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Collaborative Culture?. Knowledge Management in Canadian Health: Improving knowledge translation by embracing complexity. Thom Kearney MGMT5001. "Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it. “
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Knowledge Management in Canadian Health: Improving knowledge translation by embracing complexity. Thom Kearney MGMT5001
"Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it. “ Samuel Johnson (Boswell's Life of Johnson)
Agenda • Health information in Canada • Key concepts: • Knowledge creations funnel • Complex adaptive systems • Opportunities for solutions (problems) • Embracing the complexity • A personal example
Manitoba Infoway HC CIHI CanadianForces Health Canada CIC Saskatchewan PHAC RCMP CIHR Federal Influence VAC PHAC Corrections Federal Healthcare Partnership Less than 1% pop Nova Scotia Yukon New Brunswick Nunavut British Columbia Ontario Quebec PEI NWT Alberta Newfoundland and Labrador 10-15 % pop Canadian Health system overview Jurisdictions Less than 1% pop 23-40% pop 1-5 % pop
Knowledge Creation Funnel Bottle Neck
Complex adaptive system Individuals using simple rules, acting for their own reasonscreate an adaptive system. Components • Self organization • Emergence • Relationships • Feedback • Adaptability • Non-Linearity Interactions, relationships within the context of the network result in dynamic knowledge sharing. (Robeson, 2009)
Opportunities for solutions • Knowledge translation takes too long. Especially creating knowledge tools • Resources are limited and jurisdictions tend to do the same sorts of things (duplication is bad) • Knowledge is leaving for the golf course
Embrace the complexity Employ social technologies: • Connect all health professionals in Canada • No personal health data • Open and closed groups of all types • Multiple layers of security and veracity • Make it easy to join, easy to share Design for the six components of a complex adaptive system: Self organization Emergence Relationships Feedback Adaptability Non-Linearity
Conclusion • Social technologies can help with knowledge translation in health. • Culture will take time to change, social technologies encourage sharing and trust • Critical mass matters, go big or go home.
Shared platform Shared Benefits Efficiency and focus Interoperability Connectedness Shared knowledge Access Agility Shared Technology Common profile Standard xml Open development Governance – basic enablement and standards. National scope with connections