Whither to for our Learning Collaboratives in Patient Safety? Community of Practice in Patient Safety February 9, 2018 John M Maxted MD MBA CCFP FCFP Associate Professor

Patient Safety in Family Medicine Disclosure Information Relationships with Commercial Interests Grants/Research Support: None Speakers Bureau/Honoraria: None Consulting Fees: None Other: None Commercial Supports Financial support None In-kind support None Potential for Conflicts of Interest None to declare

Whither to for our Learning Collaboratives in Patient Safety? Menu Whither CFPC? Whither CPSI & Accreditation Canada? Whither our Leadership? Our Spread & Legacy

Whither The College of Family Physicians of Canada In Patient Safety?

Whither the CFPC in Patient Safety? CanMEDS-FM 2017 Patient-centred Medical Home

Teaching Patient Safety in Family Medicine CanMEDS-FM 2017 MEDICINE EXPERT: Actively facilitates… PS, both individually & as part of a team COMMUNICATOR: Documents & shares written & electronic information… to optimize… PS COLLABORATOR: Recognizes & facilitates necessary transitions in care… to enable… safety LEADER: Fosters a culture that promotes PS SCHOLAR: Ensures PS is maintained even when learners are involved PROFESSIONAL: Reflects on practice events, especially critical incidents, to deepen self-knowledge & recognize when something needs to change & does it

Teaching Patient Safety in Family Medicine CanMEDS-FM 2017 TWO CHALLENGES How to teach PS competencies in FM? How to define Advocacy as a PS competency?!

Practicing Patient Safety in Family Medicine Patient-centred Medical Home, version 2 TWO CHALLENGES How does the CFPC define PS in the PMH? How should we measure PS in the PMH?

Whither Canadian Patient Safety Institute and Accreditation Canada In Primary Care Patient Safety?

Whither CPSI and Accreditation Canada In Primary Care Patient Safety? TWO CHALLENGES Who will lead and advocate for PS in primary care? How will standards development in primary care influence PS in Family Medicine?

Whither OUR Leadership In Patient Safety?

Whither our Leadership in Patient Safety? (adapted from ASPIRE Project) Suppose we develop a PATIENT SAFETY CURRICULUM! GOAL Support continuing faculty development in PS through an integrated approach TARGET PARTICIPANTS DFCM faculty who are or want to be engaged in PS at 14 FMTUs DESIRED ABILITIES Targeted DFCM faculty engaged in PS & able to identify, implement & teach safer healthcare in FM NEEDS ASSESSMENT Evaluate CoP-PS (post Feb 2018) to inform continuing development of curriculum in PS for DFCM faculty

Whither our Leadership in Patient Safety? (adapted from ASPIRE Project) OBJECTIVES OF CURRICULUM Define what PS engagement means for FMTUs Integrate PS into practice & teaching Leverage new competencies for PS thru CanMEDS-FM Support faculty in incident management as tool for engagement, e.g. Doing It Better Rounds Maintain presence of PS on QPC agenda

Whither our Leadership in Patient Safety? (adapted from ASPIRE Project) TEACHING METHODS – Faculty & Other Learners Identify & support PS leaders to develop & oversee curriculum Role-model – by faculty for faculty & trainees Integrate PS thru QI in teaching, e.g. content & infrastructure Use case-based studies, e.g. PSI analysis to identify, implement & share system improvement with FMTUs Use inter-active modules to teach PS competencies in CanMEDS Use QI Rounds to teach PS improvement thru our 14 FMTUs

Whither our Leadership in Patient Safety? (adapted from ASPIRE Project) MEASUREMENT OF VALUE Establish targets & track faculty development in PS, e.g. measure engagement & integration in FMTUs Assess teaching of PS competencies in CanMEDS-FM, e.g. Program Director interviews & accreditation Monitor discussion about PS at monthly QPC meetings, e.g. measure growth & continuous learning Assess uptake of incident management and other PS tools that engage faculty and integrate PS into FMTUs Survey faculty, e.g. QI & PS leaders & Chiefs at 14 FMTUs, about growth of PS curriculum one year post CoP-PS

ASPIRE – How Effective Can We Be? HIERARCHY OF EFFECTIVENESS Consider when Leading change Analyzing systems From: Healthcare Quarterly, 2012. 15S: 24-29.

Evaluating Engagement by Spread & Legacy PATIENT SAFETY IN FM – Current & Ideal Reality Future Teachers Trained & Experienced in Patient Safety CURRENT IDEAL SPREAD OF PATIENT SAFETY IN FM EDUCATION Learners Teachers CURRENT PROGRESS Just Starting Experienced LEGACY OF PATIENT SAFETY IN FM PRACTICE

An Inspiration in Patient Safety? John Young NASA Legend 1931 to Jan 5, 2018 1972 Moon Walk Revered among his peers for his dogged dedication to safety – and his outspokenness in challenging the space agency’s status quo “Whenever and wherever I found a potential safety issue, I always did my utmost to make some noise about it.” “You don’t want to be politically correct… You want to be right!”

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