1. Manitoba Partners in Planning for Healthy Living

2. History

3. February 2006 – Manitoba Integrated Knowledge System (MIKS) February 2006 – Manitoba Integrated Knowledge System (MIKS) Members: CCS – MB Division Members: CCS – MB Division CancerCare MB CancerCare MB CancerCare MB Foundation CancerCare MB Foundation Interlake Regional Health Authority Interlake Regional Health Authority Heart & Stroke Fdn of Manitoba Heart & Stroke Fdn of Manitoba Alliance for the Prevention of Chronic Disease (MB) Alliance for the Prevention of Chronic Disease (MB) Coalition focused on blending practice-based evidence with evidence-based practice Coalition focused on blending practice-based evidence with evidence-based practice May 2006 held first workshop – Integrating Evidence with Practice – RHAs, CancerCare MB, Heart & Stroke Fdn, MHHL, PHAC, NGOs May 2006 held first workshop – Integrating Evidence with Practice – RHAs, CancerCare MB, Heart & Stroke Fdn, MHHL, PHAC, NGOs

4. Emerging blueprint of a knowledge integration system for prevention Riley & Harvey, Mar 2006 Implementation of Policies and Programs Surveillance Knowledge Translation and Exchange Strategic and Investigator Driven Research Best Practices Identification and Dissemination PROVINCIALPROVINCIAL INTER/NATIONALINTER/NATIONAL PRACTICE-BASED EVIDENCE EVIDENCE-BASED PRACTICE Policy and Program Evaluation

5. Partnership Development

6. October 2006 - MIKS became Partners in Planning for Healthy Living (PPHL) October 2006 - MIKS became Partners in Planning for Healthy Living (PPHL) First AGM – May 2007 First AGM – May 2007 Membership expanded to include: Membership expanded to include: All RHAs All RHAs MHHL MHHL Healthy Child MB Healthy Child MB PHAC, MB & Sask Div. PHAC, MB & Sask Div. Health in Common Health in Common MECY MECY Potential future partners: sport, environment, other NGOs Potential future partners: sport, environment, other NGOs

7. PPHL members come together to PPHL members come together to Pool resources Pool resources Work together to support use of evidence in planning interventions Work together to support use of evidence in planning interventions Share common mandates for prevention of chronic diseases Share common mandates for prevention of chronic diseases Develop an integrated knowledge system to inform local planning based on evidence Develop an integrated knowledge system to inform local planning based on evidence PPHL is a community of practice PPHL is a community of practice

8. Partners in Planning for Healthy Living Our Values Our Values We are inclusive and flexible. We are inclusive and flexible. We are non-judgmental. We are non-judgmental. We are community friendly. We are community friendly.

9. Partners in Planning for Healthy Living Our principles Our principles We focus on evidence. We focus on evidence. We support the development of knowledge and capacity within communities. We support the development of knowledge and capacity within communities. We support integrated, community planning for healthy living. We support integrated, community planning for healthy living.

10. EVIDENCE-BASED PRACTICE -BASED EVIDENCE Regional Risk Factor Surveillance in Manitoba Reporting Evaluation Surveillance Best Practice Identification And Dissemination EVIDENCE-BASED PRACTICE -BASED EVIDENCE Knowledge Exchange Evaluation Surveillance Best Practice Identification And Dissemination Program Development

11. Practice–Based Evidence Requires local data Requires local data Created through action at the local level Created through action at the local level Context is added through local knowledge Context is added through local knowledge Based on reality and what makes sense Based on reality and what makes sense Evidence becomes an integral part of interventions Evidence becomes an integral part of interventions

12. Evidence-Based Practice Dissemination of best practice information through KEN and PHAC Portal, etc. Dissemination of best practice information through KEN and PHAC Portal, etc. Best practice information must be in a format and language that is easily understood at the community level Best practice information must be in a format and language that is easily understood at the community level Requires investment and buy-in of research community to ensure research results reach those who can benefit Requires investment and buy-in of research community to ensure research results reach those who can benefit

13. Key Successes

14. Partnerships 20+ members & continuing to expand…! 20+ members & continuing to expand…! Working groups carrying out specific tasks Working groups carrying out specific tasks PPHL Executive Committee PPHL Executive Committee S/KEWG S/KEWG YHS KE WG YHS KE WG Provincial roll up Provincial roll up New relationships forming – still fragile New relationships forming – still fragile Building capacity at all levels Building capacity at all levels

15. Risk Factor Surveillance 1 st Youth Health Reports 2005– other RHAs follow 1 st Youth Health Reports 2005– other RHAs follow PHAC grants to IRHA and ARHA PHAC grants to IRHA and ARHA 2 nd version of the Youth Health Survey – developed in collaboration 2 nd version of the Youth Health Survey – developed in collaboration Community surveys piloted Community surveys piloted Youth Health Survey was completed across all RHAs (spring 2008) Youth Health Survey was completed across all RHAs (spring 2008) 52,000 students grades 6 to 12 52,000 students grades 6 to 12 ~400 individual school reports (School Division, community, region) ~400 individual school reports (School Division, community, region)

16. Risk Factor Surveillance  Working on the development of an integrated system of ongoing RFS at the community level: Produces practice-based learning Produces practice-based learning Is consistent and sustainable across prov. Is consistent and sustainable across prov. Is based on evidence Is based on evidence Builds capacity to plan at all levels (community, school, region, province) Builds capacity to plan at all levels (community, school, region, province) Allows us to ‘learn as we go’ Allows us to ‘learn as we go’

17. Knowledge Exchange School & community workshops School & community workshops Symposia (January 2008 & 2009) Symposia (January 2008 & 2009) Multi-stakeholder participation Multi-stakeholder participation Timely information based on KE needs Timely information based on KE needs “expert” presenters “expert” presenters RHA specific workshops RHA specific workshops Newly formed YHS KE Working Group to coordinate current & future needs Newly formed YHS KE Working Group to coordinate current & future needs

18. Multi-Level Leadership Change in expectations for leadership – regional, school division, NGO, community, provincial and others could provide leadership Change in expectations for leadership – regional, school division, NGO, community, provincial and others could provide leadership Change in expectations for resources - in- kind and financial from regions, NGOs, school divisions and other gov’t depts. Change in expectations for resources - in- kind and financial from regions, NGOs, school divisions and other gov’t depts.

19. Lessons Learned

20. Lessons RFS/KE activities does not need “provincial” leadership RFS/KE activities does not need “provincial” leadership Incorporating into regular health promotion activities, increasing likelihood of successful uptake of information Incorporating into regular health promotion activities, increasing likelihood of successful uptake of information Constant care and feeding of partnerships Constant care and feeding of partnerships

21. Challenges & Opportunities

22. Challenges/Opportunities Manitoba approach supports multi-level leadership & collaboration (RHAs, School Boards, NGOs, Manitoba Health, PHAC, others) to build sustainability Manitoba approach supports multi-level leadership & collaboration (RHAs, School Boards, NGOs, Manitoba Health, PHAC, others) to build sustainability Manitoba geography makes collaboration difficult & expensive Manitoba geography makes collaboration difficult & expensive

23. Challenges/Opportunities Working & learning together while meeting local needs Working & learning together while meeting local needs Challenge to develop shared meaning; link surveillance to planning & interventions and further evaluation – to think and act as a system Challenge to develop shared meaning; link surveillance to planning & interventions and further evaluation – to think and act as a system

24. Next Steps

25. Current Reality Stay abreast of current changes (regular physical activity in schools, surveys, KEN, multilevel leadership and collaboration) Stay abreast of current changes (regular physical activity in schools, surveys, KEN, multilevel leadership and collaboration) On-going surveillance allows for future tool development, a coordinated approach and shared experience for all involved On-going surveillance allows for future tool development, a coordinated approach and shared experience for all involved Supporting research- validation of physical activity policy Supporting research- validation of physical activity policy

26. ‘Our Vision’ To build prevention capacity in Manitoba prevention capacity in Manitoba a province-wide chronic disease risk factor surveillance system that is integrated with community planning and best practices. a province-wide chronic disease risk factor surveillance system that is integrated with community planning and best practices. A sustainable system which fits into the planning cycles at all levels A sustainable system which fits into the planning cycles at all levels Moving from ‘Chaos to Clarity’