1. Canadian Cancer Society Manitoba Division: Knowledge Exchange Network (KEN) & CancerCare Manitoba Manitoba Integrated Chronic Disease Primary Prevention System Presented at the Need to Know Meeting By Dexter Harvey & Jane Griffith January 30, 2006

2. FRAMEWORK for KNOWLEDGE EXCHANGE NETWORK Cancer Prevention Canadian Strategy For Cancer Control Rebalance Chronic Disease Palliative Care Supportive Care Knowledge Exchange Network (KEN) Prevention user groups Care user groups Human Resource Planning Research Priorities Primary Prevention Rebalancing Focus Standards & Guidelines

3. KEN Project Objective: To pilot a provincial knowledge exchange model to facilitate the uptake of evidence-based practice to support chronic disease prevention and palliative care.

4. Knowledge Construction/Utilization Framework (KEN 2005; adapted from Manske, 2001; adapted from Cousins & Leithwood, 1993 ) Assumptions Knowledge: Is socially constructed Information Sources: Must be credible Contextually relevant Congruent w/users’ priorities Timely Understandable Knowledge Brokering: Brings people to identify issues and construct evidence-based solutions Is critical to knowledge transfer Requires skills in: - Facilitative leader- ship - Networking - Business and marketing - Involves risk –taking Characteristics of the Source & Information: Source: CREDIBILITY Sophistication Communication Quality Information: RELEVANCE TIMELINESS CONTENT - Relative Advantage - Complexity - Trialability - Observability Characteristics of Context for Use: (Organizations,COPs,Individuals) COMMITMENT— RECEPTIVENESS MANDATE & PRIORITIES RESOURCES USER PERSONAL TACIT KNOWLEDGE INSTITUTIONAL INFLUENCES (code of conduct) CHARACTERISTICS: History of Prior Knowledge Use Previous Experience Leadership ENVIRONMENTAL CONTEXT: Scientific Paradigm (nature of evidence); Health System Priorities; Other Sector System Priorities; Interorganizational Relationships Interactive Processes SOCIAL PROCESSING Involvement in creation of relevant knowledge Ongoing Contact Engagement Creation of Contextually Relevant Knowledge Tacit Knowledge Knowledge Utilization Action Social Capital Information Processing Decision to Act Consequences & Feedback

5. Knowledge Translation Exchange (KTE) Early Years viewed as “pushing” research knowledge outwards to selected “audiences”. Current research shows that KTE involves people with different perspectives, knowledge and experience exchanging ideas and information for mutual benefit. Ongoing dialog must occur between those who generate research knowledge and potential users. If knowledge is socially constructed, then social processes that take place between members of a group (and outside the group) are key elements that facilitate knowledge creation and use in practice

6. Knowledge Brokering Brokering focuses on identifying and bringing together people interested in an issue, people who can help each other develop evidence-based solutions A key function of KEN

7. User Groups (Communities of Practice) Groups of People who share a concern, a set of problems, or a passion about a topic Innovation grows out of the relationship between an individual and the world of her or his work, and out of the ties between an individual and other human beings. Innovation results from interaction and collaboration among individuals with shared interests.

8. KEN Model New Evidence KEN – Knowledge Broker Evaluation Community of Practice (CoP) Needs Evidence for Effective Practice Resources CoP Contextualizing Evidence Implement Evidence-Based Practice Research Interaction

9. Integrated Chronic Disease Prevention System KNOWLEDGETRANSLATION Implementation of Policies & Programs KNOWLEDGEBUILDING Research & Surveillance KNOWLEDGEEXCHANGE Communities of Practice; Brokering; Training & Consultation POPULATION IMPACT Evaluation Knowledge Synthesis Capacity Building

10. Implementation of Policies and Programs Surveillance Interaction of Manitoba Knowledge System (CCS;CCMB;HSFM; Health Regions &Regional & Community Committees) In Knowledge Translation & Exchange Best Practices Identification and Dissemination Strategic and Investigator Driven Research PROVINCIALPROVINCIAL NATIONAL/INTERNATIONALNATIONAL/INTERNATIONAL Policy and Program Evaluation Manitoba System

11. Manitoba Integrated Chronic Disease Prevention System Knowledge Exchange Network Brokering Best Practices to Regional Intersectoral Communities of Practice Surveillance & Research Policy & Program Evaluation (Inter)National Best Practices Knowledge Synthesis & Dissemination Implementation of Chronic Disease Prevention Policies & Programs

12. System Operation Program Evaluation Process, Product Evaluation & Surveillance System Evaluation Needs & Resource Assessment Surveillance Prioritized Goals, Target Populations & Objectives Surveillance & Best Practice Evidence to reach Goals Best Practice & Evaluation Fitting Best Evidence To Community Context Best Practice Research Interaction Interactions of Manitoba Knowledge System (CCS; CCSMB; HSFM; Health Regions; Regional & Community Committees) for Knowledge Translation & Exchange Interaction

13. CancerCare Manitoba Surveillance Evaluation

14. What Does It Take? Cutting Edge Thinking Momentum, commitment and goodwill Champions Learning communities “We adapt not adopt” NGOs: enable, advocate, convene We are the system

15. Manitoba Evidence-Based System

16. Ready, Set, ‘Go’ Work together to co-create an integrated prevention system Conversations to bring meaning to ‘integration’ and to create a common vision Enable collective leadership Negotiate organizational roles within an integrated system Nurture a learning community – no ’one’ has the answers; and there is no ‘right’ way. “Learn as we go”