Table of ConTenTs 1 2 4 3 4 3 54 6 5 10 9 11 10 11 10 16 15 20 19 25 24 27 26
Schedule at a glance Welcome Detailed Program Lunch Networking sessions Accreditation Speakers Award Recipients Workshop Descriptions Best Practices for Keeping People and Communities Healthy Working Upstream to Promote Community Health and Wellbeing Making Primary Health Care and Public Health Relationships More Sustainable Conference floorplan Thank you message
sChedule aT a GlanCe Wednesday, June 4, 2014
Thursday, June 5, 2014
7:00 am 7:30
7:00 am 7:30
8:30 10:00 10:30 12:15 pm 1:30 2:45 3:15 6:15 7:00 9:00
Registration opens Exhibits open Breakfast Buffet opens Opening Ceremonies and Plenary 1: Make no small plans Break Learning Sessions A: Best Practices for Keeping People and Communities Healthy Lunch & Networking Sessions Plenary 2: The Art of Advocacy Break Learning Sessions B: Working Upstream to Promote Health and Wellbeing Reception with Cash Bar Banquet Dinner Dance Party
8:30 10:00 10:30 12:15pm 1:15 3:00
Registration opens Exhibits open Breakfast Buffet opens Plenary 3: Teaming up for Transformation Break Learning Sessions C: Making Primary Health Care and Public Health Relationships More Sustainable Buffet Lunch Plenary 4: Taking action together: where do we go from here? Door Prizes Adjournment: Exhibits close
Welcome We are proud to welcome you to Prevent More to Treat Less | Public Health and Primary Health Care Together. It has been a pleasure to plan this conference with our partners to create an opportunity for our colleagues working in both public health and primary health care to showcase existing collaborations and to propose some new ones. When we started planning this conference we identified from the beginning that there were many areas of common interest for public health and primary health care—early childhood development, oral health and health equity—to name just a few. As the submissions started rolling in for concurrent sessions, it became clear that what we had identified as areas of common interest were indeed playing out in communities across Ontario. This was very exciting and we can’t wait for us all to share in these rich experiences. This will undoubtedly be an energizing event with inspiring presentations, panel discussions, think tanks and networking sessions that will enable both sectors to learn from each other and share best collaborative practices on shared priorities. No matter what interests you, we are sure that you will find plenty to intrigue your mind and stimulate your passion for working together to promote the best possible health and wellbeing for everyone in the communities you serve. We encourage all participants to make the most of this unique opportunity to connect with your colleagues and make new contacts. That is what this conference is all about; public health and primary health care working better together. We look forward to meeting you and learning with you.
Linda Stewart Executive Director Association of Local Public Health Agencies
Adrianna Tetley Chief Executive Officer Association of Ontario Health Centres
Detailed Program Wednesday, June 4, 2014 7:00 am
Exhibits open Breakfast Buffet opens
Opening Ceremonies Emcee Dr. Paul Roumeliotis, AOHC Chair Cate Melito and alPHa President Mary Johnson welcome delegates. Plenary 1: Make no small plans Official launch of the music video “Make no small plans.” Music and lyrics by Chris Birkett, video production by Cinefocus Canada Angela Recollet, Executive Director of the Shkagamik-Kwe Health Centre, reflects on the need to “be creative” and “think outside the box” as we work together preventing more, to treat less. Dr. Rosana Pellizzari and Dr. Michael Rachlis gather insights on what delegates hope to achieve during our two day gathering AOHC CEO Adrianna Tetley and Toronto Public Health’s Healthy Living and Chief Nursing Officer Carol Timmings explain how the stage is set, and the timing is right for a strengthened relationship between Public Health and Primary Health Care.
Learning Sessions A: Best Practices for Keeping People and Communities Healthy
Lunch networking sessions with a buffet lunch
Plenary 2: The Art of Advocacy Dr. Ryan Meili, spokesperson for Canadian Doctors for Medicare, Trish Hennessy, Canadian Centre for Policy Alternative and Elinor Caplan, Ontario’s former Health Minister offer their ideas for how Public Health and Primary Health Care providers can more effectively advocate for healthier public policies and upstream interventions. Moderated by Dr. Rosana Pellizzari
Learning Sessions B: Working Upstream to Promote Health and Wellbeing
Reception with Cash Bar
Lunch Networking sessions Networking sessions run Wednesday, June 4 over lunch Grab your lunch and join one of these hosted “conversation lunch” networking sessions. It will give us a chance to reflect on the conference plenaries and workshops, as well as shared questions of common interest to the group.
N1 Aboriginal Wholistic Health and Wellbeing N2 Newcomer Health and Wellbeing N3 LGBT Health and Wellbeing N4 Seniors Health and Wellbeing N5 Prenatal, Newborn and Early Years Health and Wellbeing N6 Francophone Networking—Public Health and Primary Health Care N7 Board to Board Dialogue N8 Bringing Health Equity to Life N9 Chronic Disease Prevention Strategies N10 Public Health and Primary Health Care Educators N11 New Network for Public Health and Preventive Medicine N12 Canadian Index of Wellbeing Early Adopters N13 Community Health Links N14 Withdrawn N15 Open Networking Session
Thursday, June 5, 2014 7:00 am
Exhibits open Breakfast Buffet opens
Plenary 3: Teaming up for Transformation Family Physician Dr. Danielle Martin, Associate Medical Officer of Health Dr. Kieran Moore, Medical Officer of Health Dr. David Mowat and Dr. Richard Massé, Montreal’s Director of Public Health speak out on how strengthening relationship between public health and primary health care could be a game changer for improving population health and advancing health equity.
Learning Sessions C: Making Primary Health Care and Public Health Relationships More Sustainable
Plenary 4: Taking action together: where do we go from here?
For interpretation into French: Please get headsets at audio-visual booth The plenary sessions for this conference are in English. For simultaneous interpretation into French, remember to pick up your headset at the back of the Grand York ballroom where the plenaries are being held. You will be asked to leave a piece of identification with staff during the times you are using the headset.
Join us on Twitter! Use the hashtag #PMTL2014
Delegates offer their ideas on what needs to happen next so Public Health and Primary Health Care can continue preventing more to treat less. Closing remarks: Dr. Rosana Pellizzari 3:00
Adjournment: Exhibits close
Accreditation This conference has been accredited by the College of Family Physicians of Canada and by the Royal College of Physicians & Surgeons of Canada.
Door prizes will be announced at Thursday’s plenary session! Good luck!
Hon. Elinor Caplan
Dr. Danielle Martin
Hon. Elinor Caplan is Chief Executive Officer of Canada Strategies Inc. and a former Ontario Health Minister. She served in the Legislative Assembly of Ontario and was a Member of Parliament for Thornhill. From 1987 to 1990, Elinor was titled Ontario’s Health Minister and since then she completed a review of Ontario Home Care Procurement Policy & Practices entitled The ‘Caplan Report.’ From 2005 to 2007, Elinor was the Governance, Program & Financial Lead on the Ministry of Health & Long Term Care project to create independent ‘best practice’ governance for Sunnybrook Health Science Centre and Women’s College Hospital. Presently, she is a member of the Canadian Public Health Initiative, the Sheela Basrur Centre Board and the Closing the Gap Advisory Committee.
Dr. Danielle Martin is Vice-President, Medical Affairs and Health System Solutions at Women’s College Hospital (WCH), a family physician in the Family Practice Health Centre at WCH, and an Assistant Professor in the Departments of Family and Community Medicine and Health Policy, Management and Evaluation at the University of Toronto. Danielle’s policy expertise and passion for equity have made her an emerging leader in the debate over the future of Canada’s health-care system. In 2006 she helped launch Canadian Doctors for Medicare and chaired the board of CDM until May 2013.
Trish Hennessy Trish Hennessy is the founding director of the new Canadian Centre for Policy Alternatives’ (CCPA) Ontario office. She was the founding director of the CCPA’s national project examining income inequality in Canada, which began in 2006, and is an ongoing contributor to the growing gap team. Her blog, www.framedincanada.com examines how we talk about the challenges of our times. Her monthly Hennessy’s Index (www.policyalternatives.ca/index) takes a snapshot of key issues and breaks them down by the numbers. Trish is a former newspaper journalist. She has a B.A. Sociology from Queen’s University, B.S.W. from Carleton University, and M.A. in Sociology from OISE/University of Toronto.
Dr. Ryan Meili
Dr. Richard Massé
Ryan Meili is a family doctor at the West Side Community Clinic in Saskatoon. He also works for the College of Medicine at the University of Saskatchewan as head of the Division of Social Accountability, where he’s responsible for helping ensure that Saskatchewan’s future doctors are equipped to meet the health needs of the diverse communities they will serve. Ryan also serves as vice-chair of the national advocacy organization, Canadian Doctors for Medicare.
Dr. Richard Massé has been Director of Public Health at Agence de la santé et des services sociaux de Montréal since April 2012, where he has taken on two priorities: reducing social inequalities in health and chronic disease prevention and management. He is committed to using scientific evidence, enhancing evaluations of population health initiatives and the health impacts of public policies.
Ryan has recently published his first book A Healthy Society: how a focus on health can revive Canadian democracy with Purich Publishing of Saskatoon. Ryan founded the non-profit organization Upstream: Institute For a Healthy Society, a movement to create a healthy society through evidencebased, people-centred ideas.
Dr. Kieran Moore
From 1998 to 2003, Dr. Massé served as Assistant Deputy Minister of Health and Chief Medical Officer of Health for Québec, and as President and CEO of Institut national de santé publique du Québec. He has had a prolific academic career as assistant professor in the Department of Epidemiology and Biostatistics at McGill University, Director of Université de Montréal’s School of Public Health and associate professor in the Department of Social and Preventive Medicine.
Dr. Kieran Moore is an associate professor of emergency and family medicine at the Queen’s University in Kingston. He received his medical degree from the University of Ottawa in 1985 and subsequently received his specialty certification in family medicine, as well as emergency medicine, from the College of Family Physicians of Canada. He has a masters degree in disaster medicine as well as public health and a diploma in tropical medicine and hygiene. He also completed a Canadian Royal College of Physicians and Surgeons fellowship in public health and preventive medicine at Queen’s.
Dr. David Mowat
Dr. Michael Rachlis
Dr. David Mowat is the Medical Officer of Health for the Region of Peel. His interests include the built environment, the public health workforce and training in public health practice, and evidence-informed decision making.
Dr. Michael Rachlis graduated from the University of Manitoba medical school in 1975. He interned at McMaster University and then practiced family medicine at the South Riverdale Community Health Centre for eight years. He completed specialty training in Public Health at McMaster and was made a fellow of the Canadian Royal College of Physicians in 1988.
Prior to joining the Region of Peel in 2007, Dr. Mowat was Deputy Chief Public Health Officer at the Public Health Agency of Canada, where he had responsibilities for strengthening public health practice, including knowledge translation and the development of the public health workforce. Previous appointments include Consultant in Maternal and Child Health in the Ministry of Health of Newfoundland, Medical Officer of Health for Kingston and area and Chief Medical Officer of Health for Ontario.
Dr. Rosana Pellizzari Dr. Rosana Pellizzari has served as the Medical Officer of Health for the Peterborough County-City Health Unit since 2008. She also worked in both Toronto and Stratford in similar positions. Dr. Pellizzari currently holds appointments at the University of Toronto and Queen’s University, and has worked internationally and in First Nations communities in Canada. As a Family Physician, she specialized in the care of immigrant, refugee and HIV-infected populations. She continues to practice clinical medicine in the Health Unit’s Sexual Health Clinic. Dr. Pellizzari has been a health columnist for the Toronto Star in the past and co-hosted a daily TV health show.
Dr. Rachlis practices as a private consultant in health policy analysis. He has consulted to the federal government, all ten provincial governments, and two royal commissions. In 2010, the University of Manitoba conferred upon Dr. Rachlis an honorary doctor of laws in recognition of his service to Canadian health policy. He is also an Adjunct Professor at the University of Toronto. He is a frequent media commentator on health policy issues and the author of three national bestselling books about Canada’s health care system.
Angela Recollet is an Ojibwe woman from the Wikwemikong Unceded Reserve and the big water of the Wahnapitae First Nation. She is the Executive Director of the Shkagamik-Kwe Health Centre. Angela has extensive experience working with the aboriginal community both as an advocate in education and in improving the general living and health conditions of aboriginal populations. She belongs to the Northern Ontario School of Medicine Board of Directors, Social Planning Council Board of Directors, and External Advisory Council for the Ministry of Community Safety and Corrections. She also served on the Board of Directors for the Association of Ontario Health Centres. Angela received her formal education with Laurentian University in political science and native studies.
Carol Timmings is currently Chief Nursing Officer and Director, Chronic Disease and Injury Prevention with Toronto Public Health. She is also the divisional lead for the Best Practice Spotlight Organization initiative. Carol is a highly developed nursing leader with demonstrated abilities in senior management, policy development and strategic system and service planning. Carol’s leadership philosophy embodies the belief that leadership is a reciprocal process and a life-long journey.
Dr. Paul Roumeliotis Dr. Paul Roumeliotis is the Medical Officer of Health and Chief Executive Officer of the Eastern Ontario Health Unit. He received his medical degree in 1983 at McGill University and trained as a pediatrician at the Montreal Children’s Hospital. He was Director of Continuing Medical Education in the Department of Pediatrics and founding Director of Multiformat Health Communications at McGill. He completed his Masters of Public Health Degree at Johns Hopkins in 2009.
Adrianna Tetley Adrianna Tetley is the Chief Executive Officer of the Association of Ontario Health Centres. She has over 35 years’ experience in advocacy, public administration, community development, financial and staff management, policy and board development. Her work in government, the labour movement and several community-based associations has focused on issues related to health care and determinants of health.
Award Recipients Champion for Public Health and Primary Health Care Award The Champion for Public Health and Primary Health Care Award honours an individual for significant leadership in advancing the relationship between primary health care and public health at system, managerial and/or frontline levels. Recipients: Dr. Kieran Moore Associate Medical Officer of Health, Kingston, Frontenac and Lennox & Addington Public Health
Hersh Sehdev Executive Director Kingston Community Health Centres
Presented during Plenary 1
Media Award The Media Award honours a journalist, body of work, or media outlet which has highlighted the importance of addressing the determinants of health to improve population health and advance health equity. Recipient: Laurie Monsebraaten Social Justice Reporter, Toronto Star Presented during Plenary 2
Innovation in Public Health and Primary Health Care Award The Innovation in Public Health and Primary Health Care Award honours a policy, program or initiative for excellence in advancing collaborative practice between public health and primary health care. Recipient: Tungasuvvingat Inuit Family Health Team (TIFHT) Presented during Plenary 3
Champion for Public Health and Primary Health Care Award The Champion for Public Health and Primary Health Care Award honours an individual for significant leadership in advancing the relationship between primary health care and public health at system, managerial and/or frontline levels. Recipient: Dr. Hazel Stewart Director of Dental and Oral Health Services Toronto Public Health Presented during Plenary 4
Workshop Descriptions Best Practices for Keeping People and Communities Healthy A1.1
The Continuum of Prevention to Treatment for Child Health: SickKids & Toronto Public Health Early Intervention Program
Through an interactive case study this presentation will highlight the SickKids Team Obesity Management Program (STOMP), Early Intervention Program, an innovative partnership between SickKids Hospital and Toronto Public Health. This groundbreaking program is led by an inter-professional team and integrates current practices and resources from health care and public health, such as individual and group support and education, home visiting, and the Incredible Years Preschool Program. Audience: Front Line/Program Staff, Program Management, Senior Management Presenters: • Dianne Knox, Social Worker, Hospital for Sick Children • Dr. Catherine Birken, MD, MSc, FRCPC Staff Paediatrician, Department of Paediatrics, Hospital for Sick Children, Associate Scientist, Clinical Health Evaluative Sciences, SickKids Research Institute • Maple Cardona, Hospital for Sick Children • Alisa Bar-Dayan, Dietitian, Hospital for Sick Children • Allison Jeffery, Clinical Research Manager, Hospital for Sick Children What Gets Counted Counts: Leveraging Primary Care A1.2 Data to Enhance Ontario’s Data and Surveillance Systems for Child Health This panel and small group discussion will familiarize participants with data and surveillance systems for child health in Ontario. Participants will include Ontario College of Family Physicians, Health Quality Ontario, Institute for Clinical Evaluative Sciences, Canadian Primary Care Sentinel Surveillance Network, Electronic Medical Record Administrative Data Linked Database, Better Outcomes Registry Network, Public Health Ontario and Target Kids. Participants will discuss in small groups how Ontario can leverage primary care data to enhance child health focusing on prevention from the individual to population level.
• Catherine Birken, Research Lead, TARGetKids! • Richard Birthwhistle, Canadian Primary Care Sentinel Surveillance Network and Queen’s University • Ruth Sanderson, Manager, Public Health Ontario • Mari Teitelbaum, Executive Director, BORN • Karen Tu, Senior Scientist, ICES and Founder, EMRALD • Irfan Dhalla, Vice President, Health System Performance, Health Quality Ontario • Jonathan Kerr, President, Ontario College of Family Physicians
Healthy Partnership for Healthy Children A2 Creating a healthy partnership between Centretown Community Health Centre and Ottawa Public Health has led to the success of supporting healthy childhood development within the community. We will describe a range of partnership initiatives from prenatal classes to oral health screenings to nutrition education and more. We will show how the initiatives are breaking down barriers to good health and wellbeing, and allowing the community to increase access, knowledge and skills to good health. Audience: Front Line/Program Staff, Program Management, Board Members Presenters: • Jennifer Theriault, Early Years Coordinator, Health Promoter, Centretown Community Health Centre • Lyne Lafrance, RDH Supervisor, Dental Health Promotion, Ottawa Public Health new Technology Benefits in Public & Community A3 Health Centres Delivering better care and achieving operations efficiencies in public and community health through technology. Audience: Program Management, Senior Management, Administrators Presenters: Sam Chebib, President & CEO, Nightingale Product Specialist: Nightingale
Audience: Front Line/Program Staff, Program Management, Senior Management
Session moved to A11.4 A4
Presenters: • Jessica Hopkins, Associate Medical Officer of Health, Niagara Region Public Health • Rosana Pellizari, Medical Officer of Health, Peterborough County-City Health Unit
Using Public Health & Afrocentric Approaches for A5 Increasing Cancer Screening in Primary Care TAIBU CHC serves the Black community in the GTA as well as the local, largely immigrant, populations of Scarborough. Our cancer screening rates are improving over time, by applying public health frameworks and integrating them with our organizational values (mainly Afrocentric) in order to improve our internal screening practices and ultimately, community outcomes. Through our case example, we intend to facilitate a larger discussion between CHCs and public health practitioners, to share experiences and promising practices for improving cancer screening in CHCs and beyond. Audience: Front Line/Program Staff, Program Management, Senior Management Presenters: • Dr. Onye Nnorom, Chronic Disease Prevention Lead, TAIBU Community Health Centre • Liben Gebremikael, Executive Director, TAIBU Community Health Centre • Nan Shi, Physician Assistant, TAIBU Community Health Centre WAASEGIIZHIG NANAANDAWE’IYEWIGAMIG (WNHAC) A6 Inter-Disciplinary Model of Care WNHACs panel of health promoters and clinicians will demonstrate how they work collaboratively to enhance the health of Anishinaabe people in WNHAC’s catchment area. WNHAC has been successfully delivering services that rely on effective collaboration between the primary and public health care sectors for the past fifteen years. Presenters will demonstrate the importance of cultural relevance in service delivery, as well as the relationship between culture and overall health. Successes, barriers, and challenges encountered will be highlighted. Audience: Front Line/Program Staff, Program Management, Senior Management, Board Members Presenters: • Janice Spencer, Registered Dental Hygienist, Waasegiizhig Nanaandawe’Iyewigamig Health Access Centre • Nicole Bowen • Dayna Clarke • Ida Copenace, HIV/AIDS Educator, Waasegiizhig Nanaandawe’Iyewigamig Health Access Centre Withdrawn A7
Addressing Social Determinants of Health: A8 Interventions at the Intersection of Primary Care and Public Health Social processes that impact health have been labeled the social determinants of health (SDOH). Perhaps the most important SDOH is income security, a person’s actual, perceived and expected income. Despite strong evidence linking income with health, interventions are rarely found within our health care system. We will present findings from a systematic review of the literature, lessons learned from an ongoing pragmatic randomized controlled trial of income focused health promotion within primary care, and ideas about how local public health can be involved in addressing SDOH. We will conclude with an analysis of how such work could inform policy change. Audience: All audiences Presenters: • Dr. Andrew Pinto, Family Physician, St. Michael’s Hospital • Danyaal Raza • Karen Tomlinson, Income Security Health Promoter, St. Michael’s Hospital • Dr. Rosana Pellizzari, Medical Officer of Health, Peterborough County-City Health Unit • Dr. Michael Rachlis, Health Policy Analyst • Dr. Gary Bloch, Family Physician, St. Michael’s Hospital LGBTQ Identities in Public Health and Primary A9 Health Care This session will provide a context for understanding the diverse physical, mental & community health needs of lesbian, gay, bisexual, trans, two-spirit, queer and questioning (LGBTQ) individuals care—past & present. We will review promising, effective and best practices in public health & primary health care for LGBTQ individuals. Think tank participants will work in small groups to brainstorm how these practices can be applied “locally’’ in the Ontario scene, identify gaps, & how we can address, apply and move forward in terms of practices to improve public health and primary health care for LGBTQ people in Ontario. Audience: All audiences Presenters: • Cliff Ledwos, Acting Executive Director & Director, Primary Health Care and Special Initiatives, Access Alliance Multicultural Health and Community Services • Kirsten Schmidt-Chamberlain, Director of Organizational and Community Development, Scarborough Centre for Healthy Communities • Wendy Talbot, Chief Executive Officer, NorWest Community Health Centres
Using Ontario’s Health Equity Impact Assessment A10.1 (HEIA) Tool The 45 minute workshop would include a brief introduction to the Health Equity Impact Assessment (HEIA) Tool 2.0, launched by MOHTLC in May 2012, and discussion of its current application in the public health and acute care sectors. This will be followed by followed by an opportunity for participants to discuss each step of the HEIA tool in depth as it is applied to a case study scenario. Audience: Front Line/Program Staff, Program Management, Senior Management, Board Members, Policy Makers Presenters: • Ingrid Tyler, Physician, Health Promotion Chronic Disease and Injury Prevention, Public Health Ontario • Branka Agic, Manager, Health Equity, Centre for Addiction and Mental Health (CAMH) • Bob Gardner, Director of Policy, Wellesley Institute • Nila Sinnatamby, Health Equity Impact Assessment Project Lead, Ontario Ministry of Long-Term Care Collecting, Using, and Evaluating Patient A10.2 Demographic Data The Toronto Central LHIN has mandated that Hospitals and Community Health Centres (CHCs) collect client demographic data, a unique initiative that will transform the way we understand patient needs and health inequities. In the first part of the session, a Hospital-CHC team will train participants on data collection using the eight demographic questions that are mandated by TC/LHIN and now standardized by CHC sector (language, born in Canada, ethnicity/race, disability, sexual orientation, gender, income). Next, participants will learn about tools and resources for evaluating data quality, followed by strategies for using that data toward health equity and service planning. Audience: Front Line/Program Staff, Senior Management, Professionals involved in health equity planning Presenters: • Caroline Bennett-AbuAyyash, Health Equity Project Coordinator, Mount Sinai Hospital
Spotlight Sessions: Promising Practices Six ten minute presentations A11.1
M+B 2B (Mom &Baby to Be)—A Mobile Innovation for Prenatal Health
The Mom and Baby to Be (M+B 2B) app is a dynamic, yet simple prenatal app with the all tools needed for a healthy pregnancy. This presentation will review the features of the app, the development process, successes and challenges, app promotional initiatives, along with the next steps in the development of the M+B 2B app.
• Includes useful planning for pregnancy tools (e.g. Fertility Tracking Tool) • Track your prenatal care visits and create your personal birth plan. This Mom + Baby 2B app is a reliable resource created by Niagara Region Public Health for use on the iPhone, iPod Touch and iPad. • Features: Planning for pregnancy Helpful tools Checklists & facts Fertility tracking tool Audience: Front Line/Program Staff, Senior Management, Administration Presenter: • Lia Swanson, Public Health Nurse, Niagara Region Public Health Development of a Nurse-Led Periodic Health Visit to A11.2 Promote Evidence-Based Preventive Care for Adults Aiming to shift away from the annual physical examination towards a more individualized periodic health visit, collaboration between the primary care and public health has been developed. The team has designed a pilot to test a new nurseled preventive health visit. The lessons learned from this pilot will be discussed. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers, Primary Care Physicians Presenters: • Marina Afanasyeva, Public Health & Preventative Medicine Resident, University of Ottawa Best Practice in Performance Measurement of Fall A11.3 Prevention Training: Toronto Public Health’s Step Ahead Program for Health Care Providers and Caregivers to Older Adults Performance measurement requires public health programmers to move beyond simple counting of numbers to an appraisal of service quality and impact. This presentation shares early results of our experience in implementing performance measurement of Toronto Public Health’s Step Ahead Program, training to agency staff. Performance measures are collected using a workshop feedback survey at the end of each training session and at three-month post training. Feedback surveys capture all available levels of evidence of program efficacy, namely, knowledge, intention and behaviour. Results tabulated to date suggest these surveys to be a feasible method for collecting meaningful performance data. Audience: Front Line/Program Staff, Program Management Continued on next page...
Presenters: • Susan Plante, Health Promotion Consultant, Toronto Public Health • Margaret de Wit, Quality Improvement Specialist, Toronto Public Health A11.4
Engaging Primary Care Providers to Address Healthy Gestational Weight Gain in Simcoe Muskoka
This presentation will focus on Simcoe Muskoka District Health Unit’s engagement with local nurse practitioners, midwives, registered nurses and physicians over the last 3 years. We explored nutrition and physical activity behaviours of local pregnant women and developed strategies, in consultation with primary health care providers, which support women to gain within their recommended gestational weight gain range. The resulting strategies have included the provision of professional development opportunities in gestational weight gain, creating and sharing of professional and patient resources, and implementation and evaluation of outreach visits to antenatal care providers. Audience: Front Line/Program Staff, Program Management Presenters: • Natalie Riewe, Public Health Nurse, Reproductive Health Program, Simcoe Muskoka District Health Unit A11.5 Passports for Preventive Health Maintenance Patient passports for preventive health lead to excellence and sustainability in screening rates, immunization rates and lifestyle interventions for good health. Audience: Front Line/Program Staff, Program Management, Administration
Presenter: • Heidi Schaeffer, Knowledge Management and Learning Lead, Association of Ontario Health Centres A12
Reaching and Supporting Populations with Lower Rates of Breastfeeding
Breastfeeding is a key population health promotion strategy. Breastfeeding is known to reduce both acute and chronic disease in both mother and baby, reduce the burden of poverty and address the social determinants of health. Breastfeeding promotion is best done as a collaborative effort involving public health and primary health care. Together with public health and primary health care representation the Best Start Resource Centre is addressing the MOHLTC strategy Healthy Start: Breastfeeding Supports in Ontario to reach and support populations with lower rates of breastfeeding. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • Hiltrud Dawson, Promotion Consultant, Breastfeeding Project Lead, Health Nexus • Susan Hayward, Family Physician, Queens Square Family Health Team • Debbie Silvester, Manager of Family Health, Windsor-Essex County Health Unit Withdrawn A13
Spotlight Sessions: Child Health Six ten minute presentations
Presenters: Lori Teeple, Susanne Schodey, Janet Willert
A Multi-Institutional Approach to Improving Maternal A14.1 and Fetal Health
Health Promotion Programming at Community Health A11.6 Centres to be Influenced by “How Are You Really Doing” Survey Results
The Grey Bruce region has both an increased smoking rate compared to the provincial average as well as an increased teenage pregnancy rate. The Owen Sound Family Health Team, Grey Bruce Health Unit, and Grey Bruce Health Services collaborated on an initiative to provide an increased focus to prenatal smoking cessation efforts within the city of Owen Sound and surrounding areas. The primary objective was to make timely referrals to appropriate, effective community smoking cessation programs.
Building on the Canadian Index of Wellbeing framework and Subjective Wellbeing Survey, six communities throughout Ontario piloted a survey that would more effectively measure what matters, engage clients, and address the determinants of health. A large portion of CHC/AHAC work is focused on health promotion and overlaps with public health. However, all performance indicators focus on primary care. The “How Are You Really Doing?” survey captures data that falls beyond primary care. The desired survey outcomes are highly relevant to both primary care and public health, as they point to how to increase wellbeing at a population health level. Audience: Front Line/Program Staff, Program Management, Senior Management 14
Audience: Front Line/Program Staff, Program Management, Senior Management, Board Members, Administration Presenters: • Christie Webster, Primary Health Care Nurse Practitioner, Owen Sound Family Health Team
Telephone-Based Peer Support for the Prevention of Postpartum Depression among At-Risk Mothers
A large multi-site randomized controlled trial was conducted across the province of Ontario to evaluate the effect of telephone-based peer support for the prevention of postpartum depression among mothers with beginning depressive symptoms within the first 2 weeks following childbirth. Mothers who received the telephone-based support were two times less likely to develop postpartum depression at 12 weeks postpartum then mothers who did not receive the peer support. Telephone-based peer support cut the risk of developing postpartum depression by 50%. A full economic evaluation has also been published. Audience: All audiences Presenters: • Dr. Cindy-Lee Dennis, Professor, University of Toronto A Collaborative Community Approach to A14.3 Exploring Infant Feeding Choices of Young Mothers of Low Socioeconomic Status Highlights of a multi-phase collaborative approach to engaging young moms under 25 of low socioeconomic status with regards to their infant feeding decision will be shared. Discussion will also include an overview of Phase two: the development, delivery, and findings from a community-wide infant feeding survey targeting young moms. The outcomes of this survey will help to further shape the SDOH nurse role in public health, and community partner’s larger role in working with this population. Audience: Front Line/Program Staff, Program Management, Senior Management Presenters: • Rachel Scott, Public Health Nurse, Family Health Division, Niagara Region Public Health • Marty Mako, Health Promoter, Chronic Disease & Injury Prevention Division of Niagara Region Public Health A14.4
Prevent decay! Niagara collaborative assessing the feasibility of applying fluoride varnish during well baby/well child visits will make the case for supporting this primary care intervention for optimal oral health, right from the start
Cavities are the most common chronic disease of children, and the leading cause of day surgery among one to five year olds. Fluoride varnish has been shown to reduce dental caries in children, especially when application starts very early. Primary care providers (PCPs) see children extensively before the age of five and dental visits often begin too late. Though 44 US states currently reimburse PCPs for fluoride varnish application, there are no similar programs in Canada. Niagara Region will highlight their pilot program which will assess the feasibility and readiness of primary care providers to apply fluoride varnish.
Presenters: • Dr. Andrea Feller, Associate Medical Officer of Health, Niagara Region Public Health A14.5
Iron Deficiency Among Low Income Toddlers Served at Kingston Community Health Centres
Iron deficiency and iron deficiency anemia have been associated with poor neurocognitive outcomes. This presentation will report preliminary results from the PRIDE T study, examining the prevalence of iron deficiency and iron deficiency anemia and associated risk factors, and conducted at the Kingston Community Health Centres, serving a low income population. The results will add to the literature regarding the scope of the problem of iron deficiency and the benefits and limitations of screening for iron deficiency in early childhood and help with planning community based interventions to optimize early childhood nutrition. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • Imaan Bayoumi, MD, MSc, FCFP, Napanee Area Community Health Centre • Kendra Link, RD, Kingston Community Health Centres A14.6
Strengthening Collaboration Between Public Health and Primary Health Care to Meet Baby-Friendly Designation
One of the strategies that York Region Public Health implemented to support the Baby-Friendly Initiative Integrated Ten Steps was to pilot a prenatal breastfeeding class. Results from York Region’s Infant Feeding Survey (2010-2011) indicated that prenatal intention to supplement with infant formula was associated with shorter breastfeeding duration. The breastfeeding prenatal class objective was to promote maternal and newborn health by informing pregnant women and their families about the importance and process of breastfeeding. In this presentation the results from the pilot will be shared which includes improved breastfeeding intention, and the potential for collaborating with community partners to expand outreach will be explored. Audience: Front Line/Program Staff, Program Management, Senior Management Presenters: • Teresa Cozzella, Public Health Nurse, Lactation Consultant, Regional Municipality of York, Community and Health Services
Audience: All audiences 15
Working Upstream to Promote Community Health and Wellbeing Public Health and Primary Health Care: Creating a B1 Research Agenda Aligning the mission, vision and goals of public health and primary care and translating this into effective practice requires a solid evidence base. This evidence base is currently underdeveloped and its creation is a high priority. Creating a research agenda and setting research priorities to create this evidence base requires the input from front line practitioners for it to be relevant. In this interactive session, participants will discuss the gaps in evidence that research can address. Audience: All audiences Presenters: • Dr. Ross E. Upshur, Head, Division of Clinical Public Health, Dalla Lana School of Public Health; Medical Director, Clinical Research, Bridgepoint Health Canada; Research Chair in Primary Care Research; Professor, Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto B2
Awareness, Prevention, Training and FASD Diagnostics at NorWest Community Health Centres
In 2001, the Norwest Community Health Centres (CHCs) responded to the request of community members to assist with the development of an FASD Coalition with 20 partner agencies, including public health. Several grants and many partnerships enabled Norwest CHCs to function as an incubator for awareness, training, support and enhancement of local diagnostic ability. Participants will see the goodness of fit for FASD programs and services within the CHC model. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers, Board Members Presenters: • Maureen Parkes, FASD Coordinator, NorWest Community Health Centres • Anita Jean, Programs and Systems Manager, NorWest Community Health Centres Curated Session: By Invite Only – Building the B3 Foundation for Collaborative Relations between Public Health Units and the Aboriginal Community
Inter-sectoral Action for Population Health in Canada: Public Health, Primary Care and Beyond
For health systems in Canada, the whole is greater than the sum of its parts. Interested in knowing how health system actors are working together to improve the health of populations? While emphasis is still placed on clinical care, a number of leaders are applying the population health approach to establish partnerships focused on the social determinants of health, wellness, prevention, and health equity. This session will describe results from a new CIHI study focused on the integration of the population health approach in healthcare and will encourage discussion about future inter-sectoral opportunities through examination of Canadian case studies. Audience: Senior Management, Policy Makers, Board Members Presenters: • Deborah Cohen, Dr. David McKeown, Dr. Andrew Pinto B6
Health Providers Against Poverty (HPAP): Lessons Learned From Nine Years of Education, Engagement, and Political Advocacy
Our 90 minute workshop will describe the origins and upstream successes of Ontario’s first interdisciplinary political advocacy organization comprised solely of health care providers. We will present a frank critique of what has worked and the challenges encountered followed by an interactive break-out session in which participants work through lessons learned and strategies for fostering innovative collaborations between public health and primary care. We will conclude by establishing a group consensus on priority issues and collective brainstorming on how to move those issues forward. Audience: All audiences Presenters: • Kathy Hardill, Nurse Practitioner • Katie Dorman, Family Medicine Resident, University of Toronto • Monika Dutt, Medical Officer of Health, Cape Breton District Health Authority Addressing Poverty as the Biggest Barrier to Health: B7 How can we move forward on pharmacare and public dental? As primary care providers and public health workers many of us see firsthand the impact of poverty on health. We’re not surprised to learn from an Ekos poll that 23% of Canadians can’t afford the medications they need. At this session hear from 3 speakers who are working upstream to promote community health and wellbeing through public education and advocacy calling for policies to reduce poverty and increase access to dental and drug benefits. At this knowledge building workshop you will get an update on Ontario’s Poverty Reduction Strategy, learn what a pharmacare plan for the province might look like, and hear a call for OHIP to cover dental care.
Audience: Front Line/Program Staff, Program Management, Senior Management, Board Members, Policy Makers Presenters: • Jacquie Maund, Policy & Government Relations Lead, Association of Ontario Health Centres • Michael McBane, National Coordinator, Canadian Health Coalition • Dr. Chris Mackie, Medical Officer of Health, MiddlesexLondon Health Unit
Stand Up For Health!—A Simulation Game for the B8 Social Determinants of Health
Audience: Front Line/Program Staff, Program Management, Senior Management, Board Members
Stand Up For Health is a fun and innovative learning simulation that immerses participants physically, psychologically, and emotionally, in the life of a low-income Canadian. It is based on a challenge to get through two weeks as a single parent, down to your last $1000. This session will focus on experiential learning as an effective form of teaching the SDOH, and highlight research outcomes from nursing students who played this game. In addition, all session delegates will play the simulation together! The session concludes with a group discussion on integrating experiential learning into SDOH education on a broader scale.
Presenters: • Michelle Kirkbride, Community Development Coordinator, NorWest Co-op Community Health Centre • Mike Sadlowski, Corrective Exercise Specialist
Audience: All audiences Presenters: • Latif Murji • Dr. Onye Nnorom, Chronic Disease Prevention Lead, TAIBU Community Health Centre • Tony Jno Baptiste, Program Manager, TAIBU Community Health Centre
Street Based Sex Workers Needs Assessment B9.1 Our presentation will present findings from a needs assessment completed in February 2014 on street based sex workers in Barrie, Oshawa and Greater Toronto Area. Findings from the assessment will be shared, along with recommendations for providing better services to this population of women. The workshop will also focus on harm reduction services for women and trans-women who engage in sex work; 2) share best practices building on successes and 3) identify gaps in services for women and trans women engaged in sex work. The workshop will be an interactive discussion with the audience. Audience: All audiences Presenters: • Flavia Genovese, HIPS Project Co-ordinator, Regent Park Community Health Centre • Norma Neal, Peer Outreach worker, Regent Park Community Health Centre • Judy Hyndman, Peer Outreach worker, Regent Park Community Health Centre • Sushi, Peer Harm Reduction Worker, Street Health
HANS KAI An Innovative Community Led Health Promotion Project
HANS KAI is a community led health program that empowers particpants to monitor their own health in a group setting independent of health care providers. Prior to meeting, all particpants attend an 8 session health school with healthcare providers to learn how to monitor physical, social, and mental health. Support is available after groups are independent. This session will focus on showcasing what HANS KAI really is and why it works.
Weight and Wellbeing: An Interactive Think Tank B10 Around Making Healthy Weights Part of the Healthy Kids Conversation at Well-Child Visits in Ontario The Ontario Government set a target to reduce childhood obesity by 20% in 5 years. Subsequently the Healthy Kids Panel made 23 recommendations in its fulsome Healthy Kids Strategy. This Think Tank Session (a thematic roundtable) will address Recommendation #1.5 relevant to the collaboration of public health, primary and community practice and child health research, which will form the basis for interactive discussion. Effective practice-based interventions will be explored with a focus on best practices for children and families during the well child visit, in order to help participants ensure they prevent more to treat less. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • Imaan Bayoumi, MD, MSc, FCFP Family Physician, Napanee Area Community Health Centre • Cara Kasdorf, RD, MAN, CDE, Nutrition Program Team Lead, New Vision Family Health Team, Two Rivers Family Health Team • Joanne Beyers, MA, RD, Foundational Standard Specialist, Health Promotion Division, Sudbury & District Health Unit • Paula Brauer, PhD, RD, FDC, Associate Professor, Dept Family Relations and Applied Nutrition, University of Guelph • Catherine Birken, MD, MSc, FRCPC Staff Paediatrician, Department of Paediatrics, Hospital for Sick Children, Associate Scientist, Clinical Health Evaluative Sciences, SickKids Research Institute • Ruta Valaitis, RN PhD Associate Professor, School of Nursing, Dorothy C. Hall Chair in Primary Health Care Nursing • Umberto Cellupica, MD, FRCPC Community Pediatrician, Maple Kidz Clinic Continued on next page...
Patricia Parkin, MD, FRCPC Research Director, Division of Pediatric Medicine and the Pediatric Outcomes Research Team (PORT), Professor, Department of Pediatrics, and Institute of Health Policy, Management and Evaluation; University of Toronto Faculty of Medicine, Senior Associate Scientist, Child Health Evaluative Sciences, Hospital for Sick Children Research Institute, Hospital for Sick Children Tracy Hussey, MSc, RD Nutrition Program Manager, Hamilton Family Health Team Kendra Link, RD Community Dietician, Kingston Community Health Centres
Achieving Community Wellbeing In Oxford County by Working Together
A partnership involving Oxford Public Health and Emergency Services, the Woodstock and Area Community Health Centre (WACHC), United Way of Oxford, Social Planning Council of Oxford and others has been engaging people of Oxford County in discussions about community wellbeing. The Canadian Index of Wellbeing (CIW) is a resource that has assisted people in understanding the factors that affect their wellbeing. This discussion has helped people to become involved in a plan to increase community belonging as one domain where people in Oxford County feel committed to creating of individual, family and community wellbeing.
Growing a Baby-Friendly Ontario – Progress Check B13 and Update This presentation will provide an overview of the Baby Friendly Initiative (BFI) Strategy for Ontario including an update on work to date and the work plan for the next two years. Toronto East General Hospital (TEGH) was invited by the Ministry of Health and Long-Term Care to lead this initiative in partnership with the Provincial Council for Maternal and Child Health (PCMCH) and the Best Start Resource Centre (BSRC). The scope of the implementation plan includes Hospitals, Family Health Teams, Community Health Centres, Aboriginal Health Access Centres, Nurse Practitioner-Led clinics and Birthing Centres, a total of about 370 organizations across Ontario. Research indicates that ongoing support from community partners such as public health and primary care is essential to breastfeeding success. Participants attending this session will acquire increased understanding of the toolkits, workshops, materials, coaching strategy and evaluation components for the BFI Implementation Strategy. Audience: Front Line/Program Staff, Program Management Presenter: • Linda Young, Director Maternal Newborn and Child Health, Mental Health, Interprofessional Practice and Organization, Toronto East General Hospital • Joan Bueckert, Centretown Community Health Centre
Audience: All audiences Presenters: • Cate Melito, Executive Director, Woodstock and Area Community Health Centre • Lynn Beath, Director/CEO, Oxford County Public Health and Emergency Services Kingston Community Health Centres & Kingston, B12 Frontenac, Lennox & Addington Public Health; Partners for Health Equity The session will use several partnership initiatives between KCHC and KFL&A Public Health as case studies to demonstrate how CHCs and public health can work together for health equity. From Healthy Smiles and Needle Exchange to Healthy Kids Strategies and applied research for population health, these partners are influencing health care planning tables in Kingston and Napanee area. The workshop will engage participants in exploring opportunities and challenges they face in developing sustainable partnerships in their own communities. Audience: All audiences Presenters: • Hersh Sehdev, Executive Director, Kingston Community Health Centres • Dr. Kieran Moore, Associate Medical Officer of Health, Kingston, Frontenac and Lennox & Addington Public Health
Spotlight Sessions: Population Health Six ten minute presentations B14.1
Peer Leadership Model: Maximizing Access to Public Health Services for Diverse Communities
This presentation will highlight a peer leadership model focused on the prevention of type 2 diabetes. The model will be explored as a strategy to enhance capacity to provide health services for high-risk communities in a way that reduces cultural, educational and social barriers. Audience: Front Line/Program Staff, Program Management, Senior Management Presenter: • Ella Manowiec, RD, MHSc, Nutrition Promotion Consultant, Toronto Public Health B14.2
Meeting the Needs of Ontarians with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/ CFS), Fibromyalgia (FM) and Environmental Sensitivities/Multiple Chemical Sensitivity (ES/MCS), with a Focus on the Role of Primary Care
A business case requesting increased supports for Ontarians with ME/CFS, FM and/or ES/MCS was submitted to the Ontario Ministry of Health and Long-Term Care in 2013. Patients and professionals worked together to document the current
situation, based on statistics, patient experience and clinical experience. The study found serious inequities and gaps in health and social services. The role of primary care and support for primary care providers, are important issues as this initiative moves forward. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • Margaret Parlor, President, National ME/FM Action Network B14.3
Smoking Cessation Services for People with Serious Mental Illnesses
To address gaps in smoking cessation services for clients with serious mental illnesses, our focus was to develop, deliver and evaluate an innovative interagency model of cessation services between three mental health agencies, a hospital, community pharmacist and a public health nurse as a part of a community of practice. Audience: Front Line/Program Staff, Program Management Presenters: • Rosemary Lamont, Clinical Nurse Specialist, Tobacco-Free Living Program, York Region Community and Health Services • Eva Estrella, Clinical Nurse, Markham Stouffville Hospital, Outpatient Mental Health, Medication and Wellness Clinic Mobilizing Newcomers and Immigrants to Cancer B14.4 Screening Through Partnership Between 2012 and 2014, the Integrated Cancer Screening Unit at the South West Regional Cancer Program, in partnership with the Middlesex-London Health Unit, Cross Cultural Learner Centre, London InterCommunity Health Centre and Canadian Cancer Society, were funded by the Public Health Agency of Canada to increase participation rates in cancer screening programs among two newcomer and two immigrant populations in London. Working directly with Peer Health Educators, the project provided equitable access to information about cancer screening and primary prevention, to develop, deliver and evaluate an evidence-based cancer prevention/screening service delivery model.
Healthy Nail Salon Workers: Exploring Strategies to B14.5 Reduce the Health Risks of Women Working at Toronto Nail Salons This session describes a community research project exploring how the social determinants of health impact nail salon workers’ health. Throughout the workday, nail salon workers are regularly exposed to chemicals known to cause cancer, respiratory illnesses and reproductive problems. As immigrants, issues such as gender, language, income, and immigration status create increased vulnerabilities and barriers to health and safety. Audience: Front Line/Program Staff, Program Management, Board Members, Policy Makers Presenter: • Linor David, Health Promoter, Central Toronto Community Health Centres
Inter-Sectoral Action for Healthcare for the Homeless
People experiencing homelessness continue to have significantly worse health outcomes than the general population. Interventions focused solely on medical care have failed to achieve significant impact on these outcomes. In this session I will explore opportunities for inter-sectoral collaboration that holds promise for going beyond medical needs to a comprehensive improvement on health. Audience: Program Management, Senior Management, Policy Makers Presenter: • Abe Oudshoorn RN PhD, Assistant Professor, School of Nursing, Western University
Audience: Front Line/Program Staff, Program Management Presenters: • Linda Stobo, Program Manager for Chronic Disease Prevention and Tobacco Control, Middlesex-London Health Unit
Making Primary Health Care and Public Health Relationships More Sustainable C1
Population Management: The Convergence of Primary Care and Public Health
The continuing adoption of electronic medical records (EMRs) in primary care is driving public health and primary care together. The Canadian Primary Care Sentinel Surveillance Network (CPCSSN) is Canada’s first primary care EMR data repository, providing a rich new data source for both primary care and public health. This session will explore the role of public health in primary care population management and similarly, how primary care data can inform public health practice. We will present an example of a collaborative project using CPCSSN EMR data for healthy weight surveillance at the local health unit level. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • Suzanne Biro, Foundational Standard Specialist, Chronic Disease and Injury Prevention Division, Kingston, Frontenac and Lennox & Addington Public Health • Dr. David Barber, Regional Network Director Canadian Primary Care Sentinel Surveillance Network (CPCSSN), Assistant Professor, Department of Family Medicine, Queen’s University • Dr. Tyler Williamson, Senior Epidemiologist, CPCSSN, Assistant Professor Department of Family Medicine and Department of Public Health Sciences, Queen’s University • Dr. Richard Birtwhistle, Director, Centre for Studies in Primary Care (CSPC), Chair, CPCSSN Committee, Professor, Department of Family Medicine, Queen’s University • Dr. Karim Keshavjee, CEO InfoClin, Research Data Architect and EMR Consultant, CPCSSN • Rachael Morkem, Research Associate, CPCSSN and CSPC, Department of Family Medicine, Queen’s University C2
Primary Care and Public Health Collaboration: Perspectives from British Columbia and Ontario
This session will explore the influence of public health policy renewal on primary care and public health collaboration in British Columbia (BC) and Ontario (ON). Following a presentation of research results involving in-depth case studies of 6 ON health units and 4 BC health authorities and the provincial health authority, a panel of primary care and public health stakeholders from both provinces will respond to the research results. The audience will also have opportunities to engage in the discussion. Audience: All audiences Presenters: • Ruta Valaitis, Associate Professor, School of Nursing, McMaster University 20
• • • •
Dr. Victoria Lee, Medical Health Officer, Fraser Health Authority, BC Michael E. Green, Associate Professor, Department of Family Medicine and Public Health Sciences, Queen’s University Dr Anita Kothari, Associate Professor, School of Health Studies , University of Western Ontario Carol Timmings, Director, Healthy Living and Chief Nursing Officer at Toronto Public Health
Creating and Sustaining a Primary Care—Public Health Partnership: Lessons from Peel Region
The partnership between primary care and public health created by Frank Martino, Chief of Family Medicine at William Osler Hospital in Brampton, Paul Philbrook, Chief of Primary Care at Trillium Health Partners in Mississauga and Megan Ward, Associate Medical Officer of Health at Peel Public Health has been active since 2005. This panel discussion will present the stories and perspectives of these three physician leaders around the themes of communication, co-planning and system integration. Audience: All audiences Presenters: • Megan Ward, Associate Medical Officer of Health, Peel Public Health • Paul Philbrook, Chief of Primary Care, Trillium Health Partners • Dr. Frank Martino, Chief of Family Medicine, William Osler Hospital Speaking out for Change: Health Service Providers C4 and Advocacy Health service providers have powerful voices that can help effect public policy change when they speak out. Physicians and health professionals are respected in the community, and listened to by politicians and decision makers. As we saw earlier this year with media coverage of health providers calling for a higher minimum wage, the media carry their message when they speak out. At this panel discussion hear from experienced public health leaders and Community Health Centre activists about their advocacy experiences. Think about what role YOU can play to move people from talk to action by adding your voice as an advocate. Audience: Front Line/Program Staff, Program Management, Board Members Presenters: • Lori Kleinsmith, Health Promoter, Bridges Community Health Centre • Rhonda Barron, Health Promoter, Bridges Community Health Centre • Dr. Hazel Stewart, Director, Dental and Oral Health Services, Toronto Public Health, Member of Ontario Oral Health Alliance
Dr. Monika Dutt, Medical Officer of Health, Cape Breton District Health Authority
Public Health and Commmunity Health Centres: How can we be Better Together
Ontario’s public health units and CHCs have a lot in common. Both sectors are focussed on populations as well as individuals. Both sectors look upstream for solutions to health problems. Both sectors value equity and working with communities. This session features two medical officers of health and two CHC Executive Directors in a conversation about how the two sectors could be better together. Audience: Program Management, Senior Management, Board Members, Policy Makers, Administration Presenters: • Dr. Michael Rachlis, Health Policy Analyst • Rosana Pellizari, Medical Officer of Health, Peterborough County-City Health Unit • Jack McCarthy, Executive Director, Somerset West Community Health Centre • Dr. Irene Armstrong, Associate Medical Officer of Health, Toronto Public Health • Axelle Janczur, Executive Director, Access Alliance Multicultural Community Health Centre Effective Outreach to Promote Health Programs to Low C6 Income Families: Lessons Learned from Community and Public Oral Health Programs Learn about some successful practices for outreach to vulnerable communities (low income families, newcomers) to effectively support their participation in community based health programs. Oral health care will be used as a case study from the perspective of community health and public health. How can CHCs and public health units do a better job on outreach to meet the targeted community needs? In this skills building workshop learn from a speaker with lived experience and two program coordinators about what works and what doesn’t if your program is trying to reach people struggling just to make ends meet. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenters: • DawnMarie Harriott, Coordinator, Voices from the Street • Jan Herbison, Dental Manager, Region of Waterloo Public Health
isn’t easy. Every day you engage in partnerships that influence your reputation and your results. Your relationships can be collaborative or competitive, transactional or transformational. Value-based partnering is about learning to leverage the best of others for mutual benefit and growth. The size of your partnership bank account will influence your ability to get partners to contribute more and require less external motivation to ensure they follow through. The session is designed to help you get better results, faster, with less stress. Audience: All audiences Presenters: • Enette Pauze, Partnership Broker C8
How Do We Move Collaboration Upstream? Building Strategies Together
The Healthy Birth Weights Coalition formed in 2011 to enhance community health and reduce low birth weight risk by addressing inequities and strengthening the system of supports in Hamilton, Ontario. In this participatory workshop we will share and create strategies to overcome system and structural barriers to eliminating health and social inequity. At the end of the session we will have collectively developed an action strategy for moving inter-sector collaboration upstream. Audience: All audiences Presenters: • Vanessa Parlette, Project Manager, Healthy Birth Weights Initiative, City of Hamilton Public Health Services • Jen Vickers-Manzin, Program Manager, City of Hamilton Public Health Services • Dr. Keyna Bracken, Physician Director, Maternity Centre of Hamilton C9
EQUIP Healthcare: An Innovative Research Partnership to Enhance Equity-Oriented Primary Health Care
Health inequities remain a pressing national concern. One of the most important ways of closing the gap is through effective, accessible primary health care (PHC) services for people whose lives and health are affected by poverty, social exclusion, and discrimination. However, little is known about how to provide effective services to such populations. Our research partnership involves university researchers and four health clinics, including a CHC and a Nurse Practitioner-led Clinic in Ontario and an Aboriginal Health Centre and Inner City CHC in BC. We are evaluating an innovative organizational-level PHC intervention to improve health equity for this population. Audience: All audiences
Value-Based Partnerships: Improving Performance C7 & Engagement Building, funding, and maintaining a successful partnership
Presenters: • Myrna Fisk, Nurse Practitioner, Health Zone Nurse Practitioner-Led Clinic • Kathy Bresett, Executive Director, North Lambton Community Health Centre 21
Marilyn Ford-Gilboe, Professor, Women’s Health Research Chair in Rural Health, University of Western Ontario Nadine Wathen, Associate Professor, Health Information Science and Library and Information Science, University of Western Ontario
Indigenous Cultural Competency (ICC) Training C10 This session will demonstrate the new Ontario Online Indigenous Cultural Competency (ICC) Training available through Southwest Ontario Aboriginal Health Access Centre (SOAHAC). Participants will learn how a unique partnership between SOAHAC and the Provincial Health Services Authority in British Columbia was formed in response to a growing interest within Ontario’s health system for culturally safe care. They will be shown samples of the curriculum and learn how to register for the training. Participants will also learn why it’s important to specifically address Indigenous populations within the development of cultural competency and safety.
that investments in capacity of community organizations can make? Health Nexus and the Association of Ontario Health Centres, working with Tamarack and with leadership from The Mowat Centre at the University of Toronto, asked just these questions in a recent evaluation. Come and hear about the Partnership Grants Learning Project that set out to measure outcomes of investment in 27 not-for-profit community organizations by the Ontario Ministry of Citizenship and Immigration through partnership grants. This short presentation will include key findings from the evaluation and insights about innovative methods to measure complex change in partnerships and networks including: Outcome Harvesting; Social Network Analysis; and the Most Significant Change Technique. Audience: Program Management, Senior Management, Board Members Presenters: • Suzanne Schwenger, Program Manager, Health Nexus • Heidi Schaeffer, Knowledge Management and Learning Lead, Association of Ontario Health Centres
Audience: All audiences Presenters: • Guy Hagar, Cultural Safety Trainer • Gertie Mai Muise, Primary Care Director, Southwest Ontario Aboriginal Health Access Centre C11.1
Building a Bigger Sandbox
Is it possible to always play nice in the sandbox of partnership? As children grow to learn the benefits of playing together, so too can organizations, while keeping their focus on the improved health and wellbeing of the community. Dr. April Rietdyk the Director of Public Health and Kristen Williams the CEO of the Chatham-Kent Community Health Centre will answer this question as they highlight initiatives between primary care and public health. Participants will hear our successes and lessons learned on how Chatham-Kent partners collaborate on topics ranging from oral health, falls prevention, infant health, smoking cessation, policy development, and paramedicine. Audience: Front Line/Program Staff, Program Management, Board Members, Senior Management Presenters: • Dr. April Rietdyk, Director of Public Health, Chatham-Kent Public Health Unit • Kristen Williams, CEO, Chatham-Kent Community Health Centres C11.2
Innovative Evaluation of Community Health and Wellbeing Partnerships and Networks
What type of capacity building in community organizations has the most impact on strengthening collaboration, partnerships and networks? How can we know more about the difference
Board Roles in Successful Collaborations, Integrations and Alliances
What do board members need to know and do for their organization’s to have successful collaboration, integrations and alliances? Come and explore collaboration and integration through the lens of governance and grapple with questions about how much board members have to think and work differently than they have in the past. Do boards members need a new set of muscles to be successful in building and nurturing the right kinds of collaborations and integrations? Join this think tank to gain a better understanding about governance roles and the unique competencies, strategies, culture and structures that make collaboration, integration and alliances work. To begin representatives from boards of health and from primary care boards will share their views and experiences. Audience: Board Members Presenters: • Linda Mollenhauer, Principal, Mollenhauer Consulting • Heather Graham, Heather Graham Consulting Services Public Health and Primary Care Partnership in C13 Population Health Planning and Advancing Health Equity This workshop will highlight a partnership between Community Health Centres, public health and the South East LHIN to analyze the primary health care needs of a population of South East Ontario using a determinants of health lens. The presentation will include: key findings of the report prepared by Kingston, Frontenac and Lennox & Addington (KFL&A) Public Health for local Community Health Centres in the South East LHIN; details of data sources; the mixed methodology analyses; limitations;
and other relevant background. Novel real time information systems will also be highlighted, including the South Eastern Ontario Health Integrated Information Portal (SHIIP). Results of this research are discussed to build a framework for partnership and potentially transform primary health care to improve health equity and outcomes in South Eastern Ontario. This process could be similarly adopted in other LHINs. Audience: Senior Management, Board Members, Policy Makers, Administration Presenters: • Dr. Kieran Moore, Associate Medical Officer of Health, Kingston, Frontenac and Lennox & Addington Public Health
Spotlight Sessions: Public Health and Primary Health Care Together Six ten minute presentations From Forest Fires and Pandemics to Toothaches, We C14.1 Are In This Together: An Effective Public Health and Community Health Centre Partnership This session will describe the effective partnerships that exists between the three Community Health Centres in our area (Country Roads Community Health Centre, Lanark Health and Community Services and Rideau Community Health Services) and the Leeds, Grenville and Lanark District Health Unit. Using past initiatives, participants will learn how our roles and responsibilities have evolved and how we have learned to utilize each other’s strengths in times of needs to better serve our overlapping mandates and clients. Audience: All audiences Presenters: • Rebecca Kavanagh, RN, BScN, MPA, Manager, Healthy Living & Development Department , Dental, Smoke Free Ontario, Harm Reduction, Substance Misuse and School Coordination, Leeds, Grenville and Lanark District Health Unit C14.2
Public Health Ontario and Ontario College of Physicians and Surgeons: An example of collaboration to achieve common goals
Public Health Ontario (PHO) and the College of Physicians and Surgeons of Ontario (CPSO) both have similar mandates to protect and promote public health. A mutual need to promote infection prevention and control best practices in health care brought about the collaboration to create the document titled Best Practices for Infection Prevention and Control in Clinical Office Practice. Since its publication, these organizations have been working together to create and take advantage of opportunities to increase awareness of the document and its contents. This aligns with the conference theme Best Practices for Keeping People and Communities Healthy focusing on IP&C.
Audience: Front Line/Program Staff Presenters: • Mandy Deeves, Network Coordinator, North Simcoe Muskoka Infection Control Network, Public Health Ontario It Takes a Village: CIHR Knowledge Synthesis C14.3 Grant awarded for Realist Synthesis on the integration of public health and clinical primary care in early childhood development This presentation will provide a background on social paediatrics and outline the objectives and methods of a recently funded realist synthesis to identify program theory(s) and associated mechanisms that lead to successful integration between primary care, public health and community resources in child health, through a determinants of health (DOH) lens. Audience: All audiences Presenters: • Ingrid Tyler, Physician, Health Promotion Chronic Disease and Injury Prevention, Public Health Ontario Integrating Public Health Services in a Primary Care C14.4 Setting: Kingston Community Health Centres Paving the Way Kingston Community Health Centres (KCHC) is a unique Community Health Centre that hosts several innovative programs within a clinical setting to address the social determinants of health. Clients at KCHC have access to medical and dental services and are referred and encouraged to participate in public health programs such as: Better Beginnings (supports low income families); Thrive (supports pregnant women with opioid use history); The Space (youth drop-in centre); Pathways to Education; Immigrant Services; Senior Services, and regional and provincial harm reduction services. By integrating primary care with public health services, KCHC’s clients are cared for in a holistic way. Audience: Front Line/Program Staff, Program Management, Senior Management, Administration Presenter: • Despina Tzemis, Health Promoter, Ontario Harm Reduction Distribution Program, Kingston Community Health Centres C14.5
CASTLE – Creating Access to Screening and Training in the Living Environment: A Unique Public Health – Primary Care Partnership
The CASTLE project is a collaborative effort among public health units in Hamilton, Niagara, Haldimand-Norfolk and Brant and community health centres working within the Aboriginal and Francophone communities of these regions. This innovative partnership effectively engages low-income communities to 23
participate in cancer screening. CASTLE employs Community Health Brokers (CHBs) as community leaders to provide “a voice” for those living in priority populations. This presentation will highlight unique stories about the CHB role of innovative outreach to communities as well as their strong successful alliances with public health and primary care providers. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenter: • Marty Mako, Health Promoter, Niagara Region Public Health and Regional Lead, CASTLE Project C14.6
Toolkit2Collaborate: An Evidence-Informed Online Toolkit to Support Public Health and Primary Care Collaboration
This session will provide an overview of a newly developed online evidence-based toolkit for public health and primary care collaboration. The presentation will briefly describe the evidence which underpins the toolkit and will introduce the audience to its structure and content. We gratefully acknowledge funding from the Public Health Agency of Canada to support this project. Audience: All audiences Presenters: • Ruta Valaitis, RN PhD Associate Professor, School of Nursing, Dorothy C. Hall Chair in Primary Health Care Nursing
conference floorplan Upper Conference Level
Lower Conference Level
of note Delegates with mobility difficulties The Sheraton Parkway Toronto North is accessible with ramps and elevator access. From the Best Western, access to the conference site is best via the outside. Special dietary considerations We hope the buffet meals at the conference will provide delegates with enough variety to meet most, if not all, dietary preferences and requirements. However, if needed, as you sit down for each meal, you are welcome to let your server know of your dietary requirements and ask for a special meal. Have your say! Data On The Spot is the Canadian leader in audience response technology. The system will allow us to ask you questions throughout the conference and have you respond using your hand held voting devices. The results will be displayed on the screen for everyone to see. To use your device, simply press the appropriate number on your clicker that corresponds to your answer choice on the screen. Vote now! Wi-Fi Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.
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Thank You AOHC and alPHa extend gratitude to the many organizations and people who have contributed to this joint Public Health and Primary Health Care conference Great thanks go out to the many people who have contributed to this joint conference. We offer gratitude to our partners, sponsors, speakers and learning session presenters, our exhibitors, volunteers and staff colleagues—to all who came together to develop the conference content and promote the conference, and to all of you who are here making connections, sharing collaborations and proposing new ways to move forward together. A special thanks to: • The conference advisory committee who developed the conference themes and topics, learning session and joint awards criteria; reviewed submissions and joint award nominations; and promoted this conference to their memberships and networks. In line with the goals of this conference, these individuals worked collaboratively to bring Public Health and Primary Health Care together at this conference: »» Ingrid Tyler, Public Health Ontario »» Carol Timmings, Registered Nurses Association of Ontario »» Clarys Tirel, Association of Family Health Teams of Ontario »» Barb Willet, Health Nexus »» Rosana Pellizzari, Peterborough County-City Health Unit »» Juana Berinstein, Julie Toole, Association of Ontario Midwives »» Jessica Hill, Eilyn Rodriguez, Ontario College of Family »» Pegeen Walsh, Ontario Public Health Association
• Learning session submission peer reviewers: Lisa Brown, Black Creek Community Health Centre; Peggy Schultz, Health Nexus; Pamela Chapman, Port Hope Community Health Centre; May Tao, Toronto Public Health; Julie Toole, Association of Ontario Midwives; Lise Marie Baudry, Centre Francophone de Toronto; Christine Schofield, Toronto Public Health; Jacinda Firth, Norwest Community Health Centre; Nicolette Slovitt, Toronto Public Health; Karen Quigley-Hobbs, Region of Waterloo Public Health; Cliff Ledwos, Access Alliance Community Health Centre • The AOHC joint award peer reviewers: Jane DeJong, South East Grey Community Health Centre; Brenda McNeil , Anne Johnston Health Station; Stefanie Ralph, Grand River Community Health Centre; Jason Marin Sossin, Access Alliance Community Health Centre; Melanie Thomas, French River Nurse Practitioner-Led Clinic • Conference marketing and communications ‘swat’ team: Barb Prud’homme, Ontario Public Health Association; Melissa Potvin, Andrea Bodkin, Health Nexus; Marion Zych, Registered Nurses Association of Ontario; Shirley Connor, Sarah Hicks, Ontario College of Family Physicians; Amber Lepage-Monette, Association of Ontario Midwives • Lindsay Hall who fantastically coordinated volunteers from all of our organizations • Jacqueline Gauthier who developed the French lyrics for music video “Make No Small Plans.”
Sincerely, Linda Stewart Executive Director Association of Local Public Health Agencies
Adrianna Tetley Chief Executive Officer Association of Ontario Health Centres
The 2014 Joint Conference Prevent More to Treat Less | Public Health and Primary Health Care Together