Seniors Health Research Transfer Network

1. Seniors Health Research Transfer Network Welcome to an overview of SHRTN 2007-08

2. WHAT IS SHRTN? • SHRTN is a Province-wide Knowledge Exchange Network of people involved in seniors’ health care • SHRTN promotes the exchange of knowledge generated through: • Research – explicit knowledge • Practice and experience – tacit knowledge

3. SHRTN is a Knowledge Exchange Network SHRTN Vision The Seniors Health Research Transfer Network is the “place to go” in Ontario for the latest knowledge and best practices about seniors’ health and health care.

4. SHRTN Pillars Facilitate Knowledge Transfer and Exchange

5. Community of Practice The concept of a community of practice refers to the process of social learning that occurs when people who have a common interest in some subject or problem collaborate over an extended period to share ideas, find solutions, and build innovations. 1 1 http://en.wikipedia.org/wiki/Community_of_practice “ ” PILLAR 1 Communities of Practice(CoPs)

6. Connecting people and knowledge expertise

7. Connecting people and resources

8. Connecting people and ideas

9. Connecting innovations and practice

10. Community of Practice Topics • Activity and Aging • Alliance for Quality Improvement in Long-term Care (AQUILT) • Alzheimer and Related Dementias • Blood Pressure • Communicative Access and Aphasia • Compulsive Hoarding Behaviour • Continence Care • E-learning in Long Term Care Homes • End of Life Care • Home based e-Health • Influenza Vaccine Decision Aid • Long Term Care Spiritual Care • Mental Health, Addictions and Behavioural Issues

11. Key Components of a SHRTN CoP • Knowledgeable leaders • Members with common interest in topic and commitment to share ideas, find solutions and build innovations • Knowledge brokers • Information Specialists • Knowledge Transfer / Exchange Events • In person or using SHRTN Technology

12. SHRTN Supports CoP Members • www.SHRTN.on.ca • On-line collaboration tools (PlumTree) • E-Meeting software (Adobe Acrobat Connect) • Toll-free conference call line • On-line survey tool (Survey Monkey) • Knowledge and information translated by trained professionals

13. www.SHRTN.on.ca

14. Calendar Tasks Documents Discussions PlumTree Collaboration Tools

15. Adobe Acrobat Connect (AAC) E- Meetings, “Virtual” Presentations and “Webinars” • All that is needed is a computer with a high-speed internet connection and access to a telephone. • Great for those living and working in remote locations around the province, and for cutting down on travel and accommodations expenses. • Lets you participate in a “virtual” meetings, view and participate in seminar presentations using internet connection and teleconference line from the comfort of your home or office

16. Survey Monkey • Professional online surveys • Automated collection, tabulation and reporting • Uses: • Consultation • Research • Satisfaction surveys • Feedback forms

17. PILLAR 2 SHRTN Library Service ▪ Reference Services ▪ Literature Searching ▪ Document Delivery ▪ Current Awareness ▪ Education ▪ Outreach Services ▪ Information Tools ▪ Website: www.shrtn.on.ca ▪ Connection & Collaboration

18. Background • Workers in long-term care and community care settings have poor access to best practice information • An aging population will place huge demands on the health care system • Rich evidence-based information resources exist

19. Library Model • Free and easy access to information and evidence for all paid caregivers working with seniors in Ontario • Toll free telephone, SHRTN.on.ca, email • Central coordination and support staffed by a librarian • Local library sites staffed by Information Specialists in • Ottawa • Toronto • Hamilton • Waterloo

20. PILLAR 3 Ontario Coalition of Research Institutes / Centres on Health and Aging AKA: Ontario Research Coalition (OCR)

21. ORC Strategic Initiatives • Increase research capacity through early researcher award • Seed project funding • Research symposium • Strategic planning and management

22. Ontario Research Coalition Partners

23. PILLAR 4 Provincial and Local Governance

24. SHRTN Governance and Leadership PROVINCIAL Governance • Interim Board of Directors 2007-08 • 13 voting members (stakeholder map) • Government reps – ex-officio • Role: • develop terms of reference for ongoing Board • strategic oversight and policy direction for short and long-term activities of SHTRN • ensure consultation with key SHRTN stakeholders

25. Provincial Board Stakeholder Map

26. Board of Directors 2007-08 Co-Chairs Catherine Brookman ON Community Support Association (OCSA) Larry Chambers Elizabeth Bruyère Research Institute (EBRI) Board Members Paulina Chow St. Joseph's Care Group Josie d’Avernas Schlegel-UW Research Institute for Aging Aura Kagan Aphasia Institute Joni Kent Baycrest Ken LeClair Alzheimer Knowledge Exchange (AKE) Pat Morden Shalom Village Elyse Pike ON Health Library Association (OHLA) Marg Ringland ON Association Non-Profit Homes & Services for Seniors (OANHSS) Krista Robinson-Holt ON Long Term Care Association (OLTCA) Marie Smith Seniors rep, United Senior Citizens of Ontario (USCO) Vida Vaitonis ON Association of CCACs (OACCAC)

27. SHRTN Local Leadership Local Implementation Teams • Start with geographic areas where local library service exists (Eastern Ontario, Toronto, Hamilton, Waterloo) • Expand to other areas over time • Role to bring together local leaders to: • Bring evidence into practice • Promote SHRTN locally • Provide input to Provincial Board of Directors • Guide and direct SHRTN Information Specialist

28. Eastern Ontario Team includes: Rural and urban perspectives Long-term care and community care Caregivers, researchers, policy makers representing: Example of membership on Local Implementation Team

29. SHRTN in ACTION • Some examples of SHRTN work to date: • Tools that identify and translate knowledge • Success stories

30. SHRTN tools

31. SHRTN Success StoryFireSide Chats NEED:Caregivers working with seniors need training to help them deal with responsive behaviours. Multiple approaches exist and many training options are available… with limited time and resources available, what is the best option? KTE SOLUTION:SHRTN Responsive Behaviours CoP held a series of Fireside Chats to review training options and help participants decided which is best for their need: • Montessori Approach to Dementia Care - P.I.E.C.E.S.- U-F.I.R.S.T. ™ • Responsive Behaviours C-D ROM(MAREP) - Gentle Persuasive Approaches (GPA) Other Fireside Chat topics included: • Admission process to long term care • Ontario partnership for Aging and Developmental Disabilities • National Seniors Mental Health Guidelines • Change Theory • Success stories • On-line education forum

32. SHRTN Success StoryPalliative Care Manual NEED:In Renfrew County a palliative care manual being used locally needed to be shared regionally. KTE SOLUTION:The Champlain End-of-Life Care Community of Practice struck a team to review the manual. The SHRTN Information Specialist provided evidence-based material to address their questions so they could revise the manual accordingly. The new manual was recently unveiled. The Library Service will support a planned annual review. 

33. SHRTN Success StoryCollaboration NEED:The Alzheimer Knowledge Exchange (AKE) receives questions on various dementia related topics which are handled through knowledge brokering, the collaboration space and sometimes lead to FireSide Chats. Example: inquires regarding driving and dementia. KTE SOLUTION:AKE collaborated with SHRTN Responsive Behaviours CoP for a fireside chat on driving assessment for persons with dementia and reviewed two case studies for discussion. AKE hosted a follow-up panel presentation with representation from an Assessor, a Physician, a Police Sergeant Responsible for Seniors Issues, Alzheimer Societies (National/Provincial/Local) and participation from the greater AKE CoP. Next Steps: • A Driving and Dementia CoP • Summary documents from the FireSide Chats • Expanded references and resources –posted in PlumTree and the AKE public site. • Knowledge Cafés and Plum Tree to drilling deeper into the issue through • Expanded Audience for sharing information

34. MOHLTC Supports SHRTN with multi-year budget • 3 year funding approved for 2007 – 2010 ($3.5M) • SHRTN budget includes: • Support for 13 CoPs including the Alzheimer Knowledge Exchange (AKE) • SHRTN Library Service • The Ontario Research Coalition

35. For more informationwww.SHRTN.on.ca Deirdre LuesbySHRTN Executive Director (613) 562-4262 ext 1654 SHRTN@scohs.on.ca