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CoP in cancer surgery Knowledge Transfer & Exchange Community of Practice April 1st meeting. Michael Fung Kee Fung, MB, BS, FRCS Lead, Knowledge Translation, Surgical Oncology Program, Cancer Care Ontario. s. Improvement Process Re-design Realignment. Qualitative Teams Trust
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CoP in cancer surgery Knowledge Transfer & Exchange Community of Practice April 1st meeting Michael Fung Kee Fung, MB, BS, FRCS Lead, Knowledge Translation, Surgical Oncology Program, Cancer Care Ontario
Improvement Process • Re-design • Realignment • Qualitative • Teams • Trust • Leadership • Professional Development • Quantitative • Guidelines • Data Elements • Evidence-based • Products/Projects CoP
CoP Deliverables • Disease site specific priorities, expressing the vision of practicing physicians aligned with hospital operating plans • A single set of common regional guidelines and pathways, most of which can be implemented without major capital expenditures, improving quality of care and culture • A core group of clinical leadership and facilitators, knowledgeable in all major aspects of the hospital’s business, who become a major source of informal inter-organizational and inter-professional collaboration for the benefit of all patients in the Champlain region. • An improved work climate, which strengthens culture of collaboration and facilitates recruitment and retention
Clinicians who responded to the survey: • Reported change in practice according to regional standards (56%) • Indicated more interest in participation in MCC and other regional professional development opportunities (five times more respondents in 2007 would like to participate in MCC compared to the previous year results) • Believe that the key CoP functions are to facilitate regional linkages and the culture of collaboration (89%), innovation support (85%), knowledge sharing (84%) Survey Results: Barriers for participation Who responded? • 55% response rate • 60/40 split in community vs. academic affiliation • Shift toward more multidisciplinary representation compared to 2006 survey
CoP Outcomes Social capital Organizational Memory Knowledge Transfer Innovation Integrated CoP Knowledge Spiral Model LongTerm Objective: Quality of care Strategic Foundation: Knowledge Management CoP tools Access to data Access to evidence CME/CPD Project Management Communication • “CoPs are groups of people who share a concern, a set of problems, or a passion about a topic • and who deepen their knowledge and expertise in this area by interacting on an ongoing basis” Evidence gaps/ quantitative Practice gaps/ qualitative Process gaps/ improvement science
Reference: • Fung Kee Fung, M. et al, Development of communities of Practice to facilitate quality improvements in surgical oncology. Quality Management Health Care, 2008, 17:2, pp 174-185.