Aohc conference program

A primary health care conference to promote the best possible health and wellbeing for everyone.

Shift the Conversation: Community Health and Wellbeing Sheraton Parkway Toronto North Hotel 600 Highway 7 East Richmond Hill, ON

Association of Ontario Health Centres

Community-governed primary health care

June 2 & 3, 2015

presented by:

Association des centres de santé de l’Ontario

Soins de santé primaires gérés par la communauté

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Table of Contents 2 Schedule at a Glance 3 Welcome 4 Detailed Program 5 Conference Learning Objectives 6 Speakers 8 Award Recipients 9 Workshop Descriptions 25 Conference Floorplan 26 Of Note 27 Thank You

Schedule at a glance

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Tuesday, June 2, 2015

Wednesday, June 3, 2015

7:00 am Registration opens 7:30 Exhibit/Breakfast Buffet opens 8:30 Opening Ceremonies and Plenary 1:

Making the Shift 9:50 Learning Sessions A 11:05 Break 11:25 Learning Sessions B 12:40 pm Lunch 1:40 Plenary 2: Closing Ontario’s Great

Health Divide: The role of primary

health care 3:15 Break 3:30 Learning Sessions C 4:45 Free time 6:15 Reception with cash bar 7:00 AOHC Awards Gala 9:00 Party celebration

7:00 am 7:30 8:30

10:30 10:50 12:05 pm 1:15

2:30

Registration opens Exhibit/Breakfast Buffet opens Plenary 3: Increasing our effectiveness serving people with mental health and addiction issues Break Learning Sessions D Networking Lunches Door prizes and Plenary 4: Channeling change and working together to build collective impact Adjournment: Exhibits close

Welcome Community Health and Wellbeing: Shift the Conversation Welcome to AOHC’s 33rd Annual Primary Health Care Conference. This year our focus is about making big shifts—making change at the provincial, regional and local level so Ontario does a better job promoting the best possible health and wellbeing for everyone.

As things now stand far too many people suffer from poor health because they simply can’t access the services and basic necessities they need to keep them in good health.

So we need to make big shifts: • From a narrow downstream emphasis on treating people when they are sick, to a wider upstream emphasis on preventing people from getting sick in the first place.

• From a narrow focus measuring clinical indicators to more comprehensive measurement approaches that assess quality of life in its full breadth of expression.

• From fragmented delivery of primary health care services to an integrated, coordinated and more sustainable system Perhaps most importantly we need to apply a much more intentional approach advancing health equity. That’s why many of our conference sessions will focus on reducing health disparities and closing Ontario’s great health divide: a divide which means people living in poverty, new immigrants, Francophones, racialized groups, Aboriginal Peoples and LGBT communities disproportionately experience poor health outcomes. It’s the strong intention of AOHC members to do as much as we can to close this great health divide and so much of our conference programming is designed to meet this end.

Other more specific themes for our conference include: • Working Upstream: Healthier public policy and upstream interventions that prevent illness, promote health and create a culture of wellbeing.

• System-Wide Integration: Working better together to create more integrated health and social services systems.

• Primary Health Care at the Foundation: Building a stronger foundation for the delivery of primary health care.

• Breaking Down Barriers: Improving services for people with barriers with an emphasis on best practice models to support people with mental health and addiction issues.

• Clinical Leadership and Quality Improvement: Strengthening leadership for quality improvement with a focus on clinical best practices.

• Maximizing Community Governance: Enhancing the leadership role of governance in health system transformation By the end of the conference you’ll leave equipped with new tools, insights and ideas to closer the vision of the best possible health and wellbeing for everyone living in Ontario. I’m looking forward to all the many interesting and exciting conversations that lie ahead.

Cheryl Prescod

Chair, Association of Ontario Health Centres

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Detailed Program Tuesday, June 2, 2015 7:00 am

Registration opens

7:30

Exhibit/Breakfast Buffet opens

8:30

Opening Ceremonies and Plenary 1: Making the Shift

Our opening plenary will explore the levers of change that are needed to create a more comprehensive and coordinated system to promote the best possible health and wellbeing for everyone. We’ll highlight latest news from the Canadian Index of Wellbeing as well as AOHC’s recently adopted Model of Health and Wellbeing. We’ll also spotlight the importance of effective governance.

Our keynote speaker opening the conference is André Picard. He is the public health reporter at The Globe and Mail and one of Canada’s top public policy writers.

To close the session, Deena Ladd from the Workers’ Action Centre will accept our Community Health Champion Award for her achievement improving the lives and working conditions of people in low-wage and unstable employment.

9:50 – 11:05

Learning Sessions A

11:05 – 11:25

Break

11:25 – 12:40 pm Learning Sessions B

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12:40 – 1:40

Lunch

1:40 – 3:15

Plenary 2: Closing Ontario’s Great Health Divide: The role of primary health care

As health system transformation continues, how do we ensure a stronger primary care system that addresses the needs of populations most at risk of poor health? How do we design a system that is more proactive reducing health disparities? What changes are necessary to ensure that everyone can access the comprehensive services they need to keep them in good health.

Speakers in this session will address how changes now underway to Ontario’s primary care system must apply a health equity lens.

3:15– 3:30

Break

3:30 – 4:45

Learning Sessions C

4:45 – 6:15

6:15

Free time

7:00

AOHC Awards Gala

9:00

Party celebration

Reception with cash bar

Wednesday, June 3, 2015 7:00 am

Registration opens

7:30

Exhibit/Breakfast Buffet opens

8:30 Plenary 3: Increasing our effectiveness serving people with mental health and addiction issues

The importance of effective comprehensive primary care in addressing Mental Health and Addictions will form the focus of this session.

Our keynote speaker opening this session is Dr. Gabor Maté,

a renowned speaker and bestselling author of the award winning In the Realm of Hungry Ghosts: Close Encounters with Addiction. His work draws on cutting-edge science to

illuminate where and how addictions originate and he calls

for a more compassionate approach. His expertise ranges

topics including addiction, stress and childhood development.

This session kicks off with the Media Award which this year goes to Steve Buist from the Hamilton Spectator for his Code Red series.

10:30 – 10:50

Break

10:50 – 12:05 pm

Learning Sessions D

12:05 – 1:15

Networking lunches

1:15 – 2:30 Door prizes

Plenary 4: Channeling change and working together to build collective impact

Large-scale social change requires broad cross-sector coordination. In this session, keynote speaker Andrea Cohen Barrack, CEO of the Ontario Trillium Foundation will lead a special session on the importance of community-based organizations joining together in common cause around shared goals. She’ll also speak about the benefits of the Canadian Index of Wellbeing as a powerful tool for transformative change.

AOHC CEO Adrianna Tetley wraps up the conference with a call to action.

Don’t miss your chance for door prizes in this session.

2:30 – 2:45

Adjournment: Exhibits close

Conference Learning Objectives Through an exploration of six themes, each with its own a specific learning objective, conference participants will gain understanding about how to promote and strengthen a complete sense of health and wellbeing, for individuals, families and entire communities.

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Speakers

Farley Flex

André Picard

Emceeing the AOHC 2015 conference is Farley Flex, best known as a judge on Canadian Idol. He is an emphatic speaker with a passion to discover, develop and promote the intrinsic talents of young people. Flex was a National Ambassador for Unicef, and was appointed to the Special Advisory Council to the League of Human Rights.

He is a two-time recipient of the Bob Marley Community Role Model award for his work in education.

André Picard is the public health reporter at The Globe and Mail and one of Canada’s top public policy writers.

Flex has also done extensive work with youth in First Nation’s and marginalized communities.

Dr. Gabor Maté A renowned speaker, and bestselling author, Dr. Gabor Maté is highly sought after for his expertise on a range of topics including addiction, stress and childhood development.

For twelve years Dr. Maté worked in Vancouver’s Downtown Eastside with patients challenged by hardcore drug addiction, mental illness and HIV, including at Vancouver’s Supervised Injection Site. With over 20 years of family practice and palliative care experience and extensive knowledge of the latest findings of leading-edge research, Dr. Maté is a soughtafter speaker and teacher, regularly addressing health professionals, educators, and lay audiences throughout North America.

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André has received much acclaim for his writing, including the Michener Award for Meritorious Public Service Journalism, the Canadian Policy Research Award, and the Atkinson Fellowship for Public Policy Research.

He is the author of the best-selling books CRITICAL CARE: Canadian Nurses Speak For Change and THE GIFT OF DEATH: Confronting Canada’s Tainted Blood Tragedy.

Andrea Cohen Barrack Andrea Cohen Barrack is the CEO of the Ontario Trillium Foundation (OTF), Canada’s largest granting foundation. OTF works to build healthy and vibrant communities through investments in human and social services, arts and culture, sports and recreation, and the environment. A transformative leader, she has a demonstrated history of both developing strategies which promise positive change and leading others to deliver on those promises.

Andrea came to OTF following a lengthy and successful career in community healthcare, most recently as CEO of Unison Health and Community Services. She is recognized for her expertise in making organizations more effective by ensuring that systems are integrated and impact is both measured and assessed.

Adrianna Tetley

Jeremy Petch

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.

Dr. Jeremy Petch is the Managing Editor of Healthy Debate and the Manager of Special Projects at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital. He sits on the Board of Directors of the Regent Park Community Health Centre and is the Chair of its Quality Committee. He is also involved in research aimed at understanding the relationship between resource intensive use of the health care system and the social determinants of health. Dr. Petch holds a PhD in Philosophy from York University and a graduate diploma from the Ontario Training Centre in Health Service and Policy Research. His doctoral work focused on the intersection of ethics, law and public policy in the regulation of genetic screening technologies. He was previously a research associate at the Institute for Work and Health.

His academic work has appeared in Annals of Epidemiology and the American Journal of Preventative Medicine.

Cheryl Prescod Cheryl Prescod is the Chair of the Board of AOHC and the Executive Director at Black Creek CHC. She has considerable experience in community development and advocacy, gained through her work with diverse populations, many of whom face significant barriers to achieving optimal health. Prior to her tenure at BCCHC which began as a youth program coordinator, Cheryl developed and facilitated leadership programs focused on anti-oppression, equity and inclusion for students and educators in several Ontario school boards and communities. Cheryl’s passion for community health, wellbeing and social justice is evident in her many volunteer activities. Along with her academic background in Health Science, Cheryl is a graduate of the Advanced Health Leadership Program at the Rotman School of Management and holds a Masters Certificate in Healthcare Management from the Schulich School of Business.

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AWARD RECIPIENTS Congratulations to this year’s award recipients!

The Association of Ontario Health Centres would like to congratulate the recipients of our AOHC Awards.

Community Health Champion Award

Community Engagement Award

Awards significant contributions to the community health field either in the legislative/administrative branches of a local, provincial, or other public or private agency.

Awards excellence in engaging community members in such a way that a program or service is improving health outcomes and increasing a community’s capacity to stay healthy. Community members have been empowered and involved at an equal or greater level in the decision-making and/or delivery of the program/ initiative, and as a result, the program/initiative was successful in improving health outcomes and/or community capacity.

Recipient: Deena Ladd Workers’ Action Centre

Media Award Nominees must have published a story that explicitly calls for the need for policy change towards healthier public policy and has a social determinant of health, health equity or anti-oppression lens.

Recipient: South Riverdale Community Health Centre: Sustaining Health Advantage Initiative

Recipient: Steve Buist Hamilton Spectator - CODE RED: Health, Wealth and Social Determinants in Canada’s Steeltown

Awards excellence in advancing health equity with respect to delivery of a service or program through programs /services that address the issues of health equity or through innovative ways to respond to the issues of health equity; taken extraordinary measures to raise awareness of the issues regarding health equity; developed creative advocacy campaign(s) on issues related health equity; or worked in nontraditional partnerships that have responded to the issue of health equity.

Joe Leonard Award Honours individuals who have made outstanding contributions to community health, shown outstanding leadership with respect to health policy, health promotion, disease prevention, or furthered the recognition of the social determinants of health on a community, provincial or national or international stage.

Recipient: Axelle Janczur Access Alliance Multicultural Health and Community Services

Innovator of the Year Award Awards excellence in developing a new innovation with respect to primary care, illness prevention, health promotion, community capacity building and service integration, that resulted in improved health outcomes and/or community capacity.

Health Equity Award

Recipient: Guelph Community Health Centre: Volunteer Physiotherapy Program

Emerging Leader Award

The Emerging Leader Award recognizes an individual who shows great promise and potential in advancing the Model of Health and Wellbeing and who has shown outstanding leadership in championing and/or implementing the Model of Health and Wellbeing in their organization.

Recipient: Raechelle Devereaux, Guelph Community Health Centre

Recipient: Langs Community Health Centre and Waterloo Regional Police Service: Connectivity Program

Congratulations to all of our award recipients and nominees!

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workshop descriptions Stream A

A1

Chigamik and South Georgian Bay: Pioneers in advancing the CIW as a Tool with the LHIN

Many of the factors that most impact on the demand for formal health care services lie outside the sphere of control of the LHINs. What this, in turn, necessitates is the need for new ways of seeing and new tools, such as the Canadian Index of Wellbeing (CIW) provides, to help identify those things over which the LHIN can gain some traction to effect change. In this workshop, participants will hear about the approach that was taken to “sell” the concept of the CIW to the LHIN with a special focus placed on the importance of leadership and partnership building, primarily at the executive director levels.

Participants will also hear about the latest work that is honing in on belonging as an area of focus.

Presented by: Gary Machan, CIW Implementation Specialist, Association of Ontario Health Centres, David Jeffery, Executive Director, Chigamik CHC and Chris Archer, North Simcoe Muskoka LHIN Health Links, Project Manager Theme: System-Wide Integration Audience: Senior management|Policy makers|Program management|Board members

A2

CODE RED: Health, Wealth and Social Determinants in Canada’s Steeltown

Code Red is an ongoing project started in 2010 by The Hamilton Spectator newspaper to explore the powerful impacts that the social determinants of health have on people in Hamilton. Using large data sets that measure a wide range of health, social and economic variables, Code Red has been exposing disparities at the neighbourhood level in Hamilton through stories and maps. The Code Red series has changed the way people in Hamilton think about their city and about poverty, a subject that is often difficult for some to digest.

CONNECTIVITY: A Community Collaborative A3 Strategy to Improving Responsiveness,

Supports and Care Transitions for At-Risk Individuals As the lead for Health Link in Cambridge and North Dumfries and being co-located with 25 health and social service partners, Langs provides the space and opportunity for collaborative mental health initiatives and development of a local community mental health and psychiatry services framework.

Langs partners with Waterloo Region Police Service to implement Connectivity, a Saskatchewan-based model to proactively respond to individuals at elevated risk which reduces costly health and social service interventions and incidence of crime. Connectivity mobilizes 14 health and social service agencies to attend a weekly meeting, to collaboratively address situations of elevated risk and support individuals to access the services they need. Organizations and systems are immediately responsive and begin to make systematic improvements to service delivery, with the long term vision of reducing emergency room admissions, child protection cases, prosecutions, violent crime and youth victimization. Through its collaborative work, Langs provides leadership in changing the provision of front line intervention services. Learn how to enhance your collaborations and introduce new conversations, strategies and a model of coordinated service response to better serve higher risk patients.

Presented by: Bill Davidson, Executive Director, Langs and Kerry-Lynn Wilkie, Health Link Director, Cambridge and North Dumfries, Langs Theme: System-Wide Integration Audience: All audiences

Presented by: Steve Buist, Investigations Editor, Hamilton Spectator Theme: System-Wide Integration Audience: All audiences

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A4

Improving Community Health and Wellbeing Through Play—A First Nations Perspective

Utilizing experiential learning as the medium for leadership development, Patrick Wilmot will take you through a series of fun activities implemented in the Wabano After School Program. The aim of the session is to highlight the importance of fostering creativity, building leaders of tomorrow, and to remind you that work can be fun. This approach also complements a valuable First Nation teaching about the understanding that our roles have an impact in the interconnectedness of our individual and collective health journeys—from frontline staff to administrators to managers. This approach is applicable to all nations and all settings. You will leave this session feeling energized and inspired to bring the spirit of fun back to your communities and your health promotion initiatives.

Presented by: Patrick Wilmot, Child and Youth Healthy Living Coordinator, Wabano Centre for Aboriginal Health and Phil Commonda, Youth Worker, Wabano Centre for Aboriginal Health Theme: Working Upstream Audience: All audiences A5

Diabetes Management: It takes a team!

The Canadian Diabetes Association Clinical Practice Guidelines recommend that individuals with diabetes be supported by a proactive, interprofessional team specially trained in diabetes. Well-implemented diabetes team care is a key component of today’s health care initiatives in Ontario. Collaborative teams effectively provide continuous, supportive, and effective care for people with diabetes throughout the course of their disease. As we all know, effective collaborative care is easier said than done. Even when an organization has an interdisciplinary team the challenge is often how to work together effectively and collaboratively. The “Making Team Care Work” learning session, offered in partnership by the Canadian Diabetes Association and the Toronto Central LHIN Diabetes Program will allow you to focus on what next steps make sense within your current situation to improve team-based care and thereby better support the individuals you see with diabetes. You will be introduced to techniques and tools to evaluate how you (and other members within your client’s circle of care) are currently functioning as an interprofessional team and to explore creative yet practical and simple solutions to common challenges in the organization of diabetes care.

Presented by: Dr. Nicole Nitti, MD, CCFP (EM), FCFP, Primary Care Advisor, Toronto Central LHIN Diabetes Program and Joanne Lewis, RD CDE, Manager, Diabetes Education, Canadian Diabetes Association Theme: Quality Improvement and Clinical Leadership Audience: Front line/program staff 10

The Role of Boards in Supporting Health A6 Links: Collaborative Governance Experience

at the Rideau Tay Health Link Collaborative governance between the boards of organizations involved in Health Links is an area that is evolving. Community Health Centres take a holistic approach to health care that fits easily into the Health Link model of delivery. But for Health Links to succeed, it is important to get the support and encouragement of the boards of all the organizations involved: primary health care providers, hospitals, CCAC, mental health and addiction services, public health, social services, etc.

Collaboration amongst boards of these organizations is essential for successfully implementing transformative change.

Presented by: Graeme Bonham-Carter, Board Member, Rideau Community Health Services Theme: Maximizing Community Governance Audience: Board members

A7

Improving Data Quality for Better Funding, Planning, Evidence Based Decision Making in CHC Sector

CHC data submitted in OHRS is being transformed into valuable information to be used by the Ministry of Health and Long Term Care, the LHINS, the CHCs and other stakeholders. This is a key component and a determining factor in improving data quality in the CHC sector. This demonstration workshop will stress the importance of having data that is of high quality for better funding, planning and evidence-based decisionmaking and will help you navigate the Health Data Branch Web Portal to access various CHC comparative reports. The presenter will share the most recent CHC reports providing an overview of the OHRS Reporting Profiles, Financial, Statistical and Key Indicator Reports and will identify areas of data quality issue concerns.

Attendees will have an opportunity to ask questions and or obtain clarification on various issues present in the CHC comparative reports.

Presented by: Maria Marin, CPA, CGA, Business Advisor, CCAC, CTC & CHC, Data Standards Unit, Health Data Branch, Ministry of Health and Long Term Care and Cindy Sabo, CPA, CGA, MHA, Manager of Finance, South East Grey Community Health Centre Theme: Quality Improvement and Clinical Leadership Audience: All audiences

A8

Effective Board Governance: The Legal Perspective and Practical Tips and Tools

This session surveys the legal context that underpins good governance of community health centres and other not-for-profit corporations. By the end of this session, participants will have a strong understanding of the elements of good governance, directors’ roles and responsibilities, the rules of fiduciary conduct, and the legal consequences for individual directors who breach these rules. Participants will also receive valuable insights into industry best practices in board governance (and tried and true tools and tips), such as the effective use of consent agendas, how strong chairs use consensus decision making effectively, optimizing board committee work, and more!

Presented by: Nick Pasquino, Borden Ladner Gervais LLP Theme: Maximizing Community Governance Audience: Senior management|Board members

Improving Access to Oral Health Care for A9 Vulnerable People: An update on current

programs, advocacy work and steps you can

take in your community AOHC champions an affordable, accessible oral healthcare program for all low-income children and adults in Ontario and is actively involved in advocacy work with partners. At this workshop you will get an update on changes to the Healthy Smiles Ontario program for children that take effect in August, and learn about the Ontario Oral Health Alliance campaign urging Minister Hoskins to move faster on the promise to extend the program to low income adults. We’ll also discuss how AOHC members can follow up on a recent report from the College of Dental Hygienists of Ontario which says LHINs could include oral health in their planning. One LHIN is now doing this — how did local CHCs accomplish this and what can others do to move their LHIN in this direction?

A10

Souper Sisters: Impacting the community one bowl of soup at a time

This project will provide participants with a snapshot of how a small practical initiative can blossom into a project that has had a significant impact on building a culture of community and wellbeing. An abundance of fresh produce at the Port Hope Community Health Centre led to the recruitment of a small team of volunteers who offered to break down the produce by transforming it into vegetable based soups. These soups were frozen into single portions and offered to food cupboard clients each week. The soups were met with great enthusiasm and quickly became one of the most requested items. What started off as an excess of fresh vegetables, has now turned into a program that is making an impact at various levels of community health.

A culture of wellbeing has been created for both the volunteers and clients. Volunteers are brought together in a social environment, creating friendships and feelings of empowerment. Meanwhile, clients are being offered choice, with options for homemade quality food that is higher in nutrient value. Through stories from clients and volunteers, this presentation will provide participants with an overview of the logistics needed to initiate this project, barriers faced, and how this project has impacted Northumberland County over a two year period.

Presented by: Pam MacDougall, Health Promoter, Port Hope Community Health Centre and Adam Hudson, Community Dietitian, Port Hope Community Health Centre Theme: Working Upstream Audience: Front line/program staff

Presented by: Jacquie Maund, Policy & Government Relations Lead, Association of Ontario Health Centres Theme: Working Upstream Audience: Front line/program staff|Senior management|Policy makers|Program management| Board members

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HNHB Caring for My COPD Program—an A11 innovative and patient–centred program to Live Life Inspired with COPD In response to the increasing number of residents hospitalized for an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) the HamiltonNorfolk-Haldiman-Brant (HNHB) LHIN Board of Directors approved funding to develop a community based program to improve the management of patients with COPD. The HNHB Caring for My COPD program is a ten week community based program for patients who suffer from acute exacerbations of their COPD or are at risk of an acute exacerbation. Patients are supported by a multidisciplinary team who provide a range of services using principles of Chronic Disease Management, including enhanced case management and strengthened self-management. The program is currently offered in four HNHB Community Health Centres (Hamilton, Brantford, Welland and Niagara Falls). The session will provide an overview of the development and implementation of this community based program. The presenters will highlight the innovative and effective approach to caring for COPD in the community to provide high quality, patient centred services, not only improving quality of life for patients but also contributing to health system sustainability by reducing avoidable emergency department visits and hospitalizations.

Presented by: Keira Rainville, Community Health Counsellor/Health Promoter, Centre de santé communautaire Hamilton-Niagara and Patrick Martin, Registered Kinesiologist, Centre de santé communautaire Hamilton-Niagara Theme: System-Wide Integration Audience: All audiences

Increasing Access to Primary Care for A12 Seasonal Agricultural Workers: Lessons Learned from 2 CHC Case Studies Is your CHC, CFHT or NPC interested in exploring how to provide health care to seasonal agricultural workers in your area? Learn from the successful experiences of two CHCs who have received funding from their respective LHINs to serve this population: Grand River CHC who is running part time summer clinics in Simcoe in partnership with community organizations, and Quest CHC who has been able expand the services that they had already been providing for four years, in collaboration with community partners, through their Migrant Agricultural Workers’ Program.

Presented by: Tricia Gutierrez, Primary Care Assistant, Simcoe Clinic, Grand River Community Health Centre and Stephanie Ralph, Director, Primary Care and Community Health, Grand River Community Health Centre 12

Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management|Policy makers|Program management| Board members

Improving Services for Trans People in A13 Ontario: Building Access to Health Care and Networks of Support Trans people are one of the least understood and most marginalized communities. Research conducted in Ontario in 2009 -10 showed that over 40% of trans people experienced discriminatory treatment by a family physician. At the same time, the World Professional Association of Transgender Health (WPATH) recommends that gender transition services (other than surgery) be delivered in primary care settings. This session describes the remarkable transformation taking place to create appropriate, welcoming services for trans people in Ontario.

Presented by: Jordan Zaitzow, Trans Health Connection Coordinator, Rainbow Health Ontario, Dr. Sarah Eckler, Primary Care Physician, Central Toronto Community Health Centres, Dr. Joshua Wales, Primary Care Physician, Central Toronto Community Health Centres, Maxwell Duscharm, Hepatitis C Program Coordinator/ Harm Reduction Worker, Central Toronto Community Health Centres Theme: Breaking Down Barriers Audience: All audiences

Healthy Families, Healthy Communities: A14 A Culturally Competent Approach to Addressing Violence Against Women

Prevention in Immigrant and Refugee

Communities in Hamilton From the lens of cultural competence, Hamilton Urban Core developed an approach to addressing woman abuse in immigrant and refugee communities in Hamilton. The Project, “Healthy Families, Healthy Communities” is part of the Neighbours, Friends and Families Immigrant and Refugee Communities Campaign, funded by the Ontario Women’s Directorate. In this workshop participants will learn about the tools developed and implemented to raise awareness about woman abuse.

Presented by: Alison Mackenzie, Cultural Facilitator, Neighbours, Friends and Families (NFF) Project and Floydeen Charles-Fridal, Health and Wellness Counsellor/ Coordinator, Neighbours, Friends and Families Project Theme: Breaking Down Barriers Audience: All audiences

Stream B

B3

B1

SPIN: Supporting Solo Practitioners in Need

Recently, there has been a great deal of primary care indicator development and prioritization that has lead to a wealth of primary care indicators. The Clinical Team Advisory (CTA) Group has attempted to prioritize these indicators using a modified Delphi process to create a subset of measures that reflect practice/CHC level priorities. A primary care dashboard is being developed to measure, monitor and benchmark CHC progress with the ultimate objective of ensuring and maintaining high quality care. The CTA will review the primary care indicator activity in Ontario. This will include a fulsome discussion of the Primary Care Performance Measurement Framework (PCPM) and the Quality Book of Tools. The methods to reduce this work into a meaningful measurement tool for CHCs will be reviewed.

The list of indicators that will be included in the Primary Care dashboard will be reviewed for discussion and consultation.

A CHC initiative that supports solo practitioners who have difficulty accessing community based resources and infrastructure to respond proactively to complex patients’ needs. Specifically the SPIN provides: • Increased and seamless access for patients with complex medical and psychosocial issues in the community • Complex patients receive the most appropriate and supportive community based services and resources • Assist physicians to collaboratively manage their complex patients through the services, resources and multi-disciplinary teams based at CHCs • Increase access and utilization of CHC services in the Mid-West Toronto Health Link • Help build the CHCs’ community profile and new relationships with primary care providers Presented by: Cliff Ledwos, Director, Primary Health Care and Special Initiatives, Access Alliance Multicultural Health and Community Services Theme: Primary Health Care at the Foundation Audience: All audiences

B2

Take a Sad Song and Make it Better: Promoting Health Equity through Political Engagement and Policy Change

The social determinants of health (SDOH) represent the next frontier for reducing health inequalities, a point reinforced by the work of the WHO’s Commission on Social Determinants of Health. In this regard, Canada’s track record since the 1980s in five respects related to the SDOH suggests a bleak prognosis and has reduced Canada’s capacity to reduce existing health inequalities: (a) the overall redistributive impact of tax and transfer policies; (b) reduction of family and child poverty; (c) housing policy; (d) early childhood education and care; and (e) urban/metropolitan health policy. Promoting health equity by working upstream is difficult because powerful sectors oppose public policy that would distribute the SDOH more equitably. In this workshop we identify these opponents and present means of overcoming their opposition.

Presented by: Toba Bryant, PhD, Assistant Professor of Health Sciences, University of Ontario Institute of Technology and Dennis Raphael, PhD, Professor of Health Policy and Management, York University Theme: Working Upstream Audience: All audiences

Developing Primary Care Measures that Matter: Creating a CHC Primary Care Dashboard

Presented by: Jennifer Rayner, Regional Decision Support Specialist, SW Ontario Network of Community Health Centres Theme: Quality Improvement and Clinical Leadership Audience: Front line/program staff|Senior management|Administration

B4

OUR HARM REDUCTION STORIES: Working toward healthier outcomes

It is well documented that street involved individuals experience barriers in accessing health care and social services due to stigma and discrimination. To raise awareness around this issue, we will showcase a 12 minute video on how harm reduction practices lead to healthier outcomes. It is our hope that with this video, in addition to a panel discussion, the audience will gain an understanding of: 1. What harm reduction is 2. How harm reduction is implemented by outreach workers, peer workers, nurses and physicians 3. How harm reduction positively impacts the overall health of those who are street involved (i.e. homeless/substance users/sex workers) Presented by: Calvin Henshell, Outreach Worker, Regent Park Community Health Centre, Judy Hyndman, Outreach Worker, Regent Park Community Health Centre and Dr. Sharon Gazeley, Physician, Regent Park Community Health Centre Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management|Policy makers|Program management| Board members 13

B5

Enterprise Risk Management - From Threat to Innovation

A risk is something that impacts and/or prevents an organization’s ability to meet its objectives. Enterprise Risk Management (ERM) is a process for managing the myriad of risks an organization faces, ERM helps an organization determine which risks it will and will not take and assists in fulfilling a fundamental responsibility of Board Trustees and Senior Leadership. A systemic and sustainable Enterprise Risk Management process will aid healthcare providers by providing: improved risk information needed to support strategic decision making throughout the organization; an understanding of the risks and interrelationships to help drive learning achievement, operational performance, value, and reputation; a foundation to effectively evaluate the learning and achievement and operational objectives and the associated opportunities and threats; a complementary process to enhance major project management, transformational initiatives or special healthcare delivery programs; an opportunity to get out in front of public policy and funding changes; a platform and process to consistently identify and assess risks; a defined risk governance structure with clear roles and responsibilities. Included will be tools, hands on experiential learning, and a “real life” example.

Presented by: Elizabeth Beader, CEO, North Hamilton CHC and Peter Heimler, Partner Associate, KPMG, LLB Theme: Maximizing Community Governance Audience: All audiences

“Unbundling” the Challenges of Becoming B6 Baby-Friendly Building baby-friendly into an organization’s culture will require complex change. In this session, we will unbundle this complexity and help participants understand ways to approach some of the challenges associated with becoming baby-friendly. The session will focus on enhancing women’s and infants wellbeing by offering strategies to more effectively align to the ministry direction of increasing support for breastfeeding.

Presented by: Linda Young MScN, EdD, Director Maternal Newborn Child, Mental Health, Interprofessional Practice and Organizational Learning, Toronto East Hospital and Kristina Niedra, MA, Project Manager, BFI Strategy for Ontario, Toronto East General Hospital Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management|Program management|Administration

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B7

Reducing Academic Barriers for Racialized/ Marginalized Students: LEARN Academic Support Program

TAIBU’s programming framework embraces an AntiRacist/Anti-Oppressive approach. Education, one of the Social Determinants of Health is critical for achieving wellbeing. In 2011, through funding from Trillium, TAIBU developed an academic support program involving partnerships with three high priority neighbourhoods Jane/Finch, Malvern, and Alton Towers. A total of 247 students participated in this program designed to gather information and equip students with the skills and knowledge to manage five indicators for academic success: School Comfortability, Student Teacher Relationship, Cultural Congruence and Classroom Equity, Perceived Threat of Racism/Discrimination, and Reduce Barriers to Academic Supports. The pedagogical approach is highly interactive, to engage the Y and Z population whose minds are wired differently due to their high interaction with social media and technology.

One of the learning objective is to build awareness and acquaint participants with pedagogical approaches to increase academic success for marginalized and racialized students utilizing evidence-based academic success indicators .

Presented by: Tony Jno Baptiste, Program Manager, TAIBU Community Health Centre and Shawna Williams, Youth Resource Coordinator, TAIBU Community Health Centre Theme: Working Upstream Audience: Front line/program staff|Senior management|Program management

B8

To engage or not to engage? The limits and potential of stakeholder engagement processes for health equity

Community workers and health promoters are often made responsible for carrying out various engagement processes that aim to increase resident input into programs and policies. At the same time, workers are often given little time and space to explore the potential for these engagement processes to translate resident input into concrete change. Scholars around the world have applied a critical lens to the limits and potential of stakeholder engagement processes related to urban health. We will briefly present a recent review of some of this scholarship, and then facilitate an interactive discussion about the experiences of community workers and health promoters charged with “engaging communities.” We hope to open up space for reflection on this complex topic, while generating an ongoing dialogue.

Presented by: Dr. Patricia O’Campo, PhD, Director, Centre for Research on Inner City Health, St. Michael’s Hospital Professor, Dalla Lana School of Public Health and Amy Katz, Knowledge Translation, Centre for Research on Inner City Health, St. Michael’s Hospital Theme: Maximizing Community Governance Audience: Front line/program staff

B9

Increasing access to health and wellbeing for women who experience trauma, are pregnant or parenting and substance using

The recurring theme of substance abuse and trauma in women’s lives demonstrates a need for a trauma informed gender-responsive approach that acknowledges their psychosocial needs. Substance use is a complex and challenging social and health problem that affects millions of women and girls every day and studies have shown that this issue can no longer be discussed without acknowledging the abuse in their lives. The evidence is surmounting on the contribution of abuse and trauma to mental illness and substance problems in women and in turn, the benefit of trauma-informed approaches in reaching and assisting them without re-traumatization.

The presenters will demonstrate how a trauma-informed approach can improve service access for women, helping to create an awareness of the interconnections between women’s experiences and choices of coping mechanisms. The presentation will also demonstrate the importance of a system level approach to partnerships between community health centers, mental health, violence against women and the substance use sectors.

Presented by: Audrey Taylor, Program Manager, Black Creek Community Health Centre and Andrea Lagios, Addiction Outreach Counsellor, Black Creek Community Health Centre Theme: Breaking Down Barriers Audience: All audiences

B10

The Role of System Navigation in Primary Care - Rural Hastings HealthLink

Rural Hastings HealthLink (RHHL), located in Central and North Hastings, is one of seven HealthLinks within the South East LHIN and is an early adopter of the HealthLink initiative in Ontario. RHHL champions a new systems approach in innovative thinking and creative methods that generate the opportunity for health system transformation, improve the patient’s experience, optimize health outcomes, and decrease costs to the system as whole. The presentation will speak to the role of system navigators within primary care who engage medically and socially complex patients, integrate the patient’s voice into the medical plan of care, identify socio-economic barriers to support their goals, integrate upstream health promotion and prevention into the plan of care, improve the patient’s experience in navigating the health/social systems, and support the patient to receive care at home rather than seeking support through the hospital system. The presentation will include lessons learned in developing new behaviours, relationships and partnerships to communicate and coordinate care between disciplines, settings and organizations and how the role of system navigation delivers a return on investment to health system as a whole.

Presented by: Lyn Linton, Executive Director, Gateway Community Health Centre and Julia Swedak, Director of Quality & Decision Support, Gateway Community Health Centre Theme: System-Wide Integration Audience: All audiences

B11

Precarious Work is Bad for Our Health: How do we support discussion and action on decent jobs and wages in Ontario?

Research shows that low wage and precarious work in Ontario is making people sick. But there’s only so much we can do as health service providers – we need upstream changes in policy with increases to the minimum wage and better working conditions. Get an update on this campaign from the Workers Action Centre, one of the most creative and effective advocacy groups in Ontario, and learn from Access Alliance about a new project to support the CHC/AHAC/NPLC/CFHT sector raise awareness of economic security as a health issue.

Presented by: Sehr Athar, Coordinator, Communitybased research, Access Alliance Multicultural Health and Community Services and Deena Ladd, Coordinator, Workers’ Action Centre Theme: Working Upstream Audience: Front line/program staff|Senior management| Policy makers|Program management|Board members 15

Improving Access to Mental Health and B12 Addictions Services: A case study from

Parkdale CHC Parkdale Community Health Centre has implemented an “Access” program that guarantees a same-day phone or in-person meeting with a counsellor for current or prospective clients in need of mental health or addictions supports. This process has also centralized and streamlined the process of registering for counselling services. Preliminary results show that there has been an increase in clients able to access counselling services, and an elimination of waitlists for counselling programs. This change was done after a thorough process of consulting with staff and partners and has been inclusive of team members. The change was implemented without any additional resources or new funding. We will walk participants through the details of the initiative and its results and discuss the change management processes to guarantee success.

Presented by: Bronwyn Underhill, Director of Population Health and Community Engagement, Parkdale Community Health Centre, Shirley Roberts, Interim Executive Director, Parkdale Community Health Centre Theme: Breaking Down Barriers Audience: Senior management

B13

System Integration - New Voices, New Stories, New Conversations

CHC Board Chairs, Executive Directors and Program Managers are participating in (and sometimes leading) system integration initiatives across the province. These initiatives bring together new constellations of health and social service providers to define new relationships and ways of working together. The hopes are high, but the conversations often get up on the same pitfalls that have plagued similar initiatives in the past. This session will explore approaches that have been shown to have the potential to transform the conversations about system integration (including experience-based co-design and developmental evaluation). Examples will be discussed from settings where these approaches will be used, and participants will discuss how they could be applied by CHCs in system integration initiatives.

Presented by: Ken Hoffman, Principal, One World Inc. Theme: System-Wide Integration Audience: All audiences

16

B14

SPOTLIGHT SESSIONS: MENTAL HEALTH

Harm Reduction as Addiction Treatment: B14.1 Rethinking Recovery for People with

Concurrent Disorders Harm reduction is often presented as being at best a first step to substance use treatment, or worse, antithetical to treatment and recovery altogether. This presentation, grounded in change science and evidence on how people actually recover from substance use and concurrent disorders, not only challenges this thinking, but puts harm reduction at heart of substance use treatment.

Presented by: Rob Boyd, Oasis Program Director, Sandy Hill Community Health Centre Theme: Breaking Down Barriers Audience: All audiences

Daisys’ Drop-In: A collaborative response to B14.2

community need Daisy’s Drop In is a program developed by Carlington Community Health Centre (CHC), in partnership with a dozen local agencies, that addresses the needs of street sex trade workers (STW) in the west end of the city of Ottawa. The learning session will describe the best practices that were incorporated into the services and supports for this group of vulnerable women dealing with issues of addictions, homelessness and mental health. The presentation will share the following information: Carlington community and clientele profile, Daisy’s history, drop-in beginnings and clients, harm reduction and peer program involvement , partner’s role in clinical services offered (STI, pregnancy test, emergency contraception, POPP), social services offered (harm reduction, counselling, etc), evaluation and future planning.

Presented by: Melissa D’Amora, Counselling Team Program Coordinator, Carlington Community Health Centre Theme: Breaking Down Barriers Audience: All audiences

Collaborative mental health: Towards an B14.3 integrated care system at the primary care level Incorporating mental health services into primary health care (PHC) settings is the most viable, effective and affordable way to improve access for those with treatable mental illness in the community (WHO 2010).

The Office of Transformative Global Health (OTGH) at the Centre for Addiction and Mental Health (CAMH) has been working towards building an integrated mental health system for many years. Most significantly, OTGH led a 2009-2011 project entitled The Mental Health and Addiction Capacity Building Program for Community Health Centres in Ontario which aimed to foster health system improvement by strengthening the competencies of PHC professionals in addressing mental health and addiction issues. This presentation will present recent evidence surrounding the practice of integrated mental health care at the PHC level, review the findings from OTGH projects related to Collaborative Mental Health and provide overview of the following topics: • The basis for collaborative mental health: Making the case for primary care • Useful tools to promote the practice of collaborative mental health in PHC settings • Key considerations: Interprofessional collaboration, culturally competent care & self-care • Organizational management: Strengthening a CHC’s approach to care Presented by: Akwatu Khenti, Director, Office of Transformative Global Health, Centre for Addiction and Mental Health Theme: Breaking Down Barriers Audience: All audiences

A Community Collaborative Model for B14.4 Delivering Single-Session Walk-in

Counselling Services The Durham Counselling Walk-in Clinic is a collaborative between sectors and organizations with the common goal of providing a walk-in style clinic to support children, youth and their families experiencing a mental health or addictions problem. This workshop will discuss the purpose of the counselling walk-in clinic in the community, the operations that are involved in the clinic and also address the collaborative approach involved in sustaining this initiative.

Presented by: Janet McPherson, Acting Executive Director, The Youth Centre and Kelly Ng, Health Promoter/Clinic Coordinator, The Youth Centre Theme: System-Wide Integration Audience: Front line/program staff|Program management

Stream C

C1

Collaborative Literacy Promotion in Pediatric Primary Care

This session will describe a partnership program for literacy promotion for children in a newcomer and refugee community. The goal of this program is to address early child development and the social environment by encouraging collaborative literacy for immigrant and lowincome families.

Presented by: Joanne Louis, MN, MSc, RN(EC), Nurse Practitioner, Regent Park Community Health Centre and Kathy Nash, NP-PHC, MN, Nurse Practitioner, Regent Park Community Health Centre Theme: Quality Improvement and Clinical Leadership Audience: Front line/program staff|Senior management|Program management

Risk Adjusted Primary Care Planning: C2 An update from MOHLTC The Minister of Health has released “Patients First: Action Plan for Health Care” which commits to bringing forward a plan to ensure primary care providers are organized around the needs of our population. In this workshop Ministry staff will talk about the plan for primary care with a focus on risk-adjusted geographic population based primary care, and the role that CHCs, AHACs, NPLCs and CFHTs could play in that plan.

Presented by: Phil Graham, Director, Primary Health Care Branch, Ministry of Health and Long-Term Care Theme: System-Wide Integration Audience: Senior management|Policy makers|Program management|Board members|Administration

Creating a Performance Based Culture C3 Establishing a Framework for Success All of the “good will” in the world is not worth its weight unless employees are motivated, measured, focused and have the right leadership. Creating a Performance-Based Culture is about establishing the management framework required to enable success. The workshop facilitators will walk through real examples of under-performing and greenfield organizations - where the implementation of best practices in management have led to the creation of high performing teams resulting in exceptional peoplecentric results.

Presented by: Allan Madden, Executive Director, South East Grey Community Health Centre and Ted Ball, Quantum Transformation Technologies Theme: Maximizing Community Governance Audience: Senior management|Board members|Administration

17

The Model of Health and Wellbeing C4 Evaluation Framework

C7

With agreement and commitment to the common model of care, the sector can move toward enhancing the evaluability of our model by developing an evaluation framework (EF). Although it is challenging to distill the services delivered by several unique primary health care organizations across the province into; first a single conceptual framework (i.e., MoHWB) and then into a single measurement framework (i.e., EF), this effort is critical in helping us understand what we are collectively attempting to achieve as a sector and will guide measurement of our progress along the way. Development of the Evaluation Framework (EF) first began in 2000 in response to the challenging question: How do we assess the value / merit / worth of our model of care? The Model of Health and Wellbeing (MoHWB) Evaluation Framework (EF) represents a foundational sector resource that will support evaluation (including QI) and performance management efforts going forward. This session is intended to introduce the evaluation framework, its key components, intended use and its relationship to the Data Entry Manual and Mandatory Data.

Community Health Centres provide care at the frontline of the “War on Drugs”, treating people who use drugs with care and compassion, recognizing the impact of the social determinants of health on people’s vulnerability to substance use disorder as well as their recovery. This session will explore interest amongst CHCs to take part in a national movement for drug policy reform in Canada.

Presented by: Arron Service, RDSS, Sandy Hill Community Health Centre and Nancy Laplante, RDSS, South Riverdale Community Health Centre Theme: Quality Improvement and Clinical Leadership Audience: All audiences

Balancing Patient Engagement with Provider C5 Engagement in the HealthLinks Model of Care The Quinte HealthLink (QHL), sponsored by the Belleville Quinte West CHC, has developed a patient engagement strategy. Ontario’s HealthLink model strives to flip healthcare to become patient-centric as opposed to a more traditional provider centric model. However, with enthusiastic embrace of the patient engagement plan, it is easy to forget about the providers. This session is an opportunity for a rich discussion amongst front-line providers to share experiences as we move forward with health system transformation activities.

Presented by: Mary Woodman, Project Manager, Quinte Health Link and Laurel Hoard, Quality Improvement Facilitator, South East LHIN Theme: Breaking Down Barriers Audience: All audiences

18

Do Community Health Centres have a role in Drug Policy Reform?

Presented by: Rob Boyd, Oasis Program Director, Sandy Hill Community Health Centre and Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre Theme: Working Upstream Audience: All audiences

c8

Bridging the Gap: Measuring What Matters The Ottawa Story

Bridging the Gap, Measuring What Matters represents a significant milestone for our sector in so far as the Ottawa Coalition of Community Health and Resource Centres were the first group of CHCs to apply the Canadian Index of Wellbeing as it was originally conceived; namely, as a tool to help shape public policy in an unapologetic, coherent and meaningful way. In addition to using the CIW as a framework to advance public policy, the Ottawa Report performed several other important functions; not the least of which was to really profile some of the excellent community work performed by their member agencies, such as Making Votes Count which played a really pivotal role throughout the process. It is our strong hope that those people attending this workshop might be sufficiently inspired by the outstanding leadership of Ottawa to follow suit in their respective communities, and prepare their own CIW based report as a way to capture the wellbeing in their communities, promote the work of their partners, and advance healthy public policy.

Presented by: Gary Machan, CIW Implementation Specialist, Association of Ontario Health Centres, Jack McCarthy, Executive Director, Somerset West Community Health Centre and Luc Ouellette, co-chair, Ottawa Coalition of Community Health and Resource Centres Theme: Working Upstream Audience: All audiences

Health Access St. James Town C9 A neighbourhood focused system

integration model The presentation will focus on the evolution and consolidation of the Health Access St. James Town (HASJT) initiative which is a neighbourhood focused model of integrated, collaborative care through intersectoral service coordination, service enhancement and community development. Spearheaded by the TC LHIN and led by Sherbourne Health Centre, this is a multi-partner initiative which has succeeded in creating better access to holistic care in a marginalized, yet vibrant community that faces significant health and social challenges. Lessons learnt in partnership development, coordinated intake and referral, community capacity building, and creating a sound evidence base will be discussed. This will create an understanding of implementation, scalability and transferability of localized initiatives that succeed in creating an integrated system that promotes community health and well being.

Presented by: Nalini Pandalangat, Director - Newcomer Health & Specialty Services, Sherbourne Health Centre, Nivedita Balachandran, Health Promotion and Systems Specialist, Sherbourne Health Centre and Criss HabalBrosek, Program Director, Progress Place Theme: System-Wide Integration Audience: All audiences

C10

Moving toward “Generative Governance”

An educational session on the generative model of governance building using the theoretical framework of Richard Chait. The session will explore differences between fiduciary, strategic and generative governance modes and how LIHC is moving itself to more generative mode of working at the governance level.

Practical tools will be provided on getting started and optimizing Board performance, as well as the key success factors for implementing this model.

Presented by: Steven Goodine, Vice-President, Board of Directors, London InterCommunity Health Centre and Michelle Hurtubise, Executive Director, London InterCommunity Health Centre Theme: Maximizing Community Governance Audience: Senior management|Board members

Helping the Cancer System Work Better for C11 First Nation, Inuit and Métis (FNIM)

Populations in Ontario - A Model for Engagement and Building Productive Relationships In June 2012, Cancer Care Ontario (CCO) launched the Aboriginal Cancer Strategy II (ACS II) following a longterm of engagement with and input from First Nation, Inuit, and Métis (FNIM) leadership, elders, health care workers, cancer survivors and health networks. This strategy outlines priority areas to better prevent and manage cancer amongst Ontario’s FNIM peoples. The ACS II builds on a developed network of collaboration and engagement with FNIM groups and communities; and has formalized communication and engagement structures necessary to maintain and achieve strategic objectives within a partnership of mutual respect, recognition of traditions and practices, and honour towards the history, culture and diversity of FNIM peoples.

Presented by: Alethea Kewayosh, Director, Aboriginal Care Control, Cancer Care Ontario Theme: System-Wide Integration Audience: All audiences

C12

An Integrated Community-Based Mental Health & Primary Care Model

Canadian Mental Health Association Durham provides community-based mental health and Nurse Practitionerled primary care services for clients of all ages. Our model is the only one of its kind in Ontario, integrating services to screen, prevent, diagnose and treat all chronic conditions and mental illness by creatively using technology and optimizing the roles of all members of the multidisciplinary team.

Presented by: Brenda Robichaud, Team Lead Nurse Practitioner-Led Clinic, Canadian Mental Health Association and Sarah Logan, Health Outreach Nurse, Canadian Mental Health Association Theme: System-Wide Integration Audience: All audiences

19

C13

On the Move and Driving Change: Integrating an Exercise Education Program into your CHC

As the 2014 AOHC Innovator of the Year Award recipient, the Exercise Education Program, at Black Creek Community Health Centre, demonstrates excellence in new innovation with respect to primary care, illness prevention, health promotion, community capacity building and service integration. The Exercise Education Program (EEP) is a clinically-based exercise promotion and education centre focused on helping to incorporate regular physical activity into the lifestyles of community residents. Participants of this interactive workshop will learn about the creation and evolution of this innovative model of health promotion, discuss lessons learned, and review strategies and considerations when creating an integrated and sustainable exercise program within a CHC setting.

Presented by: Jean Fraser, Registered Kinesiologist, Certified Exercise Physiologist, Black Creek Community Health Centre, Noah Wayne, Registered Kinesiologist, Certified Exercise Specialist, PhD (Cand), York University - School of Kinesiology and Health Science, Frederyck Franco, BSc, RKin, CSEP-CEP, TEACH Trained and Cesar Calero, Kinesiology Student VolunteerExercise Education Program Theme: System-Wide Integration Audience: All audiences

C14 SPOTLIGHT SESSIONS:

BREAKING DOWN BARRIERS C14.1 Multicultural Health Navigator Program The Multicultural Health Navigator program helps immigrants and refugees navigate and learn about the Canadian healthcare system. This city wide program is operated by Somerset West Community Health Centre and serves four identified language communities: Arabic, Franco-African/Carribean, Nepali and Somali. The navigators are well-connected within their identified ethno-cultural community and have an understanding of how to navigate health and social services. Services include home visiting and appointment support, connecting to community services and programs, ethnocultural education on navigation and connection, community and health professional education dialogue and bridging.

Presented by: Abha Satyal, Multicultural Health Navigator, Somerset West Community Health Centre and Guillaume Mulimbwa, Multicultural Health Navigator, Somerset West Community Health Centre Theme: Breaking Down Barriers Audience: All audiences 20

CHAP: Community based Cardiovascular C14.2 Health Awareness Program The Cardiovascular Health Awareness Program (CHAP) is an innovative community-based initiative designed to improve cardiovascular health. Adopting a collaborative approach to risk assessment, education and management, CHAP enables participants to learn about their risk of cardiovascular disease, access community resources for cardiovascular health, and connect with family physicians and pharmacists to utilize health services. In use for more than a decade, this program has successfully demonstrated a reduction in the rates of hospital admissions for heart disease and stroke in small communities around Ontario.

Presented by: Naila Butt, Executive Director, Social Services Network Theme: Breaking Down Barriers Audience: All audiences

Community Based FASD Diagnostic Clinics C14.3 Beyond Piece work and Pilots Fetal alcohol spectrum disorder (FASD) is the leading cause of developmental disabilities in the Western world and it is preventable. Research substantiates the fact that pre-natal exposure to alcohol can cause devastating effects, which are often misunderstood to be behavioural, attention and /or communication difficulties which result from poor parenting. This session will facilitate a richer understanding of FASD and the implications of the disorder for individuals, family members, as well as service providers.

Presented by: Angela Geddes, FASD Assessment Clinic Coordinator; Youth Justice Assessment Clinician, London Family Court Clinic Theme: Breaking Down Barriers Audience: All audiences

C14.4 Low Barrier Access to Healthcare Since 1986, registered nurses from Street Health have worked to overcome barriers to health faced by those impacted by poverty and/or homelessness in Toronto’s South-East community. Due to the changing nature of the population served by Street Health, the agency has innovated the ways in which healthcare is delivered.

This oral presentation will outline barriers to health faced by the community Street Health serves, findings from evaluation of the nursing role at Street Health, and changes made to the nursing strategy. It also outlines creative evaluation measures for small agencies with limited resources and the process of defining,

implementing and evaluating a new nurse practitioner primary health care role.

Supporting Cancer Screening Through D3 EMR Optimization

Presented by: Lucksika Sivakumar, Registered Nurse, Street Health Theme: Breaking Down Barriers Audience: All audiences

In order to assist primary care providers (PCPs) in Ontario in leveraging the functionality of their EMR systems for comprehensive cancer screening, Cancer Care Ontario (CCO) has developed EMR Optimization guides, quick reference tools and other training resources. During this Think Tank session, CCO will present an overview of the tools and training resources in addition to preliminary findings from pilots that test the usability and effectiveness of the tools. Participants will be asked to provide feedback on various topics pertaining to the use of their EMR systems in support of cancer screening and the barriers to screening faced by the various practice models.

Stream D

D1

The science of compassion, addiction treatment, prevention and harm reduction

Science and compassion both call for humane attitudes towards the marginalized and the vulnerable: science tells us how trauma leads to addiction, mental illness and dysfunction; compassion allows us to put that knowledge into practice by creating conditions that lead to healthy development and healing.

This session will present key principles behind traumainformed care and guidelines towards creating a recovery-oriented model focusing on empowerment.

Harm reduction will be explained not as enabling substance use but as a necessary step towards restoring dignity.

Presented by: Dr. Gabor MatĂŠ, renowned speaker and bestselling author of the award-winning In the Realm of Hungry Ghosts: Close Encounters with Addiction Theme: Breaking Down Barriers Audience: All audiences

D2

Addressing Mental Health & Addictions Issues: The Case for Investing in Supportive Housing

Research has found that recovery from mental illness and addictions cannot happen if people do not have adequate housing. This issue is of strong concern for many AOHC members who serve people with these challenges. The Ontario government has promised to develop a plan to end homelessness. Hear what housing organizations are proposing the government do to ensure more supportive housing, and discuss what steps you can take in your community to echo the call.

Presented by: Jean Stevenson, Executive Director, Madison Community Services and John Wilson, Manager, Strategy & Advocacy, Ontario Non Profit Housing Association Theme: Breaking Down Barriers Audience: Front line/program staff|Senior management| Policy makers|Program management|Board members

Presented by: Zabin Dhanji, Project Manager, Cancer Care Ontario Theme: Working Upstream Audience: Front line/program staff|Senior management|Program management|Administration

D4

Practice Based Research Networks Bringing Research Closer to Practice

Practice-based research networks (PBRNs) provide the opportunity to gain a greater understanding of the needs of our client population by generating new knowledge that can be quickly applied to the clinical setting. The purpose of this panel will be to generate excitement about the notion of an Ontario Community Health PBRN. To kick off the conversation, Sonja Likumahuwa-Ackman, MID, MPH will discuss her experience developing a CHC-based PBRN in Oregon. Established in 2010, the Community Health Applied Research Network (CHARN) is a network of 18 individual CHCs and 4 academic partners in 9 states supported by a data coordinating center. After learning about CHARN we will hear from Hersh Sehdev, Executive Director of Kingston CHC who will provide the vision for community based research going forward. We will then hear from Mark Mycyk, BIRT Lead about how our Information Management Strategy is moving powerful tools into the sector to support collective research and evaluation efforts. Attendees will have a chance to discuss these ideas with the provincial research committee and be presented with opportunities to contribute to these ongoing efforts.

Presented by: Sonja Likumahuwa-Ackman, Research Program Manager, Oregon Health & Science University, Mark Mycyk, BIRT Lead, Association of Ontario Health Centres, Hersh Sehdev, Executive Director, Kingston Community Health Centre, Laura Muldoon, MD, Somerset West Community Health Centre, Imaan Bayoumi, MD, Napanee site, Kingston Community Health Centre Theme: Primary Health Care at the Foundation Audience: All audiences 21

D5

Maximizing wrap-around primary health care access and equity for the vulnerable

In 2012-2013, the Windsor Essex Community Health Centre (WECHC) renewed itself with an updated mission, vision and values, along with revitalizing its strategic plan. These updates helped to ensure the multidisciplinary primary health teams are focusing on a comprehensive approach to health, prevention and chronic disease management services to the unique needs of our Windsor Essex populations, specifically the vulnerable individuals in the region. The importance of the social determinants of health have been long recognized by WECHC. The organization has been able to expand and strengthen its services to become more accessible, meeting client’s needs. We will review WECHC’s strategies to building a strong primary care system, including highlighting some key programs and services, with client’s testimonies of how the services provided have impacted their lives.

Presented by: Vera Rozenbojm, RN, CCHN (C), Non Acute Care Infection Control Practitioner, Windsor Essex Community Health Centre and Lauren Fleming, Registered Dietitian MSC.FN, Windsor Essex Community Health Centre Theme: Primary Health Care at the Foundation Audience: All audiences

D6

22

Physiotherapists: Opportunities and Emerging Roles in Primary Health Care

D7

Woolwich Leading the Way: The CIW, Strategic Planning, and Community Governance

At a time when the lines are growing increasingly blurry between CHCs and other primary health care delivery models, it is imperative that we provide compelling illustrations of the innovative work of our membership that distinguish us; especially, those contained in our Model of Health and Wellbeing, of which one vitally important element is Community Governance. In this workshop, participants will learn about some of the really outstanding work performed by the Woolwich Community Health Centre in terms of the way it has used the Canadian Index of Wellbeing as part of its strategic planning and community engagement processes. Their Executive Director, Denise Squires, has emerged as an exemplar not just within our sector, but on the national stage as well. Special attention will be placed on the role of the board throughout this process understanding that one of the primary functions of a board is to establish strategic priorities for the organization that are in the best interests of the community they purportedly represent. Speaking of which, what better way to perform this vital task than to partner with other community service agencies.

Presented by: Denise Squire, Executive Director, Woolwich Community Health Centre and Mary Lynn McPherson, Chairperson, Woolwich Community Health Centre Theme: Maximizing Community Governance Audience: Senior management|Policy makers|Program management|Board members

With the removal of policy barriers and the flow of Ministry funding for 38.3FTE permanent physiotherapist (PT) positions across the province, opportunities to integrate physiotherapists into FHTs, CHCs, NPLCs and AHACs have increased. In these new positions PTs are emerging as key players in clinical best practices for comprehensive, integrated care. This session will highlight some examples of the innovative, evidencebased programming being delivered by physiotherapists and their interprofessional colleagues in primary health care organizations around the province. It will outline the evidence supporting the role of the physiotherapist in the prevention and management of chronic conditions and the promotion of health and wellbeing.

It will also include an overview of emerging roles for physiotherapists and opportunities for physiotherapy services in community-based primary health care.

D8

Presented by: Amanda Smart, Director of Practice and Member Services, Ontario Physiotherapy Association, Emily Stevenson, Physiotherapist, East End Community Health Centre and Tariq Asmi, CEO, The Four Villages Community Health Centre Theme: Quality Improvement and Clinical Leadership Audience: All audiences

Presented by: Scott Wolfe, Executive Director, Canadian Association of Community Health Centres and Jacquie Maund, Policy & Government Relations Lead, Association of Ontario Health Centres Theme: Working Upstream Audience: Front line/program staff|Senior management| Policy makers|Program management|Board members

Preparing for the federal election: Update on pharmacare and other national health campaign asks

Canadians expect to be headed to the polls this fall in a federal election. We need the next federal government to make upstream investments in poverty reduction and healthy public policy to improve health and wellbeing for everyone. Hear from the Canadian Association of Community Health Centres (CACHC) about their campaign asks for a national Pharmacare program, federal investments in CHCs, a national Poverty Reduction Strategy and a National Housing Plan. Learn about actions you can take at the local level to support these asks and add your voice to the call for more federal leadership on healthcare during a significant decision making time across the country.

Prioritizing LGBTQ+ Newcomers: The Path from D9 Lived Experience to Frontline to Systems Change This workshop demonstrates the need to prioritize LGBTQ+ newcomers through respectful and effective service, and shares strategies and first steps for organizational change. Emphasis will be placed on the relevance of this work to all community health centres, including those who have not (yet!) identified LGBTQ+ newcomers as a priority population in their mandate.

Two LGBTQ+ newcomers will share their lived experience of how sexual orientation, gender identity, and being a newcomer to Canada intersect and affect their health needs and access to care. A community health worker at Access Alliance Multicultural Health and Community Services will discuss operational innovations including successes and challenges in planning and implementing an equity-based, integrated anti-oppressive framework of service delivery for LGBTQ+ newcomers. The coordinator of the Positive Spaces Initiative at the Ontario Council of Agencies Serving Immigrants will guide an exploration of leadership roles and available tools in the change process. Take-home and online resources will be provided to facilitate ongoing change efforts.

Presented by: Ranjith Kulatilake, Community Health Worker, LGBTQ+ Newcomer Initiatives, Access Alliance Multicultural Health and Community Services and Erin Ewing, Coordinator, Positive Spaces Initiative, Ontario Council of Agencies Serving Immigrants Theme: Breaking Down Barriers Audience: All audiences

D10

Essential Elements for Practice Improvement

The current landscape of primary care models in Ontario has evolved over decades, introducing new expectations and initiatives. Primary care practices have many competing organizational and clinical priorities. This presents challenges to systemically advancing improvement priorities across primary care.

Strengthened leadership and coordinated supports are needed to address this reality and create coordinated improvement approaches that are seen to add value at both the practice and system level. Participants will hear evidence-based examples regarding essential elements for supporting ongoing practice improvement.

Presented by: Dave Zago, Quality Improvement Advisor, Health Quality Ontario and Stacey Johnson, Knowledge Transfer & Exchange Specialist, Health Quality Ontario Theme: Quality Improvement and Clinical Leadership Audience: All audiences

D11

Community Child Minder Training Program

The Community Child Minder Training is a health promotion/educational series that increases knowledge in child development and skill development opportunities for newcomers and women living with low income. This program is a joint initiative between three community health centres and one settlement agency in West Toronto. The program offers a toolkit for service providers who work with women and children, and are interested in supporting child health, skill development, educational attainment and Canadian experience for women. The Community Child Minder Training program was awarded by the Toronto Foundation in 2014 as a Vital Idea model of service.

Presented by: Salma Jaffer, Community Health Promoter, The Four Villages Community Health Centre and Tamara Largie, Supervisor, Health Promotion and Early Years Initiatives, Davenport- Perth Neighbourhood and Community Health Centre Theme: Breaking Down Barriers Audience: Front line/program staff|Program management

D12

Rural Health Hubs Framework and Community Health Planning: The Collective Impact Opportunity

Developed and endorsed by a multi-sector rural health hub advisory committee, the Rural Health Hubs Framework for Ontario was finalized in January 2015.

A significant recommendation from the Framework includes the development and implementation of local Community Health Plans in rural communities.

These plans would engage all local health and social service providers and community members. This session will give a brief overview of the content of the Rural Health Hubs Framework. Collective Impact, a framework that has demonstrated tremendous success in engaging multiple sectors to effectively address a range of complex social and environmental issues, will be introduced. Participants will consider how the five conditions and three pre-conditions of Collective Impact could support development of Rural Community Health Plans and be introduced to specific tools to engage a diversity of stakeholders in developing a common agenda for change.

Presented by: Leah Stephenson, Director, Member Services, Association of Ontario Health Centres and Sylvia Cheuy, Director, Deepening Community Learning Communities Theme: System-Wide Integration Audience: Senior management|Policy makers|Program management|Board members|Administration

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D13

HIROC Cyber Risk

Cyber risks are risks connected to failure of an organization’s information systems or technology that can result in potential financial loss, reputational damage and/or litigation. Potential cyber related losses include but are not limited to: privacy breach or network security breach; loss or damage to network; electronic theft of money, information, identity or other intangible property; data corruption; damage to third party property; business interruption; defamation, libel and slander. The Healthcare Insurance Reciprocal of Canada (HIROC) has developed a number of tools and resources that can assist community health centres and their governance structures to manage cyber risks efficiently. HIROC experts have also worked diligently to find appropriate insurance solutions to aid healthcare organizations to protect themselves from financial losses.

Presented by: Kopiha Nathan, Senior Healthcare Risk Management Specialist - Data Specialist Theme: Maximizing Community Governance Audience: Senior management| Board members| Administration

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Empowering racialized francophone communities through accessible health promotion programs

Newcomers and immigrants Francophones from Africa and the Caribbean are identified as facing significant barriers in accessing health services in general. They are almost two and a half times more likely to experience difficulties in accessing health services compared to those born in Canada. This Afro-Caribbean Francophone community does not necessarily understand the Canadian health system, does not understand the range of primary care and community services offered, tends to use these services less often and therefore more likely to experience poor health outcomes. Our Francophone program at TAIBU CHC has been remarkably successful since the implementation of the health promotion activities which aimed at improving the accessibility of services for this twice marginalized population: Marginalized once because of the language barrier and further marginalized because of their race and ethnicity.

Through this session, we will share our experience, best practices and principles of service delivery implemented to engage, empower and improve access for Francophones in general and specifically to the racialized Francophone communities.

Presented by: Ameth Lo, Health Promoter - French Language Services, TAIBU and Liben Gebremikael, Executive Director, TAIBU Theme: Breaking Down Barriers Audience: All audiences

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ConferenCe floorPlan ConferenCe floorPlan Upper Conference Upper Level Conference Level

Lower Conference Lower Level Conference Level

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Of Note Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.

of noTe

Door prizes will be announced at Wednesday’s plenary session! Good luck!

Promoting a healthy, scent-free environment In consideration to those who are sensitive to chemicals, we kindly ask you to refrain from wearing perfumes, colognes and other scented products at the conference and affiliated events.

Note for 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.

DelegaTeS WiTh MoBiliTy DifficUlTieS

The Sheraton Parkway Toronto North is accessible with ramps and elevator Special dietary considerations access. From the Best Western, access to the conference site is best via the We hope the buffet meals at the conference will provide delegates with enough outside.

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 SPeCiAL DieTAry CONSiDerATiONS of your dietary requirements and ask for a special meal.

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, For interpretation into French if needed, as you sit down for each meal, you are welcome to let your server Please get headsets at audio-visual booth know of your dietary requirements and ask for a special meal.

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 hAVe yOur SAy! Grand York ballroom where the plenaries are being held. You will be asked to leave Data On The Spot is the Canadian leader in audience response technology. aThe piece of identification with staff during the times you are using the headset. 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!

Use the hashtag

Wi-fi Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.

#AOHC2015 for all your tweets

Join us on Twitter! use the hashtag

#PMTL2014 for all your tweets 26

Thank YOu AOHC is grateful for the support of its contributors Great thanks go out to the many people who have contributed to this year’s annual primary health care conference. We offer gratitude to our sponsors, speakers and learning session presenters, our exhibitors, volunteers and staff colleagues – to all who promoted the conference, and to all of you who are here, asking crucial questions about primary health care and how it is delivered.

A special thanks to a few individuals and organizations with special roles: Dr. Nicole Nitti of Access Alliance Multicultural Health and Community Services for her participation in the planning process; to our learning session submission peer reviewers: Lindsay Allan, Regent Park Community Health Centre; Diana Vangelisti, South Georgian Bay Community Health Centre; Jane De Jong, South East Grey Community Health Centre; Martha Rogers, York University; Rae Belcourt, London InterCommunity Health Centre; Bronwyn Underhill, Parkdale Community Health Centre; Anu Radha Verma, East Mississauga Community Health Centre; Pat Mandy, De dwa de dehs neys Aboriginal Health Centre; Jeannie Page, South-East Ottawa Community Health Centre; Michelle Westin, Black Creek Community Health Centre; Andrew Sharpe, London InterCommunity Health Centre; Cliff Ledwos, Access Alliance Multicultural Health and Community Services; Lise Marie Baudry, Centre Francophone de Toronto; Adam Jones, SYKES Assistance Services Corporation; Randy Houston, Association of Ontario Health Centres; and to Lindsay Hall who, once again, did a fantastic job coordinating our volunteers.

Heartfelt thanks also go to long-time volunteers and their sponsoring Centres.

We appreciate all of your hours of work and unending professionalism.

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presented by:

Association of Ontario Health Centres

Community-governed primary health care Association des centres de santé de l’Ontario

Soins de santé primaires gérés par la communauté

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