 19. Health leaders coaches' corner (Invited) Lead self (Pre-registration only)
Take your leadership to the next level. Come and speak with leaders from across Canada in an intimate setting. Hear their stories, ask questions and gain valuable advice. Leaders of health regions, hospitals, private sector and community organizations, from coast to coast, will be available to provide armchair coaching in relaxed surroundings.
This session is ideal for emerging, mid-career or senior leaders, looking for advice and feedback from some of Canada’s most respected health leaders. Delegates must pre-register for this session by emailing Mr. Colin Stevenson, Vice President, Operations, Colchester East Hants Health Authority at: colin.stevenson@cehha.nshealth.ca. Please indicate in your email the top three coaches you’d like the opportunity to connect with. Please pre-register by Friday, May 18th at noon Atlantic Time. Space is limited. Confirmed registrants will meet with their coach(es) for 10 minutes each. Depending on the responses, we may be able to schedule you to see more than one coach. The final coaching schedule will be sent out to delegates closer to the event date. For a list of coach biographies, CLICK HERE. Joseph Byrne Dr. Brendan S.J. Carr, CHE Patricia Conrad S. Kevin Empey, CHE Stephen Gould Jim Hornell Donald W. M. Juzwishin, CHE Kenneth McGeorge, CHE Ronnie Miller Brian K. O’Rourke Christine A. Power, CHE Kenneth P. Tremblay, CHE Howard B. Waldner, CHE Pamela Winsor Robert Zed
Sponsored by: 20. Seniors quality leap initiative, About CIHI(Panel) Achieve results There has been a heightened interest in quality and safety in all health provider organizations across North America. In spite of this, there has been relatively little attention paid to benchmarking seniors care organizations across geographical jurisdictions on their quality and safety performance.
The SQLI was formed in 2011 by some of North America's leading long term care providers to engage with each other in a novel, collaborative effort to drive improvements in clinical quality and safety as they relate to the quality of life of seniors. This will be accomplished through the sharing of performance data and the results of specific related quality improvement initiatives, as well as through collaborative projects. This Canada-US collaborative is unique in that it addresses seniors quality issues from a strategic perspective. The work is being designed to align organizations from the board to the front lines, with particular attention being paid to ensuring the work is considered relevant and engaging to clinicians and front-line staff. The initial participation in this initiative is three years, beginning with facilities-based seniors' care; with the possibility to extend it further to improve quality across the whole continuum of seniors' care. The collaborative is: 1. Developing a Quality Report Card for long term care providers based on the common quality of life indicators it will develop. The panel will present on the origins of the collaborative, explain the need and rationale for it, and provide a vision of how it could evolve and explore some of the challenges and benefits of this collaborative. Moderator:
Thomas Philpott, CHE - Community for Excellence in Health Governance
Panelists:
Rhonda Schwartz - Baycrest
Natalie Damiano - Canadian Institute for Health Information
21. Engagement within organizations (Oral abstract presentations) Engage others
This session will feature presentations on creating opportunities for development and growth for emerging leaders, an approach to engagement in the wake of the Cameron Inquiry at Eastern Health and the use of the ACE model for engaging and retaining emerging leaders.
Jocelyn Bennett, Jody Tone, William Mundle, Nadine Laidley - Mount Sinai Hospital
Katherine Chubbs, CHE - Eastern Health
Emily Gruenwoldt Carkner - Canadian Medical Association
Adrienne Hagen Lyster - Saskatchewan Health
22. Improving client/patient experiences (Oral abstract presentations) System transformation
Presentations in this session will highlight the introduction of a new vision to create positive client experiences at Saint Elizabeth Healthcare, the creation of an urgent care centre in Dartmouth and the Canadian Institute for Health Information Customer Strategy to improve the customer experience.
Helene Lacroix, Susan Walsh - Saint Elizabeth Health Care
Graeme Kohler, Rick Gibson - Capital District Health Authority
Anne Cochrane - Canadian Institute for Health Information
23. Achieve results (Oral abstract presentations) Achieve results
This session will feature presentations on VONs’ care efficient and cost efficient Symptom Relief Kit, an innovative model of shared care and a review of the principals of Rapid Cycle Improvement to reduce ordering of diagnostic services.
Suzanne d'Entremont - VON Canada
Margot Wilson, CHE, Robert D Levy, Garey Mazowita, David Thompson, CHE, Andrew Ignaszewski, Sandra Barr, CHE - Providence Health Care
Clay Barber – Shared Care Committee Scott Lear, Yuriko Araki – Simon Fraser University Carole Gillam – Vancouver Coastal Health Phillip Morehouse - Cape Breton District Health Authority
24. Partnerships and collaboration (Oral abstract presentations) Develop coalitions
Presentations in this session will focus on the integration of education and research into clinical practice, a collaborative to create a unique recovery service for individuals with severe mental illnesses and an initiative to improve First Nations’ access to population health information.
Olusegun Famure, CHE, Anna Li, Heather Ross, Joseph Kim - University Health Network
Dorothy Edem - Capital District Health Authority
Sharon Rudderham - Eskasoni Health Centre
25. System transformation (Oral abstract presentations) System transformation Participate in this session to learn about the Centre for Addiction and Mental Health Clinical Information Transformation project, the use of LEADS to improve healthcare delivery for seniors with mental illness, lessons learned from Nova Scotia’s Building a Better Tomorrow Together (BBTT) program and New Brunswick’s proactive approach to employee wellness and health risk prevention.
Mary Sanagan - Deloitte
Karen Martin - Centre for Addiction and Mental Health
Judy Chisholm - Nova Scotia Department of Health and Wellness
Gerard Murphy - Barefoot Facilitation Inc
Tricia Cochrane, CHE - Annapolis Valley District Health Authority
26. Redefine. Rebuild. Reconnect: Changing our picture of health (Workshop) Engage others
The Population Health Working Group of South Shore Health, South West Health and Annapolis Valley Health worked with Journeyman Film Company to produce Redefine. Rebuild. Reconnect: Changing our Picture of Health. This film uses real stories from Nova Scotians - citizens and healthcare workers alike - and asks its audience to think more broadly about health and the part we all play in our picture of health. The three stories cover the lifespan - a child, an adult, and a senior.
The project includes not only a video, but a supporting website, facilitation tools, and key documents. The materials were created to be shared within the healthcare system, with community partners, education institutions, and the public. The tools can be used to generate discussions that can lead to development of new policies, approaches, and laws that work to improve the health of the public in a variety of settings. Changing our Picture of Health fits all five of the LEADS categories: lead self, engage others, achieve results, develop coalitions, and system transformation. This highly interactive workshop is targeted at emerging leaders and middle management but is relevant to all participants. The purpose and objectives are to introduce the video, demonstrate the facilitation tools, and initiate conversations about implementing a population health approach in participants' organizations. Participants will receive a copy of the video and access to the accompanying tools. Presenters:
Deanna Beck - Annapolis Valley District Health Authority Melanie Newell - South Shore District Health Authority Michelle Helliwell - South Shore Health, South West Health, Annapolis Valley Health
27. Mobilizing community volunteers to deliver key programs that fill gaps in the healthcare system (Panel) Engage others
See below for presentations.
The objective of this presentation is to share with CEOs and senior executives information on how to mobilize their communities to take concrete action. The presentation will review the process and results of a project in South Georgian Bay that has engaged community residents to enable frail seniors to stay at home by returning to a village mentality where neighbours and friends look after each other with formal healthcare services augmenting those being provided by the community. Based on the results of this project to date, South Georgian Bay has been selected as a finalist to become “the” model community for Ontario. Leaders from the local healthcare institutions have worked together and successfully engaged seniors, caregivers, volunteers and providers to identify and then deliver tangible and needed services to their community. It took only two months from the time the community came together to identify the most important priorities to the time the first clients were seen - all three programs are now in place and completely run by volunteers - there are no paid positions. The program is now working to expand in both scope and depth to look at not just volunteer services but to improve patient and caregiver experiences throughout the continuum of care including the volunteer services. Both organizations and residents are actively inquiring about becoming involved and unsolicited donations are starting to be received. The presentation will include a description of the strategies that were used to initially engage the community, the governance structures that enabled the programs to evolve organically based on patient needs, how momentum was built with funding bodies, and what is being put in place to ensure sustainability. Participants will learn how partner with patients and residents to deliver pragmatic results without setting unrealistic expectations. The presentation will describe both the successes and some of the challenges that were experienced. They will also learn how to manage the growth of these new programs and integrate them with services already provided. The presentation will also include the best practice evidence regarding how to engage community support and how South Georgian Bay put this evidence into practice. Finally, the panel will discuss what happened, why it was successful, and lessons learned. Moderator:
Anne McGuire, CHE - IWK Health Centre
Panelists:
28. Heroics and habits: Exploring the use of a LEAN management system in healthcare (Panel) System transformation Often promoted to management positions based on their ability to get the job done, healthcare leaders excel in fighting fires, managing crises and fast-paced problem solving. In the midst of dwindling resources and increasing acuity and complexity, healthcare "heroes" continue to rise to the occasion. However, is this type of crisis management and fire fighting approach sustainable? Will it continue to retain and attract the best and the brightest? An alternative, or at least complementary, approach is the application of a LEAN management system. According to David Mann, author of Creating a LEAN Culture (2010, 2nd ed.), a LEAN management system includes four main elements: leader standard work, visual controls, daily accountability, and leadership discipline. Furthermore, it is a "structure and routine that helps leaders shift from a sole focus on results to a dual focus on process plus results" (Mann, p. 37). Unlike a fire-fighting approach, a LEAN management system provides a routine structure for solving problems and making improvements on a continuous, daily basis. Two health authorities in British Columbia, Vancouver Coastal Health (VCH) and Provincial Health Services Authority (PHSA), have recently developed and piloted programs for LEAN management and are seeing valuable results. The objective of this panel presentation is to explore the application of LEAN management in healthcare and, more specifically, the experiences at VCH and PHSA. Specific examples of tools and practices will be provided such as improvement huddles with front line staff, routine gemba ("go and see") walks, and daily checklists that are used to monitor, measure and sustain LEAN processes and operations. The format of the panel discussion will include a brief presentation on several foundational principles of a LEAN management system, followed by actual examples and lessons learned. A structured discussion also will be held to address implications for healthcare.
Moderator:
Cindy Priddy - Vancouver Coastal Health
Panelists:
Cindy Priddy - Vancouver Coastal Health
Margaret Seppelt - Provincial Health Services Authority
29. Roles for health-system governors in leading innovation (Workshop) System transformation
Conventional health organization governance models emphasize a mentality of conformance - whether to financial, regulatory, or board-policy requirements. This comes at a cost; innovation is seldom given the due consideration that our health system needs.
This workshop will explore the health-system governance needs in three areas: policy innovation, service innovation, and market innovation. Examples from government, business, and literature will supplement the workshop discussion. The workshop will demonstrate techniques for identifying innovation priorities and for measuring governance effectiveness in leading innovation. Current research from national and international sources will be provided. Presenter:
Matthew Lister - Practicalignment Incorporated
This workshop will share and discuss the results of a recent study conducted in partnership with the Canadian College of Health Leaders (CCHL) and Canadian Home Care Association (CHCA) which determined health leaders' views on the necessary skills, competencies and education required for successful leadership within various healthcare sectors. There is a great deal of focus on healthcare leadership but little research is available about leadership development in healthcare organizations. While the core leadership functions are similar throughout the healthcare subsectors, some researchers argue that leading in the community is different due to its diverse operational characteristics. Intuitively, it is believed community health leadership requires different skills set than leadership in the hospital subsector. However, the survey results indicate that the views of health leaders on the necessary skills, competencies and education are similar regardless of their subsector of employment.
The workshop will be conducted in two parts. The research team will present the results of the survey during the first part of the workshop and compare the views of health leaders in the community and hospital subsectors. An open discussion of the results will follow in which participants will be able to provide their views on the results of the study. The open discussion will assist the research team to interpret results and to inform the next stage of the research project. Results may significantly contribute to ongoing curriculum development and review in health administration educational programs. Presenters:
Olena Kapral - University of Ottawa
Brenda J Gamble - University of Ontario Institute of Technology |
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