Establishing a Community of Practice October 31 – November 1. 2012 Welcome to All!

1. CAPHC Paediatric Practice Guidelines Workshop Establishing a Community of Practice October 31 – November 1. 2012 Welcome to All!

2. Thank you to our Partners

3. CAPHC’s Mission & Strategic Priorities • CAPHC’s mission is to support member and partner organizations through education, research, and quality improvement initiatives to improve health service delivery for Canadian children and youth. • CAPHC Strategic Priorities http://caphc.org/about.html • Establish programs and activities that address current and emerging child and youth healthcare priorities; • Advocate for transforming health service delivery for children and youth in Canada; • Connect service providers and key stakeholders to realize shared child and youth healthcare goals; • Foster research, broker knowledge, facilitate educational opportunities and enhance information exchange for members and stakeholders, within the child and youth healthcare community, as well as with external partners; and • Build capacity and enhance organizational health to ensure that CAPHC can realize organizational objectives and meet the needs of member organizations.

4. Developing Paediatric Practice Guidelines Introduction& Primary Goal • Consistent with its mission and strategic priorities, in October 2011, CAPHC initiated a new national program focused on the development,implementation and evaluation of paediatric practice guidelines; • Primary objectiveis to improve Healthcare Practice Quality, Safety and Efficiency through a positive and dynamic collaboration, and to share ideas and experiences regarding the development, implementation and evaluation of clinical practice guidelines; • Primary outcome is to support our child and youth healthcare organizations in Canada providing healthcare to our children and youth across the continuum of care.

5. Why Clinical Practice Guidelines? • Clinical Practice Guidelines (CPG) are “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances” (Reference - Institute of Medicine -IOM). • Guidelines are designed to support the decision-making processes in patient care. • The content of a guideline is based on a systematic review of clinical evidence. • The movement towards evidence-based healthcare has been gaining ground quickly over the past few years, motivated by clinicians, politicians and management concerned about quality, patient safety, efficiencies and costs. • CPGs, based on standardized best practice, have been shown to be capable of supporting improvements in quality, safety and consistency in healthcare. • Successful implementation of practice guidelines will improve quality of care and safety by decreasing inappropriate variation and expediting the application of effective advances to everyday practice.

6. Paediatric Practice Guidelines Collaborative - Guiding Principles National Collaboration Each step of developing, implementing, evaluating, reviewing and modifying paediatric practice guidelines will be facilitated, enhanced and transformed through collaboration at a national level; The Collaborative will work as a Community of Practice; The virtual platform will be the CAPHC Knowledge Exchange Network; Interprofessional Leadership - Physician, nursing, quality, decision support, researchers, healthcare administrators, allied health professionals and families; Relevant to the continuum of care: paediatric acute care hospitals, community hospitals, paediatric rehabilitation centres, and homecare agencies; GOAL - Health system impact

7. Criteria for Identifying Priority Areas • Impact on multiple systems within and across organization; • Relevant to the continuum of care: paediatric acute care hospital, community hospital, paediatric rehabilitation, and homecare; • Relevant to more than one discipline (health system impact); • Solid evidence for impact and positive outcome; • Sufficient scientific evidence to make identification of outcomes possible; • Leadership engagement; • Evidence of a gap; • Evidence for cost-effectiveness; • Feasible: Realistic ability to implement; • A problem/condition that results in high morbidity or mortality; • Outcomes respect family context.

8. Celebrating Milestones

9. Workshop Goals and Objectives Our Work Today & Tomorrow… • Provide groundwork to enable the development of a strategy for paediatric practice guidelines • Build awareness for the rationale, development processes, barriers, complexities and importance of evaluation & data collection • Generate the following outputs: • Develop recommendations for interventions to be included in the national strategy • Identify up to three areas of national priority • Identify roles and responsibilities of committed individuals & organizations

10. Lets Get Started…. Facilitator’s welcome and review of workshop agenda. Introduce first set of presentations… Patricia Evans….