knowledge transfer and exchange march 25, 2014
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Knowledge Transfer and Exchange March 25, 2014. Outline. How we define knowledge transfer and exchange (KTE) Two KTE interventions Quality Compass Champion Program Future for KTE at HQO. The Know-Do GAP. - PowerPoint PPT PresentationTRANSCRIPT
www.HQOntario.ca
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
www.HQOntario.ca
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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