Building a Community of Practice

and leveraging

Collaboration towards shared

InnovationsJane Hsieh,

Executive DirectorSCIKMN

June 3, AM Theme 1B

Foothills Medical Centre: SCI

Rehabilitation Clinic

SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative

Glenrose Rehabilitation Hospital

ISRD&OU

Foothills Medical Centre: SCI

Rehabilitation Clinic

SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative

Glenrose Rehabilitation Hospital

ISRD&OU

June 3, PM, Theme 1

The Neurotrauma Knowledge Mobilization Network: Implementation Science Research, Development, and

Operations Unit (ISRD&OU)

R.J.Riopelle, Chief Science Officer

Required Elements of a Community of Practice (CoP)

Requirement SCI KMN Focus 

1) Shared domain of interest Improving patient outcomes

2) Engagement/sharing to achieve consensus Best practices for implementation

3) Developing resources to address a shared practice Develop and adapt resources for effective pressure ulcer prevention

and management

(Wenger, 2006)

*6 sites , 3 Provinces, ~100 CoP members

ISRD &OU

ORGAN

IZATION

AL STRUCTU

RESCI KMN CoP

A Learning and Innovation Collaborative

1) Network management

1) Network Management

2) Strategic Leadership

5) Dissemination within/beyond network

3) Clinical Leadership

4) Data management/evaluation

Capitalizing on in situ expertise and interest

COLLABORATION THROUGH SHARED LEADERSHIP, CROSS-TALK BETWEEN COMMITTEES & SITES

Testimony to the Rationale for, and Power of, the SCI KMN CoP

KEY INTERACTING PLAYERS:

SITE LEADS and PROJECT LEADERSHIP TEAM (strategic)TRANSFORMATION SPECIALISTS and TRANSFORMATION SPECIALIST TEAM (operations)

Capitalizing on in situ expertise and interest

DEFINING QUALITY & QUALITY IMPROVEMENT

for Patients, Providers, Organizations and the ISRD&OU

KEY INTERACTING PLAYERS:

EVALUATION and DATA MANAGEMENT TEAMTRANSFORMATION SPECIALIST TEAM

Capitalizing on in situ expertise and interest

INCREASING AWARENESS WITHIN/BEYOND NETWORK

To Promote Standardized Best Practice Implementation to Other Providers

KEY INTERACTING PLAYERS:

KNOWLEDGE CURATOR of ISRD&OUKNOWLEDGE MANAGEMENT AND COMMUNICATIONS TEAM

Capitalizing on in situ expertise and interest

SHARING PRACTICE INNOVATIONS

SCI KMN ‘Reverse Innovation’* Portfolio*Innovation emerging from practical need

• ISRD&OU development

• End User (Patient) Outcomes Patient Reported Outcomes (PRO) within a Patient Practice Portfolio

Patient self-management resources and provider support

• Knowledge User (Provider) Performance Mentorship capacity

Adapted Implementation GuideEducation and training curriculum for health transformation innovation brokers

Delphi & clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM)Centralized, web-based data repository for real-time data collection

KEY PLAYERS: MEMBERS of SCI KMN

Capitalizing on in situ expertise and interest

SHARING PRACTICE INNOVATIONS

SCI KMN Reverse Innovation Portfolio

• End User (Patient) Outcomes

Patient Reported Outcomes within a Patient Practice PortfolioPatient self-management resources and Provider support

• Knowledge User (Provider) Performance

Mentorship CapacityAdapted Implementation Guide

Education and training curriculum for health transformation innovation brokers Clinical decision support tools -Treatment and Evidence Algorithm Maps (TEAM)

KEY PLAYERS: MEMBERS of SCI KMN

Adapted Implementation Guide

June 3, PM, Theme 2

Speaking the Same Language - Creating a User Guide to Streamline Knowledge Mobilization Across a National Network

and Beyond

Westley Reinhart-McMillan, Project Coordinator, SCI KMNCyndie Koning, Transformation Specialist – Glenrose Rehabilitation Hospital, SCI KMN

Laura Mumme, Glenrose SIT Member, SCI KMN

Broad & flexible

stakeholder engagement Adapted

Innovations

Collaboration Platform

Transferability

Project goals/objectives

aligned to evaluation(developmental, formative)

Evaluation linked to CQI

(Levels of Use/PDSA)

Patient centered care via PRO

Consensus methodology

(Delphi)

STRENGTHS

and more ………….

Broad & Flexible

stakeholder engagement

AdaptedNIRN

tools & other

Innovations

Collaborative Platform Transferability

Project goals/objectives

aligned to evaluation(developmental, formative)

Evaluation linked to CQI

(Levels of Use/PDSA)

Patient centered care via PRO

Consensus methodology

(Delphi)

STRENGTHS

www.wiki.cfirwiki.net

and more ………….

Alignment to Measures of ‘Network Culture’ DevelopmentConsolidated Framework for Implementation Research

Top 10 of 31 Discriminators for Success

Perceptions of relative advantage End user needs & resources identified

Knowledge user networks and communications Tension for change climate

Relative priority Goals met & feedback provided

Positive learning climate Leadership engaged

Strategic planning Reflecting and evaluating

The success of SCI KMN as a CoP and as an Innovation Incubator has resulted in:

Strategic expansion into additional domains of interest (eg. pain management)

Strategic directions for expansion to the rehabilitation-community continuum

Participatory interest from other SCI rehabilitation centres

Participatory interest from national and international neurotrauma healthcare groups

Informing ISRD&OU stewardship of all ONF Programs and beyond

Informing Ontario’s Business Case for its Canadian Institutes of Health Research: Strategy for Patient-Oriented Research partnership

 Community of Practice (CoP)The CoP is an opportunity for the NNADAP/YSAC field to share and exchange knowledge of “promising 

THANK YOUACKNOWLEDGEMENTS

~100 MEMBERS of the SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK

FUNDERS