Over the last few years BJC has used the following strategic approach to develop and implement changes to the health care system across the country:
Toolkit development phase:
- Clinical, administrative and policy leaders from across Canada are identified
- Through a series of meetings and teleconferences with input from across the country a Toolkit is developed that uses a model of care approach in a documents the clinical and operational information to manage patients across the continuum
- Identification and consolidation of relevant tools provides further information on best practices
- A Knowledge Translation Network is formed which included clinicians, administrators and policy representatives from each province
- Working group meetings are facilitated with provinces who have been identified as early adopters and discussions on implementation strategies including barriers and enablers are undertaken with the other interested provinces
Implementation phase:
- Funding is obtained to facilitate knowledge translation and sharing
- Knowledge translation activity is undertaken at a provincial and territorial level that includes working groups meetings and an annual national meeting
- There is small amounts of funding provided to the provinces to support local knowledge translation and/or small transformation projects where funding is available
- The lessons learned from these projects are shared with the other provinces ongoing through a number of strategies such as webinars, teleconferences and focused networking
- National meetings are hosted with leaders from across the country to assist in buy in and knowledge spread
- At the end of the funding cycle there is a commitment by the provinces to continue to implement change and to work towards a national data reporting infrastructure
Local/Regional Model of Care Approach
Models of Care are developed to promote access and quality care at a local, regional or provincial level by leveraging the resources available. As such each model will vary in how it operates. However, during the development of a model there needs to be consideration of some key questions. Through their extensive experience in model development BJC has developed this document which provides a framework to guide the discussion to facilitate successful model development. This tool that has been used throughout the country to develop models for improvements to the management of MSK patients.
