strategic clinical networks' research connections 2014

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PATIENTS PARADIGM SHIFTS BUILDING A LEARNING SYSTEM NEXT STEPS BUILDING SUPPORT SCN RESEARCH CONNECTIONS MEETING SUMMARY September 11–13, 2014 TOOLS, TIPS & TACTICS

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SCN Research Connections 2014 summarizes a conference that took place September 11 - 13, 2014. Its focus is on Alberta's innovative Strategic Clinical Networks, and builds on the previous year's activities.

TRANSCRIPT

Page 1: Strategic Clinical Networks' Research Connections 2014

PATIENTS

PARADIGM SHIFTS

BUILDING A LEARNING SYSTEM

NEXT STEPS

BUILDING SUPPORT

SCN RESEARCHCONNECTIONSMEETING SUMMARYSeptember 11–13, 2014

TOOLS, TIPS & TACTICS

Page 2: Strategic Clinical Networks' Research Connections 2014

SCN RESEARCHCONNECTIONSMEETING SUMMARYSeptember 11–13, 2014

(PAGES 4–9)

(PAGES 28–33)

(PAGES 10–17)

(PAGES 34–43)

(PAGES 18–27)

(PAGES 44–50)

Page 3: Strategic Clinical Networks' Research Connections 2014

Introduction / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 3

SCN CONNECTS

SCN Connects is a collaboration between Alberta Innovates-Health Solutions

and Alberta Health Services.

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Page 4: Strategic Clinical Networks' Research Connections 2014

“I contend that all health professionals believe they know what their patients want and need, that they are working for the good of patients as they see it.” But how do they know? Who did they ask? These are the questions usually left on the table.”

Sylvia Teare, patient engagement researcher

PARADIGM SHIFTS

Page 5: Strategic Clinical Networks' Research Connections 2014

PARADIGM SHIFTS

FROM TO

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Page 6: Strategic Clinical Networks' Research Connections 2014

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“Real innovation takes careful thought and some risk. To be blunt, it takes guts,”

SUSTAINING INNOVATION

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Page 7: Strategic Clinical Networks' Research Connections 2014

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EVIDENCE OF A BETTER TODAY

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by March 2015.

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VWLYH[PUN�YVVTZ��^OPJO�YLWYLZLU[Z�TVYL�[OHU���������Z\YNPJHS�WYVJLK\YLZ��� ;OL�JVTWSPHUJL�YH[L�OHZ�KV\ISLK�MYVT����WLY�JLU[�[V� ��WLY�JLU[�PU�Q\Z[�[^V�`LHYZ��YLZ\S[PUN�PU�[OL�PKLU[PÄJH[PVU�

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Seniors SCN with Addictions and Mental Health SCN – The Use of Antipsychotic Medications in Long-Term Care�� ;OL�WYVQLJ[��WPSV[LK�PU����ZP[LZ��WYVTV[LZ�[OL�HWWYVWYPH[L�\ZL�VM�HU[PWZ`JOV[PJ�TLKPJH[PVUZ�PU�SVUN�[LYT�JHYL�I`�

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HSS�����SVUN�[LYT�JHYL�MHJPSP[PLZ�PU�[OL�WYV]PUJL��

Page 8: Strategic Clinical Networks' Research Connections 2014

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HOW WE’LL KNOW WE’RE THERE

(�[OV\ZHUK�`LHYZ�MYVT�UV^�^OLU�M\[\YL�OPZ[VYPHUZ�HUK�HYJOLVSVNPZ[Z�ZPM[�[OYV\NO�[OL�Y\PUZ�VM�LHYS`���Z[�*�JP]PSPaH[PVU��OV^�^PSS�[OL`�RUV^�:*5Z�THKL�H�KPMMLYLUJL��HZRZ�:[L]LU�3L^PZ��JVUMLYLUJL�TVKLYH[VY��>OH[�^V\SK�[OL�L]PKLUJL�IL&

Attachment and presence in the system:�¸;OL�[`WPJHS�(SILY[H�JSPUPJPHU�^V\SK�SVVR�[V�HU�:*5�HZ�H�WYPTHY �̀�PM�UV[�[OL�WYPTHY`�ZV\YJL�VM�N\PKHUJL�HUK�LUNHNLTLU[�MVY�PTWYV]LTLU[�HJ[P]P[PLZ�¹�HUK�:*5�PU]VS]LTLU[�^V\SK�IL�HU�PU[LNYHS�WHY[�VM�WYHJ[PJL�

Change in the mindset of clinical practice in all disciplines:�¸;OLYL�^V\SK�IL�H�YLÅL_P]L�PUZ[PUJ[�[OH[�`V\�^HU[�H�JHYL�WH[O^H �̀�[OH[�`V\�LTIYHJL�[OL�UV[PVU�VM�L]PKLUJL�Z\WWVY[LK�Z[HUKHYKPaH[PVU�VM�JHYL��HUK�^OLYL�`V\�^VYYPLK�HIV\[�]HYPH[PVU��IV[O�WLYZVUHSS`�HUK�HZ�H�Z`Z[LT�¹�

Collective ownership of the quality of care and the outcomes in your domain:�>OPSL�THPU[HPUPUN�WLYZVUHS�HUK�WYVMLZZPVUHS�HJJV\U[HIPSP[ �̀�¸[OL�Z`Z[LT»Z�WYVISLTZ�^V\SK�IL�`V\Y�

WYVISLTZ�HUK�V\Y�WYVISLTZ��@V\�^V\SK�OH]L�H�JVSSLJ[P]L�YLZWVUZPIPSP[`�[V�LHJO�V[OLY�HUK�[V�[OL�Z`Z[LT�[V�ZLL�[OH[�]HYPH[PVU�^HZ�YLK\JLK��HSSV^PUN�MVY�[OL�WVZP[P]L�KL]PHUJL�`V\�^V\SK�L_WLJ[�^OLYL�L]PKLUJL�PZ�UV[�ZV�JSLHY�¹

Changed research culture: ¸;OL�KPZ[PUJ[PVU�IL[^LLU�HUHS`[PJZ�HUK�YLZLHYJO�^V\SK�ILJVTL�TVYL�VY�SLZZ�TLHUPUNSLZZ�[V�`V\�HUK�[OL�YL^HYK�Z`Z[LTZ�^V\SK�IL�VYPLU[LK�ZV�IV[O�^LYL�LX\HSS`�OVUVYLK�¹

“Originality would be less prized than relevance and applicability. 7H[PLU[Z��[OL�W\ISPJ�HUK�MYVU[SPUL�WYHJ[PJPUN�JSPUPJPHUZ�^V\SK�NLULYH[L�H[�SLHZ[�HZ�THU`�X\LZ[PVUZ�HZ�YLZLHYJOLYZ�¹

Clinical practice and resource stewardship would be integrally related. ¸,]LY`IVK`�^OV�^HZ�[YHPULK�^V\SK�ZLL�[OLZL�[OPUNZ�HZ�QVPULK�H[�[OL�OPW�¹

Variation would be reduced.�¸5V�SVUNLY�^V\SK�^L�ZLL�\[PSPaH[PVU�YH[LZ�[OYLL�VY�MV\Y�[PTLZ�[OL�\[PSPaH[PVU�YH[LZ�PU�HUV[OLY�Q\YPZKPJ[PVU��0[�^V\SK�IL�ZLLU�HZ�VUL�VM�[OL�M\UKHTLU[HS�TL[YPJZ�PU�[OL�Z`Z[LT�[OH[�[OL�]HYPH[PVU�^V\SK�IL�ZTHSSLY��HUK�TVYL�PTWVY[HU[S �̀�^OLYL�[OLYL�^HZ�]HYPH[PVU��WLVWSL�^V\SK�YLÅL_P]LS`�NP]L�YLHZVUZ�¹

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THE INNER WORKINGS OF A HIGH-PERFORMANCE SYSTEM

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0U�MHJ[��JVUMLYLUJL�ZLH[Z�^LYL�PU�OPNO�KLTHUK�MYVT�HSS�X\HY[LYZ!�YLZLHYJOLYZ��JSPUPJPHUZ��HKTPUPZ[YH[P]L�SLHKLYZ��WVSPJ`�THRLYZ��HUK�KLJPZPVU�THRLYZ��¸@L[�Q\Z[�������WLY�JLU[�VM�HSS�(SILY[HUZ�HYL�PU�[OPZ�YVVT�¹�ZH`Z�-YHUR��¸,HJO�VM�`V\�YLWYLZLU[Z��������WLVWSL��>L»YL�^VYRPUN�VU�ILOHSM�VM�[OLZL�WLVWSL��HUK�[OL`�ZOV\SK�IL�PU�`V\Y�TPUK�HZ�`V\�THRL�KLJPZPVUZ�V]LY�[OL�UL_[�ML^�KH`Z�¹

;OLYL�HYL�J\YYLU[S`����� �YLZLHYJOLYZ�PU�[OL�WYV]PUJL�^OV�PKLU[PM`�[OLTZLS]LZ�HZ�PU]VS]LK�^P[O�H�Z[YH[LNPJ�JSPUPJHS�UL[^VYR��:*5���ZH`Z�-YHUR��(�ML^�HYL�IHZPJ�IPVTLKPJHS�YLZLHYJOLYZ�HUK�YV\NOS`�OHSM�JHU�IL�KLZJYPILK�HZ�HWWSPLK�JSPUPJHS�YLZLHYJOLYZ��;OLYL�HYL�ML^LY�PU�OLHS[O�ZLY]PJLZ�HUK�Z`Z[LTZ�YLZLHYJO��HUK�ZVJPHS��J\S[\YHS��LU]PYVUTLU[HS��HUK�WVW\SH[PVU�OLHS[O�YLZLHYJO�

¸;OLZL�YLZLHYJOLYZ�HYL�UV[�HSS�Q\Z[�PU�[OL�\UP]LYZP[PLZ�¹�ZH`Z�-YHUR��¸(�SV[�HYL�O`IYPKZ�IL[^LLU�\UP]LYZP[PLZ�HUK�[OL�OLHS[O�Z`Z[LT��;OH[»Z�L_HJ[S`�^OH[�^L�^HU[�[V�ZLL�OHWWLU�¹�

;OL�\S[PTH[L�NVHS�VM�:[YH[LNPJ�*SPUPJHS�5L[^VYRZ��:*5Z��PZ�[V�PTWYV]L�[OL�OLHS[O�VM�(SILY[HUZ�HUK�[OL�OLHS[O�VM�[OL�Z`Z[LT��ZH`Z�-YHUR��¸(SILY[H�ZOV\SK�IL�RUV^U�MVY�ILPUN�[OL�ILZ[�H[�WYV]PKPUN�]HS\L�MVY�TVUL �̀�HUK�YLPU]LZ[PUN�P[�^OLYL�P[�^PSS�OH]L�[OL�IPNNLZ[�PTWHJ[�VU�WH[PLU[�V\[JVTLZ�

“We need to synergize all the relevant resources…

and to do that, we need to understand where the assets lie.”

Page 10: Strategic Clinical Networks' Research Connections 2014

PATIENTS

“Call it awareness, call it being present, call it being mindful, call it being alert…we either saw it existing extremely well, or in a lot of cases, we saw it didn’t exist at all.”

Peter Oxland, family advisor

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FIRST WORD – PATIENT

;V�7L[LY�6_SHUK��H�OPNO�WLYMVYTPUN�OLHS[O�JHYL�Z`Z[LT�PZ�JVUZPZ[LU[S`�TPUKM\S�VM�WH[PLU[Z�HUK�MHTPSPLZ�

/L�SLHYULK�[OPZ�[OL�OHYK�^H`�HZ�OL�HUK�OPZ�SH[L�^PML�)HYI�QV\YUL`LK�KPaa`PUN�WH[O^H`Z�[OYV\NO�WYPTHY`�JHYL��JVTWSLTLU[HY`�JHYL��/LHS[OSPUR��HTI\SHUJL�ZLY]PJL��LTLYNLUJ`�JHYL��ZWLJPHSPaLK�UL\YVSVNPJHS�HUK�JHUJLY�JHYL��HUK�\S[PTH[LS`�PU[LUZP]L�JHYL��;OL�LU[PYL�QV\YUL`�[VVR�ZJHYJLS`�TVYL�[OHU�H�`LHY��HUK�LUKLK�ZHKS`�^P[O�)HYI»Z�KLH[O��6J[VILY�����������MYVT�H�YHYL��JHUJLYV\Z��UHZHS�JH]P[`�[\TV\Y·VSMHJ[VY`�UL\YVISHZ[VTH�

:PTWSL�NLZ[\YLZ�TH[[LYLK��;OL�WO`ZPJPHU�^OV�Z[LWWLK�H^H`�MYVT�[OL�OPNO�ZWLLK��JOVYLVNYHWOLK�,9�YLZWVUZL��[V�HZR�6_SHUK�PM�OL�JVUZLU[LK�[V�)HYI�ILPUN�OVVRLK�\W�[V�H�]LU[PSH[VY�HUK�ZH`PUN��¸@V\»YL�VRH`�[V�Z[H �̀¹�;OL�ZVJPHS�^VYRLY�^OV�SPZ[LULK��UV[PJLK�7L[LY»Z�LUNPULLYPUN�YPUN��HUK�L_WSHPULK�[OH[�\USPRL�LUNPULLYPUN��¸PU�PU[LUZP]L�JHYL��`V\�KVU»[�Ä_�[OPUNZ�¹�;OL�^OP[L�YVZL�VU�[OL�0*<�YVVT�KVVY�ZPNUHSPUN�[OH[�7L[LY�HUK�OPZ�MHTPS`�ULLKLK�ZWHJL��X\PL[�HUK�NLU[SLULZZ�[V�ZH`�NVVKI`L�

([�V[OLY�[PTLZ��[OL�6_SHUKZ�MLS[�JVUM\ZLK��SL[�KV^U��PU]PZPISL�HUK�\UOLHYK�

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¸0�JVU[LUK�[OH[�HSS�OLHS[O�WYVMLZZPVUHSZ�ILSPL]L�[OL`�RUV^�^OH[�[OLPY�WH[PLU[Z�^HU[�HUK�ULLK��[OH[�[OL`�HYL�^VYRPUN�MVY�[OL�NVVK�VM�WH[PLU[Z�HZ�[OL`�ZLL�P[�¹�)\[�OV^�KV�[OL`�RUV^&�>OV�KPK�[OL`�HZR&�;OLZL�HYL�[OL�X\LZ[PVUZ�\Z\HSS`�SLM[�VU�[OL�[HISL�¹�ZH`Z�;LHYL�

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[OHU�WVJRL[Z�VM�WYHJ[PJL��� 7H[PLU[Z�UV^�OH]L�ZLH[Z�H[�KLJPZPVU�THRPUN�[HISLZ��[OYV\NO�WYV]PUJPHS�HK]PZVY`�JV\UJPSZ��:*5�JVYL�JVTTP[[LLZ�

and advisory committees.

�� �(�[YHPULK�JHKYL�VM�WH[PLU[Z�HUK�MHTPS`�TLTILYZ�UV^�LTWSV`�Z[Y\J[\YLK�YLZLHYJO�TL[OVKZ�[V�PUMVYT�[OL�Z`Z[LT�^P[O�H�JVSSLJ[P]L�WH[PLU[�]VPJL�

¸0[�^PSS�ILJVTL�L]LU�TVYL�PUUV]H[P]L�HZ�^L�MVJ\Z�VU�WH[PLU[Z»�ZLSM�THUHNLK�OLHS[O�JHYL�HUK�SLZZ�VU�PSSULZZ�¹�ZH`Z�;LHYL��¸ILJVTPUN�H�[Y\L�OLHS[O�Z`Z[LT�¹

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Donna Oswell-HTPS`�HK]PZVY��*HUJLY�:*5�7H[PLU[�HUK�JVTT\UP[`�LUNHNLTLU[�YLZLHYJO�PU[LYU�^P[O�7(*,9

+VUUH�6Z^LSS»Z�ZVU�(SL_HUKLY�^HZ�KPHNUVZLK�^P[O�SL\RLTPH�PU�������SH\UJOPUN�H�TLKPJHS�QV\YUL`�[OH[�SHZ[LK�[^V�`LHYZ��LPNO[�TVU[OZ�HUK����KH`Z��

;OL�JHYL�(SL_HUKLY�HUK�[OL�MHTPS`�YLJLP]LK�^HZ�HTHaPUN��ZH`Z�6Z^LSS��;OL�MHTPS`�YLJLP]LK�PUMVYTH[PVU�HUK�MYLX\LU[�\WKH[LZ��¸>L�^LYL�SPZ[LULK�[V�HUK�YLZWLJ[LK�¹��;OPZ�WHY[ULYZOPW�^P[O�[OL�JHYL�[LHT��ZOL�ZH`Z��¸NH]L�TL�JVTMVY[�HUK�JVUÄKLUJL¹�PU�JVWPUN�^P[O�(SL_»Z�SL\RLTPH�HUK�SVUN�[LYT�[YLH[TLU[�

>OLU�ZOL�YLJLP]LK�UV[PJL�PU�[OL�THPS�VM�H�YLZLHYJO�Z[\K`�[V�L]HS\H[L�[OL�WYVJLZZ�HUK�LMÄJPLUJ`�VM�SHIVYH[VY`�ISVVK�^VYR�[LZ[PUN��OLY�PU[LYLZ[�^HZ�WPX\LK��:OL�^HU[LK�[V�OLSW��UV[�Q\Z[�I`�WYV]PKPUN�KH[H�VY�ÄSSPUN�V\[�Z\Y]L`Z��I\[�I`�QVPUPUN�[OL�YLZLHYJO�[LHT��¸0�[OV\NO[�P[�^HZ�YLHSS`�PTWVY[HU[�[OL`�OHK�H�MHTPS`�WLYZWLJ[P]L�¹�:V�ZOL�HZRLK�[V�QVPU�HZ�H�YLZLHYJOLY��¸0�YLJLP]LK�UV�YLZWVUZL�¹�ZOL�ZH`Z��¸0�^HZ�ZV�KPZHWWVPU[LK�¹�

-SHZO�MVY^HYK�[V������HUK�6Z^LSS�HUK�[^V�7(*,9�JVSSLHN\LZ�HYL�ILNPUUPUN�[OLPY�V^U�PU[LYUZOPW�YLZLHYJO�Z[\K �̀�;OL`�HYL�JVSSHIVYH[PUN�^P[O�+Y��;VT�:[LSMV_�PU�L_HTPUPUN�L]PKLUJL�JHYL�NHWZ�PU�[OL�0*<��(Z�WHY[�VM�[OL�Z[\K �̀�6Z^LSS�HUK�OLY�JVSSLHN\LZ�^PSS�SVVR�H[�MHTPS`�L_WLYPLUJLZ�PU�[YHUZP[PVUPUN�MYVT�[OL�0*<�[V�H�^HYK�

>OPSL�H�MHTPS`�TLTILY�YLX\LZ[�[V�QVPU�H�TLKPJHS�YLZLHYJO�[LHT�^HZ�VUJL�PNUVYLK��6Z^LSS�ZH`Z��¸0[»Z�UV^�ILZ[�WYHJ[PJL�¹

“Being in a hospital is extremely stressful,” says Emery. “Please empower us by allowing us to give you our input and our experience in dealing with this illness.”

Isabel Emery0UZ\SPU�W\TW�\ZLY�MVY�ULHYS`����`LHYZ-V\UKPUN�TLTILY�HUK�WHZ[�JOHPY��*HSNHY`�0UZ\SPU�7\TW�:\WWVY[�.YV\W>OPSL�0ZHILS�,TLY`�JVUZPKLYZ�OLYZLSM�S\JR`�[V�OH]L�YLJLP]LK�¸ÄYZ[�JSHZZ�OLHS[O�JHYL�PU�(SILY[H�HUK�[V�OH]L�HS^H`Z�ILLU�JVUZPKLYLK�HU�PTWVY[HU[�TLTILY�VM�OLY�OLHS[O�JHYL�[LHT�¹�ZOL�OHZ�KPZJV]LYLK�Z`Z[LTPJ�IHYYPLYZ�[V�ZLSM�THUHNLTLU[��:OL�NP]LZ�[OL�L_HTWSL�VM�+PHUH��^OV�OHK�[V�KLJPKL�L]LY`�TVU[O�IL[^LLU�NHZ�HUK�LSLJ[YPJP[`�HUK�PUZ\SPU�W\TWZ�HUK�OLHS[O�Z\WWSPLZ��(UK�^OPSL�[OL�(SILY[H�NV]LYUTLU[�YLJLU[S`�PU[YVK\JLK�JVTWYLOLUZP]L�JV]LYHNL�MVY�PUZ\SPU�W\TWZ��¸[OL�LU]`�VM�KPHIL[PJZ�HSS�V]LY�*HUHKH�¹�VUS`�H�YLSH[P]LS`�ZTHSS�U\TILY�VM�KPHIL[PJZ�YLX\PYL�PUZ\SPU�W\TWZ��;OL�SHJR�VM�M\UKPUN�MVY�[LZ[�RP[Z�HUK�V[OLY�KPHIL[PJ�Z\WWSPLZ��JYLH[LZ�inequities.

-VY�L_HTWSL��,TLY`»Z�MYPLUK�=PJ��^OV�OHZ�ILLU�KPHIL[PJ�ZPUJL�[OL�HNL�VM�MV\Y��PZU»[�JV]LYLK�MVY�Z`YPUNLZ��¸,]LY`�`LHY�OL�[OYLH[LUZ�[V�NH[OLY�HSS�OPZ�\ZLK�KPHIL[PJ�Z`YPUNLZ��[HRL�[OLT�[V�H�KY\N�PUQLJ[PVU�ZP[L�HUK�KLTHUK�[V�L_JOHUNL�OPZ�\ZLK�Z`YPUNLZ�MVY�UL^�VULZ�¹�ZH`Z�,TLY �̀

¸(SS�KPHIL[PJZ�YLX\PYL�[LZ[�RP[Z�¹�I\[�[OL�JVZ[�PZ�UV[�JVUZPZ[LU[S`�JV]LYLK��¸3L[�TL�HZZ\YL�`V\��KPHIL[PJZ�KV�UV[�LUQV`�WYPJRPUN�[OLPY�ÄUNLYZ�PU�VYKLY�[V�KYH^�ISVVK��0UJYLHZLK�M\UKPUN�VM�[LZ[�RP[Z�^V\SK�UV[�YLZ\S[�PU�NYH[\P[V\Z�[LZ[PUN�¹

9LJLU[S`�HKTP[[LK�[V�H�WYV]PUJPHS�OVZWP[HS��,TLY`�KPZJV]LYLK�[OL�MVVK�OHK�UV�SHILSPUN��H�ULJLZZP[`�MVY�KPHIL[PJZ��,TLY`�HSZV�OHK�H�Z[HMM�TLTILY�JVUÄZJH[L�OLY�PUZ\SPU�W\TW��ILJH\ZL�[OL�Z[HMM�TLTILY�KPKU»[�RUV^�OV^�[V�\ZL�P[��HUK�KPKU»[�YLJVNUPaL�[OH[�,TLY`»Z�`LHYZ�VM�L_WLYPLUJL�THKL�OLY�HU�L_WLY[��¸0�OHK�[V�^H[JO�[OL�OVZWP[HS�TPZTHUHNL�T`�KPHIL[LZ�¹�

¸)LPUN�PU�H�OVZWP[HS�PZ�L_[YLTLS`�Z[YLZZM\S�¹�ZH`Z�,TLY �̀�¸7SLHZL�LTWV^LY�\Z�I`�HSSV^PUN�\Z�[V�NP]L�`V\�V\Y�PUW\[�HUK�V\Y�L_WLYPLUJL�PU�KLHSPUN�^P[O�[OPZ�PSSULZZ�¹

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Jean Miller7H[PLU[�YLWYLZLU[H[P]L��)VUL�HUK�1VPU[�:*5�7(*,9�TLTILY1LHU�4PSSLY»Z�VZ[LVHY[OYP[PZ��6(��WYLZLU[LK�HZ�UPNO[�WHPU�PU�OLY�RULL�[OH[�^HZ�YLSPL]LK�I`�NL[[PUN�\W�HUK�^HSRPUN��¸UV[�JVUK\JP]L�[V�H�NVVK�UPNO[»Z�ZSLLW�¹�ZOL�ZH`Z��6UJL�4PSSLY�^HZ�KPHNUVZLK��ZOL�^HZ�HISL�[V�THUHNL�^P[O�HU�V]LY�[OL�JV\U[LY�KY\N��(SL]L��I\[�^VYYPLK�HIV\[�^OH[�JHTL�UL_[�

>VYRPUN�^P[O�V[OLY�7(*,9�YLZLHYJOLYZ��ZOL�^HZ�HISL�[V�Z[\K`�[OL�WH[PLU[�L_WLYPLUJL�VM�^HP[PUN�MVY�OLSW�^P[O�6(��¸>L�MV\UK�V[OLYZ�SPRL�\Z�HYL�Z[Y\NNSPUN��>L�KPZJV]LYLK�H�UHZ[`�ZWPYHS�VM�PUJYLHZPUN�WHPU��KLJYLHZPUN�TVIPSP[ �̀�PUJYLHZPUN�^LPNO[�HUK�PUJYLHZPUN�HNL�¹�ZH`Z�4PSSLY�

:OL�[OLU�QVPULK�[OL�)VUL�HUK�1VPU[�:*5��[VVR�[OL�YLZ\S[Z�VM�[OL�Z[\K`�[V�[OLT�HUK�MV\UK��¸[OL`�HYL�YLHSS`�SPZ[LUPUN�¹�0U�MHJ[��+Y��+LIVYHO�4HYZOHSS�HUK�OLY�[LHT�OH]L�I\PS[�WH[PLU[�LUNHNLTLU[�YLZLHYJO�PU[V�[^V�VM�[OLPY�NYHU[Z��¸7H[PLU[Z�HYL�OLSWPUN�[V�ZOHWL�[OL�OLHS[O�Z`Z[LT�YPNO[�H[�[OL�MYVU[�LUK��(Z�H�YLZ\S[��0�OH]L�ZVTL�JVUÄKLUJL�[OL�Z\WWVY[Z�0�^PSS�ULLK�^PSS�IL�[OLYL�KV^U�[OL�YVHK�¹

0U�VUL�VM�[OL�YLZLHYJO�WYVQLJ[Z�4PSSLY�^HZ�PU]VS]LK�PU��WH[PLU[Z�ZHPK�[OL`�^HU[�KPYLJ[�HJJLZZ�HUK�YL�HJJLZZ�[V�WLVWSL�^OV�OH]L�6(�L_WLY[PZL��0M�[OH[�^LYL�[V�ILJVTL�H�MVJ\Z��ZH`Z�4PSSLY��¸0�^VUKLY�PM�[OL�Z`Z[LT�^V\SK�Z[HY[�[V�TV]L�H^H`�MYVT�ZV�THU`�YLZV\YJLZ�NVPUN�PU[V�JVTWSL_�YLMLYYHS�HUK�YL�YLMLYYHS�Z`Z[LTZ�HUK�[OL�NH[L�RLLWPUN�WYVJLZZ��¸

“They haven’t really changed. But the answers are complex. “ What’s heartening, though, is looking around the room and seeing people “committed to doing it better and to remembering who it is that we serve.”

Geoff Tagg*OHPY��(KKPJ[PVU� �4LU[HS�/LHS[O�7YV]PUJPHS�(K]PZVY`�*V\UJPS�4LTILY�� Addiction and Mental Health SCN Core

committee

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LAST WORD – PATIENTS

Lia Lousier7HYLU[�(K]PZVY��*YP[PJHS�*HYL�:[YH[LNPJ�5L[^VYR�4LTILY��7H[PLU[�,UNHNLTLU[�9LMLYLUJL�.YV\W�MVY�(SILY[H�0U]VS]LK�^P[O�[OL�7H[PLU[�HUK�-HTPS`�*LU[YLK�*HYL�NYV\W�H[�(SILY[H�*OPSKYLU»Z�/VZWP[HS

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BUILDING A LEARNING SYSTEM

The typical practicing clinician, in every discipline in Alberta, will become someone who is demanding data liberation, who has no fear of public disclosure of performance information, who will embrace collective ownership RI�SUREOHPV��DQG�ZKR�ZLOO�EH�UHñH[LYHO\�oriented towards reducing variation.”

Steven Lewis, conference moderator

Page 19: Strategic Clinical Networks' Research Connections 2014

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ABOUT�+Y��)YLU[�1HTLZ�,_LJ\[P]L�+PYLJ[VY0UZ[P[\[L�MVY�/LHS[O�*HYL�+LSP]LY`�9LZLHYJO�� 0U[LYTV\U[HPU�/LHS[O��:HS[�3HRL�*P[ �̀�<[HO��<:(

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ABOUT Intermountain Healthcare

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¸0U�V\Y�I\ZPULZZ��^L�JV\U[�V\Y�Z\JJLZZ�PU�SP]LZ��SP[LYHSS �̀¹�ZH`Z�1HTLZ��>L�JHU�KVJ\TLU[�KYHTH[PJHSS`�SV^LY�TVY[HSP[`�YH[LZ��0U�[OL�JHZL�VM�ZLWZPZ��MVY�L_HTWSL��[OL�TVY[HSP[`�YH[L�H[�0U[LYTV\U[HPU�OHZ�OLSK�H[�UPUL�WLY�JLU[�VY�SLZZ�MVY�[OYLL�`LHYZ��KV^U�MYVT������WLY�JLU[�ILMVYL�H�UL^�WYV[VJVS�^HZ�PU[YVK\JLK��6]LY�MV\Y�`LHYZ��[OL�KVJ\TLU[LK�YLZ\S[�PZ�TVYL�[OHU�������SP]LZ�ZH]LK�WLY�`LHY�PU�[OL�:[H[L�VM�<[HO�

BUILDING A LEARNING SYSTEM

¸@V\�^HU[�[V�RLLW�OLHS[OJHYL�HMMVYKHISL�[V�[OL�JP[PaLUY`�VM�(SILY[H&�;OL�ILZ[�^H`�[V�KV�P[�PZ�[OYV\NO�IL[[LY�JSPUPJHS�V\[JVTLZ�¹�ZH`Z�+Y��)YLU[�1HTLZ�

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SUCCESS SECRETS – Dr. Brent James

��� +PZTHU[SL�[OL�KP]PKL�between administrative

and clinical teams.

� 4\JO�VM�[OL�JOHUNL�H[�0U[LYTV\U[HPU�PZ�IHZLK�VU�[OL�^VYR�VM�>��,K^HYKZ�+LTPUN�HUK�SH[LY�[OL�3LHU�WYPUJPWSLZ�[OH[�NYL^�V\[�VM�+LTPUN»Z�^VYR��1HTLZ�7��>VTHJR�L[�HS��;OL�4HJOPUL�[OH[�*OHUNLK�[OL�>VYSK��

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��� ,Z[HISPZO�PU[LNYH[LK�collaborative teams.

At Intermountain they are called Clinical

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SUCCESS SECRETS – Dr. Brent James

��� *OHUNL�MYVT�H�Q\KNTLU[�Z`Z[LT�[V�H�SLHYUPUN�system.

� 4LHZ\YL�HUK�L]HS\H[L�Z`Z[LTZ��UV[�WLVWSL��ZH`Z�1HTLZ��¸ILJH\ZL�`V\�JHU�JOHUNL�Z`Z[LTZ�¹�;V�SLHYU�MYVT�[OL�KH[H�YLX\PYLZ�H�WYVMV\UK�ZOPM[�MYVT�^OH[�X\HSP[`�PTWYV]LTLU[�[OLVY`�KLZJYPILZ�HZ�[OL�KPMMLYLUJL�IL[^LLU�Q\KNTLU[�HUK�SLHYUPUN�

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� ¸>L�JHU»[�KLZPNU�H�WLYMLJ[�WYV[VJVS�¹�ZH`Z�1HTLZ��;OH[»Z�^O`�^L�OH]L�KVJ[VYZ��0[»Z�[OLPY�QVI�[V�decide what will vary and how it will vary. Then the

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SUCCESS SECRETS – Dr. Brent James

6. Train every leader.

� (SS�ZLUPVY�JSPUPJHS�HUK�HKTPUPZ[YH[P]L�L_LJ\[P]LZ�T\Z[�JVTWSL[L�JSPUPJHS�X\HSP[`�PTWYV]LTLU[�[YHPUPUN��HUK�X\HSP[`�PTWYV]LTLU[�PZ�PU�[OL�QVI�KLZJYPW[PVU�VM�HSS�JSPUPJHS�SLHKLYZ�HUK�THU`�ZLUPVY�HKTPUPZ[YH[P]L�SLHKLYZOPW�WVZP[PVUZ��;V�NYHK\H[L��SLHKLYZ�OH]L�[V�KV�H�WYVQLJ[��¸5V[�HSS�WYVQLJ[Z�[\YU�PU[V�NVSK�MVY�\Z��I\[�HIV\[�VUL�PU�MV\Y�VY�Ä]L��OH]L�¹�ZH`Z�1HTLZ�

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7. Invest in a clinical

PUMVYTH[PVU�Z`Z[LT�[OH[�PUMVYTZ�PTWYV]LTLU[�HUK�THRLZ�[OL�YPNO[�JOVPJL�the easiest choice.

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Reliable data systems had to be built into the

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� ;OL�ZPUNSL�IPNNLZ[�JSPUPJHS�JVZ[�ZH]PUNZ�MVY�Intermountain was in cardiac care where they

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LEARNING TO LEARN FROM EVERY PATIENT

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Page 24: Strategic Clinical Networks' Research Connections 2014

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LEAN LEARNING LOOP FOR BEST CARE PROTOCOLS�� 0KLU[PM`�H�OPNO�WYPVYP[`�JSPUPJHS�WYVJLZZ��� )\PSK�HU�L]PKLUJL�IHZLK�ILZ[�WYHJ[PJL�WYV[VJVS�

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WHERE THE OPPORTUNITIES LIEBetter has no limit. Yiddish Proverb

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Page 26: Strategic Clinical Networks' Research Connections 2014

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GETTING TRACTION

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Avoid priority overload.�:[HY[�NYHZZYVV[Z�^P[O�^OLYL�WH[PLU[Z�HUK�MYVU[�SPUL�^VYRLYZ�ZLL�ULLK� [V�LUZ\YL�NVHSZ�HYL�YLHZVUHISL�HUK�HJOPL]HISL��;OLU�HSPNU�WYPVYP[PLZ�WYV]PUJPHSS �̀��

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BUILDING SUPPORT

“Whether decreasing wait times for surgery, improving the patient surgery experience, identifying and addressing bottlenecks to improve cancer care, reducing medication usage in long-term care, the networks are making a positive change for Albertans, individual Albertans, every day.”

Janet Davidson, deputy minister, Alberta Health

Page 29: Strategic Clinical Networks' Research Connections 2014

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Governance and leadership

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International Advisory Committee

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Alberta SPOR SUPPORT Steering Committee

Alberta SPOR SUPPORT Unit Management Committee

Data Platforms and Services

(Dr. Finlay McAlister)

Methods Support and Development

(Dr. Hude Quan)

Patient Engagement(Virginia

Vandall-Walker)

Consultation and Research Services

(Dr. Ross Tsuyuki)

Health Systems Research,

Implementation Research & Knowledge

Translation platform(Dr. Suma Majundar and Dr. Lisa Hartling)

Pragmatic Clinical Trials

(Dr. Michael Hill and Dr. Richard Fedorak)

Career Developmentin Methods and Health

Systems Research(Dr. Marilynne Hebert and Dr. Dean Eurich)

Performance Management and Evaluation Committee

Alberta Innovates – Health Solutions (AIHS)Board of Directors

SPOR National Steering Committee

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Improvements�PU�Z[YH[LNPJHSS`�ZLSLJ[LK�TL[YPJZ�HUK�PUKPJH[VYZ�VM�PTWHJ[�MVY!�� /LHS[O�� /LHS[O�*HYL�8\HSP[`�0TWYV]LTLU[�� /LHS[O�:`Z[LT�:\Z[HPUHIPSP[`�PU�(SILY[H

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NEXT STEPS

“We, patients and families, are the sparks to your hope. We believe so strongly in you, the change makers.”

Lia Lousier, parent advisor

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NEXT STEPS FOR ALBERTA’S SPOR SUPPORT UNITCareer Development in Methods and Health Systems Research Marilynne Hebert and Dean Eurich��JV�SLHKZ;OL�PU[LU[�VM�[OPZ�WSH[MVYT�PZ�[V�I\PSK�H�\UPX\LS`�(SILY[H�[YHPUPUN�Z[YH[LN`�^P[O�HU�L`L�VU�ÄUKPUN�^H`Z�[V�PU[LNYH[L�^P[O�HUK�JVU[YPI\[L�[V�[OL�UH[PVUHS�[YHPUPUN�WSHU��ZH`Z�4HYPS`UUL�/LILY[��<UP]LYZP[`�VM�*HSNHY �̀

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Consultation and Research Services PlatformRoss Tsuyuki��SLHK;OL�*VUZ\S[H[PVU�HUK�9LZLHYJO�:LY]PJLZ�7SH[MVYT�^PSS�I\PSK�VU�[OL�[YLTLUKV\Z�Z[YLUN[OZ�HUK�HZZL[Z�[OH[�HSYLHK`�L_PZ[�PU�(SILY[H�PU�[OL�HYLH�VM�JVUZ\S[H[PVU�HUK�YLZLHYJO�ZLY]PJLZ��Z\JO�HZ�[OL�^VYR�ILPUN�JVUK\J[LK�H[�[OL�,WPKLTPVSVN`�*VVYKPUH[PUN�HUK�9LZLHYJO�*LU[YL��,70*69,���ZH`Z�+Y��;Z\`\RP��WSH[MVYT�SLHK�HUK�WYVMLZZVY�VM�TLKPJPUL�

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Data Platforms and Services

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Patient Engagement PlatformGail MacKean��<VM*

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Pragmatic Clinical Trials PlatformMichael Hill and Richard Fedorak��QVPU[�SLHKZ;OL�NVHS�VM�[OPZ�WSH[MVYT�PZ�[V�YLKLZPNU�WYVJLZZ�[V�TV]L�MYVT�PULMÄJPLUJ`�[V�LMÄJPLUJ`�HUK�MYVT�PUHKLX\H[L�[V�ILZ[��;OL�L_PZ[PUN�TVKLS�VM�YHUKVTPaLK�JSPUPJHS�[YPHSZ��OV^L]LY��PZ�UV[�[OL�ILZ[�TVKLS�[V�JVTWHYL�L]PKLUJL�[OH[�HJJ\T\SH[LZ�PU�H�K`UHTPJ�TLKPJHS�Z`Z[LT��HJJVYKPUN�[V�[OL�QVPU[�WSH[MVYT�SLHKZ��+Y��4PJOHLS�/PSS�VM�[OL�<UP]LYZP[`�VM�*HSNHY`�HUK�+Y��9PJOHYK�-LKVYHR�VM�[OL�<UP]LYZP[`�VM�(SILY[H�

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Page 44: Strategic Clinical Networks' Research Connections 2014

TOOLS, TIPS & TACTICS

“I see SCNs as the future of health care in this country.”

Vickie Kaminski, Alberta Health Services president and CEO

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TOOLS, TIPS AND TACTICSCanadian Primary Care Sentinel Surveillance Network (CPCSSN)/VZ[LK�I`�[OL�7YPTHY`�*HYL�9LZLHYJO�:*5¸>P[O�*7*::5��^L�IHZPJHSS`�W\SS�KH[H�V\[�VM�[OL�LSLJ[YVUPJ�TLKPJHS�YLJVYKZ��,49��VM�MHTPS`�KVJ[VYZ�HJYVZZ�[OL�WYV]PUJL�¹�ZH`Z�5LPS�+Y\TTVUK��¸;OLU�^L�JSLHU�P[�\W��HUVU`TPaL�P[��W\[�P[�PU[V�H�KH[HIHZL�HUK�THRL�P[�H]HPSHISL�MVY�YLZLHYJO�HUK�Z\Y]LPSSHUJL�¹

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Page 47: Strategic Clinical Networks' Research Connections 2014

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Removing the barriers to knowledge translationSharon Straus*HUHKH�9LZLHYJO�*OHPY�2UV^SLKNL�;YHUZSH[PVU�HUK�8\HSP[`�VM�*HYL

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Time as a barrier

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Focusing only on clinicians

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Moving forward without the evidence

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Neglecting to consider sustainability

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Lack of knowledge translation research capacity

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Alternate approaches to randomized trials

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