BORN OntarioBest Possible Beginnings for Lifelong Health

TCOM – CANS application in OntarioDr. Lise Bisnaire, C.Psych

Milano, ItalyMay 26, 2017

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Path of Discoveries

• Clinical Director, Inpatient Psychiatry– Introduction of the CANS, better

understanding of the youth in care• Director, Autism Program

– Development of the CANS- DP• Member, Clinical Expert Committee for Autism

Spectrum Disorders- CANS-DP across the 14 Lead Agencies - Adoption of the CANS in the new program

• Executive Director, BORN Ontario

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Canada, Ontario

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Ontario, Canada

• population of Ontario13.6 million • 100,000 people diagnosed with ASD in

Ontario• 16,000 children with ASD• 10,000 treatment spaces in the province• 14 Lead Agencies in the province• The landscape is shifting

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Autism Programs - CANS

• 2012 – Introduction of the ABA ProgramsCreated an opportunity to better understand our children/youth and their families in the system• Model of collaboration, personalized care

and outcomes based

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Key statements about personalized services:

Services must identify and use the strengths of the child and family, as appropriate.

Services must identify and address the needs of the child and family, when appropriate.

Services must identify and use the environmental supports that exist in the child’s life.

Services must identify and address the barriers that are present in the child’s life.

Providing fully personalized services results in the optimal use of the child and families’ strengths to support them in meeting the child’s needs.

Optimally personalized services result in the child’s full social inclusion, which is understood to mean participation and self-determination in all areas of life within his or her community to the fullest extent possible (e.g., MCSS, 2006).

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Collaboration

• Central role of child, youth and their families

• Interprofessional collaboration • Consensus building

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Lessons Learned

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Lessons Learned• Implementation takes time

– Investment in a new method of working (collaboration)– Model of practice

• Find your champions – principles of change management– Early adopters, followers, resistors

• Build on the work• Create Meaning: Use the data – part of the conversation• Create the shared story

– Build on what you know– The CANS measures the story

• Use the information at all levels• The value of outcomes: impact, innovation, influence on care

The power of Outcomes to influence practice, to drive innovation and to impact facilitation of care.

The best possible beginnings for lifelong health.

Influence, Innovation and Impact

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BORN Registry

IVF Cycles5 PNS labs

+ NIPT soon

97 hospitals with L&B

&PP

48 Level 2 NICUs

3 of 8 Level 3 NICUs

86 MPGs + 2 BCs for L&B & PPNSO

Screening Results

PNS and NSO

Follow-Up Clinics

Primary Care EMRs

for OPR and 0-5

child visits

14 ABA Treatment

Centres (Autism)

Immuniza-tions from

App

VOLUNTARY SYSTEM

BORN Reporting

Portal

Admin Reports

DQ Reports

Clinical Reports

Dash-boards

Cubes

Current State: BORN Information System

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Current State: ContinuumFa

ther

Fetu

s

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Questions?

Grazie per il tuobenvenuto in Italia!