DRAFTDRAFT

GKEN ConferenceGKEN Conference

Antigua, GuatemalaApril 1-3, 2009

Antigua, GuatemalaApril 1-3, 2009

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GKEN Mission

To identify and promote the awareness and adoption of existing and emerging better practice models and promising new health system models across industrialized nations.

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GKEN Guiding Principles

GKEN is principally a communication initiative focused on promoting better healthcare practices among developed and developing nations.

We will focus on emerging, better, and best practices with measurable outcomes.

We will have a patient/consumer focus. We will help enable health organizations to

promote wellness.          We will favor private policy/action (that which can

be taken by organizations without governmental action) over direct influence of public policy. 

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Proposed Criteria for GKEN Activities

GKEN activities and research should follow ‘SMART’ objective criteria to identify relevant and meaningful material for wider dissemination:

SpecificMeasurableAppropriateRealisticTimely

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SMART Criteria: Specific

Focused and relevant to the topicTarget-group oriented

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SMART Criteria:Measurable

Sufficient size and scope/scaleEvidence-based (scientific and other

reliable evidence)Quantifiable and qualifiable

outcomes

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SMART Criteria:Appropriate

A need for action existsGoal/action is attainableSolution orientedEvidence to support it (scientific and

other reliable evidence)The “right thing to do”

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SMART Criteria:Realistic

Resources are availableLeadership / community supportBroad cross-sectoral approachOwnership / IdentificationIncentives

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SMART Criteria:Timely

A sense of urgencyA window of opportunitySustainability / longevityRapid dissemination of knowledge

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Continuum of Healthcare Practices and Process

Improvement

GKEN framework suggests a continuum of healthcare practice with 4 major categories: Anecdotal information Emerging Better Practice Better Practice Best Practice

All are valid forms of improving healthcare practice, with differences in level of organization, quality/quantity of information, and timeliness in reaching a broad audience.

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Emerging Better

Practice

Better Practice

Best Practice

Anecdotal (Good) Practice

•Information or technique shared between two or more practitioners•Real-time communication•Unorganized•Not clinically proven or measurable (unfiltered, not validated)•Believed to produce good results (i.e. opinion)•SMART criteria do not apply•No GKEN involvement

•Information or technique put into practice, with early signs of success•Semi-real time communication (e.g. internet publication)•Organized information•Interest in/commitment to continuing support of the practice (i.e. momentum)•Low filtering/validation•Few measurable outcomes (too early to tell)•SMART criteria apply•GKEN involvement (website, synopses of better practices, direct idea exchange)

•Technique put into broader practice over a period of time (i.e. longevity)•Semi-real time communication •Organized information•Clear, measurable outcomes•Moderate filtering/validation (some scientific research to support it)•Believed to be replicable•SMART criteria apply•GKEN involvement

•Technique with proven, measurable results•Semi-real time communication•Highly organized•Research and knowledge-based (high filtering/validation)•Highly replicable and transferable•Long lag time to formal acceptance•SMART criteria apply•GKEN involvement

Continuum of Healthcare Practices and Process Improvement

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GKEN Role GKEN aims to decrease the18-year lag time

between conception and common (“best”) practice.

GKEN will promote the exchange of knowledge and ideas to help bring emerging and better practices more quickly into common practice.

Anecdotal information provides instant communication between practitioners, but little opportunity for GKEN involvement.

Emerging and better practice are knowledge areas with the most potential for GKEN involvement - through dissemination of GKEN web content, synopses of better practice, and direct personal exchange at GKEN conferences and events.