Primary Care Co-Design Session November 26, 2019 6:00-8:30 pm 1 - - PowerPoint PPT Presentation

Primary Care Co-Design Session

November 26, 2019 6:00-8:30 pm

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Setting the stage

We’re on a journey to organize ourselves in primary care

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We are considering a provider-led organization within a changing landscape

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Our wicked problem (based on October meeting)

Problem statement How might we…

As primary care providers, we have lost our voice in health system planning and need greater access to information, resources, and education Bring together our group of primary care providers in the region to have a strong and collective voice Create an

• rganization of

primary care providers, that has a clear vision, purpose, structure, and process

Our solution

How primary care has organized outside of Ontario

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Alberta Primary Care Networks Arose 2003 to 2011 UK Primary Care Federations / Networks 2010 / 2019

How primary care is currently

• rganizing in

Ontario

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East Toronto Family Practice Network Sep 2019 Hamilton Academy of Medicine Since 1899 Caledon- Dufferin Physician Association Nov 2019 South West Primary Care Alliance ~2019 Mississauga Halton Primary Care Network Mar 2014

We are working through the steps used by others to create a successful

• rganization

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Steps to set up a new organization

What is the need being address? Clearly state what problem this group will solve How have

• thers

solved this problem? Look near and far for examples and inspiration How will we make decisions? Establish a governance structure Who will be involved? Identify members of the group, roles and responsibilities What will we do? Build a strategy (vision, mission, priorities) What specific actions will we take? Develop and launch a near- term action plan

 

WE ARE HERE!

What will we do? Who will be involved?

TODAY’S TOPICS

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Today will feel a bit different

We’ve got an action-packed agenda

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Welcome and introductions Setting the stage Activity: Where are we going? Activity: What will we do? Activity: Who will be involved? Wrap-up and next steps

We use co-design to solve complex problems with people, not for people, to create solutions quickly that are tangible, usable, and meet our needs.

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We will be using a co-design approach

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We created a theme for today Stronger together!

The Watering Hole (aka parking lot)

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Be action-oriented – roll up your sleeves Be open – learning mindset Be curious – ask questions of self, others Be courageous – try something new Be respectful – differences are ok Have fun!

There are a few ground rules

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Activity: Where are we going?

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Key ingredients for every organization

Where we are going (what success looks like in the future) What role we play (why we exist) What we believe in (how we will behave) What our game plan will be (what do we want to achieve) How we will achieve our game plan (what things we will do to get us there) Activities Vision Mission Values Strategy

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Who we are

FFS CCM FHG FHO FHT

Halton Hills

53 TOTAL

Milton

82 TOTAL

Oakville

233 TOTAL

NW Mississauga

267 TOTAL

SW Mississauga

118 TOTAL

East Mississauga

289 TOTAL

South Etobicoke

113 TOTAL

Data source: Health Analytics Branch, MOHLTC, 2017

We are at the centre of health transformation in Ontario

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We are at the centre of health transformation in Ontario

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Activity: Let’s imagine our success

At your tables, use the template to create a splashy cover story 10 years in the future of a great success in primary care… 20 min activity + 15 min readout

Your cover story here!

Drawing

Quotes!

Step 1: Complete template Step 2: Draw on flip chart

At your tables Small groups

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Every organization needs to define what success looks like

To make people happy To create a better everyday life for the many people A world where everyone has a decent place to live To refresh the world in mind, body and spirit A world without Alzheimer’s disease. Healthier Children. A Better World.

Examples of vision statements

To accelerate the world’s transition to sustainable energy. To bring transportation — for everyone, everywhere

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Activity: What will we do?

There is momentum for us to organize

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*Results reflect responses to post-session survey, November 7, 2019 (survey across Ontario)

66.7 % said “Organize Primary Care”

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Primary Care in OHTs

Primary Care in Milton OHT

Milton OHT

Primary Care in CCH OHT

Connected Care Halton OHT

Primary Care in

• Miss. OHT

Mississauga OHT

What are the possible levels of primary care organization?

Primary Care Network

MIL HH OAK NWM SWM EM SE

Primary Care Network

Possible Levels of Primary Care Organization Province of Ontario Central Region

(1 of 5 Regions)

Mississauga Halton Cluster (1 of 4 LHINs) 3 OHTs

(Milton, Connected Care Halton, Mississauga)

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The value of this group is… The value of this group is…

Activity: Let’s write down the value

At your tables Small groups

At your tables, write down your answers to the following questions:

• 1. What could be the value of each group? Reflect on the 4 key areas*.
• 2. What would be its role in achieving the vision? Write down a mission statement.
• 3. On a scale of 1 (low) to 5 (high), what is our readiness to be part of this group?

20 min activity + 30 min readout Our mission is to… Our mission is to… Our readiness is… Our readiness is… Primary Care Network Primary Care in OHTs

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To eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. As leaders in child health, we partner locally and globally to improve the health of children through the integration of care, research and education. Smarter transportation with fewer cars and greater access. Transportation that’s safer, cheaper, and more reliable; transportation that creates more job opportunities and higher incomes for drivers. Entertain, inform and inspire people around the globe through the power

• f unparalleled storytelling,

reflecting the iconic brands, creative minds and innovative technologies that make ours the world's premier entertainment company.

Every organization needs to know what role it plays in achieving the future

Examples of mission statements

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Use the cards to stimulate your thinking

4 key areas*

• Communications
• Education
• Community building
• Advocacy / planning

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Activity: Who will be involved?

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Primary care provider’s choice Levels Informed (1) Engaged (2) Advising (3) Leading (4) Description

• Receiving

Newsletter and e- Blasts

• On distribution list

to receive regular news and updates

• Attending broader

engagement events

• Participating in

surveys and providing feedback

• Member of

advisory committee(s) with regular attendance

• Providing advice

and guidance on

• rganization to lead
• Participating in

and providing leadership on specific initiatives, including OHT

Commitment

N/A Commitment to attendance Commitment to provide feedback as requested Commitment to participation and collaborative design

Time Commitment

Little to none Intermittent, as needed Regular monthly meetings Regular meetings with work in between

Engagement can happen at different levels

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Activity: Let’s build out the levels

At your tables Small groups

At your tables, use a flip chart answer the following questions:

• 1. At each level, what support / information / activities would be needed to feel part
• f the primary care organization? Write down your thoughts.
• 2. Using the ballot card, write down your desired engagement level, an area you

would like to apply your expertise, contact information, and put in the ballot box. 20 min activity + 15 min readout Informed (Level 1) Engaged (Level 2) Advising (Level 3) Leading (Level 4)

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Ballot card

Recognizing that we all have various interests both clinically and administratively beyond direct patient care, it is important to hear from you about what level you would like to be involved and how you would like to apply your expertise.

• 1. How involved would you like to be with this group?

Informed (Level 1) Engaged (Level 2) Advising (Level 3) Leading (Level 4)

• Receiving Newsletter and e-Blasts
• On distribution list to receive regular news and

updates

• Attending broader engagement events
• Participating in surveys and providing feedback
• Member of advisory committee(s) with regular

attendance

• Providing advice and guidance on OHT to lead
• Participating in and providing leadership on

specific initiatives, including OHT

• 2. In what areas would you like to apply your expertise?

Communications Education Community building Advocacy / planning

• 3. Please provide your contact information.

Name: Phone: Email:

(Preferred? Please circle) (Preferred? Please circle)

At your tables Individually

Sub-region / Location:

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Wrap-up and next steps

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Next steps

• Read through ballot cards and tally who wants to be engaged at what

level

• Set up virtual survey to gather feedback from broader primary care
• Based on results, will have a meeting with those who want to be

“leading” to further develop strategy

• We will reconvene in January to refine strategy and receive feedback
• n leadership structure
• Communications will be sent in between meetings to keep people

informed of progress Thank you!!!

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Activity: What benefit will it have? (if time is available)

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Activity: Let’s prioritize the benefits

Value High Low Implementation Easy Hard Quick wins Big Hitters Low Hanging Fruit Money Pits

At your tables Small groups

At your tables, review each card and decide on its priority for the organization using the prioritization matrix. Glue the card onto the matrix, drawn on the flip

• chart. Use the blank cards to

add your own ideas! 20 min activity + 20 min readout