Canadian Cancer Society Manitoba Division: Knowledge Exchange Network (KEN) & CancerCare Manitoba

1. Canadian Cancer Society Manitoba Division: Knowledge Exchange Network (KEN) & CancerCare Manitoba Manitoba Integrated Chronic Disease Primary Prevention System Presented at the Need to Know Meeting By Dexter Harvey & Jane Griffith January 30, 2006

2. FRAMEWORK for KNOWLEDGE EXCHANGE NETWORK Canadian Strategy For Cancer Control Human Resource Planning Standards & Guidelines Primary Prevention Rebalancing Focus Research Priorities Rebalance Cancer Prevention Supportive Care Palliative Care Chronic Disease Knowledge Exchange Network (KEN) Prevention user groups Care user groups

3. KEN Project Objective: To pilot a provincial knowledge exchange model to facilitate the uptake of evidence-based practice to support chronic disease prevention and palliative care.

4. Knowledge Construction/Utilization Framework (KEN 2005; adapted from Manske, 2001; adapted from Cousins & Leithwood, 1993) Characteristics of the Source & Information: Source: CREDIBILITY Sophistication Communication Quality Information: RELEVANCE TIMELINESS CONTENT - Relative Advantage - Complexity - Trialability - Observability • Assumptions • Knowledge: • Is socially constructed • Information Sources: • Must be credible • Contextually relevant • Congruent w/users’ priorities • Timely • Understandable • Knowledge Brokering: • Brings people to • identify issues and • construct evidence-based • solutions • Is critical to knowledge • transfer • Requires skills in: • - Facilitative leader- ship • - Networking • Business and marketing • Involves risk –taking Social Capital Creation of Contextually Relevant Knowledge Tacit Knowledge Knowledge Utilization Action • Interactive Processes • SOCIAL PROCESSING • Involvement in creation • of relevant knowledge • Ongoing Contact • Engagement Decision to Act Information Processing • Characteristics of Context • for Use: • (Organizations,COPs,Individuals) • COMMITMENT— RECEPTIVENESS • MANDATE & PRIORITIES • RESOURCES • USER PERSONAL TACIT • KNOWLEDGE • INSTITUTIONAL INFLUENCES • (code of conduct) • CHARACTERISTICS: • History of Prior Knowledge Use • Previous Experience • Leadership Consequences & Feedback ENVIRONMENTAL CONTEXT: Scientific Paradigm (nature of evidence); Health System Priorities; Other Sector System Priorities; Interorganizational Relationships

5. Knowledge Translation Exchange (KTE) • Early Years viewed as “pushing” research knowledge outwards to selected “audiences”. • Current research shows that KTE involves people with different perspectives, knowledge and experience exchanging ideas and information for mutual benefit. Ongoing dialog must occur between those who generate research knowledge and potential users. • If knowledge is socially constructed, then social processes that take place between members of a group (and outside the group) are key elements that facilitate knowledge creation and use in practice

6. Knowledge Brokering • Brokering focuses on identifying and bringing together people interested in an issue, people who can help each other develop evidence-based solutions • A key function of KEN

7. User Groups (Communities of Practice) • Groups of People who share a concern, a set of problems, or a passion about a topic • Innovation grows out of the relationship between an individual and the world of her or his work, and out of the ties between an individual and other human beings. • Innovation results from interaction and collaboration among individuals with shared interests.

8. KEN Model Interaction Interaction Interaction Interaction

9. Integrated Chronic Disease Prevention System CONTEXT KNOWLEDGE TRANSLATION Implementation of Policies & Programs Capacity Building Evaluation POPULATION IMPACT KNOWLEDGE EXCHANGE Communities of Practice; Brokering; Training & Consultation KNOWLEDGE BUILDING Research & Surveillance RELATIONSHIPS CONTENT Knowledge Synthesis

10. Manitoba System Policy and Program Evaluation P R O V I N C I A L Implementation of Policies and Programs Surveillance N A T I O N A L / I N T E R N A T I O N A L Capacity Building Interaction of Manitoba Knowledge System (CCS;CCMB;HSFM; Health Regions &Regional & Community Committees) In Knowledge Translation & Exchange Best Practices Identification and Dissemination Strategic and Investigator Driven Research

11. Manitoba Integrated Chronic Disease Prevention System Implementation of Chronic Disease Prevention Policies & Programs Policy & Program Evaluation Knowledge Exchange Network Brokering Best Practices to Regional Intersectoral Communities of Practice Surveillance & Research (Inter)National Best Practices Knowledge Synthesis & Dissemination

12. System Operation Interaction Interaction Interaction Interaction

13. CancerCare Manitoba • Surveillance • Evaluation

14. What Does It Take? • Cutting Edge Thinking • Momentum, commitment and goodwill • Champions • Learning communities • “We adapt not adopt” • NGOs: enable, advocate, convene • We are the system

15. Manitoba Evidence-Based System

16. Ready, Set, ‘Go’ • Work together to co-create an integrated prevention system • Conversations to bring meaning to ‘integration’ and to create a common vision • Enable collective leadership • Negotiate organizational roles within an integrated system • Nurture a learning community – no ’one’ has the answers; and there is no ‘right’ way. “Learn as we go”