The future of kt
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The Future of KT. Trends & Issues. Harley Dickinson Department of Sociology. QEOL Research Group Workshop August 22, 2006 University of Saskatchewan. Introduction. My background HEALNet NCE KUPI CKT Two Psychiatries. Topics of Discussion.

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The future of kt

The Future of KT

Trends & Issues

Harley Dickinson

Department of Sociology

QEOL Research Group Workshop August 22, 2006

University of Saskatchewan


Introduction

Introduction

My background

  • HEALNet NCE

  • KUPI

  • CKT

  • Two Psychiatries


Topics of discussion

Topics of Discussion

  • The Professions & KT

  • Health Reforms & the Professions

  • Post-professional work teams

    • Multi-, Inter-, and Trans-Disciplinarity & KT


Professions kt

Professions & KT

  • Professions as the means for applying knowledge as work

    • Includes scientific & technical as well as ethical knowledge

  • Issues of KT understood within this framework


Health reforms the professions

Health Reforms & the Professions

  • Health Reforms Challenge Professional Knowledge & Work Processes

    • Knowledge System Processes

      • Creation (research)

      • Transfer (education)

      • Application (practice)

    • Work Processes

      • From Professional to Multi-, Inter-, or Trans-disciplinary


Health knowledge system

Health Knowledge System

  • A complex system of systems

    • Research (knowledge creation)

    • Education/Training (knowledge transfer)

    • Practice (knowledge application)

  • Knowledge system processes present within & between knowledge subsystems


Emerging health knowledge system processes

Emerging Health Knowledge System & Processes

  • Coordination between knowledge sub-systems

    • HSDC

    • SAHSN

  • Coordination within knowledge sub-systems

    • Research sub-system

      • CIHR, CHSRF, SSHRC, SHRF

    • Education sub-system

      • SWITCH,Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP), P-CITE

    • Practice sub-system

      • Electronic Health Records (EHRs)

      • HQC


Saskatchewan academic health sciences network

Saskatchewan Academic Health Sciences Network

  • Mandate - to enhance clinical services, conduct health research, and educate future health care professionals through the joint and collaborative relationship of its interdependent partners.

  • Partners - Saskatoon Health Authority, the U of S, Regina Qu-Appelle Health Authority, other provincial Health Authorities, and the Province of Saskatchewan.

  • Guiding principles - collaboration, interdependence, interdisciplinary practice, and an expansive definition of health.

  • Focus - to develop the following areas of service, research & teaching:

    • Primary health care research and delivery

    • Core specialty services

    • Integrated teaching and learning models for health professionals

    • Strategically focused areas of bio-medical research

    • Aboriginal health

    • Population and community health

      http://www.saskhealthsciencesnetwork.usask.ca/


Interdisciplinary collaborative education

Interdisciplinary Collaborative Education

  • Collaborative Patient-centered Practice

    • enhances patient - family - and community centered goals and values

    • provides mechanisms for continuous communication among care givers,

    • optimizes staff participation in clinical decision-making (within and across disciplines)

    • induces respect for the contributions of all disciplines including patients contributions to their own care.

  • To promote a culture of collaborative patient-centered practice, the Federal. Government’s Health Human Resource Strategy has chosen as one of its key initiatives the development and implementation of Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP)

    http://www.hc-sc.gc.ca/hcs-sss/hhr-rhs/collabor/index_e.html


Patient centered interdisciplinary team experience p cite

Patient-Centered Interdisciplinary Team Experience (P-CITE)

  • U of S project funded by IECPCP

  • Training built around 4 patient/pop’n groups

    • Children/Youth with Mental Health Problems

    • Middle Aged Adults with Chronic Health Problems

    • Elders Making Hospital to Community Transition

    • Community Health Needs in Aboriginal Communities


Student wellness initiative towards community health switch

Student Wellness Initiative Towards Community Health (SWITCH)

  • Student driven interdisciplinary wellness initiative that

    • involves student volunteers from nine health disciplines & four universities who work with clinic staff and interdisciplinary mentors

    • extends the hours of the West Side Community Clinic

    • conducts ancillary health programming at WSCC and White Buffalo Youth Lodge


Electronic health records

Electronic Health Records

  • One of the key means to achieve the five goals of health reform:

    • Reduce wait times

    • Interdisciplinaery primary health care teams with greater emphasis on health promotion & prevention

    • Enhanced patient safety

    • Improved quality of care

    • Improved efficiency & better value for money

  • EHR is seen as way to address these priorities


The future of kt

EHR

“The benefits of the EHR grow over time as providers in particular exploit its potential to enhance communications, improve safety and quality by using decision support tools, expand the network of trusted colleagues, and generate valid performance measures and comparisons”

(Beyond Good Intentions”, 2006)


What this means

What This Means

  • New forms of post-professional work organization, new technologies, and greater accountability through quality improvement processes will have substantial consequences for KT, especially in practice settings

  • A Knowledge System approach will help focus attention on the interrelationships between knowledge creation, transfer and application at both the organizational and individual levels


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