STRATEGIC PLANNING SESSION 24 June 2014 TORONTO. TimeTopicLead 9:45Registration 9:45-10:00Introductions and Purpose of the DayDr. C. Graveline 10:00-10:20Vision

STRATEGIC PLANNING SESSION24 June 2014

TORONTO

Time Topic Lead

9:45 Registration

9:45-10:00 Introductions and Purpose of the Day Dr. C. Graveline

10:00-10:20 Vision of the Ontario SCI Solutions Alliance B. AdairK. Bassett-Spiers

10:20-10:40 Setting Context for the Day P. Athanasopoulos

10:40-10:50 Context for Group Work Dr. C. Graveline

10:50-12:30 Presentations and Exercise 1: Implementing Best Practice – The Ontario Model and Knowledge Translation

Dr. K. HayesDr. D. WolfeH. Flett

12:30-1:30 LUNCH

1:30-2:30 Presentation and Exercise 2: Addressing and Resolving Systemic Barriers – SCI Ontario’s Public Policy Program

B. AdairJ. Evans

2:30-3:30 Presentation and Exercise 3:Consumer Engagement Strategy

P. AthanasopoulosDr. K. Martin Ginis

3:30-3:45 BREAK

3:45-4:15 Roundtable Report Back Dr. C. Graveline

4:15-4:25 Next Steps P. AthanasopoulosDr. C. Graveline

4:25-4:30 Closing Remarks B. AdairK. Bassett-Spiers

Introductions&

Purpose of the DayDr. Chantal Graveline________________________

Spinal Cord Injury Ontario

Purpose of the Day Development of potential priorities informing the Alliance

next 3-year Strategic Plan: 2014/15-18 Research and Best Practice Public policy Consumer engagement

Engagement of key stakeholders across Ontario Current Alliance members New recruits to the Alliance

Ensure our priorities are rooted in consumers’ best interests

Confirm an Alliance Leadership Structure responsible for governing the Alliance and creating the operational plans

Alliance Strategic Plan –Desired Outcomes

Research participation and Best Practice Implementation – Through strategic partnerships, the Alliance will drive key knowledge translation activities to promote the need for and achieve system change in specific areas identified by strategic planning and collective priority identification. SCI consumers will play a substantial role in promoting application of knowledge that will positively affect their lives.

Public Policy and Advocacy – In partnership with SCI Ontario’s Public Policy Program, the Alliance will influence specific policies identified by Alliance members through strategic planning to remove systemic barriers that adversely affect the quality of life of people living with SCI in Ontario. SCI consumers will play a substantial role in informing the efforts of the Public Policy Program.

Consumer Engagement – In partnership with Alliance members, strategies will be developed to enhance consumer voice and participation as key influencers towards decision making that affect the quality of life of people with SCI in Ontario. The Alliance will develop a consumer engagement strategy to promote active participation in advising on critical decisions pertaining to research, public policy, and knowledge translation informed through Alliance work.

VISION: Ontario SCI Solutions Alliance

Bill AdairCEO, Spinal Cord Injury Ontario

Kent Bassett-SpiersCEO, Ontario Neurotrauma Foundation

______________________________________________________

Co-Chairs of the Ontario SCI Solutions Alliance

Opening Remarks

Peter Athanasopoulos

Executive DirectorOntario SCI Solutions Alliance

ManagerPublic Policy and Government Relations, SCI Ontario

Context for Group Work

Mapping our Journey

Dr. Chantal Graveline________________________


Vision

Our pastOur presentOur future

Group brain power

Exercises (3)ToolsEngageOpenSpecificActionable

Priority setting

Report backSharingPassionSuccessesPitfalls

Leadership

Leadership TeamTasks ForcesAccountabilityStrategic PlanOperational Plans

PresentationsImplementing Best Practice –

The Ontario Model and Knowledge Translation

Dr. Keith HayesDr. Dalton Wolfe

Heather Flett_______________________

Keith C Hayes PhD

Chair: SCI Quality of Life Committee Provincial Lead: SCI Research

Co-Director OSCIRN Ontario Neurotrauma Foundation

June 2014

Vision

A collaborative network of clinicians and scientists, working within the Academic Health Science Centres, to facilitate the conduct of multi-centre clinical research on topics related to pre-hospital care, acute treatment, rehabilitation and community re-integration of individuals with spinal cord injury.

Ottawa Academic Health Science Centre

South Eastern Ontario Academic Medical

Association

Toronto Academic Health Science Network

Hamilton Academic Health Science Centre

London AcademicHealth Science Centre

www.themegallery.com

Ottawa Academic

Health Science Centre

London Academic


Hamilton Academic


Toronto Academic Health

Science Network

Text

OSCIRN: A network of provincialAcademic Health Science Centres

South Eastern Ontario

Academic Medical

Association

ONF

Mandate

• Translational research.• Across continuum of care.• Integrated KT & Implementation.• Integrated health economics.• Provision for “horizontal” as well as “vertical” research.• Provision for investigator and industry-driven research.

ONF

ONF SCI Quality of Life

Committee

OSCIRN Directors

OSCIRN Advisory

Board

Policy Fiscal Operations Privacy & Security

Prioritization of Resource Utilization

Network Manager &

Infrastructure Support

Governance & Operations

ONF ModelResearch-Knowledge Mobilization Integrated

EntryLit synthesis

Expert panel

Directed question

Consumer issue

Provider / policy issue

Partner engagement

Political issue

Community issue

Directed ResearchRFP

Demonstration project

Implementation research

Pilot study

Clinical study

Data review/analysis

Grant Competition

Translational research

MobilizationPresentation / dissemination

Policy briefs

Advocacy re. results

Tool kits/lay summaries

Practice briefs

COP/ network development

Consumer briefs

Exit/SustainabilityInformed COP

Policy / legislation

Evidence-based practice

Consumer self management

Evaluation/outcome changes

Partnerships

Capacity Building

Life course Approach

ONF (& RHI) history of funding KM, KT, BPG and BPI projects

Commitment to embracing KM in all Grant applications

Workshop Presentations on “How To” eg Sonya Corkum at OSCIRN Meeting Oct 2013

Diaphragmatic Pacing

An example of failed implementation at a system level

Knowledge Mobilization Network

Dr. Dalton WolfeHeather Flett

_______________________

The Spinal Cord Injury Knowledge Mobilization Network (SCI KMN)The Spinal Cord Injury Knowledge Mobilization Network (SCI KMN)

Toronto: Lyndhurst

Centre

Site Lead

Knowledge Mobilization

Specialist

Site Implementation

Team

Edmonton: Glenrose

Rehabilitation Hospital

Site Lead


Specialist

Site Implementation

Team

Québec City: IRDPQ

Site Lead


Specialist

Site Implementation

Team

London: Parkwood Hospital

Site Lead


Specialist

Site Implementation

Team

Calgary: Foothills

Medical Centre

Site Lead


Specialist

Site Implementation

Team

Montreal: IRGLM

Site Lead


Specialist

Site Implementation

Team

Knowledge Mobilization Specialist Team (KMST)

Network Leadership Team (NLT)

Innovation & Implementation Advisory Team

(IIAT)

Implem

entation Science Consultant(s)

Evaluation & Data Management

Team (EDMT)

Knowledge Translation Team (KTT)

Netw

ork Lead and Manager

Partners (RHI and O

NF)

• Overall Objective: Using innovation to improve health outcomes in persons with SCI in the areas of pressure ulcers, pain management, and bladder function.


SCI KMN – Specific Objectives

• To translate available evidence into clinical practice through the development and application of SCI practice resources, patient-centred practice and implementation science.

• To strengthen and sustain best practice implementation infrastructure and facilitating environments.

• To contribute to the evidence base of SCI care and the sciences of implementation and of empowerment.

The Spinal Cord Injury Knowledge Mobilization Network (SCI KMN)


Science “to” Service

© Fixsen & Blase, 2007

ScienceEvidence-Based Practices

ServiceImplementation

Science

• Implementation - “A specified set of purposeful activities at the practice, program, and system level designed to put into place a program or intervention of known dimensions with fidelity.” (and is sustained)

• Fidelity = how closely practices are “in place” relative to their intention.


What Works? - Implementation Frameworks(Describing the NIRN approach)

Practice, program and systems change through…4 Key Frameworks that are multi-dimensional, and fully integrated

Framework Lesson Learned

Implementation Team Must be dedicated & resourced (enabled)

Implementation Stages It takes time and there are defined milestones to gauge progress

Implementation Drivers Success requires a systematic approach that assesses drivers (barriers/facilitators) to create a comprehensive implementation action plan

Improvement Cycles Don’t try to do it all at once

Vision


Group brain power


Priority setting


Leadership


EXERCISE 1RESEARCH & BEST PRACTICE IMPLEMENTATION – Describe, in your working groups, how you believe the Ontario SCI Research Network (OSCIRN), The Knowledge Mobilization Network (KMN), and the Ontario SCI Solutions Alliance (Ontario SCI Alliance) can strategically work together to inform a 2017 Provincial SCI Strategy Proposal to the Ontario Government in the following areas below.Instructions: You have 60 min to complete this exercise Identify a recorder and a reporter at each table Use the Purpose of the Day & Desired Outcomes guidelines at your tables to facilitate discussion. Review the strategic planning survey results to support discussions and decisions Share your Wordles for inspiration!

Question # 1 – Structure – How can we design, build, chart the work of our networks to inform a coordinated SCI Strategy in Ontario?

Question # 2 – Communication – How can we develop, enhance and implement best communication methods for integration, connection and mobilization of all stakeholders?

Question # 3 – Implementation – What do you see as the top 5 priorities for Research and Best Practice in informing a Provincial Strategy? What are the enablers? What are the main obstacles? How will you know you achieve success?

Rate in order of priority 1:highest

LUNCH!

PresentationsAddressing and Resolving

Systemic Barriers – SCI Ontario’s Public Policy

ProgramBill Adair

CEO, Spinal Cord Injury Ontario

Jillian EvansCapital Hill Group

Role of the Public Policy Program Enhances citizenship status and participation of

Ontarians with SCI Identify public policy areas to Ontarians with SCI

from enjoying full citizenship and participation

Engage partners in presenting solutions to government

Recognize government for implementing positive change

Community Engagement in the Public Policy Program

Knowledge and skill development with consumers and supporters to effectively deliver common messages to Decision Makers:

How to Tell Your Story How to Write a Letter Meeting with a Decision Maker Participating in a Social Media Campaign

…these e-modules are complimented with an Apprenticeship Training via phone and email.

What We Won $1.7 million for Direct Funding (2011)

$1.4 million for Attendant Outreach (Toronto Central LHIN, 2013)

$5 million in base funding for Direct Funding (2014)

Additional funds for Attendant Outreach from other LHINs (2014)

…and the work continues (2014 election and beyond!)

Partnership with Capital Hill GroupLongtime volunteers, Capital Hill Group provides assistance to the Public Policy Program with regards to:

Strategy: Provides insight to policy environment to chart a course of action

Messaging: Helps frame messaging to government and external stakeholders

Connections: Liaises Program staff to government representatives and the bureaucracy; also links with other potential partners outside of government

Vision


Group brain power


Priority setting


Leadership


Exercise 2Addressing and resolving systemic barriers – PUBLIC POLICY PROGRAM – Describe how you believe SCI Ontario’s Public Policy Program can better address the service gaps/improvements that affect the quality of life for persons with SCI in Ontario. The results of this exercise will inform a 3 year plan towards a Provincial SCI Strategy Proposal in 2017.Instructions: You have 40 min to complete this exercise Identify a recorder and a reporter at each table Use the Purpose of the Day & Desired Outcomes guidelines at your tables to facilitate discussion Review the strategic planning survey results to support discussions and decisions Share your Wordles for inspiration!

Question # 1 – Barrier IdentificationWhat do you see as the top 5 systemic barriers or gaps in access to services in Ontario? Where do you believe the Public Policy Program should concentrate its efforts?

Rate in order of priority1: highest

Question # 2 – Community Mobilization What are the activities (5) that your organizations would like to participate in to support the Program? Be specific. Please consider the following: Campaign Participation Research and business case

development Submissions to government Joining SCI Ontario in a

government relations meeting to present business cases that applies to you.


Question # 3 – Social Media and Public Policy WebsiteWhat information and capabilities would be useful to your organization to strengthen our communication and advocacy efforts together?Currently on our website, we have the capability of: E-mailing policy makers directly off

website within a campaign Public News Room – up to date info

on public policy as it relates to people with SCI

Position papers and strategy reports for each systemic barrier we address

Subscription abilities “join us”


Presentations

Consumer Engagement Strategy

Peter AthanasopoulosDr. Kathleen Martin Ginis

Peter AthanasopoulosConsumer Engagement/ Why?

My personal experience Inform research agendas Increase resources Accelerate knowledge mobilization Inform research dialogue Recruit research participants

Kathleen A. Martin Ginis Ph.D.

McMaster University, Department of KinesiologyMcMaster Physical Activity Centre of Excellence

Research-Based Solutions: A Partnered Approach

Community Partners

http://www.rickhansen.com/

Translation into products, tools, services

Implementation

Research

Community-University

Partnership

Blueprint for Research and Knowledge Translation Process

Evidence-Based Resources

Physical Activity Counseling Service for Adults with Spinal Cord Injury

Control Telephone-Counseling

Resources for Fitness Trainers and Health Care Professionals

Harnessing the Power of Peers

15,000 Toolkits

distributed

150Clients Counselled on Physical Activity

800Health Care

Professionals & Providers Reached

18 Communities

hosted “Exercise Roadshows”

10,000 guideline views in 10 languages

Lessons Learned

Be Patient—Meaningful Consumer Relationships Take Time to Develop

Remember that Consumer and Organizational Partnerships Are

About Sharing

Identify “Partnership Champions”

Funding Support Provided By:

• Social Sciences & Humanities Research Council• Canadian Institutes of Health Research• Ontario Neurotrauma Foundation• Employment and Social Development Canada• Rick Hansen Foundation• Risk Hansen Institute• Canadian Paralympic Committee

Vision


Group brain power


Priority setting


Leadership


Exercise 3aImproving Research Capacity By Creating A CONSUMER ENGAGEMENT STRATEGY IN RESEARCH – Describe, in your working groups, how you believe the Ontario SCI Solutions Alliance can support research development and implementation of best practices to improve the quality of life for persons with SCI in Ontario. The results of this exercise will inform a 3 year plan towards a Provincial SCI Strategy Proposal in 2017.Instructions: You have 40 min to complete this exercise Identify a recorder and a reporter at each table Use the Purpose of the Day & Desired Outcomes guidelines at your tables to facilitate discussion. Review the strategic planning survey results to support discussions and decisions Share your Wordles for inspiration!

Question # 1 - Have you developed consumer engagement strategies in Research before? Provide examples.

Question # 2 – What are the best strategies you would recommend to the Alliance? Be specific.

Question # 3 – What are the major challenges you foresee for the Alliance as it develops its consumer engagement strategy IN RESEARCH? Provide examples.

Rate in order of priority 1:highest

Determining Research Questions

Participating in study design

Recruiting subjects for research

Advocating for implementation of research

Leveraging consumers to increase research resource capacity

Exercise 3b

Addressing and Resolving Systemic Barrier by Creating A CONSUMER STRATEGY IN ADVOCACY – Describe, in your working groups, how you believe the SCI Ontario’s Public Policy Program can support service gaps/improvements that affect the quality of life for persons with SCI in Ontario. The results of this exercise will inform a 3 year plan towards a Provincial SCI Strategy Proposal in 2017.Instructions: You have 40 min to complete this exercise Identify a recorder and a reporter at each table Use the Purpose of the Day & Desired Outcomes guidelines at your tables to facilitate discussion Review the strategic planning survey results to support discussions and decisions Review your Wordles for inspiration!

Question # 1 - Have you developed consumer engagement strategies in Advocacy before? Provide examples.


Question # 3 - What are the major challenges you foresee for the Alliance as it develops its consumer engagement strategy IN ADVOCACY? Provide examples.

Rate in order of priority 1:highest priority

Working with consumers in understanding barriers

Working with consumers in identifying solutions

Working with consumers in building a business case

Exercise 3c

Implementing Best Practices By Creating A CONSUMER ENGAGEMENT STRATEGY IN KNOWLEDGE MOBILIZATION – Describe, in your working groups, how the Knowledge Mobilization Network can implement a consumer engagement strategy. The results of this exercise will inform a 3 year plan towards a Provincial SCI Strategy Proposal in 2017.Instructions: You have 40 min to complete this exercise Identify a recorder and a reporter at each table Use the Purpose of the Day & Desired Outcomes guidelines at your tables to facilitate discussion. Review the strategic planning survey results to support discussions and decisions Review your Word Doodles for inspiration!

Question # 1 - Have you developed consumer engagement strategies in Knowledge Translation before? Provide examples.


Question # 3 – – What are the major challenges you foresee for the Alliance as it develops its consumer engagement strategy in KNOWLEDGE TRANSLATION? Provide examples.

Rate in order of priority 1:highest priority

Working with consumers to analyze best practices and guidelines

Working with consumers to develop partnerships

Working with consumers to implement best practice guidelines/standards

Working with consumers to share their experience of evidence based practices

Involving consumers in publication submissions

BREAK!

Roundtable Report Back

Dr. Chantal Graveline________________________


Vision


Group brain power


Priority setting


Leadership


Next Steps

Peter Athanasopoulos

Dr. Chantal Graveline

Vision


Group brain power


Priority setting


Leadership


Leadership Team Proposed Core group accountable to Alliance members –

TOR to be developed Representative of stakeholders and provincial

geography Mandated to consolidate the strategic plan Mandated to articulate operational plan Ability to mandate tasks forces on specific

issues/ activities Inform the strategic proposal to be submitted

to the Ontario Government by 2017

How do I participate? Sign up sheets on tables Leadership Team Task forces State your top 3 areas of interests

Commitment of the current leadership to you… Summary of today’s proceeding by mid-

August Results of Survey Monkey evaluation of

today’s session by mid-August

Reach out to all of you present and interested stakeholders who could not be with us forENGAGEMENT in LEADERSHIP TEAM by

July 15th!

Vision


Group brain power


Priority setting


Leadership


Concluding Remarks

Bill AdairCEO, Spinal Cord Injury Ontario

Kent Bassett-SpiersCEO, Ontario Neurotrauma Foundation

______________________________________________________

Co-Chairs of the Ontario SCI Solutions Alliance

Documents

STRATEGIC PLANNING SESSION 24 June 2014 TORONTO. TimeTopicLead 9:45Registration 9:45-10:00Introductions and Purpose of the DayDr. C. Graveline 10:00-10:20Vision