Transcript Click to add title - Change Foundation

Community Engagement
A South East LHIN Perspective
The Change Foundation Event
March 11, 2009, Toronto
Paul Huras, CEO SE LHIN
Points to Be Covered
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Mandates of LHINs
LHIN Community Engagement Opportunities
The Need to be Expert
Local Health System Planning
Examples of Approaches for CE by SE LHIN
Some Specific Examples of CE in SE LHIN
Fallacy of Town Hall Meetings
Summary
Mandates of LHINs
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Community Engagement
Integration
Local Health System Planning
System Management
• Accountability Agreements (MLAA,
H-SAA, M-SAA)
• Performance Measurement and Reporting
• Funding Local Health System
LHIN Community Engagement Opportunities
LHINs need to incorporate Community
Engagement in:
• Collaborative Governance
• Local Health System Planning (i.e. IHSP)
• Integration Decisions
• Reporting on Performance
• Policy Advice
The Need to be Expert
• LHINs are not expert in Community
Engagement, yet
• But we need to and will become expert in
Community Engagement
• We need to understand theory (add to the
science)
• We need for use: tested, reliable and valid,
and easily managed tools/techniques
• We need to try, learn, share, publish
Local Health System Planning
Integrated Health Services Plans and Integration
Decisions
• Quantitative Analysis
• Population projections, Utilization Analysis,
Demand Forecasts, Capacity Inventory and
Assessment,
• Qualitative Analysis
• Scenario Planning
• New Ideas
• What’s working well, what could be improved,
what new services could be added
• Should decisions proceed
Examples of Approaches of CE by SE LHIN
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Expert Panels
Focus Groups
Telephone Surveys
Open Houses
Electronic Panels
Web based survey
Web alerts
Citizens Assemblies
Others and combinations
Some Specific Examples of the SE LHIN
Community Engagement Activities
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First IHSP
• 109 meetings, in 22 communities, in 6 weeks
Collaborative Governance Sessions
• Two series of five Governance sessions
across the LHIN
Visioning Exercise
• Citizen’s Assembly - modified
Second IHSP
• Citizen’s Panel - modified
HEALTH SERVICE PROVIDERS across the South East LHIN
(main administrative offices and major satellite sites)
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A Current Example
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IHSP – 2009
Quantitative - ReCAP (Regional Capacity, Assessment and
Projections) – large Southern geography, 500,000 people, 124
HSPs
Qualitative
• Engage – 100 providers – scenario planning about ReCAP
• Citizen’s Panel – 5000 random sample of SE invited to spend
3 Saturdays -> random draw -> 36
• 36 diverse members of public from across SE
• Context, last IHSP priorities, new Provincial priorities, newly
generated priorities
• Large public meeting – Dr. Brian Goldman
• Open House meetings in each of our 15 sub- LHIN areas
• Media exposure, public input
The Fallacy of Town Hall Meetings
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“Town Hall Meetings” (THM) have often been the fall
back approach for community engagement
THMs usually evoke strong emotions which tend to
stifle contrary views
Often a vote is held, which can only be interpreted to
represent the position of those in attendance
If is difficult to infer any comments from THMs to the
general public
Lack any form of rigor
Requires strong/expert facilitation with a clear agenda
Summary
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Community Engagement is about listening.
It about being confident enough to hear input
that could change your ideas, thoughts & plans.
It is about meaningful discussion.
It is about ensuring that others perceive they are
being heard, and that they are heard.
It can provide new insight.
It can provide advice which influences decisions.
It does not replace the decision maker’s role to
make the decision.