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GKEN Conference. Antigua, Guatemala April 1-3, 2009. GKEN Mission . To identify and promote the awareness and adoption of existing and emerging better practice models and promising new health system models across industrialized nations. 2. GKEN Guiding Principles.
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GKEN Conference Antigua, Guatemala April 1-3, 2009 DRAFT
GKEN Mission • To identify and promote the awareness and adoption of existing and emerging better practice models and promising new health system models across industrialized nations. 2
GKEN Guiding Principles • GKEN is principally a communication initiative focused on promoting better healthcare practices among developed and developing nations. • We will focus on emerging, better, and best practices with measurable outcomes. • We will have a patient/consumer focus. • We will help enable health organizations to promote wellness. • We will favor private policy/action (that which can be taken by organizations without governmental action) over direct influence of public policy. 3
Proposed Criteria for GKEN Activities • GKEN activities and research should follow ‘SMART’ objective criteria to identify relevant and meaningful material for wider dissemination: • Specific • Measurable • Appropriate • Realistic • Timely 4
SMART Criteria: Specific • Focused and relevant to the topic • Target-group oriented 5
SMART Criteria:Measurable • Sufficient size and scope/scale • Evidence-based (scientific and other reliable evidence) • Quantifiable and qualifiable outcomes 6
SMART Criteria:Appropriate • A need for action exists • Goal/action is attainable • Solution oriented • Evidence to support it (scientific and other reliable evidence) • The “right thing to do” 7
SMART Criteria:Realistic • Resources are available • Leadership / community support • Broad cross-sectoral approach • Ownership / Identification • Incentives 8
SMART Criteria:Timely • A sense of urgency • A window of opportunity • Sustainability / longevity • Rapid dissemination of knowledge 9
Continuum of Healthcare Practices and Process Improvement • GKEN framework suggests a continuum of healthcare practice with 4 major categories: • Anecdotal information • Emerging Better Practice • Better Practice • Best Practice • All are valid forms of improving healthcare practice, with differences in level of organization, quality/quantity of information, and timeliness in reaching a broad audience. 10
Continuum of Healthcare Practices and Process Improvement Emerging Better Practice Anecdotal (Good) Practice Better Practice Best Practice • Information or technique shared between two or more practitioners • Real-time communication • Unorganized • Not clinically proven or measurable (unfiltered, not validated) • Believed to produce good results (i.e. opinion) • SMART criteria do not apply • No GKEN involvement • Information or technique put into practice, with early signs of success • Semi-real time communication (e.g. internet publication) • Organized information • Interest in/commitment to continuing support of the practice (i.e. momentum) • Low filtering/validation • Few measurable outcomes (too early to tell) • SMART criteria apply • GKEN involvement (website, synopses of better practices, direct idea exchange) • Technique put into broader practice over a period of time (i.e. longevity) • Semi-real time communication • Organized information • Clear, measurable outcomes • Moderate filtering/validation (some scientific research to support it) • Believed to be replicable • SMART criteria apply • GKEN involvement • Technique with proven, measurable results • Semi-real time communication • Highly organized • Research and knowledge-based (high filtering/validation) • Highly replicable and transferable • Long lag time to formal acceptance • SMART criteria apply • GKEN involvement
GKEN Role • GKEN aims to decrease the18-year lag time between conception and common (“best”) practice. • GKEN will promote the exchange of knowledge and ideas to help bring emerging and better practices more quickly into common practice. • Anecdotal information provides instant communication between practitioners, but little opportunity for GKEN involvement. • Emerging and better practice are knowledge areas with the most potential for GKEN involvement - through dissemination of GKEN web content, synopses of better practice, and direct personal exchange at GKEN conferences and events. 12