Seniors Health Research Transfer Network Welcome to an overview of SHRTN 2007-08 WHAT IS SHRTN? • SHRTN is a Province-wide Knowledge Exchange Network of people involved in seniors’ health care • SHRTN promotes the exchange of knowledge generated through: Research – explicit knowledge Practice and experience – tacit knowledge SHRTN Vision The Seniors Health Research Transfer Network is the “place to go” in Ontario for the latest knowledge and best practices about seniors’ health and health care. SHRTN is a Knowledge Exchange Network SHRTN Pillars Facilitate Knowledge Transfer and Exchange Communities of Practice (CoPs) Organizations to link people with ideas, information, tacit and explicit knowledge (including the AKE) SHRTN Library Service Access to evidence for paid caregivers delivered by Seniors Health Information Specialists Ontario Research Coalition Generation of evidence based on needs of caregivers and policy makers Governance & Leadership Decision making and input that involves leaders at the provincial & local levels PILLAR 1 Community of Practice The concept of a community of practice refers to the process of social learning that occurs when people who have a common interest in some subject or problem collaborate over an extended period to share ideas, find solutions, and build innovations. 1 1 http://en.wikipedia.org/wiki/Community_of_practice Communities of Practice (CoPs) Connecting people and knowledge expertise Connecting people and resources Connecting people and ideas Connecting innovations and practice Community of Practice Topics • Activity and Aging • Alliance for Quality Improvement in Long-term Care (AQUILT) • Alzheimer and Related Dementias • Blood Pressure • Communicative Access and Aphasia • Compulsive Hoarding Behaviour • Continence Care • E-learning in Long Term Care Homes • End of Life Care • Home based e-Health • Influenza Vaccine Decision Aid • Long Term Care Spiritual Care • Mental Health, Addictions and Behavioural Issues Key Components of a SHRTN CoP • Knowledgeable leaders • Members with common interest in topic and commitment to share ideas, find solutions and build innovations • Knowledge brokers • Information Specialists • Knowledge Transfer / Exchange Events – In person or using SHRTN Technology SHRTN Supports CoP Members • • • • • • www.SHRTN.on.ca On-line collaboration tools (PlumTree) E-Meeting software (Adobe Acrobat Connect) Toll-free conference call line On-line survey tool (Survey Monkey) Knowledge and information translated by trained professionals www.SHRTN.on.ca PlumTree Collaboration Tools Calendar Tasks Documents Discussions Adobe Acrobat Connect (AAC) E- Meetings, “Virtual” Presentations and “Webinars” – All that is needed is a computer with a high-speed internet connection and access to a telephone. – Great for those living and working in remote locations around the province, and for cutting down on travel and accommodations expenses. – Lets you participate in a “virtual” meetings, view and participate in seminar presentations using internet connection and teleconference line from the comfort of your home or office Survey Monkey • Professional online surveys • Automated collection, tabulation and reporting • Uses: – – – – Consultation Research Satisfaction surveys Feedback forms PILLAR 2 SHRTN Library Service ▪ Reference Services ▪ Literature Searching ▪ Document Delivery ▪ Current Awareness ▪ Education ▪ Outreach Services ▪ Information Tools ▪ Website: www.shrtn.on.ca ▪ Connection & Collaboration Background • Workers in long-term care and community care settings have poor access to best practice information • An aging population will place huge demands on the health care system • Rich evidence-based information resources exist Library Model • Free and easy access to information and evidence for all paid caregivers working with seniors in Ontario • Toll free telephone, SHRTN.on.ca, email • Central coordination and support staffed by a librarian • Local library sites staffed by Information Specialists in – – – – Ottawa Toronto Hamilton Waterloo PILLAR 3 Ontario Coalition of Research Institutes / Centres on Health and Aging AKA: Ontario Research Coalition (OCR) ORC Strategic Initiatives • Increase research capacity through early researcher award • Seed project funding • Research symposium • Strategic planning and management Ontario Research Coalition Partners Research Institute Affiliated with Centre for Education on Aging and Health Lakehead U & EBRI Elisabeth Bruyère Research Institute (EBRI) Ottawa U & SCO Health Service Providence Care Queens U Kunin-Lunenfeld Applied Research Unit on Aging U Toronto & Baycrest Lawson Health Research Institute U Western R Samual McLauglin Centre on Gerontological Research and Education McMaster U Schlegel – UW Research Institute on Aging (RIA) U Waterloo PILLAR 4 Provincial and Local Governance SHRTN Governance and Leadership PROVINCIAL Governance • Interim Board of Directors 2007-08 – 13 voting members (stakeholder map) – Government reps – ex-officio – Role: • develop terms of reference for ongoing Board • strategic oversight and policy direction for short and long-term activities of SHTRN • ensure consultation with key SHRTN stakeholders Provincial Board Stakeholder Map E Geographic Regions C N SE T SW Caregivers LTC Ctty X Policy LTC Ctty X X X X X X X X X X X Educ ation X X X X X X X X X X X X X X X X X X X X X CoP Sen ior X X X X X X X X X X X X X X X X X Libra ry X X X Rese arch X X X X X Board of Directors Co-Chairs Catherine Brookman Larry Chambers Board Members Paulina Chow Josie d’Avernas Aura Kagan Joni Kent Ken LeClair Pat Morden Elyse Pike Marg Ringland Krista Robinson-Holt Marie Smith Vida Vaitonis 2007-08 ON Community Support Association (OCSA) Elizabeth Bruyère Research Institute (EBRI) St. Joseph's Care Group Schlegel-UW Research Institute for Aging Aphasia Institute Baycrest Alzheimer Knowledge Exchange (AKE) Shalom Village ON Health Library Association (OHLA) ON Association Non-Profit Homes & Services for Seniors (OANHSS) ON Long Term Care Association (OLTCA) Seniors rep, United Senior Citizens of Ontario (USCO) ON Association of CCACs (OACCAC) SHRTN Local Leadership Local Implementation Teams • Start with geographic areas where local library service exists (Eastern Ontario, Toronto, Hamilton, Waterloo) • Expand to other areas over time • Role to bring together local leaders to: – – – – Bring evidence into practice Promote SHRTN locally Provide input to Provincial Board of Directors Guide and direct SHRTN Information Specialist Example of membership on Local Implementation Team Eastern Ontario Team includes: • Rural and urban perspectives • Long-term care and community care • Caregivers, researchers, policy makers representing: Algonquin College LTC Best Practice Coordinator La Cité Collégiale EBRI Champlain LHIN Algonquin College OACCAC OANHSS OCSA OLTCA SCO Health Service University of Ottawa Veterans Affairs SHRTN in ACTION • Some examples of SHRTN work to date: – Tools that identify and translate knowledge – Success stories SHRTN tools Evidence-Based Briefs Evidence from multiple sources into “Just the Facts” Info Sheets Brief summary of topic with reference list of recommended information Reading lists & annotated Monthly lists of recommendations from our Information Specialists bibliographies The “SHRTN Exchange” More to come Monthly newsletter with information and articles from and about members SHRTN Success Story FireSide Chats NEED: Caregivers working with seniors need training to help them deal with responsive behaviours. Multiple approaches exist and many training options are available… with limited time and resources available, what is the best option? KTE SOLUTION: SHRTN Responsive Behaviours CoP held a series of Fireside Chats to review training options and help participants decided which is best for their need: – Montessori Approach to Dementia Care - P.I.E.C.E.S.- U-F.I.R.S.T. ™ – Responsive Behaviours C-D ROM(MAREP) - Gentle Persuasive Approaches (GPA) Other Fireside Chat topics included: – – – – – – Admission process to long term care Ontario partnership for Aging and Developmental Disabilities National Seniors Mental Health Guidelines Change Theory Success stories On-line education forum SHRTN Success Story Palliative Care Manual NEED: In Renfrew County a palliative care manual being used locally needed to be shared regionally. KTE SOLUTION: The Champlain End-of-Life Care Community of Practice struck a team to review the manual. The SHRTN Information Specialist provided evidence-based material to address their questions so they could revise the manual accordingly. The new manual was recently unveiled. The Library Service will support a planned annual review. SHRTN Success Story Collaboration NEED: The Alzheimer Knowledge Exchange (AKE) receives questions on various dementia related topics which are handled through knowledge brokering, the collaboration space and sometimes lead to FireSide Chats. Example: inquires regarding driving and dementia. KTE SOLUTION: AKE collaborated with SHRTN Responsive Behaviours CoP for a fireside chat on driving assessment for persons with dementia and reviewed two case studies for discussion. AKE hosted a follow-up panel presentation with representation from an Assessor, a Physician, a Police Sergeant Responsible for Seniors Issues, Alzheimer Societies (National/Provincial/Local) and participation from the greater AKE CoP. Next Steps: – – – – – A Driving and Dementia CoP Summary documents from the FireSide Chats Expanded references and resources –posted in PlumTree and the AKE public site. Knowledge Cafés and Plum Tree to drilling deeper into the issue through Expanded Audience for sharing information MOHLTC Supports SHRTN with multi-year budget • 3 year funding approved for 2007 – 2010 ($3.5M) • SHRTN budget includes: Support for 13 CoPs including the Alzheimer Knowledge Exchange (AKE) SHRTN Library Service The Ontario Research Coalition $1,400,000 $1,200,000 Research Coalition $1,000,000 $800,000 AKE $600,000 SHRTN $400,000 $200,000 $0 2007-08 2008-09 2009-10 For more information www. SHRTN.on.ca Deirdre Luesby SHRTN Executive Director (613) 562-4262 ext 1654 SHRTN@scohs.on.ca