Published on June 19, 2013
Building aCommunity of Practiceand leveragingCollaborationtowards sharedInnovationsJane Hsieh,Executive DirectorSCIKMNJune 3, AM Theme 1B
Foothills MedicalCentre: SCIRehabilitation ClinicSPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORKa Learning & Innovation CollaborativeGlenrose Rehabilitation HospitalISRD&OU
Foothills MedicalCentre: SCIRehabilitation ClinicSPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORKa Learning & Innovation CollaborativeGlenrose Rehabilitation HospitalISRD&OUJune 3, PM, Theme 1The Neurotrauma Knowledge Mobilization Network:Implementation Science Research, Development, andOperations Unit (ISRD&OU)R.J.Riopelle, Chief Science Officer
Required Elements of a Community of Practice(CoP)Requirement SCI KMN Focus1) Shared domain of interestImproving patient outcomes2) Engagement/sharing to achieve consensusBest practices for implementation3) Developing resources to address a shared practiceDevelop and adapt resources for effective pressure ulcer preventionand management(Wenger, 2006)
ISRD&OUORGANIZATIONALSTRUCTURESCI KMN CoPA Learning and Innovation Collaborative1) Networkmanagement1) Network Management2) Strategic Leadership5) Disseminationwithin/beyond network3) Clinical Leadership 4) Datamanagement/evaluation
Capitalizing on in situ expertise and interestCOLLABORATION THROUGH SHARED LEADERSHIP,CROSS-TALK BETWEEN COMMITTEES & SITESTestimony to the Rationale for, and Power of, the SCI KMN CoPKEY INTERACTING PLAYERS:SITE LEADS and PROJECT LEADERSHIP TEAM (strategic)TRANSFORMATION SPECIALISTS and TRANSFORMATION SPECIALIST TEAM (operations)
Capitalizing on in situ expertise and interestDEFINING QUALITY & QUALITY IMPROVEMENTfor Patients, Providers, Organizations and the ISRD&OUKEY INTERACTING PLAYERS:EVALUATION and DATA MANAGEMENT TEAMTRANSFORMATION SPECIALIST TEAM
Capitalizing on in situ expertise and interestINCREASING AWARENESS WITHIN/BEYOND NETWORKTo Promote Standardized Best Practice Implementation to OtherProvidersKEY INTERACTING PLAYERS:KNOWLEDGE CURATOR of ISRD&OUKNOWLEDGE MANAGEMENT AND COMMUNICATIONS TEAM
Capitalizing on in situ expertise and interestSHARING PRACTICE INNOVATIONSSCI KMN ‘Reverse Innovation’* Portfolio*Innovation emerging from practical need•ISRD&OU development•End User (Patient) OutcomesPatient Reported Outcomes (PRO) within a Patient Practice PortfolioPatient self-management resources and provider support•Knowledge User (Provider) PerformanceMentorship capacityAdapted Implementation GuideEducation and training curriculum for health transformation innovation brokers Delphi & clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM)Centralized, web-based data repository for real-time data collectionKEY PLAYERS: MEMBERS of SCI KMN
Capitalizing on in situ expertise and interestSHARING PRACTICE INNOVATIONSSCI KMN Reverse Innovation Portfolio•End User (Patient) OutcomesPatient Reported Outcomes within a Patient Practice PortfolioPatient self-management resources and Provider support•Knowledge User (Provider) PerformanceMentorship CapacityAdapted Implementation GuideEducation and training curriculum for health transformation innovation brokers Clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM)KEY PLAYERS:MEMBERS of SCI KMNAdapted Implementation GuideJune 3, PM, Theme 2Speaking the Same Language - Creating a User Guide toStreamline Knowledge Mobilization Across a National Networkand BeyondWestley Reinhart-McMillan, Project Coordinator, SCI KMNCyndie Koning, Transformation Specialist – Glenrose Rehabilitation Hospital, SCI KMNLaura Mumme, Glenrose SIT Member, SCI KMN
Broad &flexiblestakeholderengagement AdaptedInnovationsCollaborationPlatformTransferabilityProjectgoals/objectivesaligned to evaluation(developmental, formative)Evaluation linked toCQI(Levels of Use/PDSA)Patient centered carevia PROConsensusmethodology(Delphi)and more ………….
Broad &FlexiblestakeholderengagementAdaptedNIRNtools &otherInnovationsCollaborativePlatform TransferabilityProjectgoals/objectivesaligned to evaluation(developmental, formative)Evaluation linked toCQI(Levels of Use/PDSA)Patient centered carevia PROConsensusmethodology(Delphi)www.wiki.cfirwiki.netand more ………….Alignment to Measures of ‘Network Culture’ DevelopmentConsolidated Framework for Implementation ResearchTop 10 of 31 Discriminators for SuccessPerceptions of relative advantage End user needs & resources identifiedKnowledge user networks and communications Tension for change climateRelative priority Goals met & feedback providedPositive learning climate Leadership engagedStrategic planning Reflecting and evaluating
The success of SCI KMN as a CoP and as an Innovation Incubator has resulted in: Strategic expansion into additional domains of interest (eg. pain management) Strategic directions for expansion to the rehabilitation-community continuum Participatory interest from other SCI rehabilitation centres Participatory interest from national and international neurotrauma healthcare groups Informing ISRD&OU stewardship of all ONF Programs and beyond Informing Ontario’s Business Case for its Canadian Institutes of Health Research: Strategyfor Patient-Oriented Research partnership
Community of Practice (CoP)The CoP is an opportunity for the NNADAP/YSAC field to share and exchange knowledge of “promisingACKNOWLEDGEMENTS~100 MEMBERS of the SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORKFUNDERS
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