1. The Future of KT Harley Dickinson Department of Sociology Harley Dickinson Department of Sociology QEOL Research Group Workshop August 22, 2006 University of Saskatchewan Trends & Issues

2. Introduction My background  HEALNet NCE  KUPI  CKT  Two Psychiatries My background  HEALNet NCE  KUPI  CKT  Two Psychiatries

3. Topics of Discussion  The Professions & KT  Health Reforms & the Professions  Post-professional work teams  Multi-, Inter-, and Trans-Disciplinarity & KT  The Professions & KT  Health Reforms & the Professions  Post-professional work teams  Multi-, Inter-, and Trans-Disciplinarity & KT

4. Professions & KT  Professions as the means for applying knowledge as work  Includes scientific & technical as well as ethical knowledge  Issues of KT understood within this framework  Professions as the means for applying knowledge as work  Includes scientific & technical as well as ethical knowledge  Issues of KT understood within this framework

5. Health Reforms & the Professions  Health Reforms Challenge Professional Knowledge & Work Processes  Knowledge System Processes  Creation (research)  Transfer (education)  Application (practice)  Work Processes  From Professional to Multi-, Inter-, or Trans- disciplinary  Health Reforms Challenge Professional Knowledge & Work Processes  Knowledge System Processes  Creation (research)  Transfer (education)  Application (practice)  Work Processes  From Professional to Multi-, Inter-, or Trans- disciplinary

6. Health Knowledge System  A complex system of systems  Research (knowledge creation)  Education/Training (knowledge transfer)  Practice (knowledge application) withinbetween  Knowledge system processes present within & between knowledge subsystems  A complex system of systems  Research (knowledge creation)  Education/Training (knowledge transfer)  Practice (knowledge application) withinbetween  Knowledge system processes present within & between knowledge subsystems

7. Emerging Health Knowledge System & Processes between  Coordination between knowledge sub-systems  HSDC  SAHSN within  Coordination within knowledge sub-systems  Research sub-system  CIHR, CHSRF, SSHRC, SHRF  Education sub-system  SWITCH, Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP), P-CITE  Practice sub-system  Electronic Health Records (EHRs)  HQC between  Coordination between knowledge sub-systems  HSDC  SAHSN within  Coordination within knowledge sub-systems  Research sub-system  CIHR, CHSRF, SSHRC, SHRF  Education sub-system  SWITCH, Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP), P-CITE  Practice sub-system  Electronic Health Records (EHRs)  HQC

8. Saskatchewan Academic Health Sciences Network  Mandate - to enhance clinical services, conduct health research, and educate future health care professionals through the joint and collaborative relationship of its interdependent partners.  Partners - Saskatoon Health Authority, the U of S, Regina Qu-Appelle Health Authority, other provincial Health Authorities, and the Province of Saskatchewan.  Guiding principles - collaboration, interdependence, interdisciplinary practice, and an expansive definition of health.  Focus - to develop the following areas of service, research & teaching:  Primary health care research and delivery  Core specialty services  Integrated teaching and learning models for health professionals  Strategically focused areas of bio-medical research  Aboriginal health  Population and community health http://www.saskhealthsciencesnetwork.usask.ca/  Mandate - to enhance clinical services, conduct health research, and educate future health care professionals through the joint and collaborative relationship of its interdependent partners.  Partners - Saskatoon Health Authority, the U of S, Regina Qu-Appelle Health Authority, other provincial Health Authorities, and the Province of Saskatchewan.  Guiding principles - collaboration, interdependence, interdisciplinary practice, and an expansive definition of health.  Focus - to develop the following areas of service, research & teaching:  Primary health care research and delivery  Core specialty services  Integrated teaching and learning models for health professionals  Strategically focused areas of bio-medical research  Aboriginal health  Population and community health http://www.saskhealthsciencesnetwork.usask.ca/

9. Interdisciplinary Collaborative Education  Collaborative Patient-centered Practice  enhances patient - family - and community centered goals and values  provides mechanisms for continuous communication among care givers,  optimizes staff participation in clinical decision-making (within and across disciplines)  induces respect for the contributions of all disciplines including patients contributions to their own care.  To promote a culture of collaborative patient-centered practice, the Federal. Government ’ s Health Human Resource Strategy has chosen as one of its key initiatives the development and implementation of Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP) http://www.hc-sc.gc.ca/hcs-sss/hhr- rhs/collabor/index_e.html  Collaborative Patient-centered Practice  enhances patient - family - and community centered goals and values  provides mechanisms for continuous communication among care givers,  optimizes staff participation in clinical decision-making (within and across disciplines)  induces respect for the contributions of all disciplines including patients contributions to their own care.  To promote a culture of collaborative patient-centered practice, the Federal. Government ’ s Health Human Resource Strategy has chosen as one of its key initiatives the development and implementation of Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP) http://www.hc-sc.gc.ca/hcs-sss/hhr- rhs/collabor/index_e.html

10. Patient-Centered Interdisciplinary Team Experience (P-CITE)  U of S project funded by IECPCP  Training built around 4 patient/pop’n groups  Children/Youth with Mental Health Problems  Middle Aged Adults with Chronic Health Problems  Elders Making Hospital to Community Transition  Community Health Needs in Aboriginal Communities  U of S project funded by IECPCP  Training built around 4 patient/pop’n groups  Children/Youth with Mental Health Problems  Middle Aged Adults with Chronic Health Problems  Elders Making Hospital to Community Transition  Community Health Needs in Aboriginal Communities

11. Student Wellness Initiative Towards Community Health (SWITCH)  Student driven interdisciplinary wellness initiative that  involves student volunteers from nine health disciplines & four universities who work with clinic staff and interdisciplinary mentors  extends the hours of the West Side Community Clinic  conducts ancillary health programming at WSCC and White Buffalo Youth Lodge  Student driven interdisciplinary wellness initiative that  involves student volunteers from nine health disciplines & four universities who work with clinic staff and interdisciplinary mentors  extends the hours of the West Side Community Clinic  conducts ancillary health programming at WSCC and White Buffalo Youth Lodge

12. Electronic Health Records  One of the key means to achieve the five goals of health reform:  Reduce wait times  Interdisciplinaery primary health care teams with greater emphasis on health promotion & prevention  Enhanced patient safety  Improved quality of care  Improved efficiency & better value for money  EHR is seen as way to address these priorities  One of the key means to achieve the five goals of health reform:  Reduce wait times  Interdisciplinaery primary health care teams with greater emphasis on health promotion & prevention  Enhanced patient safety  Improved quality of care  Improved efficiency & better value for money  EHR is seen as way to address these priorities

13. EHR “The benefits of the EHR grow over time as providers in particular exploit its potential to enhance communications, improve safety and quality by using decision support tools, expand the network of trusted colleagues, and generate valid performance measures and comparisons” (Beyond Good Intentions”, 2006) “The benefits of the EHR grow over time as providers in particular exploit its potential to enhance communications, improve safety and quality by using decision support tools, expand the network of trusted colleagues, and generate valid performance measures and comparisons” (Beyond Good Intentions”, 2006)

14. What This Means  New forms of post-professional work organization, new technologies, and greater accountability through quality improvement processes will have substantial consequences for KT, especially in practice settings  A Knowledge System approach will help focus attention on the interrelationships between knowledge creation, transfer and application at both the organizational and individual levels  New forms of post-professional work organization, new technologies, and greater accountability through quality improvement processes will have substantial consequences for KT, especially in practice settings  A Knowledge System approach will help focus attention on the interrelationships between knowledge creation, transfer and application at both the organizational and individual levels