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B1 – SPIN: Supporting Solo Practitioners in Need A CHC initiative that supports solo practitioners who have difficulty accessing community based resources and infrastructure to respond proactively to complex patients’ needs. Specifically the SPIN provides:
Presented by: Cliff Ledwos, Director, Primary Health Care and Special Initiatives, Access Alliance Multicultural Health and Community Services Theme: Primary Health Care at the Foundation Audience: All audiences |
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The social determinants of health (SDOH) represent the next frontier for reducing health inequalities, a point reinforced by the work of the WHO’s Commission on Social Determinants of Health. In this regard, Canada's track record since the 1980s in five respects related to the SDOH suggests a bleak prognosis and has reduced Canada's capacity to reduce existing health inequalities: (a) the overall redistributive impact of tax and transfer policies; (b) reduction of family and child poverty; (c) housing policy; (d) early childhood education and care; and (e) urban/metropolitan health policy. Promoting health equity by working upstream is difficult because powerful sectors oppose public policy that would distribute the SDOH more equitably. In this workshop we identify these opponents and present means of overcoming their opposition. Presented by: Toba Bryant, PhD, Assistant Professor of Health Sciences, University of Ontario Institute of Technology and Dennis Raphael, PhD, Professor of Health Policy and Management, York University Theme: Working Upstream Audience: All audiences |
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B3 - Developing Primary Care Measures that Matter: Creating a CHC Primary Care Dashboard Recently, there has been a great deal of primary care indicator development and prioritization that has lead to a wealth of primary care indicators. The Clinical Team Advisory (CTA) Group has attempted to prioritize these indicators using a modified Delphi process to create a subset of measures that reflect practice/CHC level priorities. A primary care dashboard is being developed to measure, monitor and benchmark CHC progress with the ultimate objective of ensuring and maintaining high quality care. The CTA will review the primary care indicator activity in Ontario. This will include a fulsome discussion of the Primary Care Performance Measurement Framework (PCPM) and the Quality Book of Tools. The methods to reduce this work into a meaningful measurement tool for CHCs will be reviewed. The list of indicators that will be included in the Primary Care dashboard will be reviewed for discussion and consultation. Presented by: Jennifer Rayner, Regional Decision Support Specialist, SW Ontario Network of Community Health Centres Theme: Quality Improvement and Clinical Leadership Audience: Front line/program staff|Senior management|Administration |
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B4 - OUR HARM REDUCTION STORIES: Working toward healthier outcomes It is well documented that street involved individuals experience barriers in accessing health care and social services due to stigma and discrimination. To raise awareness around this issue, we will showcase a 12 minute video on how harm reduction practices lead to healthier outcomes. It is our hope that with this video, in addition to a panel discussion, the audience will gain an understanding of:
Presented by: Calvin Henshell, Outreach Worker, Regent Park Community Health Centre, Judy Hyndman, Outreach Worker, Regent Park Community Health Centre and Dr. Sharon Gazeley, Physician, Regent Park Community Health Centre Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management|Policy makers|Program management|Board members |
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B5 - Enterprise Risk Management - From Threat to Innovation A risk is something that impacts and/or prevents an organization's ability to meet its objectives. Enterprise Risk Management (ERM) Is a process for managing the myriad of risks an organization faces, ERM helps an organization determine which risks it will and will not take and assists in fulfilling a fundamental responsibility of Board Trustees and Senior Leadership. A systemic and sustainable Enterprise Risk Management process will aid healthcare providers by providing: improved risk information needed to support strategic decision making throughout the organization; an understanding of the risks and interrelationships to help drive learning achievement, operational performance, value, and reputation; a foundation to effectively evaluate the learning and achievement and operational objectives and the associated opportunities and threats; a complementary process to enhance major project management, transformational initiatives or special healthcare delivery programs; an opportunity to get out in front of public policy and funding changes; a platform and process to consistently identify and assess risks; a defined risk governance structure with clear roles and responsibilities. Included will be tools, hands on experiential learning, and a "real life" example. Presented by: Elizabeth Beader, CEO, North Hamilton CHC and Peter Heimler, Partner Associate, KPMG, LLB Theme: Maximizing Community Governance Audience: All audiences |
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B6 – “Unbundling”the Challenges of Becoming Baby-Friendly Building baby-friendly into an organization’s culture will require complex change. In this session, we will unbundle this complexity and help participants understand ways to approach some of the challenges associated with becoming baby-friendly. The session will focus on enhancing women's and infants wellbeing by offering strategies to more effectively align to the ministry direction of increasing support for breastfeeding. Presented by: Linda Young MScN, EdD, Director Maternal Newborn Child, Mental Health, Interprofessional Practice and Organizational Learning, Toronto East Hospital and Kristina Niedra, MA, Project Manager, BFI Strategy for Ontario, Toronto East General Hospital Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management|Program management|Administration |
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B7 - Reducing Academic Barriers for Racialized/Marginalized Students: LEARN Academic Support Program TAIBU’s programming framework embraces an Anti-Racist/Anti-Oppressive approach. Education, one of the Social Determinants of Health is critical for achieving wellbeing. In 2011, through funding from Trillium, TAIBU developed an academic support program involving partnerships with three high priority neighbourhoods Jane/Finch, Malvern, and Alton Towers. A total of 247 students participated in this program designed to gather information and equip students with the skills and knowledge to manage five indicators for academic success: School Comfortability, Student Teacher Relationship, Cultural Congruence and Classroom Equity, Perceived Threat of Racism/Discrimination, and Reduce Barriers to Academic Supports. The pedagogical approach is highly interactive, to engage the Y and Z population whose minds are wired differently due to their high interaction with social media and technology. One of the learning objective is to build awareness and acquaint participants with pedagogical approaches to increase academic success for marginalized and racialized students utilizing evidence-based academic success indicators . Presented by: Tony Jno Baptiste, Program Manager, TAIBU Community Health Centre and Shawna Williams, Youth Resource Coordinator, TAIBU Community Health Centre Theme: Working Upstream Audience: Front line/program staff|Senior management|Program management |
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Community workers and health promoters are often made responsible for carrying out various engagement processes that aim to increase resident input into programs and policies. At the same time, workers are often given little time and space to explore the potential for these engagement processes to translate resident input into concrete change. Scholars around the world have applied a critical lens to the limits and potential of stakeholder engagement processes related to urban health. We will briefly present a recent review of some of this scholarship, and then facilitate an interactive discussion about the experiences of community workers and health promoters charged with “engaging communities.” We hope to open up space for reflection on this complex topic, while generating an ongoing dialogue. Presented by: Dr. Patricia O'Campo, PhD, Director, Centre for Research on Inner City Health, St. Michael’s Hospital Professor, Dalla Lana School of Public Health and Amy Katz, Knowledge Translation, Centre for Research on Inner City Health, St. Michael’s Hospital Theme: Breaking Down Barriers Audience: Front line/program staff |
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The recurring theme of substance abuse and trauma in women’s lives demonstrates a need for a trauma informed gender-responsive approach that acknowledges their psychosocial needs. Substance use is a complex and challenging social and health problem that affects millions of women and girls every day and studies have shown that this issue can no longer be discussed without acknowledging the abuse in their lives. The evidence is surmounting on the contribution of abuse and trauma to mental illness and substance problems in women and in turn, the benefit of trauma-informed approaches in reaching and assisting them without re-traumatization.The presenters will demonstrate how a trauma-informed approach can improve service access for women, helping to create an awareness of the interconnections between women’s experiences and choices of coping mechanisms. The presentation will also demonstrate the importance of a system level approach to partnerships between community health centers, mental health, violence against women and the substance use sectors. Presented by: Audrey Taylor, Program Manager, Black Creek Community Health Centre and Andrea Lagios, Addiction Outreach Counsellor, Black Creek Community Health Centre Theme: Breaking Down Barriers Audience: All audiences |
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B10 - The Role of System Navigation in Primary Care - Rural Hastings HealthLink Rural Hastings HealthLink (RHHL), located in Central and North Hastings, is one of seven HealthLinks within the South East LHIN and is an early adopter of the HealthLink initiative in Ontario. RHHL champions a new systems approach in innovative thinking and creative methods that generate the opportunity for health system transformation, improve the patient’s experience, optimize health outcomes, and decrease costs to the system as whole. The presentation will speak to the role of system navigators within primary care who engage medically and socially complex patients, integrate the patient’s voice into the medical plan of care, identify socio-economic barriers to support their goals, integrate upstream health promotion and prevention into the plan of care, improve the patient’s experience in navigating the health/social systems, and support the patient to receive care at home rather than seeking support through the hospital system. The presentation will include lessons learned in developing new behaviours, relationships and partnerships to communicate and coordinate care between disciplines, settings and organizations and how the role of system navigation delivers a return on investment to health system as a whole. Presented by: Lyn Linton, Executive Director, Gateway Community Health Centre and Julia Swedak, Director of Quality & Decision Support, Gateway Community Health Centre Theme: System-Wide Integration Audience: All audiences |
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B11 - Precarious Work is Bad for Our Health: How do we support discussion and action on decent jobs and wages in Ontario? Research shows that low wage and precarious work in Ontario is making people sick. But there’s only so much we can do as health service providers – we need upstream changes in policy with increases to the minimum wage and better working conditions. Get an update on this campaign from the Workers Action Centre, one of the most creative and effective advocacy groups in Ontario, and learn from Access Alliance about a new project to support the CHC/AHAC/NPLC/CFHT sector raise awareness of economic security as a health issue. Presented by: Sehr Athar, Coordinator, Community-based research, Access Alliance Multicultural Health and Community Services and Deena Ladd, Coordinator, Workers Action Centre Theme: Working Upstream Audience: Front line/program staff|Senior management|Policy makers|Program management|Board members |
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B12 - Improving Access to Mental Health and Addictions Services: A case study from Parkdale CHC Parkdale Community Health Centre has implemented an "Access" program that guarantees a same-day phone or in-person meeting with a counsellor for current or prospective clients in need of mental health or addictions supports. This process has also centralized and streamlined the process of registering for counselling services. Preliminary results show that there has been an increase in clients able to access counselling services, and an elimination of waitlists for counselling programs. This change was done after a thorough process of consulting with staff and partners and has been inclusive of team members. The change was implemented without any additional resources or new funding. We will walk participants through the details of the initiative and its results and discuss the change management processes to guarantee success. Presented by: Bronwyn Underhill, Director of Population Health and Community Engagement, Parkdale Community Health Centre and Shirley Roberts, Interim Executive Director, Parkdale Community Health Centre Theme: Breaking Down Barriers Audience: Senior management |
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B13 - System Integration - New Voices, New Stories, New Conversations CHC Board Chairs, Executive Directors and Program Managers are participating in (and sometimes leading) system integration initiatives across the province. These initiatives bring together new constellations of health and social service providers to define new relationships and ways of working together. The hopes are high, but the conversations often get up on the same pitfalls that have plagued similar initiatives in the past. This session will explore approaches that have been shown to have the potential to transform the conversations about system integration (including experience-based co-design and developmental evaluation). Examples will be discussed from settings where these approaches will be used, and participants will discuss how they could be applied by CHCs in system integration initiatives. Presented by: Ken Hoffman, Principal, One World Inc. Theme: System-Wide Integration Audience: All audiences |
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B14 – SPOTLIGHT SESSIONS: MENTAL HEALTH Harm reduction is often presented as being at best a first step to substance use treatment, or worse, antithetical to treatment and recovery altogether. This presentation, grounded in change science and evidence on how people actually recover from substance use and concurrent disorders, not only challenges this thinking, but puts harm reduction at heart of substance use treatment. Presented by: Rob Boyd, Oasis Program Director, Sandy Hill Community Health Centre Theme: Breaking Down Barriers Audience: All audiences B14.2 - Daisys' Drop-In: A collaborative response to community need Daisy’s Drop In is a program developed by Carlington Community Health Centre (CHC), in partnership with a dozen local agencies, that addresses the needs of street sex trade workers (STW) in the west end of the city of Ottawa. The learning session will describe the best practices that were incorporated into the services and supports for this group of vulnerable women dealing with issues of addictions, homelessness and mental health. The presentation will share the following information: Carlington community and clientele profile, Daisy’s history, drop-in beginnings and clients, harm reduction and peer program involvement , partner’s role in clinical services offered (STI, pregnancy test, emergency contraception, POPP), social services offered (harm reduction, counselling, etc), evaluation and future planning. Presented by: Melissa D'Amora, Counselling Team Program Coordinator, Carlington Community Health Centre Theme: Breaking Down Barriers Audience: All audiences B14.3 - Collaborative mental health: Towards an integrated care system at the primary care level Incorporating mental health services into primary health care (PHC) settings is the most viable, effective and affordable way to improve access for those with treatable mental illness in the community (WHO 2010). The Office of Transformative Global Health (OTGH) at the Centre for Addiction and Mental Health (CAMH) has been working towards building an integrated mental health system for many years. Most significantly, OTGH led a 2009-2011 project entitled The Mental Health and Addiction Capacity Building Program for Community Health Centres in Ontario which aimed to foster health system improvement by strengthening the competencies of PHC professionals in addressing mental health and addiction issues. This presentation will present recent evidence surrounding the practice of integrated mental health care at the PHC level, review the findings from OTGH projects related to Collaborative Mental Health and provide overview of the following topics:
Presented by: Akwatu Khenti, Director, Office of Transformative Global Health, Centre for Addiction and Mental Health Theme: Breaking Down Barriers Audience: All audiences B14.4 - A Community Collaborative Model for Delivering Single-Session Walk-in Counselling Services The Durham Counselling Walk-in Clinic is a collaborative between sectors and organizations with the common goal of providing a walk-in style clinic to support children, youth and their families experiencing a mental health or addictions problem. This workshop will discuss the purpose of the counselling walk-in clinic in the community, the operations that are involved in the clinic and also address the collaborative approach involved in sustaining this initiative. Presented by: Janet McPherson, Acting Executive Director, The Youth Centre and Kelly Ng, Health Promoter/Clinic Coordinator, The Youth Centre Theme: System-Wide Integration Audience: Front line/program staff|Program management |
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