Transcript Slide 1

Regional Workshops
Enhancing Interdisciplinary
Collaboration in Primary Health Care (EICP)
Initiative
Canadians Expect…
• Access to services 24 hours a day/seven days a
week
• Services delivered in community non-hospital
settings
• More emphasis on prevention and health
promotion
• Better continuity of care and chronic disease
management
www.eicp-acis.ca
Working together…
Canadian Coalition on Enhancing Preventative Practices
of Health Professionals
www.eicp-acis.ca
EICP Background
• $6.5M Contribution Agreement from
Health Canada (PHCTF) with 10 National
Health Care Associations to Support
Change Process
• Defined: Primary Health Care,
Interdisciplinary Collaboration
• Principles and Framework, How to Tool Kit
• Research, Consultations, Interactive
Website
• 16 Regional Consultations in September
www.eicp-acis.ca
EICP Objectives
• To develop a set of Guiding Principles and
a Framework to enhance interdisciplinary
collaboration in Primary Health Care (PHC)
• To have the Principles and Framework
broadly supported by PHC practitioners, as
evidenced through ratification by the
national organizations; and
• To support the national organizations and
other stakeholders in the implementation of
the Principles and Framework
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Introductions at your Tables
• Your name
• Practice/professiona
l/work setting
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Regional Workshop Objectives
• To provide context for the EICP Initiative;
• To provide an update on the EICP research on
interdisciplinary collaboration;
• To review and validate the principles of
interdisciplinary collaboration developed thus
far;
• To review and confirm the desirable future for
interdisciplinary collaboration in Primary Health
Care in 2015;
• To discuss the challenges and opportunities for
supporting interdisciplinary collaboration; and
• Identify directions for interdisciplinary
collaboration in Primary Health Care.
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Expectations
My principal objective for this
session is…
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Agenda for the Workshop
Morning
• Introductions and
Context For Day
• EICP Research
Update and
Discussion
• Primary Health Care
And Interdisciplinary
Principles in 2015
www.eicp-acis.ca
Afternoon
• Challenges To The
Future
• Moving Toward The
Future- Developing
Directions (Framework
Elements) For
Interdisciplinary
Collaboration In Primary
Health Care
• Next Steps
All I Really Needed to Know – I
Learned in Kindergarten
R. Fulghum
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Share everything
Play fair
Don’t hit
Put things back
Say sorry when you
hurt someone
• Clean up your own
mess
• Flush
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• When you go out in
the world, watch out
for traffic, hold hands
and stick together
Research Dialogue
• What parts of the research in the Regional
Workshop Snapshot really caught your
attention?
• What parts of the research snapshot excited
you?
• What parts of the research snapshot left you
with questions?
• What major themes did you draw from this
research snapshot?
www.eicp-acis.ca
Conceptual Framework
Definition, objectives,
examples in Canada, costeffectiveness, impact on
patient/client outcomes.
Policy
Context
Population health,
public access to PHC
services, public
perception of IDC and
PHC.
Individuals
& Families
Public Health
&
Social Context
www.eicp-acis.ca
PHC structures,
providers’ payment
mechanisms, liability and
regulatory frameworks,
PHC reform.
Individual
Providers &
Health Service
Organizations
Attitudes and
perceptions, quality of
life, job satisfaction,
continuing education,
operational issues.
Objectives for Research Update
• Describe health professional consultation
analysis
• Describe patient/client consultation analysis
• Explain research reports
• Discuss workbook analysis
• Explain on-line survey
• Discuss integration of research into EICP
initiative
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Desirable Future
From National Synopsis (Provider Consultations):
• Timely and appropriate treatment
• Multiple points of entry into the ‘system’
• Recognition of the ‘patient’ as part of the PHC team
• Adequate resources to deliver services
• Equitable sharing of responsibility and liability
• Sustainable funding
• Increased focus on health promotion and prevention
• Single, confidential, accessible health record
• Providers skill and services utilized appropriately
• Population health focus with targeted outcomes
• Grassroots approach to reform
• Support for the administrative components
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Principles of IDC
From consultations/reports/workbook and literature:
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Defined visionary leadership and coordination
Client centered focus
Accountability and responsibility delineated
Team ‘skills’/Communication soft skills
Effective education and professional development
Holistic care
Appropriate professional
24/7 access
Evidence based
Professional trust and respect
Health promotion/population health approach
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Framework - Challenges
• From consultations/reports/workbook and literature:
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Leadership from national associations and government
Organizational structure
Education
Communication ‘soft skills’
Human resources and technology
Respect
Power issues/Turf wars
Inexperience
Scope of practice/ Liability and regulatory issues
Accessibility
Time management
Population health approach to funding
Demonstration projects to build evidence
Social and cultural elements
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National ConsultationsWorkbook
Common Themes:
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Increased effectiveness
Increased satisfaction
Improved quality of care
Increased awareness and understanding
Allows for a more holistic outlook
• Increased health promotion and prevention
• Understanding of professional expertise
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Research Report - Highlights
A definition of interdisciplinary collaboration needs
to recognize the centrality of :
• Optimum involvement of the client and his/her
family;
• Multi-faceted strategy to ensure quality of care and
client/community responsibility for health;
• Support and structures to implement and maintain
interdisciplinary collaboration;
• Training for health care providers to learn about
collaboration;
• Ongoing assessment to learn about what works
and ensure that future work builds on lessons
learned.
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On-line Survey Update
• Two on-line surveys (providers and public)
– Provider – from EICP Workbook (merged and
simplified)
– Public – same as the consultation
questionnaire – questions simplified
• Live = Nov 04
• Will continue until ~ Feb 05
• To validate other research data
• Proactive Communication Strategy
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Integration of Research Data
• The research data is used to drive/support the
consultation and change management
process
• The ongoing consultations are part of the
research (participatory action research)
• The research data and analysis is an enabler
for the dialogue that takes place
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Research Dialogue
• What parts of the research in the Regional
Workshop Snapshot really caught your
attention/excited you?
• What parts of the research snapshot left you
with questions?
• What major themes did you draw from this
research snapshot?
www.eicp-acis.ca
Next Steps
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Disseminate research reports
Regional Workshops (Nov/Dec 04)
Report from Regional Workshops (mid-Dec)
Continue analysis of research data
Barriers and Facilitators Focus Groups (Jan 05)
Regional Workshops 2005
Principles and Framework – ratified May 05
Development of ‘toolkit’
www.eicp-acis.ca
www.eicp-acis.ca
Primary Health Care and
Interdisciplinary Principles 2015
• To review and validate the principles of
interdisciplinary collaboration developed
thus far and
• To review and confirm the desirable future
for interdisciplinary collaboration in Primary
Health Care in 2015.
www.eicp-acis.ca
Primary Health Care and
Interdisciplinary Principles 2015
"Creating a positive future begins in human
conversation. The simplest and most powerful
investment any member of a community or an
organization may make in renewal is to begin
talking with other people as though the
answers mattered."
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Review of the Principles and
Desirable Future
• Three rounds of
conversation in the
World Cafe
• Rounds #1 and #2 Principles of
Interdisciplinary
Collaboration and the
Desirable from the
Practitioners
Consultations and the
research
• Round # 3—Creating
Your Perspective
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National Synopsis - Principles
• Shared, common vision, values and philosophy
• Climate of trust, respect, shared decision-making,
mutual support, flexibility
• Respect for autonomous choice of client; respect for
dignity of individual; commitment to the values of
acceptance; self-determination and respect
• Accessibility to appropriate health professional at
the right time and in the right place
• Population health approach that addresses the
determinants of health and needs of the population
• Balance between work and non-work time of
professionals (Work-Life balance)
• Accessibility (by actions of 24/7 service, right
provider, right time, no physical barriers, and no
financial barriers)
www.eicp-acis.ca
National Synopsis Snapshot –
Desirable Future
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Timely and appropriate treatment
Multiple points of entry into the ‘system’
Recognition of the ‘patient’ as part of the
PHC team
Adequate resources to deliver services
Equitable sharing of responsibility and
liability
Sustainable funding
Increased focus on health promotion and
prevention
Single, confidential, accessible health
record
Providers skill and services utilized
appropriately
Population health focus with targeted
outcomes
Grassroots approach to reform
Support for the administrative
components
www.eicp-acis.ca
Reviewing the Principles and
Desirable Future – Rounds 1 and 2
1. What stands out for you in the Principles of
Interdisciplinary Collaboration and Desirable
Future from the Regional Snapshot?
2. What do you like and what concerns you?
3. What one or two modifications would your
table group suggest? – add, delete, or
change.
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Creating Your Perspective
Round #3
Thinking about the principles of
interdisciplinary collaboration and the
desirable future, what modifications do
you suggest?
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Synthesizing our
Conversations
Does this synthesis reflect you
discussions this morning? What
is missing? Is it challenging
enough? Is it realistic?
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Filling in
the details
Good work
but I think we
need a little
more detail
right here!
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Turning to One Another
- M. Wheatley
• We acknowledge one another as equals
• We try to stay curious about each other
• We recognize that we need each other’s help to
become better listeners
• We slow down so we have time to think and reflect
• We remember that conversation is the natural way
humans think together
• We expect it to be messy.
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Challenges – Elements of the
Framework
1. Education and continuing
education
2. Funding
3. Effective and efficient use
of resources
4. Legislation
5. Regulation
6. Liability
7. Information system –
planning and evaluation
8. Organizational practices
and design
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9. Human resource
development
10. Outcome based
accreditation
11. Citizen engagement
12. Quality assurance
accountability
13. Evidence based care,
research
14. Access – multi points of
entry to system
15. Professional attitudes
Challenges
1. Do you agree that these are important
challenges impeding movement
towards the principles and the
desirable future and …
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Challenges
1. What other challenges impede the
realization of the principles of
interdisciplinary collaboration and the
desirable future?
2. Prioritize the challenges!
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Moving Towards the Future
1. What are the underlying root causes,
conditions, trends, influences for the
existence of this challenge to realizing
the Desirable Future and the supporting
Interdisciplinary Collaboration Principles
for Primary Health Care?
2. For each challenge identify up to 6 – 8
causes in a scatter gram.
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What You Will Return with to the
Group Session
DESCRIPTION OF THE UNDERLYING CAUSES, CONDITIONS,
TRENDS OF THE CHALLENGE
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Moving Towards the Future –
Critical Actions
What are the critical actions you
would recommend to overcome the
challenges assigned to your group?
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