Building a Community of Practice and leveraging Collaboration towards shared Innovations

1. Building a Community of Practice and leveraging Collaboration towards shared Innovations Jane Hsieh, Executive Director SCIKMN June 3, AM Theme 1B

2. SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Foothills Medical Centre: SCI Rehabilitation Clinic Glenrose Rehabilitation Hospital ISRD&OU

3. SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative June 3, PM, Theme 1 The Neurotrauma Knowledge Mobilization Network: Implementation Science Research, Development, and Operations Unit (ISRD&OU) R.J.Riopelle, Chief Science Officer Foothills Medical Centre: SCI Rehabilitation Clinic Glenrose Rehabilitation Hospital ISRD&OU

4. Required Elements of a Community of Practice (CoP) • RequirementSCI KMN Focus • Shared domain of interest • Improving patient outcomes • 2) Engagement/sharing to achieve consensus • Best practices for implementation • 3) Developing resources to address a shared practice • Develop and adapt resources for effective pressure ulcer prevention and management • (Wenger, 2006) • *6 sites , 3 Provinces, ~100 CoP members

5. SCI KMN CoP A Learning and Innovation Collaborative 2) Strategic Leadership 1) Network Management ORGANIZATIONAL STRUCTURE ISRD &OU 3) Clinical Leadership 4) Data management/evaluation 5) Dissemination within/beyond network 1) Network management

6. Capitalizing on in situ expertise and interest • COLLABORATION THROUGH SHARED LEADERSHIP, CROSS-TALK BETWEEN COMMITTEES & SITES • Testimony to the Rationale for, and Power of, the SCI KMN CoP • KEY INTERACTING PLAYERS: • SITE LEADS and PROJECT LEADERSHIP TEAM (strategic) • TRANSFORMATION SPECIALISTS and TRANSFORMATION SPECIALIST TEAM (operations)

7. Capitalizing on in situ expertise and interest • DEFINING QUALITY & QUALITY IMPROVEMENT for Patients, Providers, Organizations and the ISRD&OU • KEY INTERACTING PLAYERS: • EVALUATION and DATA MANAGEMENT TEAM • TRANSFORMATION SPECIALIST TEAM

8. Capitalizing on in situ expertise and interest • INCREASING AWARENESS WITHIN/BEYOND NETWORK • To Promote Standardized Best Practice Implementation to Other Providers • KEY INTERACTING PLAYERS: • KNOWLEDGE CURATOR of ISRD&OU • KNOWLEDGE MANAGEMENT AND COMMUNICATIONS TEAM

9. Capitalizing on in situ expertise and interest SHARING PRACTICEINNOVATIONS SCI KMN ‘Reverse Innovation’* Portfolio *Innovation emerging from practical need • ISRD&OU development • End User (Patient)Outcomes • Patient Reported Outcomes (PRO) within a Patient Practice Portfolio • Patient self-management resources and provider support • Knowledge User (Provider) Performance • Mentorship capacity • Adapted Implementation Guide • Education and training curriculum for health transformation innovation brokers • Delphi & clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM) • Centralized, web-based data repository for real-time data collection KEY PLAYERS: MEMBERS of SCI KMN

10. Capitalizing on in situ expertise and interest SHARING PRACTICEINNOVATIONS SCI KMN Reverse Innovation Portfolio • End User (Patient)Outcomes • Patient Reported Outcomes within a Patient Practice Portfolio • Patient self-management resources and Provider support • Knowledge User (Provider) Performance • Mentorship Capacity • Adapted Implementation Guide • Education and training curriculum for health transformation innovation brokers • Clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM) June 3, PM, Theme 2 Speaking the Same Language - Creating a User Guide to Streamline Knowledge Mobilization Across a National Network and Beyond Westley Reinhart-McMillan, Project Coordinator, SCI KMN Cyndie Koning, Transformation Specialist – Glenrose Rehabilitation Hospital, SCI KMN Laura Mumme, Glenrose SIT Member, SCI KMN • Adapted Implementation Guide • KEY PLAYERS: • MEMBERS of SCI KMN

11. sTRENGTHS Consensus methodology (Delphi) Broad & flexible stakeholder engagement Adapted Innovations Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Transferability Collaboration Platform Patient centered care via PRO and more ………….

12. sTRENGTHS Broad & Flexible stakeholder engagement Consensus methodology (Delphi) Alignment to Measures of ‘Network Culture’ Development Consolidated Framework for Implementation Research Top 10 of 31 Discriminators for Success Perceptions of relative advantage End user needs & resources identified Knowledge user networks and communications Tension for change climate Relative priority Goals met & feedback provided Positive learning climate Leadership engaged Strategic planning Reflecting and evaluating Adapted NIRN tools & other Innovations Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Collaborative Platform Transferability Patient centered care via PRO www.wiki.cfirwiki.net and more ………….

13. The success of SCI KMN as a CoP and as an Innovation Incubator has resulted in: • Strategic expansion into additional domains of interest (eg. pain management) • Strategic directions for expansion to the rehabilitation-community continuum • Participatory interest from other SCI rehabilitation centres • Participatory interest from national and international neurotraumahealthcare groups • InformingISRD&OU stewardship of all ONF Programs and beyond • Informing Ontario’s Business Case for its Canadian Institutes of Health Research: Strategy for Patient-Oriented Research partnership

14.  Community of Practice (CoP) The CoP is an opportunity for the NNADAP/YSAC field to share and exchange knowledge of “promising  THANK YOU ACKNOWLEDGEMENTS ~100 MEMBERS of the SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK FUNDERS