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Building a Community of Practice and leveraging Collaboration towards shared Innovations Jane Hsieh, Executive Director SCIKMN June 3, AM Theme 1B

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Foothills Medical Centre: SCI Rehabilitation Clinic SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Glenrose Rehabilitation Hospital ISRD&OU

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Foothills Medical Centre: SCI Rehabilitation Clinic SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Glenrose Rehabilitation Hospital ISRD&OU June 3, PM, Theme 1 The Neurotrauma Knowledge Mobilization Network: Implementation Science Research, Development, and Operations Unit (ISRD&OU) R.J.Riopelle, Chief Science Officer

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Required Elements of a Community of Practice (CoP) Requirement SCI KMN Focus 1)Shared domain of interest Improving patient outcomes 2) Engagement/sharing to achieve consensus Best practices for implementation 3) Developing resources to address a shared practice Develop and adapt resources for effective pressure ulcer prevention and management (Wenger, 2006) *6 sites, 3 Provinces, ~100 CoP members

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ISRD &OU ORGANIZATIONAL STRUCTURE SCI KMN CoP A Learning and Innovation Collaborative 1) Network management 1) Network Management 2) Strategic Leadership 5) Dissemination within/beyond network 3) Clinical Leadership 4) Data management/evaluation

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Capitalizing on in situ expertise and interest COLLABORATION THROUGH SHARED LEADERSHIP, CROSS-TALK BETWEEN COMMITTEES & SITES Testimony to the Rationale for, and Power of, the SCI KMN CoP KEY INTERACTING PLAYERS: SITE LEADS and PROJECT LEADERSHIP TEAM (strategic) TRANSFORMATION SPECIALISTS and TRANSFORMATION SPECIALIST TEAM (operations)

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Capitalizing on in situ expertise and interest DEFINING QUALITY & QUALITY IMPROVEMENT for Patients, Providers, Organizations and the ISRD&OU KEY INTERACTING PLAYERS: EVALUATION and DATA MANAGEMENT TEAM TRANSFORMATION SPECIALIST TEAM

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Capitalizing on in situ expertise and interest INCREASING AWARENESS WITHIN/BEYOND NETWORK To Promote Standardized Best Practice Implementation to Other Providers KEY INTERACTING PLAYERS: KNOWLEDGE CURATOR of ISRD&OU KNOWLEDGE MANAGEMENT AND COMMUNICATIONS TEAM

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Capitalizing on in situ expertise and interest SHARING PRACTICE INNOVATIONS SCI KMN Reverse Innovation* Por tfolio *Innovation emerging from practical need ISRD&OU development End User (Patient) Outcomes Patient Reported Outcomes (PRO) within a Patient Practice Portfolio Patient self-management resources and provider support Knowledge User (Provider) Performance Mentorship capacity Adapted Implementation Guide Education 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 collection KEY PLAYERS: MEMBERS of SCI KMN

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Capitalizing on in situ expertise and interest SHARING PRACTICE INNOVATIONS SCI KMN Reverse Innovation Por tfolio End User (Patient) Outcomes Patient Reported Outcomes within a Patient Practice Portfolio Patient self-management resources and Provider support Knowledge User (Provider) Performance Mentorship Capacity Adapted Implementation Guide Education and training curriculum for health transformation innovation brokers Clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM) KEY PLAYERS: MEMBERS of SCI KMN Adapted Implementation Guide June 3, PM, Theme 2 Speaking the Same Language - Creating a User Guide to Streamline Knowledge Mobilization Across a National Network and Beyond Westley Reinhart-McMillan, Project Coordinator, SCI KMN Cyndie Koning, Transformation Specialist Glenrose Rehabilitation Hospital, SCI KMN Laura Mumme, Glenrose SIT Member, SCI KMN

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Broad & flexible stakeholder engagement Adapted Innovations Collaboration Platform Transferability Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Patient centered care via PRO Consensus methodology (Delphi) and more .

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Broad & Flexible stakeholder engagement Adapted NIRN tools & other Innovations Collaborative Platform Transferability Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Patient centered care via PRO Consensus methodology (Delphi) www.wiki.cfirwiki.net and more . Alignment to Measures of Network Culture Development Consolidated Framework for Implementation Research Top 10 of 31 Discriminators for Success Perceptions of relative advantage End user needs & resources identified Knowledge user networks and communications Tension for change climate Relative priority Goals met & feedback provided Positive learning climate Leadership engaged Strategic planning Reflecting and evaluating

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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 Ontarios Business Case for its Canadian Institutes of Health Research: Strategy for Patient-Oriented Research partnership

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Community of Practice (CoP) The CoP is an opportunity for the NNADAP/YSAC field to share and exchange knowledge of promising ACKNOWLEDGEMENTS ~100 MEMBERS of the SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK FUNDERS