24. Healthcare organizations of the future and smart healthcare centres (Rapid Fire)
“Who am I? What’s my role?”: Exploring Patient Partnerships in Systems Transformation
This presentation encourages healthcare practitioners and policy makers to explore innovative and creative ways to work in partnership with patients to transform healthcare systems. Drawing on the researcher’s own personal experience navigating the healthcare system and action research with young adults living with cancer, this presentation proposes five practical considerations to meaningfully engage patients as partners to mobilize knowledge, advance patient outcomes, and support healthcare systems transformation. This presentation is aligned with and advances Canada’s Strategy for Patient Oriented Research and supports patient engagement in healthcare research, policy and practice.
Cheryl A Heykoop – Royal Roads University
Electronic Call Schedule
Every hospital needs an on-call physician schedule, traditional paper versions are not an option anymore and in a climate of limited hospital budgets, it is essential to innovate with technologies readily available. Montfort has developed a fully electronic web based on-call schedule where physicians can manage their own on-call shift change and clinic schedules at their fingertip. We used the Microsoft Office 365 to extend existing out-of-the-box capabilities to build a shift management platform and developed a customized solution. Our team created a full suite of Physician scheduling and coordination tools that have a fully mobile experience. We created a solution that manages roughly 550 first-line workers (physicians and learners) on-call schedule and makes it available to the entire hospital workforce. Through creativity from within, we developed a cost-effective and cost-saving innovation, essential to the hospital’s operation.
Guy Moreau – Hôpital Montfort
Strategies to scale-up piloted innovations at the healthcare system level: comparative analysis of eConsult in four Canadian provinces
To learn about challenges and promising strategies to scale-up eConsult currently piloted in 4 provinces. This study fits with the theme of innovations and aligns with LEAD domain of systems transformation. Interviews and focus groups with key stakeholders in 4 provinces to identify challenges and strategies to scaling-up eConsult – a secure online platform connecting primary care providers and specialists. Challenges and potential strategies to continue the scaling-up of eConsult. This project will promote the scaling-up of eConsult and the learning from each jurisdiction’s experience considering that the degree of scaling-up varies across provinces. eConsult has the potential to reform the delivery of care and improve access to care. eConsult pilots have shown it is a promising innovation to achieve better outcomes, however, potential strategies need to be identified in order to promote its scaling-up at the healthcare system level.
Mylaine Breton – Université de Sherbrooke
Give Me Access!
Canadians across the country continue to say they want access to their health information online as well as digital services. In 2018, nearly half of the Canadian population indicated they could currently access at least one such service. We know we are making progress but still have a long way to go, and several barriers sit in the way for scaling digital access across the country. Delegates will hear about the opportunity and efforts to convene interested parties from industry, government, clinicians and consumers to co-design and implement a national platform that eases solution deployment and mitigates integration complexity, giving Canadians coordinated and comprehensive access. This bold move requires leaders to think & behave differently, and take calculated risks. The time has come to shift our existing care models and fully empower Canadians with access to their digital health information, virtual health care tools and services
Cassandra D Frazer – Canada Health Infoway
Leading change in cancer care: collaborative research processes to tailor and field-test a peer-support strategy that promotes shared decision making of Inuit with healthcare providers in decisions about their cancer care
Background Inuit face increased cancer risks and barriers to health service use. Shared decision making (SDM) improves healthcare participation and outcomes. A collaborative research approach engages healthcare stakeholders in research partnerships to co-create evidence that is more patient-centred and likely to be applied. Objective Report on collaborative research to promote SDM with Inuit in cancer care. Method Collaborative study with a team of cancer care organization and academic research partners, Steering committee of Inuit cancer care community and providers. Results Two theory-driven phases: 1 a) SDM strategy tailored for Inuit cancer system users, b) SDM training for Inuit peer support workers developed, c) Inuit peer support workers recruited, trained; 2 d) 5 trained Inuit peer support workers matched to 8 community-members, observation of interactions, e) participants found the strategy useful, applicable.
Janet E Jull – Queens University
Accessible Palliative Care Education: Promoting Care Equity in Rural and Northern Communities
End-of-life care inequities exist in rural and northern communities partially because of limited local professional development opportunities for healthcare providers. Following an instructional design model, Victoria Hospice has designed and delivered a series of blended (online & in-person) courses. Curriculum previously developed was reviewed and adapted considering adult education concepts and strategies – including attention to working memory, levels of cognitive load, and the limits of attention and focus. The blended courses have been delivered four times (two Canadian northern regions), and according to learners, the strengths of the blended program include increased accessibility, students’ ability to pace themselves, and building familiarity with subject matter – allowing for greater engagement in the face-to-face workshops. Enrollment and completion rates reflected the adult-learning pillars of necessity and interest-based selective learning. These findings match the recognized professional development needs of health practitioners for training that is flexible, accessible and delivered in manageable portions.
Helena Daudt – Victoria Hospice