Collaborative culture
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Collaborative Culture?. Knowledge Management in Canadian Health: Improving knowledge translation by embracing complexity. Thom Kearney MGMT5001. "Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it. “

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Collaborative Culture?


Knowledge Management in Canadian Health: Improving knowledge translation by embracing complexity.

Thom Kearney

MGMT5001


"Knowledge is of two kinds.

We know a subject ourselves, or we know where we can find information upon it. “

Samuel Johnson (Boswell's Life of Johnson)


Agenda

  • Health information in Canada

  • Key concepts:

    • Knowledge creations funnel

    • Complex adaptive systems

  • Opportunities for solutions (problems)

  • Embracing the complexity

  • A personal example


Manitoba

Infoway

HC

CIHI

CanadianForces

Health Canada

CIC

Saskatchewan

PHAC

RCMP

CIHR

Federal Influence

VAC

PHAC

Corrections

Federal Healthcare Partnership

Less than 1% pop

Nova Scotia

Yukon

New Brunswick

Nunavut

British Columbia

Ontario

Quebec

PEI

NWT

Alberta

Newfoundland and Labrador

10-15 % pop

Canadian Health system overview

Jurisdictions

Less than 1% pop

23-40% pop

1-5 % pop


Knowledge Action Cycle


Knowledge Creation Funnel

Bottle Neck


Complex adaptive system

Individuals using simple rules, acting for their own reasonscreate an adaptive system.

Components

  • Self organization

  • Emergence

  • Relationships

  • Feedback

  • Adaptability

  • Non-Linearity

Interactions, relationships within the context of the network result in dynamic knowledge sharing. (Robeson, 2009)


Opportunities for solutions

  • Knowledge translation takes too long. Especially creating knowledge tools

  • Resources are limited and jurisdictions tend to do the same sorts of things (duplication is bad)

  • Knowledge is leaving for the golf course


Embrace the complexity

Employ social technologies:

  • Connect all health professionals in Canada

  • No personal health data

  • Open and closed groups of all types

  • Multiple layers of security and veracity

  • Make it easy to join, easy to share

Design for the six components of a complex adaptive system:

Self organization Emergence Relationships

Feedback Adaptability Non-Linearity


Example


Conclusion

  • Social technologies can help with knowledge translation in health.

  • Culture will take time to change, social technologies encourage sharing and trust

  • Critical mass matters, go big or go home.


Shared platform

Shared Benefits

Efficiency and focus

Interoperability

Connectedness

Shared knowledge

Access

Agility

Shared Technology

Common profile

Standard xml

Open development

Governance – basic enablement and standards. National scope with connections


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