The Calgary Health Regions Public Participation Framework From - - PowerPoint PPT Presentation

The Calgary Health Region’s Public Participation Framework – From Theory to Action

Presented by: Bretta Maloff, Director, Healthy Living

• n behalf of

Farah Bandali, Donald Barker, Joyce Buzath, Keith Donaghy, Ray Harrison, Bretta Maloff, Sean McIntyre, Micheline Nimmock and Mona Pinder

National Health Care Leadership Conference June 2008

Framework Development

• In 1998 the Board called for development
• f a framework that would outline:
• Values
• Operating principles
• Opportunities
• Public Participation defined as

“the process by which public concerns, needs and values are incorporated into governmental decision making”

Framework Development

• Community Affairs Committee (Board)
• Project parameters
• Advisory Committee
• Literature review
• Integrated data and proposed Framework
• Review process
• Final Framework

…………..

THEORY

Research History

Casebeer, A., MacKean, G., Abelson, J., Maloff, B., Musto, R., Forest,

• P. (2008). Engaging the public voice in health care decision-making.

In Organizing and Reorganizing: Power and Change in Health Care Organizations (pp. 123-139). New York : Palgrave Macmillian. Thurston, W. E., MacKean, G., Vollman, A., Casebeer, A., Weber, M., Maloff, B., et al. (2005). Public participation in regional health policy: a theoretical framework. Health Policy, 73(3), 237-252. Maloff B., Bilan D., Thurston WE. (2000). Enhancing public input into decision making: Development of the Calgary Regional Health Authority public participation framework. Family and Community

• Health. 23(1):66-78.

Maloff, B., & Penman, Y. (2000). Strengthening Community Action for Health and Wellness. Calgary: Calgary Regional Health Authority.

Learnings – Consultation

• Endorsed framework is useful in guiding health

practice

• Both generative and deliberative processes are

possible

• Expanding reach to engage public participants
• Process that unfolds over time and is on a

continuum

• High quality participation processes including:
• Instrumental supports
• Clarity of purpose
• Role expectations
• Feedback loop
• Context setting and background information
• Opportunity for further engagement with the Region

Timing is everything……….

THEORY TO …. ACTION

Regional Context

• Strategic Service Plan 2006 – 2010
• Participatory model with active engagement of the

consumer

– Patient/Family/Health Care Consumer Focus – Informed and Involved Patients and Families

• Updated Vision and Mission
• Vision: healthy communities
• Mission: leaders in health – a partner in care

Regional Context (contd.)

• Community Service Development Strategy
• Customized geographic approach
• Develop Partnerships

“ … will tap into and enhance community capacity by increasing collaboration and partnerships with citizens, communities and other organizations to plan, deliver and evaluate health services.”

• Organizational structure change with

emphasis on Citizen Engagement

• Interest and relevance across portfolios

Scan of Public Participation Models

Primer on Public Involvement (2006). Ontario: Health Council of Canada. Community Development and Public Participation (2005). Winnipeg Regional Health Authority. Planning for Effective Public Participation (2005). International Association of Public Participation. http://www.iap2.org. engage! Framework and Tool Kit (2004, 2nd Edition). The City of Calgary. Framework for Community Engagement (2003). Vancouver Coastal Health. Public Participation Framework (2001). Calgary Health Region.

Public Participation Framework 2001

• Emphasis on the Health Systems context
• Influencing Regional decision-making

process “…an organizing tool to guide decisions to be made by the Calgary Health Region and that the Calgary Health Region actively seeks input on.”

Health System

Public Participation in Health Framework 2008

• An ‘overarching’ framework
• Reflects 3 contexts within which public

participation occurs:

Individual Health System Society

Public Participation in Health Framework 2008

Individual

Influencing their

• wn Health care and

developing skills/knowledge to participate

Health System

Influencing

• rganizational policies

and decisions

Society

Influencing determinants of health through creating shared vision and ownership among intersect oral groups and policy advocacy

Public Participation in Health Framework 2008 (contd.)

• Comprehensive, reflects all the ways the Region

engages the public

• Greater emphasis on embracing the whole range of

the public participation continuum, including empowerment

Empower Involve Consult Inform Collaborate

Continuum adapted from IAP2 Public Participation Spectrum, 2005

Public Participation Continuum

Continuum Purpose Information Flow Decision Maker Commitment to the Public Inform

Sharing information to create awareness and educate the public. CHR Public One-way flow of information from CHR to the public

CHR

To keep the Public informed.

Consult

Gathering public input, advice and feedback in order to influence decision-making. Public CHR One-way flow of information from public to the CHR

CHR

To listen to the Public’s perspectives.

Involve

Involving the public in an exploration of views, perspectives and interests, with emphasis on listening and achieving mutual understanding. Public CHR An interactive exchange with a two-way flow of information between the public and the CHR

CHR

To ensure Public’s perspectives are reflected in the alternatives developed and provide feedback on how their input influenced the decision.

Collaborate

Engaging the public in a collaborative policy and/or decision-making process around a particular issue. Public CHR An interactive exchange with a two-way flow of information between the public and the CHR

Joint

To work together to develop and make decisions and/or recommendations.

Empower

Enabling the public to make decisions and take action in areas that affect health. Public CHR An interactive exchange with a two-way flow of information between the public and the CHR

Individual / Community

To facilitate and support the Public’s planning/ decision- making process.

Adapted from IAP2 Public Participation Spectrum, 2005

Applications

Empower Involve Consult Inform Collaborate Apple Magazine Temperature Check Patient/ Family Safety Council Region3 Aboriginal Health council Primary Care Networks SACHYN Calgary Injury Prevention Coalition Facilities Planning Community Stroke Prevention Initiative Websites

Questions?