Doing it Differently to get Different Outcomes Engagement As Equity: Doing it Differently to get Different Outcomes

“The definition of insanity is doing something over and over again and expecting a different result.” - Albert Einstein

United Nations Declaration of Human Rights (1948) Article 25 (1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

Image 1 Everyone receives the same supports. This is equality in action. Assumption: everyone will benefit from the same supports. Image 2 People are given different supports according to their needs to make it possible for them to have equal access to the game. They are being treated equitably. Image 3 All people can see the game without any supports or accommodations because the cause of the inequity was addressed. The systemic barrier has been removed.

Same: This is what I have. What would you like?

Different: The Tale of Two Joanne’s

Same: MB Registration Health Card Form

Different: HOCS – MB Health PHIN Card Protocol

Same: WRHA Home Care Referral Form

Different: Point Douglas Home Care Main Street Hotel Pilot

Engagement supports “Different Outcomes” because it informs our actions while framing our intentions. Engagement: Process by which individuals, groups and organizations have an opportunity to participate in decision-making that affects their lives. 3 Domains: 1. Individuals 2. Program or service design 3. System and community

WRHA Engagement: Local Health Involvement Groups (LHIGs) Health Councils Advisory Committees Community Facilitators Patient Representation Dignity Questions Poverty Tool

Sharon Kuropatwa Regional Director for Housing, Supports and Service Integration Community Area Director for Downtown Point Douglas Winnipeg Regional Health Authority skuropatwa@wrha.mb.ca