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Getting Engaged

Getting Engaged. It’s all in the proposal. AHP/HCPRA National Conference Montreal, Quebec. Julie White June 25, 2009. Engagement in health in Ontario. Local Health Integration Network model Legislation - community engagement is required by LHINs and health service providers.

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Getting Engaged

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  1. Getting Engaged It’s all in the proposal AHP/HCPRA National Conference Montreal, Quebec Julie White June 25, 2009

  2. Engagement in health in Ontario • Local Health Integration Network model • Legislation - community engagement is required by LHINs and health service providers. • Local people best to determine their health service needs and priorities. • What is civic engagement and how do we plan for its success?

  3. LHINs 101 1 – Erie St. Clair 2 – South West 3 - Waterloo Wellington 4 – Hamilton Niagara Haldimand Brant 5 – Central West 6 – Mississauga Halton 7 – Toronto Central 8 – Central 9 – Central East 10 – South East 11- Champlain 12- North Simcoe Muskoka 13- North East 14 – North West

  4. Why engage? • Not just because of legislation… • Gov’t spending $172B in 2008 on our health system – 10% of GDP • Involving the public through citizen engagement is becoming more of a norm • Roots of engagement and democracy are linked to accountability

  5. Why engage? • 78% say very important to be involved in major decisions affecting health care system in Canada • 85% would feel better about government decision-making if input sought from average citizens

  6. Why engage? • Your money – your care • Who are “normal” decision-makers? • Participatory budgeting

  7. But what does the “public” know? YouTube - Parks and Recreation Promo - The Front Lines

  8. Public meeting tonight AD MAD sAD BAD

  9. Creating a culture of engagement • What is engagement? • How do people want to be engaged? • How do you know if you have been successful? • Engaging with Impact project

  10. A call for citizens • LHINs have variety of tools and methods for engagement • Evidence-based tools and best practices • Health Council of Canada’s 7 conditions for successful consultation: representativeness, independence, early involvement, influencing the policy decisions, providing information, resource accessibility & structured decision-making

  11. A call for citizens • Deliberative democracy • IAP2 – effective participation acknowledges the desire for humans to participate in the decisions that affect them. Tell me, I forget. Show me, I remember. Involve me, I understand. - Chinese proverb

  12. Planning engagement • Planning successful public consultations doesn’t start with an event. • IAP2 planning process helps you define the best way to meet your desired needs. Do you want to truly consult? Inform? Involve?

  13. IAP2 foundations • Values-based • Decision-based • Goal-driven

  14. Aggens’ Orbits of Participation Unsurprised apathetics

  15. IAP2’s Public Participation Spectrum Increasing level of public impact Inform Consult Involve Collaborate Empower • To work directly with the public throughout the process to ensure that public concerns and aspirations are consistently understood and considered. • We will work with you to ensure that your concerns and aspirations are directly reflected in the alternatives developed and provide feedback on how public input influenced the decision. • Workshops • Deliberative polling • To place final decision-making in the hands of the public • . • We will implement what you decide. • Citizen juries • Ballots • Delegated decision • To obtain public feedback on analysis, alternatives and/or decisions. • We will keep you informed, listen to and acknowledge concerns and aspirations, and provide feedback on how public input influenced the decision. • Public comment • Focus groups • Surveys • Public meetings • To partner with the public in each aspect of the decision including the development of alternatives and the identification of the preferred solution. • We will look to you for advice and innovation in formulating solutions and incorporate your advice and recommendations into the decisions to the maximum extent possible. • Citizen advisory committees • Consensus-building • Participatory decision-making • To provide the public with balanced and objective information to assist them in understanding the problem, alternatives, opportunities and/or solutions. • We will keep you informed. • Fact sheets • Web sites • Open houses Public participation goal Promise to the public Example techniques

  16. ENGAGE 2009: Citizens’ Assembly • 3 Saturdays • “Public session” • Outcomes

  17. Citizens’ Reference Panel

  18. ENGAGE 2009 • 23 communities – open houses • Earned media campaign • Telling the story about the role of citizens in making decisions

  19. Open house sessions • Included Front-line providers, municipal and elected representatives and general public • Provided attendees with opportunity to have one-on-one conversations with LHIN reps, have questions answered and provide direct input • Input also encouraged via survey tool (also available on-line for 6-week period)

  20. Aligning priorities

  21. How do we measure up? • Metrics still being defined, although LHINs are accountable for CE in their accountability agreements with Ministry.

  22. Final thought “Wisdom is what’s left after we’ve run out of personal opinions.” -- Cullen Hightower

  23. Resources • Check out IHSP section at www.southeastlhin.on.ca • Loads of tools/techniques available at www.iap2.org (Consider certification as an IAP2 practitioner!) • www.masslbp.com • Taking the Pulse: Primer on Public Involvement, Health Council of Canada, July 2006, retrieved from www.healthcouncilcanada.ca • www.businessofgovernment.org/pdfs/LukensmeyerReport.pdf by Carolyn Lukensmeyer, 2006, Public Deliberation: A Manager’s Guide to Citizen Engagement

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