1. Building a Community of Practice and leveraging Collaboration towards shared Innovations Jane Hsieh, Executive Director SCIKMN June 3, AM Theme 1B

2. Foothills Medical Centre: SCI Rehabilitation Clinic SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Glenrose Rehabilitation Hospital ISRD&OU

3. Foothills Medical Centre: SCI Rehabilitation Clinic SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Glenrose Rehabilitation Hospital ISRD&OU June 3, PM, Theme 1 The Neurotrauma Knowledge Mobilization Network: Implementation Science Research, Development, and Operations Unit (ISRD&OU) R.J.Riopelle, Chief Science Officer

4. Required Elements of a Community of Practice (CoP) Requirement SCI KMN Focus 1)Shared domain of interest Improving patient outcomes 2) Engagement/sharing to achieve consensus Best practices for implementation 3) Developing resources to address a shared practice Develop and adapt resources for effective pressure ulcer prevention and management (Wenger, 2006) *6 sites, 3 Provinces, ~100 CoP members

5. ISRD &OU ORGANIZATIONAL STRUCTURE SCI KMN CoP A Learning and Innovation Collaborative 1) Network management 1) Network Management 2) Strategic Leadership 5) Dissemination within/beyond network 3) Clinical Leadership 4) Data management/evaluation

6. Capitalizing on in situ expertise and interest COLLABORATION THROUGH SHARED LEADERSHIP, CROSS-TALK BETWEEN COMMITTEES & SITES Testimony to the Rationale for, and Power of, the SCI KMN CoP KEY INTERACTING PLAYERS: SITE LEADS and PROJECT LEADERSHIP TEAM (strategic) TRANSFORMATION SPECIALISTS and TRANSFORMATION SPECIALIST TEAM (operations)

7. Capitalizing on in situ expertise and interest DEFINING QUALITY & QUALITY IMPROVEMENT for Patients, Providers, Organizations and the ISRD&OU KEY INTERACTING PLAYERS: EVALUATION and DATA MANAGEMENT TEAM TRANSFORMATION SPECIALIST TEAM

8. Capitalizing on in situ expertise and interest INCREASING AWARENESS WITHIN/BEYOND NETWORK To Promote Standardized Best Practice Implementation to Other Providers KEY INTERACTING PLAYERS: KNOWLEDGE CURATOR of ISRD&OU KNOWLEDGE MANAGEMENT AND COMMUNICATIONS TEAM

9. Capitalizing on in situ expertise and interest SHARING PRACTICE INNOVATIONS SCI KMN ‘Reverse Innovation’* Por tfolio *Innovation emerging from practical need ISRD&OU development End User (Patient) Outcomes Patient Reported Outcomes (PRO) within a Patient Practice Portfolio Patient self-management resources and provider support Knowledge User (Provider) Performance Mentorship capacity Adapted Implementation Guide Education and training curriculum for health transformation innovation brokers Delphi & clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM) Centralized, web-based data repository for real-time data collection KEY PLAYERS: MEMBERS of SCI KMN

10. Capitalizing on in situ expertise and interest SHARING PRACTICE INNOVATIONS SCI KMN Reverse Innovation Por tfolio End User (Patient) Outcomes Patient Reported Outcomes within a Patient Practice Portfolio Patient self-management resources and Provider support Knowledge User (Provider) Performance Mentorship Capacity Adapted Implementation Guide Education and training curriculum for health transformation innovation brokers Clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM) KEY PLAYERS: MEMBERS of SCI KMN Adapted Implementation Guide June 3, PM, Theme 2 Speaking the Same Language - Creating a User Guide to Streamline Knowledge Mobilization Across a National Network and Beyond Westley Reinhart-McMillan, Project Coordinator, SCI KMN Cyndie Koning, Transformation Specialist – Glenrose Rehabilitation Hospital, SCI KMN Laura Mumme, Glenrose SIT Member, SCI KMN

11. Broad & flexible stakeholder engagement Adapted Innovations Collaboration Platform Transferability Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Patient centered care via PRO Consensus methodology (Delphi) and more ………….

12. Broad & Flexible stakeholder engagement Adapted NIRN tools & other Innovations Collaborative Platform Transferability Project goals/objectives aligned to evaluation (developmental, formative) Evaluation linked to CQI (Levels of Use/PDSA) Patient centered care via PRO Consensus methodology (Delphi) www.wiki.cfirwiki.net and more …………. Alignment to Measures of ‘Network Culture’ Development Consolidated Framework for Implementation Research Top 10 of 31 Discriminators for Success Perceptions of relative advantage End user needs & resources identified Knowledge user networks and communications Tension for change climate Relative priority Goals met & feedback provided Positive learning climate Leadership engaged Strategic planning Reflecting and evaluating

13. The success of SCI KMN as a CoP and as an Innovation Incubator has resulted in:  Strategic expansion into additional domains of interest (eg. pain management)  Strategic directions for expansion to the rehabilitation-community continuum  Participatory interest from other SCI rehabilitation centres  Participatory interest from national and international neurotrauma healthcare groups  Informing ISRD&OU stewardship of all ONF Programs and beyond  Informing Ontario’s Business Case for its Canadian Institutes of Health Research: Strategy for Patient-Oriented Research partnership

14. Community of Practice (CoP) The CoP is an opportunity for the NNADAP/YSAC field to share and exchange knowledge of “promising ACKNOWLEDGEMENTS ~100 MEMBERS of the SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK FUNDERS