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 1

Setting the stage 2

We’re on a journey to organize ourselves in primary care 3

We are considering a provider-led organization within a changing landscape 4

Our wicked problem (based on October meeting) Problem statement How might we… Our solution As primary care Create an providers, we have Bring together our organization of lost our voice in group of primary primary care health system care providers in providers, that has planning and need the region to have a clear vision, greater access to a strong and purpose, information, collective voice structure, and resources, and process education 5

How primary care has organized outside of Ontario Alberta Primary Care Networks Arose 2003 to 2011 UK Primary Care Federations / Networks 2010 / 2019 6

How primary care is currently organizing in East Toronto Ontario Family Practice Network Sep 2019 Caledon- Dufferin Physician Association Mississauga Nov 2019 Halton Primary Care Network Mar 2014 Hamilton South West Academy of Primary Care Medicine Alliance Since 1899 ~2019 7

We are working through the steps used by others to create a successful organization 8

Steps to set up a new organization WE ARE HERE!   What is the How have What will Who will be How will we What specific need being others we do? involved? make actions will address? solved this decisions? we take? Build a Identify problem? Clearly strategy members of Establish a Develop and state what Look near (vision, the group, governance launch a near- problem this and far for mission, roles and structure term action group will examples priorities) responsibilities plan solve and inspiration 9

TODAY’S TOPICS What will we do? Who will be involved? 10

Today will feel a bit different 11

We’ve got an action-packed agenda Activity: Activity: Welcome and Who will be Where are introductions involved? we going? Activity: Wrap-up and Setting the What will next steps stage we do? 12

We will be using a co-design approach 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. 13

We created a theme for today Stronger together! The Watering Hole (aka parking lot) 14

There are a few ground rules Be action-oriented Be courageous – Be curious – ask – roll up your try something new questions of self, others sleeves Be open – learning Be respectful – Have fun! mindset differences are ok 15

Activity: Where are we going? 16

Key ingredients for every organization Where we are going Vision (what success looks like in the future) What role we play Mission (why we exist) What we believe in Values (how we will behave) What our game plan will be Strategy (what do we want to achieve) How we will achieve our game plan Activities (what things we will do to get us there) 17

FFS CCM FHG FHO FHT Who we are Halton Hills Milton Oakville Data source: Health Analytics 53 TOTAL 82 TOTAL 233 TOTAL Branch, MOHLTC, 2017 NW SW East South Mississauga Mississauga Mississauga Etobicoke 267 TOTAL 118 TOTAL 289 TOTAL 113 TOTAL 18

We are at the centre of health transformation in Ontario 19

We are at the centre of health transformation in Ontario 20

At your tables Activity: Let’s imagine our success Small groups 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 Step 1: Complete template Step 2: Draw on flip chart Your cover story here! Drawing Quotes! 21

Every organization needs to define what success looks like Examples of vision statements To make people To create a better To refresh the world in To bring happy everyday life for the mind, body and spirit transportation — many people for everyone, everywhere To accelerate the A world where A world without Healthier Children. world’s transition to everyone has a Alzheimer’s disease. A Better World. sustainable energy. decent place to live 22

Activity: What will we do? 23

There is momentum for us to organize 66.7 % said “Organize Primary Care” *Results reflect responses to post-session survey, November 7, 2019 (survey across Ontario) 24

What are the possible levels of primary care organization? Possible Levels of HH Primary Care Organization MIL OAK Primary Care Province of Ontario Network EM SE SWM NWM Central Region (1 of 5 Regions) Primary Primary Primary Mississauga Halton Care in Primary Care Care in Care in Milton Cluster (1 of 4 LHINs) Network CCH OHT Miss. OHT OHT Acute Acute Acute 3 OHTs Care Care Care Primary Care (Milton, Connected Care Primary Home Connected Primary Home in OHTs Primary Home Care Care Mississauga Care Care Care Care Care Halton Halton, Mississauga) Milton OHT OHT OHT Comm- Comm- Comm- Other Other unity Other unity unity 25

At your tables Activity: Let’s write down the value 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 Primary Care Network Primary Care in OHTs The value of this group is… The value of this group is… Our mission is to… Our mission is to… Our readiness is… Our readiness is… 26

Every organization needs to know what role it plays in achieving the future Examples of mission statements Entertain, inform and inspire people Smarter transportation with around the globe through the power fewer cars and greater access. of unparalleled storytelling, Transportation that’s safer, reflecting the iconic brands, creative cheaper, and more reliable; minds and innovative technologies transportation that creates that make ours the world's premier more job opportunities and entertainment company. higher incomes for drivers. To eliminate Alzheimer’s disease As leaders in child health, we through the advancement of partner locally and globally to research; to provide and enhance improve the health of children care and support for all affected; through the integration of care, and to reduce the risk of dementia research and education. through the promotion of brain health. 27

Use the cards to stimulate your thinking 4 key areas* • Communications • Education • Community building • Advocacy / planning 28

Activity: Who will be involved? 29

Engagement can happen at different levels Primary care provider’s choice Levels Informed (1) Engaged (2) Advising (3) Leading (4) • Receiving • Attending broader • Member of • Participating in Newsletter and e- engagement events advisory and providing Blasts committee(s) with leadership on • Participating in regular attendance specific initiatives, • On distribution list surveys and Description including OHT to receive regular providing feedback • Providing advice news and and guidance on updates organization to lead Commitment to Commitment to Commitment Commitment to N/A provide feedback as participation and attendance requested collaborative design Regular meetings Time Intermittent, Regular monthly Little to none with work in Commitment as needed meetings between 30

At your tables Activity: Let’s build out the levels 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 of 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) 31

At your tables Ballot card Individually 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? 2. In what areas would you like to apply your expertise? Leading (Level 4) Communications • Participating in and providing leadership on specific initiatives, including OHT Education Advising (Level 3) Community building • Member of advisory committee(s) with regular attendance • Providing advice and guidance on OHT to lead Advocacy / planning Engaged (Level 2) 3. Please provide your contact information. • Attending broader engagement events • Participating in surveys and providing feedback Name: Informed (Level 1) Phone: (Preferred? Please circle) • Receiving Newsletter and e-Blasts (Preferred? Please circle) Email: • On distribution list to receive regular news and updates Sub-region / Location: 32

Wrap-up and next steps 33