knowledge transfer and exchange march 25, 2014

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Knowledge Transfer and ExchangeMarch 25, 2014

Outline

How we define knowledge transfer and exchange (KTE)

Two KTE interventions Quality Compass Champion Program

Future for KTE at HQO

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The Know-Do GAP

• Familiar and often quoted “Studies suggest that it takes an average of 17 years for research evidence to reach clinical practice” (Balas & Boren, 2000).

• “…about 30-40% of patients do not receive care according to scientific evidence, and about 20-25% of care provided is not needed or is potentially harmful” (Grol & Grimshaw, 2003).

• Commonwealth Reports confirm variation persists across jurisdictions and we all conclude that although progress has been made, optimizing the uptake of evidence is still needed.

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Knowledge Translation

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A dynamic and iterative process that includes

synthesis, dissemination, exchange and

ethically-sound application of knowledge to

improve the health of Ontarians, provide

more effective health services and products

and strengthen the health care system

A dynamic and iterative process that includes

synthesis, dissemination, exchange and

ethically-sound application of knowledge to

improve the health of Ontarians, provide

more effective health services and products

and strengthen the health care system

Adopted from CIHR ( Ian Graham)

Knowledge Transfer and Exchange

Goal•In collaboration, work to accelerate the uptake of evidence into practice

•To achieve better care, better experiences and better value.

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Closing the Gap Knowledge into Action

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Background

• Providers and decision-makers expressed a need for a credible and comprehensive resource containing contextualized knowledge, referenced and aligned with Ontario’s key priority areas to guide their quality improvement efforts and maximize practice/institutional performance.

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What is the Quality Compass?

• The Quality Compass is a user-friendly and intuitive tool that provides one stop access to a variety of resources aligned to HQO and Ontario’s key priority areas.

• The Quality Compass is designed for decision makers and providers who seek tools and resources to support their efforts to make change and implement best practices - leading to sustainable improvements.

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What is the Quality Compass?

• The Quality Compass serves as a repository of success stories - highlights “bright spots” - what is working and how sustainable gains were achieved.

• The Quality Compass is an expansion and enhancement of IHI’s Improvement Map tool, built on a web platform with a range of functionality to support an interactive, collaborative exchange of knowledge.

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Introduction to the Quality Compass

http://qualitycompass.hqontario.ca

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New Home Care Topic

• Initial release of new home care topic: May 2014• Priority subtopics:

• Reducing Falls and Fall related injuries• Medications Management• Reducing ED visits and hospital readmissions• Client and Caregiver satisfaction

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Champion Program

An intervention to support quality improvement initiatives through

Peer to Peer support

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Champion Program Objectives

1. To augment and compliment HQO’s QI initiatives to increase reach, catalyze spread and exchange evidence based practices and experience based knowledge.

2. Build an integrated network of champions to support cross-sectoral QI initiatives from a system perspective to accelerate uptake – tipping point.

3. Provide development opportunities for current and future champions to increase capacity within the system.– support and development of the current Network of Champions

– maintenance of the electronic group space

– ongoing recruitment, orientation and training of new champions.

4. Obtain feedback and evaluate to inform direction.

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Champion Program

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• An important mechanism to improve, sustain and spread quality improvement efforts across Ontario.

• Champions act as advocates for quality, storytellers and mentors who enable others to make change leading to sustainable improvements.

• Champions are those who have ‘been there, done that’ and can provide peer support, personal experience and knowledge, and share the context with which their improvement was achieved, often through storytelling.

• Champions are key enablers of adoption of change:o From Roger’s Adoption Curve (Rogers, 1995) we know that change, or adoption of

new or best practices often starts with innovators and early adopters, while the early and late majority are more open to ideas from peers they respect.

o Hence, a few key early adopters may champion an idea before it reaches the point where it is achieves widespread uptake.

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Champion Program

Phase Description

Identify Recruit Champions to augment the adoption of change leading to sustainable improvement and spread of best practices

Orient- Develop Champions by providing training, tools and resources and developing a Community of Practice

Champion Activities

Champions advocate for QI and provide support as outlined by initiative

Monitor - Evaluate Evaluation of demonstration to inform and guide program

Refine - Expand Potential to expand based on key learnings

2013 March 20 May 1 May 15 June12

Additional Dates

Total

# of Champions 9 10 8 9 TBD 36

Program

Development

Group Space

Handbook

Program Design

Needs assessment Competencies Role: augment and

supplement QI Coaches through peer to peer support

Responsibility /Activities Context Recruitment

Training and Development

Three development opportunities annually

Quality Improvement Change Management Story Telling Influencing Facilitating

Champion Program

Handbook

Processes Templates Tracking of activities

Presentations, one on one, training

Feedback forms

Group Space

Web 2.0 platform On line community Blog Sharing ideas Document depository

Champion Activities 2013/14

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* Presentations included Learning Sessions, Kaizen Events, and Learning Collaborative; ** Other: Kaizen event, IF training

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Champion Network – Staying Connected

A Network or Community of Practice (CoP) is a group of providers, caregivers, policymakers, researchers, healthcare administrators, educators and community leaders who come together to exchange information on a topic of common interest. A community of practice is a network of individuals with common interests who get together to:

• Explore ways of working

• Identify common solutions

• Share good practice and ideas

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Champion Network Group Space

Launched Oct 2013

•Secure, password protected shared web space for HQO Champions to collaborate, learn innovative approaches and share experiences. Features include:

– Calendar of events

– Blog

– Discussion board - interactive

– Tools and resources

– Helpful links

•Connect with other champions by visiting http://www.hqontario.ca/champions/

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Group Space Highlights

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Blogs Calendar

Resources

Links

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Staying Connected

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Champion Support

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Champion Network Group Space Group Space User Guide

Recognition Certificates

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Champion Handbook

Meet the Champions

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Networking Lunch: Wednesday March 26, 2014

St. Paul’s Bloor St. Toronto, ON

Next for KTE

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• A new KTE Strategy for HQO…in development

• Focus on accelerating the uptake of evidence to close the gap in care

Thank you

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www.hqontario.ca@HQOntario