Shift the Conversation: Community Health and Wellbeing conference program 2016

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 9005 Leslie St Richmond Hill, ON

Association of Ontario Health Centres

Community-governed primary health care

June 8 & 9, 2016

Association des centres de santé de l’Ontario

presented by:

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 6 Speakers 12 Conference Learning Objectives 13 Learning Session Descriptions 30 Conference Floorplan 31 Of Note 32 Thank You

SCHEDULE AT A GLANCE Wednesday, June 8, 2016 7:00 am 7:30 8:30 – 9:30

9:45 – 10:30 10:30 – 11:00 11:00 – 12:00 pm 12:15 – 1:15 1:15 – 2:30

2:40 – 3:25 3:25 – 3:45 3:45 – 4:45 4:45 – 6:15 6:15 7:00

Registration opens Exhibit/Breakfast buffet opens Opening Ceremonies and Plenary One – Transformative Change for People and Communities Facing Barriers to Health Learning Sessions A Break Learning Sessions B Communities of Interest Networking Lunch Plenary Two – People and Communities First in Health System Transformation Learning Sessions C Break Learning Sessions D Free time Reception with cash bar AOHC Transformative Change Awards Gala

Thursday, June 9, 2016 7:00 am 7:30 8:30 – 10:00

10:00 – 10:30 10:30 – 12:00 pm 12:15 – 1:15 1:15 – 2:45

2:45 – 3:00

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Registration opens Exhibit/Breakfast buffet opens Plenary Three – The Past and The Future Are Present: Exploring Relationship Between Canada and First Nations Peoples Break Learning Sessions E Lunch Plenary Four – The Power of Collective Impact and Community Engagement in Transforming Complex Systems Adjournment and exhibits close

WELCOME Welcome to the Association of Ontario Health Centres’ 34th annual primary health care conference, Shift the Conversation: Community Health and Wellbeing. On behalf of the AOHC Board of Directors, we hope this conference inspires you to champion transformative change for people and communities that face barriers to health.

A more seamless, people– and community-centred system that closes the great health divide is only possible if we all continue to work better together – at the local, regional and provincial levels. How do we strengthen primary health care to better meet the needs of people and communities who face the greatest barriers and are most disproportionately at risk and impacted by poor health? What are the opportunities to enhance the power of community governance in the face of the complexity of health system reform? What can we do to better plan, work and improve together, using equity and intersectionality lenses, and create common agendas for change within our practices, with our local partners, with our provincial partners? How do we ensure we have the best and most relevant data possible to make wiser decisions and continually improve people– and community-centred services?

This year’s conference challenges us to reflect upon such questions and inspires ideas, conversations and actions to answer them.

As demonstrated by the World Health Organization, one of the best ways to close the equity gap within our province is to address the health, including health care, needs of those facing the greatest barriers. There is also growing evidence about how the determinants of health operate at both the individual and neighbourhood levels, reinforcing our priority to put people and communities first.

Alongside the imperative to champion an equitable primary health care system, this conference seeks to support your leadership in challenging the status quo with integrity and being catalysts for innovation. We hope the experiences you have at the conference enhance efforts at community-driven collaboration. Finally, we aim to share knowledge that is community-informed and evidence-based.

By the end of our time together, my sincere wish is for you to leave with new energy, new insights and new tools to help us all move closer to our shared vision of the best possible health and wellbeing for everyone in Ontario. Because everyone does matter.

Sincerely, Cheryl Prescod

Chair, Association of Ontario Health Centres

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DETAILED PROGRAM Wednesday, June 8, 2016 7:00 am

Registration opens

7:30

Exhibit/Breakfast buffet opens

8:30 – 9:30

OPENING CEREMONIES AND PLENARY ONE – TRANSFORMATIVE CHANGE FOR PEOPLE AND COMMUNITIES FACING BARRIERS TO HEALTH Our opening plenary will introduce how this year’s conference supports us all working better together to champion transformative change for people and communities facing barriers to health. The Minister of Health and Long-Term Care, Eric Hoskins, will bring greetings and a message about health equity.

As people struggling with substance use and concurrent mental health challenges are among those in Ontario who face the greatest barriers to health, panellists Marc-Andre Hermanstyne, Board Member of Queen West – Central Toronto CHC; Rob Boyd, Director of Oasis; Dr. David McKeown, Toronto Medical Officer of Health; and Raffi Balian, COUNTERfit Coordinator, will answer a wicked question about harm reduction.

Finally, we will celebrate this year’s Community Health Champion Award winner, Dr. David McKeown, and deliver a call to action on supervised injection services in Ontario.

9:45 – 10:30

Learning Sessions A

10:30 – 11:00

Break

11:00 – 12:00 pm Learning Sessions B 12:15 – 1:15

Communities of Interest Networking Lunch For a complete listing of networking lunches, see the Conference Passport

1:15 – 2:30

PLENARY TWO – PEOPLE AND COMMUNITIES FIRST IN HEALTH SYSTEM TRANSFORMATION Deputy Minister of Health and Long-Term Care Dr. Bob Bell will provide the latest thinking on implementation of the province’s Patients First proposals.

Panellists Dr. Gregory Marchildon, Ontario Research Chair in Health Policy and System Design at the University of Toronto; and Angela Robertson, Executive Director of Queen West – Central Toronto CHC, will pose their most pressing questions based on the latest national and international evidence supporting the importance of addressing health and wellbeing in health system reform.

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2:40 – 3:25

Learning Sessions C

3:25 – 3:45

Break

3:45 – 4:45

4:45 – 6:15

Learning Sessions D

6:15

Reception with cash bar

7:00

AOHC TRANSFORMATIVE CHANGE AWARDS GALA

Free time

Thursday, June 9, 2016 7:00 am

Registration opens

7:30

Exhibits/Breakfast buffet opens

8:30 – 10:00

PLENARY THREE – THE PAST AND THE FUTURE ARE PRESENT: EXPLORING RELATIONSHIP BETWEEN CANADA AND FIRST NATIONS PEOPLES Award-winning Canadian author Joseph Boyden will make the connection between residential schools, the national crime of Missing and Murdered Indigenous Women, and the deeply troubling suicide rates in Indigenous communities in Canada. A year after the release of the Truth and Reconciliation Commission’s report, Boyden will focus on concrete steps to move forward. He will also underline that, for all of the difficulties we still face, there are just as many brilliant and positive examples of health, wellbeing, and cultural reclamation in Indigenous communities.

10:00 – 10:30

Break

10:30 – 12:00 pm

Learning Sessions E

12:15 – 1:15

Lunch

1:15 – 2:45 PLENARY FOUR – THE POWER OF COLLECTIVE IMPACT AND

COMMUNITY ENGAGEMENT IN TRANSFORMING COMPLEX SYSTEMS Former Director of Barack Obama’s White House Domestic Policy Council and current Chair of the Aspen Institute’s Forum for Community Solutions, Melody Barnes will provide concrete examples of rigorous multi-sectoral and community-engaged collaboration in the United States and other jurisdictions that have measurably improved the health and wellbeing of people and communities facing barriers. She will share lessons learned about how and why to apply collective impact and community engagement approaches as powerful levers for positive change in Ontario’s health system transformation.

Barnes will then moderate a conversation with Lyn Linton, Executive Director of Gateway CHC and Lead of Rural Hastings Health Link, and Jack McCarthy, Executive Director of Somerset West CHC and cofounder of Refugee 613, about how they have applied collective impact and community engagement in their regional work. They’ll also explore ideas for how collective impact and community engagement should be used in the context of Ontario’s health system redesign efforts.

2:45 – 3:00

Adjournment and exhibits close

This program has been accredited by the College of Family Physicians of Canada and the Ontario Chapter for up to 10 Mainpro-M1 credits.

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SPEAKERS

Raffi Balian

Melody Barnes

A strong advocate for the decriminalization of drug use, Raffi Balian has been working in the harm reduction field since 1993. He identifies as a person who injects drugs and has been on staff at South Riverdale Community Health Centre (SRCHC) since 1998 when, along with community members, Raffi started the COUNTERfit Harm Reduction Program at the Centre, one of the few user-driven programs in Canada. He is currently the program coordinator.

Melody Barnes is a Co-Founder and Principal of MBSquared Solutions LLC, a domestic strategy firm, and Vice Provost for Global Student Leadership Initiatives at New York University (NYU). She is also a Senior Fellow at NYU’s Robert F. Wagner School of Public Service. Melody chairs the Aspen Institute Forum for Community Solutions and Opportunity Youth Incentive Fund, as well as serves on the Boards of Directors of Ventas, Inc., an S&P 500 company; Booz Allen Hamilton Holding Corporation; the Marguerite Casey Foundation; and Year Up.

In 2004, COUNTERfit was recognized with the Award for Excellence in Primary Health Care. In 2010, COUNTERfit received the Jay Browne Living Legacy Award from the Ontario HIV Treatment Network (OHTN) in recognition of its excellence, leadership and innovation in the field of HIV/AIDS and to advance the work of community leaders. The OHTN’s award provided seed funds for a memorial to honour the people who have died because of drug use. In 2006, Raffi became the recipient of the National Rolleston Award from the International Harm Reduction Association. In 2010, in collaboration with another harm reduction activist, Raffi published Harm Reduction at Work, a manual on the employment of active drug users in harm reduction programs.

Raffi is a member of the International Network of People who Use Drugs (INPUD), the Research Group on Drug Use in Toronto, the Canadian Drug Policy Coalition, as well as the newly formed Harm Reduction Association of Toronto. Raffi works tirelessly to achieve decriminalization of drug use and to end marginalization and discrimination of people who use drugs.

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From 2009 until 2012, Melody was Assistant to the President and Director of the White House Domestic U.S. Policy Council, where she provided strategic advice to President Obama and worked closely with members of the Cabinet coordinating the domestic policy agenda across the Administration. Under her leadership, innovative new policies, practices and partnerships were initiated to address significant national challenges, including education, health care and the U.S. government’s relationship with local governments and communities.

Her experience also includes working as the Executive Vice President for Policy at the Center for American Progress; serving as a chief counsel for Senator Edward M. Kennedy on the Senate Judiciary Committee; an appointment as Director of Legislative Affairs for the U.S. Equal Employment Opportunity Commission; and serving as a Principal at the D.C.–based consulting firm The Raben Group.

Bob Bell

Rob Boyd

Dr. Robert Bell was appointed Deputy Minister of Health and Long-Term Care in 2014. Prior to this role, he served as President and Chief Executive Officer of University Health Network for nine years. He was previously the Chief Operating Officer at Princess Margaret Hospital and Chair of both Cancer Care Ontario’s Clinical Council and the Cancer Quality Council of Ontario.

Rob Boyd has been working in the fields of mental health and substance use disorders, as well as homelessness in Ottawa for the past 25 years, including the last 13 years as Oasis Program Director at Sandy Hill Community Health Centre (CHC).

Dr. Bell received his doctor of medicine from McGill University and a master of science from the University of Toronto. He also completed a Fellowship in Orthopaedic Oncology at Massachusetts General Hospital and Harvard University. Dr. Bell is a Fellow of the Royal College of Physicians and Surgeons of Canada, the American College of Surgeons and an Honourary Fellow of the Royal College of Surgeons of Edinburgh.

An internationally recognized orthopedic surgeon, healthcare executive, clinician-scientist, and educator, Dr. Bell brings more than 30 years of healthcare experience to his current role.

Oasis is a leader in integrating mental health, addictions and primary care services for people who experience barriers accessing mainstream services. The Oasis program components include the distribution of safer smoking and injecting equipment, opioid substitution therapy, peer naloxone training, HIV and hepatitis C care and treatment, Housing First based case management services, addictions and mental health counselling and support, and community development support for people who use drugs. Sandy Hill CHC serves people with mental health and substance use issues across the socioeconomic spectrum, applying a continuum of treatment approaches that match the intensity of individual needs and barriers to recovery.

Rob is currently the lead on establishing supervised injection services as part of the substance use treatment services in Ottawa.

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SPEAKERS

Joseph Boyden

Marc-Andre Hermanstyne

Joseph Boyden is a national and international literary superstar. Shooting to fame with his first novel, the multi-award winning Three Day Road, Boyden has repeated his triumphs in his subsequent novels, Through Black Spruce and The Orenda. Exploring and delving into the experiences of Aboriginal peoples, while examining themes of history, race, alienation, culture, and diversity, his engrossing talks deepen our understanding of today’s—and yesterday’s—complex world. He’s a seasoned public speaker whose words regularly receive standing ovations.

Marc-Andre Hermanstyne has been creating harm reduction programs for African, Caribbean, Black (ACB) adult and youth communities for the past five years. He currently works as the Harm Reduction Program Coordinator at Black CAP and is also employed by South Riverdale CHC. He has been serving on the Board of Directors for Central Toronto Community Health Centre — Queen West since 2012. He is the current Vice Chair of the Toronto Urban Health Fund review panel. He sits on the Provincial Harm Reduction Advisory Committee reporting to the Ministry of Health and Long-Term Care (MOHLTC). Marc-Andre was a member of the Toronto Drug Strategy Implementation Panel serving as the Chair of the Stigma and Discrimination working group. He also conducts harm reduction 101 trainings across the city with Toronto Public Health and across the province in his role as Director of Hermanstyne Consultation Services.

Joseph’s novels have earned a number of prestigious literary awards, including the Rogers Writers’ Trust Fiction Prize, the CBA Libris Fiction Book of the Year Award, the Amazon.ca/Books in Canada First Novel Award, the McNally Robinson Aboriginal Book of the Year Award, the Scotiabank Giller Prize, the Canadian Booksellers’ Association Fiction Book of the Year and the CBA’s Author of the Year Award.

In addition to his numerous literary prizes, Joseph has received honorary degrees from Nipissing University, Algoma University, and Trent University, and was awarded the Queen Elizabeth II Diamond Jubilee Medal in 2012. He was named to the Order of Canada in 2015, recognized for his contributions to telling stories of common heritage and for his social engagement notably in support of First Nations.

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Hon. Dr. Eric Hoskins

Michelle Hurtubise

Dr. Eric Hoskins was first elected to the Ontario legislature as the MPP for St. Paul’s in 2009 and re-elected in 2011 and 2014. Dr. Hoskins currently serves as Minister of Health and Long-Term Care.

He has previously served as Minister of Economic Development, Trade and Employment, Minister of Children and Youth Services, and Minister of Citizenship and Immigration.

Michelle Hurtubise has spent much of the past 22 years working with community health centres in Toronto and London. She is a recognized community leader and innovator and a sought after facilitator and public speaker on health equity, innovation in leadership, and community engagement. Currently Michelle is the Executive Director of the Ontario Centre of Excellence for Child and Youth Mental Health in Ottawa. An active community member, Michelle’s recent involvements include the Canadian Association of Community Health Centres, London Poverty Research Centre, and the Loran Scholars Foundation. She is a certified Organizational Systems and Relationship Coach, and is known as someone who isn’t afraid to speak her mind and emphasize her point with some well executed dance moves.

Dr. Hoskins is also a renowned humanitarian, family doctor and a proud Ontarian with a long and dedicated record of public service. After finishing his medical studies at McMaster University, and subsequently at Oxford University as a Rhodes Scholar, he spent nearly a decade as a doctor and humanitarian in war-torn regions in Africa and around the world. From 1997 to 2000, he served as the senior advisor to then Foreign Minister Lloyd Axworthy on issues such as human rights, child soldiers, peacekeeping and the landmines ban. He and his wife, Dr. Samantha Nutt, founded the international charity War Child Canada to help hundreds of thousands of children in war-affected regions across the globe. He was also Advisor to the Office of the Special Representative for Children and Armed Conflict at the United Nations in 2002-03.

Dr. Hoskins has been recognized for his humanitarian work and public service. In 2008, he was invested as an Officer of the Order of Canada. He has also received the Governor General’s Meritorious Service Cross, and has been awarded the United Nations Lester B. Pearson Peace Medal.

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SPEAKERS

Lyn Linton

Dr. Gregory Marchildon

Lyn Linton is currently the Executive Director of Gateway CHC and the Lead for the Rural Hastings Health Link. She has a Master’s Degree in Health Administration with extensive experience in the not-for-profit and for-profit healthcare sectors. Her varied career includes working a CEO, Director of Operations, Product Manager and Nursing Professor.

In her nursing professional role, she worked in the areas of critical care, psychiatry, and community health. Her other roles include planning and policy development with the former District Health Council, nursing research in collaboration with the Ministry of Health and Long-Term Care, Marketing and Product Development with Johnson & Johnson Medical, strategic and operational leadership with Trudell Medical International, as well as experience in the hospital and community sectors.

Gregory P. Marchildon is an Ontario Research Chair in Health Policy and System Design with the Institute of Health Policy, Management and Evaluation at the University of Toronto. Prior to this, he served as a Canada Research Chair in Public Policy and Economic History, and professor in the Johnson-Shoyama Graduate School of Public Policy at the University of Regina. Dr. Marchildon is a fellow of the Canadian Academy of Health Sciences, a founding member of the Pan-Canadian Health Reform Analysis Network (PHRAN) and an associate editor of PHRAN’s journal, the Health Reform Observer – Observatoire des Réformes de Santé. He is also Canada’s representative to the European Observatory on Health Systems and Policies’ networked platform, the Health Systems and Policy Monitor (www.hspm.org).

In 2001 and 2002, he was the Executive Director of the federal Royal Commission on the Future of Health Care in Canada. His experience also includes serving as Saskatchewan’s Cabinet Secretary and Deputy Minister to the Premier as well as the province’s Deputy Minister of Intergovernmental Affairs.

Prior to his work in government, Dr. Marchildon was an academic. He has written extensively on a variety of subjects, including health policy, comparative health systems and the policy history of Canadian Medicare. He has published articles in a broad range of journals, as well as authored and co-authored seven books, including Health Systems in Transition: Canada (2006, revised 2013).

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Jack McCarthy

Dr. David McKeown

Jack McCarthy has been the Executive Director of Somerset West CHC since 1989. His many accomplishments include two major capital projects, an eight-year tenure as chair of the Canadian Alliance of Community Health Centre Associations, current chair of the CHC Executive Directors Group in the Champlain Local Health Integration Network (LHIN), and active member of the Ottawa Coalition of Community Health and Resource Centres. Starting in 2015, Jack has played a leadership role in Chairing the Health Task Force of Refugee 613, a grassroots network of health service organizations coordinating the citywide response in welcoming Syrian refugees to Ottawa.

Dr. David McKeown is Medical Officer of Health for the City of Toronto and Executive Officer of the Toronto Board of Health. He leads Toronto Public Health, Canada’s largest local public health agency, which provides public health programs and services for 2.7 million residents. He is a physician specialist who has worked in the public health field for more than 30 years including serving as Medical Officer of Health for East York, the Region of Peel and the preamalgamation City of Toronto. As Toronto’s current Medical Officer of Health, he has been an outspoken advocate for healthy public policy and the reduction of health inequities.

Jack is the recipient of several awards including the Joe Leonard Award honouring individuals who have made outstanding contributions to community health. Jack has a Master’s Degree in Social Work from Wilfrid Laurier University.

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SPEAKERS

Angela Robertson

Adrianna Tetley

Angela Robertson is the Executive Director of Queen West – Central Toronto Community Health Centre.

In the past, she worked as the Director of Equity & Community Development at Women’s College Hospital and Executive Director of Sistering – A Woman’s Place. Active in the black, women’s and LGBTQ communities, Angela is currently a Board member of the Houselink Community Homes and Stephen Lewis Foundation boards.

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.

CONFERENCE LEARNING OBJECTIVES Through an exploration of five themes, each with its own specific objective, conference participants will gain knowledge about progress toward a people and community-centred health and wellbeing system with better health outcomes for those facing the greatest barriers • Championing health equity—Healthier public policy and upstream interventions that break down systemic barriers to good health.

• Strengthening primary health care and ensuring access is based on population needs— Strategies to strengthen the foundation of our health system and ensure access is based on health equity priorities.

• Advancing people and community-centred services and programs—Initiatives, tools and tactics that put the needs of individuals, families and communities at the centre of service delivery and planning.

• Harnessing the power of data to drive improved outcomes—Gathering the evidence to inform decisionmaking about how to improve health outcomes, system efficiency, as well as people’s experience accessing services.

• Maximizing community governance—Enhancing the leadership role of community boards in health system transformation.

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LEARNING SESSION DESCRIPTIONS STREAM A A1

Privacy in Health Care or why you need to be even more careful in 2016

This session will present some of the big changes in the privacy landscape in Ontario, especially the gamechanging Bill 119 that will amend Ontario’s Personal Health Information Protection Act (PHIPA) which will make a significant difference in the healthcare sector.

Emphasis will be put on steps Health Information Custodians can take to avoid privacy and security breaches, and useful tips on how to maintain and improve legislative privacy compliance.

Presented by: Simeon Kanev, Privacy Business Analyst, Association of Ontario Health Centres Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

A2

Working to improve program delivery of the Good Food Box with the First Nations, Inuit and Métis communities

The Healthy People, Healthy Communities project was developed as an academic-community partnership between the University of Ottawa, the Ottawa Good Food Box and the Wabano Centre of Aboriginal Health to explore questions related to food security, health and community food programs within the context of a doctoral thesis. Since 2008, the collaborators developed a project that could provide a platform for community members to identify and discuss the factors that challenge and facilitate food security and access to adequate amounts of high quality, nutritious and affordable fruits and vegetables in urban Ottawa. From multiple perspectives, the project captured information on emerging issues and identified strengths of the Good Food Box Program and opportunities for improvement along with community-driven solutions to increase program access and its relevance as a food security strategy. Recommendations to promote more equitable program participation for First Nations, Inuit, Métis and non-Aboriginal households and families will be discussed.

Presented by: Emily M. Lecompte, Doctoral researcher, University of Ottawa; and Natasha Beaudin, Ottawa Good Food Box Coordinator and Health Promoter, Centretown Community Health Centre Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

A3

Two Common Mistakes in Community Health Management—and what we can do about them

As community health leaders we face severe limitations in time and money. Yet almost all of us make two mistakes that end up costing us more time and more money. Learn how you can apply some of Dr. W. Edwards Deming’s ideas to free up resources and better serve your communities.

Presented by: David Luke, President and Creative Director, 4Forward Theme: Maximizing community governance Audience: Senior management | Program management

A4

Mon vagin est masculin: Working with francophone trans populations in Ontario

This session will examine the experience of a Francophone CHC which, in partnership with a trans-run organization and with francophone trans-community members, has developed a support group for this population. It will also address the importance of CHCs in designated regions providing French-language services to this population. Challenges and successes will be presented. Participants will explore how our own assumptions can be a barrier to adhering to the CHC Model of Health and Wellbeing, and how we can address those. Participants will also be invited to reflect on how technology and online resources could further strengthen collective action as well as reduce isolation for this marginalized population.

Presented by: Monique Beaudoin, Coordonnatrice en promotion de la santé, Centre de santé communautaire du Grand Sudbury; and Vincent Bolt, Project Coordinator, TG Innerselves Theme: Championing health equity Audience: All audiences

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A5

Implementing chronic disease self-care workshops in underserved neighbourhoods in Toronto Central LHIN region

This session will: 1) Provide an outline of the provincial Self-Management Program; 2) Present the regional strategy in Toronto Central on partnerships with community service organizations, community health centres, family health teams, as well as in-patient and out-patient programs in hospitals in 14 Neighbourhood Improvement Areas (NIA). NIAs are areas of high social inequity as identified by the City of Toronto; and 3) Share the preliminary results of a qualitative research project that explores partner and client perceptions of the effectiveness of evidence-based workshops in promoting chronic disease self-management capabilities.

Presented by: Surkhab Peerzada, Manager, Toronto Central Self-Management Program, South Riverdale Community Health Centre; and Jason Altenberg, Director, Programs and Services, South Riverdale Community Health Centre Theme: Advancing people and community-centred services and programs Audience: All audiences

A6

Advocating for Healthy Public Policies: Supporting Health Promoters and Clients to Speak out for Change

A key feature of the Model of Health and Wellbeing is to address the social determinants of health. This means raising our voices together to call for government action to tackle poverty, extend health benefits and ensure decent jobs and working conditions. How can AOHC members work effectively with clients and people in communities to advocate for change? At this workshop you will hear from two CHCs who are actively engaging health promoters and clients in two advocacy campaigns: “$15 and fairness in the workplace” and expanded public dental programs. Learn how Access Alliance CHC and Guelph CHC mentor and support clients/community members to use their powerful voices to speak out with media and decision makers in the call for healthy public policies.

Presented by: Peggy Nickels, Health Promoter, Guelph Community Health Centre; and Sehr Athar, Research Coordinator, Access Alliance Multicultural Health and Community Services Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Policy makers

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A7

Outreach to Diverse Populations: Travelling Beyond the Walls

Three nurse practitioners will present three outreach programs run by Port Hope Community Health Centre (PHCHC). These programs include Aboriginal Health at Alderville First Nation, Residents of Greenwood Towers Hotel, and Migrant Workers. Outreach is becoming increasingly difficult in small communities due to decreased internal resources and limited locations where services can be provided. The common thread of achieving health equity and reducing emergency visits will be highlighted across the discussions.

Presented by: Janet Marchand, RN(EC), MSCN, NP-PHC, Nurse Practitioner, Port Hope Community Health Centre; Jane Spencer, RN(EC), BScN, NP-PHC, Nurse Practitioner, Port Hope Community Health Centre; and Lydia Rybenko, BSc. BScN/NP, Nurse Practitioner, Port Hope Community Health Centre Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Senior management | Policy makers | Program management

A8

An AOHC-CIHI Project to Test the Primary Health Care EMR Content Standard: Project Approach and Lessons Learned

The Primary Health Care EMR Content Standard (PHC EMR CS) was developed to support the collection of high-quality, comparable EMR data across Canada. In turn, this structured data can be used for reporting at the practice and health system levels. The Association of Ontario Health Centres (AOHC) and the Canadian Institute for Health Information (CIHI) have been collaborating to test the implementation of CIHI’s PHC EMR CS in an existing EMR system, using data from 10 Community Health Centres. The purpose of the demonstration project was to assess the effectiveness of a back-end implementation of the content standard, through AOHC’s BIRT tool. The project has evaluated the quality of the resulting data and its use in populating PHC indicators. As well, the project gathered insights from IT staff and clinicians to inform the future evolution of the PHC EMR CS. The session will describe the project approach and lessons learned.

Presented by: Mary Byrnes, Manager, Primary Health Care Information, Canadian Institute for Health Information; and Rodney Burns, Chief Information Officer, Association of Ontario Health Centres Theme: Harnessing the power of data to drive improved outcomes Audience: Frontline/clinical and/or program staff | Policy makers | Program management

A9

Between The Lines Program for Youth SelfHarm Behaviour

Between the Lines is a program designed for youth ages 12-17 who are engaging in or have a history of self-harm behaviour. It is an eight-week family-centred program that utilizes the application of Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, Art Expression and Mindfulness Meditation practices. The program was developed in 2011 in response to data that illustrated a prevalent increase of youth engagement in self-harm behaviours. The objective was to increase awareness and reduce stigma with respect to youth self-harm behaviour through the provision of education surrounding this topic and the establishment of a support network for the youth and their family. The program is facilitated in Chatham-Kent and is a collaborative initiative between the Chatham Kent Community Health Centres (CKCHC) and Victorian Order of Nurses (VON) Chatham-Kent.

Presented by: Brooke Leigh Smith, Child and Youth Worker, Chatham Kent Community Health Centres; and Erin Crow, Kids Circle Coordinator, VON Chatham Kent – Kids Circle Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Program management

A10 - SPOTLIGHT SESSIONS Nurse Practitioner Activities in Primary Care: A10.1 A Mixed Methods Study The nurse practitioner (NP) role in primary care continues to evolve in response to the needs of patients, families, groups and communities. Despite recurrent questions from funders, administrators, and health human resource planners, no studies have directly measured NP activities in primary healthcare settings. In this study, we used a selfadministered questionnaire to collect data from patients regarding their demographics and health condition(s).

We then observed and recorded all NP activities during a typical work week, including direct observation of patient visits. Data was collected at eight sites consisting of two practices within each of four heterogeneous models of care: Aboriginal Health Access Centres, Community Health Centres, NP-Led Clinics, and Family Health Teams. Sites were compared to explore the relationship between patient factors and how NPs spend their time in patient care and in their wider role activities (e.g., education and leadership).

Presented by: Faith Donald, Associate Professor, Ryerson University, Daphne Cockwell School of Nursing Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences Identifying Factors that Influence Ontario A10.2 Nurse Practitioners’ (NP) Patient Panel Size in Primary Health Care (PHC) Settings: Questionnaire Findings This presentation will provide a high-level overview of questionnaire findings from an applied health research study focused on identifying NPs’ perspectives of patient, NP, and organizational factors that may influence the number of patients in an NP panel.

Findings can help inform human resource decisions regarding the number of NPs needed in Ontario to care for patients and may be used to improve NP workloads.

Recommendations for the best use of nurse practitioner time and activities will be discussed. The findings may also improve inter-professional team functioning and contribute to efficient and timely access to high quality patient care.

Presented by: Nicole Bennewies, master of nursing student, Ryerson University, Daphne Cockwell School of Nursing Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

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STREAM B B1

Refugees living with Chronic Illness: A Growing Concern

Health research with refugee populations and clinical practice guidelines have primarily been focused on communicable diseases with little attention on chronic conditions. The recent influx of Syrian refugees to Canada highlights the need for attention to chronic disease. The Chronic Care Model (CCM) adopted by Ontario, and many other jurisdictions, is a validated framework for managing chronic disease. This growing evidence underscores the need to develop best practices on chronic disease management (CDM) for refugees.

This session will review current evidence in the context of data and experiences of refugees living with chronic diseases to stimulate strategic discussion on how the CCM can be applied to refugees.

Presented by: Dr. Nicole Nitti, Family Doctor, Access Alliance Multicultural Health and Community Services; and Dr. Akm Alamgir, Manager, Quality and Accountability Systems, Access Alliance Multicultural Health and Community Services Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Senior management

B2

Shifting the Conversation: Generative Thinking in the Boardroom

Practitioners, researchers and policy makers have questioned the relevance of governance in today’s complex health system. Healthcare boards are challenged to ensure that their governance structures, systems and processes are effective and responsive to the needs of clients, organization and the broader health system. In this interactive workshop, we highlight findings from a 2016 study that explored ways to create and sustain a generative model in the boardroom, according to Board Chairs and CEOs/ EDs. The study focused on CHCs, hospitals and CCACs in Ontario which utilize generative thinking in their boardrooms. We will build on the Governance as Leadership framework with its trimodal structure – fiduciary, strategic and generative. We will analyze how to optimize the generative mode using case studies, experiences, and tools from the study and beyond.

Throughout the session, participants will learn practical approaches that can be implemented into their board and senior leadership.

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Presented by: Gwen DuBois-Wing, PhD Candidate, Fielding Graduate University, Santa Barbara, CA Theme: Maximizing community governance Audience: Senior management | Board members | Administration B3

What Colour Is Stigma?

The use of recovery-based arts to reduce stigma among primary health care (PHC) providers will be explored in this panel presentation. Recovery-based arts is one component of a larger anti-stigma intervention designed to reduce mental illness-related stigma among PHC providers. CAMH’s Office of Transformative Global Health collaborated with three CHCs: Central Toronto CHC, Unison Health and Community Services, and South Riverdale CHC, to develop a 10-week art workshop series illustrating the importance of client participation in recovery. It also provided PHC professionals the opportunity to learn about recovery from consumersurvivors in a non-clinical manner. Three panellists, will discuss the development of the recovery-based arts workshops at their particular CHC, recruitment of clients and staff, the effect of the workshops on participants, and the impact of the resulting artwork on the CHC at large.

Presented by: Sireesha Bobbili, Special Advisor / Project Coordinator, Centre for Addiction and Mental Health (CAMH); and Lorraine Barnaby, Health Promoter, Central Toronto Community Health Centres Theme: Championing health equity Audience: All audiences

B4

Understanding Health Inequities and Access to Primary Care in the SW LHIN

This mixed methods study was a comprehensive examination of primary health care needs and service utilization of the population living in the SW LHIN. We paid particular attention to those facing barriers to accessing health care as well as the changing demographics of the population and the primary care providers in the region. The main objective of this project was to identify, consider and analyze the scope, scale and distribution of populations facing barriers to health, and to document their lived experience in accessing primary health care to inform actionable strategies to address any barriers identified.

Presented by: Jennifer Rayner, Research and Evaluation Lead, Association of Ontario Health Centres; and Andy Kroeker, Executive Director, West Elgin Community Health Centre Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

B5

Client-Centred Care through Creative Collaboration

This workshop will highlight how the innovative partnership and collaboration of students with a Community Health Centre in Hamilton has led to a new approach that addresses the needs of complex clients in downtown Hamilton. MacHealth DNA is a studentled clinic, made up of second- and third-year McMaster University medical students, which integrates health promotion into traditional clinic visits within Hamilton Urban Core Community Health Centre. This workshop aims to give insight into how this collaboration was established and the benefits of this partnership to clients in downtown Hamilton. Participants will also learn how they can replicate the model at their own agencies. Lessons learned will also be shared.

Presented by: Nhlaloenhle ‘Nala’ Ndawana, Primary Health Care Manager, Hamilton Urban Core Community Health Centre; Dr. Angela Carol, Physician, Hamilton Urban Core Community Health Centre; Jude Nnamchi, Community Health Worker, Hamilton Urban Core Community Health Centre; Gaibrie Stephen, MD Candidate, Class of 2017, McMaster University; Kevin Singh, MD Candidate, Class of 2016, McMaster University; Avijeet Sarker, MD Candidate, Class of 2016, McMaster University; and Christine MacCauley, MD Candidate, Class of 2017, McMaster University Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Senior management | Policy makers

B6

The Vaughan Experience: Cultivating Strong Partnerships with Municipalities

Through the early evolution of the application of the Canadian Index of Wellbeing (CIW) at the local level there have been many permutations of partnerships involving local government. These range from situations where the work is led by the municipality to situations where the municipality has had little direct involvement. In this workshop, the participants will learn about the Vaughan experience with a special focus placed on the powerful partnership between the municipality and the third sector with respect to the adoption of the CIW. Some of the key areas of learning will include: What are the fundamental differences in the roles and responsibilities between government and the civic sector? What implications does this have for our future work in terms of establishing strong and fruitful partnerships? How can the CIW be used to strengthen relationships between AOHC members and municipalities in a way that advances policy?

Presented by: Gary Machan, Association of Ontario Health Centres, CIW Implementation Specialist; Tony Carella, Councillor, City of Vaughan and past chair, Vaughan Community Health Centre; Dr Doug West, Political Science, Lakehead University; and Isabel Araya, Executive Director, Vaughan Community Health Centre and Chair, Vaughan Community Wellbeing Coalition Theme: Championing health equity Audience: All audiences

B7

Data for Outcomes - Moving Past the Numbers

The current landscape of primary care models in Ontario has evolved over decades, introducing new expectations, initiatives and a plethora of data sources and analyses.

However, little information is reported publicly to clients or directly to providers about the quality of the organizational practices. This presents challenges to practices attempting to navigate this landscape, discover how they are doing relative to their peers locally, regionally, and provincially and to systemically use data to advance improvement. Health Quality Ontario and the Association of Ontario Health Centres have developed and are deploying resources and information to help with this gap. This workshop will provide an overview of an array of data resources: Health Quality Ontario (HQO) Primary Care Practice Reports, HQO Primary Care Public Reports, HQO Quality Improvement Plan Query Tool, BIRT (Business Intelligence Reporting Tool). The purpose and functionality of these tools will be discussed. Participants will also have the opportunity to apply the tools to a scenario and discover how they can work synergistically.

Presented by: Dave Zago, Team Lead, Clinical Adoption, Health Quality Ontario; Margaret Willward, Quality Improvement Specialist, Health Quality Ontario; and Mark Mycyk, Business Intelligence Program Lead, Association of Ontario Health Centres Theme: Harnessing the power of data to drive improved outcomes Audience: All audiences

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B8

Using Client Experiences to Guide the Development of Concurrent Capable Services and Welcoming Spaces

Using design thinking methodology as a client engagement tool, Guelph Community Health Centre has used client experiences and feedback to shape the redesign of its physical spaces throughout the Centre, as well its service delivery approaches when working with its many complex clients with mental health and addictions challenges. Through empathy mapping, journey maps and surveys, the Centre learned about both client and staff needs, and has embarked on a quality improvement journey that is focused on creating hope, and changing lives.

Presented by: Raechelle Devereaux, Director of Programs and Services, Guelph Community Health Centre; and Brooke Young, System Coordinator, Mental Health and Addictions Network, CMHA WWD Theme: Championing health equity Audience: All audiences

B9

Best Practices Integrating Primary Care with Mental Health and Addictions Services

Ontario’s Mental Health Strategy calls for health services, including mental health and addictions services, to be integrated so that health care addresses the whole person. Many AOHC members and other organizations are actively engaged in ensuring an integrated, interdisciplinary approach to primary care and mental health and addictions. At this workshop you will hear some concrete examples from service providers who are moving toward an integrated approach by embedding harm reduction and mental health services throughout their organizations.

Robin McAndrew will discuss the strategic and clinical aspects of transforming the separate mental health and addictions programs at Sandy Hill CHC into an integrated Concurrent Disorders program. Jason Altenberg will talk about South Riverdale’s experience developing integrated harm reduction, health promotion, primary care, and specialized services for people who use drugs and are living with mental health issues. Susan Clancy will speak about the experiences of Central Toronto CHC in designing a responsive model of counselling services for a population living with mental health and addictions. Camille Quenneville, CEO of CMHA Ontario, will explore the different ways that CMHA branches across Ontario are addressing primary care. From CMHA York Region, Rebecca Shields will talk about Ontario’s first mobile walk-in clinic serving youth.

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Presented by: Robin McAndrew, Director of Addictions and Mental Health Services, Sandy Hill Community Health Centre; Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre; and Susan Clancy, Director of Counselling Services and Strategic Projects, Central Toronto Community Health Centre Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Senior management | Policy makers |Program management

B10 - SPOTLIGHT SESSIONS CHC-based Walk-in Clinic Program: Being B10.1 there when they need us Increasing access to services is a priority in improving quality and consistency in primary care services, particularly within the population we serve, where over 70 percent of our clients have a diagnosis of Severe Mental Illness (SMI). City Centre Health Care is a CHC based out of the Canadian Mental Health Association (CMHA). Our partnership continues to focus on strengthening our ongoing commitment to improve accessibility to primary health care services. With this in mind, the team developed the CHC Walk-in Clinic (WIC) program. Started in July 2015, the program hopes to improve access to primary care services as well as to avoid non-emergent emergency department (ED) and external community walk-in clinic visits. This session will outline the objectives, planning and implementation of this quality improvement program, as well as the outcomes achieved to date. Future plans on how we plan to continue to expand this program will also be discussed.

Presented by: Angela Trepanier, Nurse Practitioner, City Centre Health Care, a satellite of the Windsor Essex Community Health Centre, operated by CMHA-WECB Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

The Be Well Survey: A tool to measure and B10.3 better understand community health and wellbeing The Be Well Survey is a new tool many AOHC members are using to advance their shared vision of the best possible health and wellbeing for everyone living in Ontario. Guided by the Canadian Index of Wellbeing (CIW) framework, the Be Well Survey is a minimum set of meaningful standardized questions intended for adaptable use in community-governed primary health care settings. To ensure the results capture the complex interplay of factors affecting health and wellbeing, the survey covers all eight CIW domains and includes questions that are comparable with provincial and national data. This presentation will discuss the survey results from the most recent phase of survey use, and how survey results are being applied across the province.

Presented by: Jyoti Phartiyal, Knowledge and Learning & CIW Coordinator, Association of Ontario Health Centres Theme: Harnessing the power of data to drive improved outcomes Audience: Frontline/clinical and/or program staff | Program management

Highway to Hope: The role of client navigators B10.2 Participants will learn about the role of client navigators in primary care and how they improve health equity, strengthen primary care and enhance client experience.

Participants will also hear about practical examples of how the role supports a spectrum of needs related to the social determinants and disease complexities. Practical strategies for spreading the program to other populations will also be discussed.

Presented by: Bel Jamieson, Health Promotion Team Lead, North Lambton Community Health Centre; and Leah Willemse, Quality and Performance Team Lead, North Lambton Community Health Centre Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Program management | Board members

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STREAM C C1

Expanded Utilization of RNs in Ontario

Expanded scope of practice for RNs will be implemented in Ontario. Primary care has the opportunity to be the early adopters of an expanded RN scope to improve timely access to care and care co-ordination. Primary health care, in particular, provides a unique opportunity to expand the RN scope within an interprofessional model of care. Attendees will learn about the expanded role and provide input into the implementation of the RN expanded scope in primary health care.

Presented by: Tim Lenartowych, Director of Policy, Registered Nurses’ Association of Ontario; and Kim Cook, Vice President Community Health & Chief Professional Practice, Scarborough Centre for Healthy Communities Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Senior management | Administration

C2

A new food and health partnership: NorWest Coop Community Food Centre, a Community Food Centre within a Community Health Centre

Nearly every Community Health Centre grapples with how to improve their community’s access to food and food skills. In Winnipeg, NorWest Coop Community Health Centre partnered with Community Food Centres Canada to develop Norwest Coop Community Food Centre, a place where people come together to eat, cook, grow, share and advocate. The Community Food Centre (CFC) in a Community Health Centre (CHC) model has worked so well that The Alex CHC in Calgary is the latest CHC in the midst of developing a CFC. This session will provide an overview of how the partnership works and detail the impacts it has been having on health and food security in the community. There will also be time to discuss what it would look like to scale this model to more CHCs across Canada.

Presented by: Linor David, Partnership Manager, Community Food Centres Canada; and Kristina McMillan, Community Food Centre Director, NorWest Coop Community Food Centre Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Program management

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C3

Innovative Partnerships: Creating the Carlington Housing/Health Hub for Seniors

This session describes the journey to date in the development of an integrated capital project between Carlington Community Health Centre and Ottawa Community Housing Corporation to create a new structure that combines health and social services with affordable housing for seniors on the current Carlington site. The project has been in the works since 2011 and has received a tremendous amount of attention from elected officials (provincial and municipal) as well as groups who are advocating on behalf of seniors. The project would see the clinic and 42 single units sharing the building’s footprint.

Funding from MOHLTC has been committed to the CHC portion of the project; and the housing development portion has been supported, in part, by a grant from the City of Ottawa. This is a unique undertaking that offers opportunity for learning and replication. It can encourage those managing capital projects to shift thinking to accommodate joint ventures and strategic partnerships, recognizing the need for accountability and due process.

Presented by: Cameron MacLeod, Executive Director, Carlington Community Health Centre; and Barron Meyerhoffer, Director, Planning and Engineering, Ottawa Community Housing Corporation Theme: Championing health equity Audience: All audiences

C4

Developing a Care Pathway: Determinants of mental health for vulnerable populations

This session will discuss how the power of data can drive the development of an evidence-informed care pathway.

Mental illness is the most frequent medical condition reported for clients visiting the primary health care team at Access Alliance Multicultural Health and Community Services, a community health centre predominantly serving newcomers, non-status and refugee residents in Toronto. To plan a barrier-free care pathway for access to mental health care, the centre ran a study that synthesized evidence regarding the social determinants of health for vulnerable populations. The data analysis looked at types of mental illness and how clients’ demographic attributes contributed to their health. Based on the generated evidence, a model of care for Access through Equity (ActE) was developed.

Presented by: Dr. Akm Alamgir, Manager, Quality and Accountability Systems, Access Alliance Multicultural Health and Community Services; and Dr. Nicole Nitti, Physician and Medical Director, Access Alliance Multicultural Health and Community Services Theme: Harnessing the power of data to drive improved outcomes Audience: All audiences

C5

Improving Pediatric Experience of Pain during Painful Procedures at the North Bay Nurse Practitioner-Led Clinic

Learn how the North Bay Nurse Practitioner-Led Clinic (NPLC) translated best practice guideline knowledge into practice to improve pediatric experience of pain during painful procedures. Terri MacDougall, IDEAS Project Lead, will tell the story of how the North Bay NPLC assessed clinical practices in terms of pediatric assessment and management of pain during painful procedures, and implemented improvement ideas and strategies learned at Health Quality Ontario’s IDEAS program. Patients and their families were engaged in improvement ideas.

Presented by: Terri MacDougall, Clinical Director, North Bay Nurse Practitioner-Led Clinic Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Program management

C6

From Homelessness to Community: The Homeward Bound Hamilton Project

Homeward Bound is a homelessness initiative housed at De dwa da dehs nye>s Aboriginal Health Centre in Hamilton, Ontario. Using a model of culturally appropriate wraparound support, this team is having a positive impact on the homeless Aboriginal population of Hamilton.

Presented by: Dick Passmore, Team Lead, De dwa da dehs nyes>s Aboriginal Health Centre; and Yvonne Maracle, Cultural Worker, De dwa da dehs nyes>s Aboriginal Health Centre Theme: Advancing people and community-centred services and programs Audience: All audiences

C7

Is Your CEO/ED Leaving or Retiring? What a Board Should Know about Hiring and Succession Planning

This session will help boards to understand: leadership attributes of effective CEOs/EDs, proven approaches and practices for board hiring decisions, as well as succession planning for sustained success.

C8

Harnessing Community Support for Refugee Health

Prior to the announcement made by our newly elected Prime Minister, Kingston Community Health Centres (KCHC) anticipated a change in federal policy with regards to Syrian refugees. KCHC stepped up as a leader and created a broad multi-sectoral network that includes small- and large-size agencies, school boards, police, churches, funders, City of Kingston and committed community members. KCHC also sits on a LHIN planning table for refugees and plays a key role in linking healthcare providers, including hospitals, with the social network. KCHC is one of Ontario’s rare CHCs that is also a designated settlement agency and a founding member of the Local Immigration Partnership, whose primary role is to create a more welcoming community for immigrants and other new Canadians. As such, KCHC provides direct wraparound services for each refugee family that walks through the doors of the organization.

In this session, attendees will learn about the role that KCHC played, the activities and instruments created with community partners, and the lessons learned so far.

Presented by: Hersh Sehdev, Executive Director, Kingston Community Health Centres; and Ruth Noordegraaf, Coordinator Kingston Immigration Partnership, Kingston Community Health Centres Theme: Advancing people and community-centred services and programs Audience: Senior management | Program management | Board members

C9

Cultural Governance of an Indigenous Health Program within a Non-Indigenous CHC

This workshop will be a candid discussion about the challenges and successes of a local off-reserve Indigenous community exercising cultural governance of an Indigenous Health Program within a non-AHAC CHC. Presented by: Laurel Claus Johnson, Indigenous Health Council co-chair Theme: Maximizing community governance Audience: Senior management | Board members

Presented by: Deborah Legrove, CFRE, President, crawfordconnect; and Bill Hozy B.B.A, Senior Planning Consultant, crawfordconnect Theme: Maximizing community governance Audience: Senior management | Board members

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C10

Exploring the adaptability of the ‘HIV Positive Sero-Status Disclosure Intervention Model for African Caribbean and Black Women’ among other populations

An HIV disclosure support model for African, Caribbean and Black (ACB) women was developed by Women’s Health in Women’s Hands Community Health Centre. The evidencebased model allows for the examination and discussion of how intersections of race, gender, sexual orientation, and culture create a unique experience of living with HIV/AIDS. The model operationalizes how intersectionality impacts the experience of living with HIV and disclosing HIV-positive status. The model was pilot tested in 2010 and the findings illustrated how the person-centered approach embodied by this model fostered a positive environment where HIV disclosure could be explored. Based on these findings, the research team felt that it was imperative to determine the utility of this model in meeting the disclosure needs of other populations (i.e. heterosexual black men, homosexual/ MSM, and youth) in Toronto, as well as in the Niagara and Cambridge, Kitchener, Waterloo region. The findings indicate that the model can meaningfully address the disclosure needs of numerous demographic groups. At this session, you will also learn about how the centre promotes awareness and access to HIV testing with their #GladITested Campaign – Encouraging HIV testing amongst African Caribbean and Black women.

Presented by: Sandra Godoy, HIV Disclosure Intervention Research Coordinator, Women’s Health in Women’s Hands Community Health Centre; Marvelous Muchenje, Community Health Coordinator, Women’s Health in Women’s Hands Community Health Centre; Mercy Gichuki, Community Health Worker (HIV/AIDS), Women’s Health in Women’s Hands Community Health Centre; and Fernanda Villanueva, Health Promoter, Women’s Health in Women’s Hands Community Health Centre Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Program management

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STREAM D D1

Comparing Screening Tools for Developmental Disorders During Early Childhood

Developmental problems occur in up to 15% of children.

Primary care providers regularly see almost all children younger than 5 years and are therefore in a unique position to identify children with suspected developmental delays in a timely manner and refer them to appropriate early intervention services. The Ontario government made a commitment to screen children for developmental problems at their 18-month well-child visit by promoting use of a developmental screening tool. However, little is known about the performance of the Nipissing District Developmental Screen (NDDS), the screening tool currently being used. The 24-item parent-completed Infant Toddler Checklist (ITC) has been shown to effectively identify communication problems and autism spectrum disorders.

We plan to compare the ITC versus the NDDS to find out which screening tool is more effective in identifying children with developmental delays and referring children for early intervention.

Presented by: Imaan Bayoumi, Physician, Kingston Community Health Centres; and Cornelia Borkhoff, Assistant Professor, Clinical Epidemiologist, Dalla Lana School of Public Health, University of Toronto, Division of Pediatric Medicine and Child Health Evaluative Sciences, The Hospital for Sick Children Theme: Strengthening primary health care and ensuring access is based on population needs Audience: All audiences

D2

North Simcoe Health Links Clients through the Lens of the CIW: Implications for Future Program Service Delivery and Policy Change

With the strong endorsement of the North Simcoe Muskoka LHIN, the North Simcoe Health Links made a commitment to deepen and broaden their understanding of their clients in order to develop more appropriate and effective interventions. With this in mind, a decision was made by the leadership team to embed the Be Well Survey into their intake process with an aim to: arrive at a more robust picture of who they are serving; provide timely and necessary community outreach supports; track connections between indicators and healthcare utilization rates and costs; and evaluate changes over time both with indicators and utilization rates. Workshop participants will: 1. Hear about how they have embedded the survey for intake, referral and evaluation purposes; 2. Learn about the results of this exploratory research; 3. Hear an account of dayto-day experiences with clients as they grapple with the impact of the social determinants of health; 4. Discuss the potential implications of these findings on program service delivery and policy change.

Presented by: Gary Machan, Research Lead, North Simcoe Health Links; Tracy Koval, Registered Nurse/ Clinical System Navigator, North Simcoe Health Links; and David Jeffery, Chair, North Simcoe Health Links Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Policy makers | Program management | Board members

D3

Improving Health Equity: Appropriate Physical Health Care for People with Serious Mental Illness

People with serious mental illnesses, such as schizophrenia and bipolar disorder, also have higher rates of other acute and chronic diseases, and die up to 25 years earlier than the general population.

Much of this excess sickness and death is due to preventable conditions, especially cardiovascular disease.

Unfortunately, research has shown that many chronic diseases, such as diabetes, hypertension, nicotine addiction and hyperlipidemia are not recognized or treated in this population. This workshop describes work being done inside and outside the CHC sector to improve health outcomes for people with these conditions.

Presented by: Laura Muldoon, Family Physician, Somerset West Community Health Centre; Sarah Ritchie BSc, medical student, University of Ottawa; Sharman Robertson, MD FRCP(C), “On Track” First Episode Psychosis Program, The Ottawa Hospital; and Donna Pettey, PhD, Director of Operations, Canadian Mental Health Association Ottawa Theme: Championing health equity Audience: Frontline/clinical and/or program staff

D4

Advancing Health Care through Collaboration and Integration

In this session facilitated by lawyer Nick Pasquino of Borden Ladner Gervais LLP, participants will better understand the legal framework for integration of local health care services, the role and powers of LHINs, integration and collaboration options, the role of the board in integration transactions, and tips and best practices on how organizations can successfully integrate or collaborate. Participants will also hear tips and perspectives from a CEO and a board member who were recently involved in amalgamating two community health centres.

Presented by: Nick G. Pasquino, Lawyer and Partner, Borden Ladner Gervais LLP; and Tom Wise, Director, Durham Community Health Centre Theme: Maximizing community governance Audience: Senior management | Board members

D5

The Centre for Addiction and Mental Health’s (CAMH) STOP Program with Aboriginal Health Access Centres (AHACs)

The Centre for Addiction and Mental Health’s (CAMH) STOP Program partners with healthcare organizations to deliver no-cost Nicotine Replacement Therapy (NRT) and cessation counselling support to Ontarians smoking cigarettes. Partner organizations identify and enroll eligible participants, dispense no-cost NRT provided

by STOP, and provide counselling support in individual or group settings. Implementing the STOP Program at Aboriginal Health Access Centres (AHACs) across the province provided a unique opportunity to improve health equity among First Nations, Inuit and Métis populations, but also to advance community services and programs. Implementation of the STOP Program at AHACs required close collaboration between CAMH, AHACs, and Cancer Care Ontario (CCO). This session will speak to the implementation of the STOP Program within a unique health care setting.

Presented by: Anastasia Blackey, Manager of Health Promotions and Education Services, De dwa da dehs nye>s Aboriginal Health Centre; and Rosa Dragonetti, Project Director of Addictions Research and Education, Centre for Addictions and Mental Health (CAMH) Theme: Advancing people and community-centred services and programs Audience: All audiences

D6

Filling in the Gaps: Effective practice in LGBTQ+ newcomer mental health promotion

In a focus group Access Alliance conducted in 2010, LGBTQ+ newcomer clients identified non-stigmatizing mental health support as a pressing need. In response, we developed an innovative, peer-based, arts-informed mental health promotion program to overcome social isolation, increase systems navigation and self-care strategies among LGBTQ+ newcomers. By training LGBTQ+ newcomers in meaningful ways as mental health peer leaders, we will help increase their selfconfidence through skill building, training, and making connections. The peer leaders will help improve the mental health outcomes of all program participants through peer-led psycho-educational sessions enabling their peers to better cope with the risks that make LGBTQ+ newcomers vulnerable, such as discrimination, violence, poverty and social exclusion. As ongoing work to build better support for LGBTQ+ newcomers, the session will share details about this innovative program using case stories, lessons learned to date, and possible effective practice recommendations. (please turn page for further details)

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Presented by: Tanya Neumeyer, Interim Program Manager, Youth and LGBTQ+ Programs, Access Alliance Multicultural Health and Community Services Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Program management

D7

The Journey towards a Data and Performance Measurement Strategy for Ontario’s Mental Health and Addictions Sector

The province is working towards achieving a high performing mental health and addictions system, yet we lack a standardized, province-wide process for evidencebased performance measurement for the mental health and addictions sector. To meet this need, Ontario’s Mental Health and Addictions Leadership Advisory Council — in partnership with Addictions & Mental Health Ontario, Canadian Mental Health Association Ontario, Centre for Addiction and Mental Health, Institute for Clinical Evaluative Sciences and the Ministry of Health and Long-Term Care’s Strategic Policy Branch — has been developing a new data and performance measurement framework. We will present the journey currently underway towards building this framework.

The panel will share experiences about our journey to mobilize the mental health and addictions sector and achieve consensus and commitment for data-driven decision making. The panel will provide an overview of the system change process and highlight the successes and challenges we have faced along the way. We will also discuss the future ahead for data and performance measurement for the mental health and addictions sector.

Presented by: Uppala Chandrasekera, Director, Public Policy, Canadian Mental Health Association, Ontario; Dr. Paul Kurdyak, Senior Core Scientist, Institute for Clinical Evaluative Sciences; and Marg Connor, Director, Mental Health and Addictions Branch Theme: Harnessing the power of data to drive improved outcomes Audience: Senior management | Board members

D8

Bridging the Gaps: The Critical Role of Indigenous Community Governance in Health Care in Ontario

This workshop provides an overview of the critical role of Indigenous governance in the delivery of health care to Aboriginal people in Ontario. It draws extensively on research conducted under the Aboriginal Wellness and Healing Strategy (AWHS), by the Ontario Federation of Indigenous Friendship Centres (OFIFC) and the National Aboriginal Healing Organization (NAHO) to illustrate how Aboriginal health care is best delivered through a wholistic model that includes decolonization, self-determination and cultural safety. It includes a brief overview of how Aboriginal Health Access Centres (AHACs) play a central role in addressing the significant health inequities and gaps in healthcare services and offers some examples of best practices developed by several AHACs. Finally, it reviews the recent accreditation standards developed by the Canadian Centre for Accreditation for the delivery of health and social services to Aboriginal people.

Presented by: James C. Butler, PhD, Independent Researcher, flat island strategic communications & media design Theme: Harnessing the power of data to drive improved outcomes Audience: Frontline/clinical and/or program staff | Senior management | Program management | Administration

D9

Improving data quality for evidence-based decision making using the Healthcare Indicator Tool (HIT)

A key component and determining factor in improving data quality in the CHC sector is knowing how CHC data submitted into the Ontario Healthcare Financial and Statistical System (OHFS) is being transformed into valuable information to be used by the Ministry of Health and Long Term Care, the LHINs, CHCs and other stakeholders. This workshop will walk attendees through how to navigate the Health Data Branch Web Portal to access the Healthcare Indicator Tool (HIT), providing an overview of the HIT Global and Functional Centre Indicators and how they can be used in the evidencebased decision-making process.

Presented by: Maria Marin, CPA, CGA, Business Advisor, CCAC, CTC & CHC, Data Standards Unit, Health Data Branch, HSIMI, Ministry of Health and Long-Term Care; Beata Wezyk, Information Management Analyst, Ministry of Health and Long-Term Care; and Rachelle Arbour Gagnon, Regional Decision Support Specialist, Northern Region, Centre de santé communautaire Sudbury-Est Theme: Harnessing the power of data to drive improved outcomes Audience: Frontline/clinical and/or program staff | Senior management | Program management | Administration

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D10 - SPOTLIGHT SESSIONS An Indigenous cultural community-based D10.1 strategy to improve vascular health This workshop will increase knowledge about how to address cardiovascular risk factors from an Indigenous perspective in a community-based BP screening project. Utilizing the concept of neighbours taking care of neighbours or aunties and uncles taking care of extended family, Indigenous and non-Indigenous community volunteers provided screening to neighbours for hypertension and irregular heart rates using an automated device with follow up by a community health nurse. We will present some descriptive and clinical outcome data regarding the BP screening program we collect as part of the QI process. We will also provide an overview of our outcomes to date.

D10.3

Addressing health inequity through a homegrown medication support program

Many people in Toronto suffer from chronic disease and do not have continuing access to the medications recommended due to financial pressures. Many CHCs use their own funding to help bridge this gap on a caseby-case basis, but funding is limited and often based on emergency. Access Alliance has developed a sustainable and equitable way to address this issue without exceeding the budget.

Presented by: Dr. Nicole Nitti, Family Physician and Medical Director, Access Alliance Multicultural Health and Community Services Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Program management

Presented by: Maureen Buchanan, Indigenous Nurse Practitioner, Kingston Community Health Centres; and Kate Brant, Indigenous Community Development Worker, Kingston Community Health Centres Theme: Strengthening primary health care and ensuring access is based on population needs Audience: Frontline/clinical and/or program staff | Program management | Administration KAMM©, a self-management mascot for D10.2 people living with chronic illnesses In this session we will share the innovative tool South Riverdale Community Health Centre (CHC) has developed to engage both patients and providers in empowering patients with chronic disease by introducing KAMM©, a mascot for chronic disease selfmanagement. South Riverdale CHC hosts the Toronto Central Self-Management Program for the Toronto Central LHIN region where individuals learn evidenceinformed self-care practices that are led by peer facilitators, intended to help them live healthier lives with chronic conditions.

Presented by: Surkhab Peerzada, Manager, Toronto Central Self-Management Program, South Riverdale Community Health Centre; and Jason Altenberg, Director, Programs and Services, South Riverdale Community Health Centre Theme: Advancing people and community-centred services and programs Audience: All audiences

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STREAM E E1 - DOUBLE SESSION E1.1

Building a Safe Community for South Asian Seniors

At this workshop, service providers can learn more about the nature of elder abuse as it pertains to South Asian seniors, the challenges in addressing that abuse, as well as identifying promising practices within the context of their work to begin the planning process of making their services more accessible and effective in combating abuse against South Asian seniors.

Presented by: Tazim Bhanji, Program Manager, Seniors Programs, Social Services Network (SSN) Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Policy makers | Program management | Administration

E1.2

Together, we are stronger: Improving care coordination for vulnerable seniors with complex needs

This workshop will focus on Primary Care Outreach (PCO); an innovative initiative, its partnerships and the impact strong collaborative relationships have when working with complex, vulnerable populations. Recognizing a gap in services particularly around transitions, PCO worked to develop the Vulnerable Seniors Partnership (VSP) Table where organizations in Ottawa, covering the continuum of services including primary care, home and community support services, community mental health, public health and acute care hospitals are committed to working together to enhance the coordination of services for vulnerable seniors with complex needs. Comprised of a partnership between the South East Ottawa CHC, seven other Community Health Centre sites and two Community Resource Centres, PCO strengthens health service capacity by enabling seniors to access appropriate care in their own homes, at Community Health Centres and through the community support network. Strong collaboration between partners has allowed for better coordination among all providers and systems, and effectively reduced duplication of assessments and services.

Presented by: Deborah Andrews, Health Services Director, South East Ottawa Community Health Centre; and Stephanie Dickinson, Acting Primary Care Outreach Coordinator, South East Ottawa Community Health Centre Theme: Strengthening primary health care Audience: Senior management | Program management

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E2

Theory & Practice for Balanced Scorecard Governance & Management

This workshop with Transformation Coach Ted Ball and Community Health Centre (CHC) Executive Director Al Madden will bring together the best practice theory, tools, processes and their successful implementation at a high-performing CHC. Participants will learn about creating system and silo score cards and how the discipline of strategy execution and strategic management enables organizations to improve on all of their performance indicators as well as enables boards to ensure that their CEOs Accountability Agreements are designed and aligned to achieve the required results.

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

E3

Promising Practices in LGBT Care Across Ontario

This session will highlight at least four diverse centres’ programs and services for people who identify as LGBT. Learn about your colleagues’ promising practices from a variety of different communities across Ontario including rural, northern and urban. Also discover how they serve a diversity of people who identify as LGBT, including Francophones, Indigenous, newcomers and racialized people, youth and seniors. Engage in lively discussion with fellow participants about how these promising practices might apply to you and your team!

Presented by: Cliff Ledwos, Director Primary Health Care, Access Alliance Multicultural Health and Community Services; Mona Loones, Clinic Manager, CSC Chigamik CHC; Jessica North, Program Manager, CSC Chigamik CHC; Juanita Lawson, Director of Clinical Services, NorWest Community Health Centre; Monique Beaudoin, Health Promotion Coordinator, Centre de santé communautaire du Grand Sudbury; Sylvain Leduc, Nurse Practitioner, Centre de santé communautaire du Grand Sudbury; Angela Recollet, Executive Director, Shkagamik-Kwe Health Centre; and Mike Barnett, Nurse Practitioner, Shkagamik-Kwe Health Centre Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Program management | Administration

E4

Strengthening the Circle to End Violence

The Government of Canada is designing a national inquiry on missing and murdered Indigenous women and girls to develop an action plan to end the violence.

Violence in the Aboriginal community affects us all, and has for many years. There are many underlying issues for this, including intergenerational effects of residential schools, poverty, low education, food insecurity, poor coping skills, poor parenting skills, substance abuse, alcohol abuse, low self-esteem, racism, and social indifference. These issues cannot be overcome in a short time, but it begins with community engagement and capacity building. This session provides a safe place to discuss these issues and brainstorm ways to address them within our organizations and communities.

Presented by: Crystal Davey, Nurse Practitioner, Health Programs Manager, Anishnawbe Mushkiki Aboriginal Health Access Centre; and Michael Hardy, Executive Director, Anishnawbe Mushkiki Aboriginal Health Access Centre Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and/or program staff | Senior management | Policy makers | Program management

E5

Urban and rural networking session on how to integrate mental health and addictions services with primary care delivery

The concept of integrated care — care that meets a wide spectrum of needs for complex clients in a coordinated, person-centred way — is a driving vision in the mental health, addiction and primary care sectors today. Yet many of us struggle with the practicalities of implementing the vision. Join us for this networking session to discuss what an integrated approach to mental health, addictions and primary care services could look like. To get the conversation started we will highlight some concrete examples of initiatives that offer highly integrated care in the field. We’ll then explore the barriers, success factors and the different degrees of integration of mental health, addictions and primary care. Together, we will address the question of how to bring our work to the next level, moving further toward the vision of successful integrated care.

Case examples: “From hospital to community: Working towards seamless transitional planning for complex clients with mental health and addictions in Niagara region”, “CMHA Durham - providing communitybased mental health care alongside NPLC primary care services”, and “CMHA Windsor Essex creating an integrated care continuum.”

Facilitated by: Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre; and Robin McAndrew, Director of Addictions and Mental Health Services, Sandy Hill Community Health Centre Presenters: Jenny Stranges, Program Director, Quest Community Health Centre; Despina Tzemis, Program Manager, Quest Community Health Centre; Claudia den Boer Grima, CEO, CMHA Windsor Essex; Stephanie Skopyk, Lead Nurse Practitioner, CMHA Durham Theme: Strengthening primary health care and ensuring access is based on population needs Audiences: Frontline/clinical and/or program staff | Senior management | Policy makers | Program management

E6 - DOUBLE SESSION E6.1

Isolated Senior Caregivers Living Life to the Full: A Toronto Collective Impact Plan

In this workshop, project leads from CMHA Ontario and Health Nexus will discuss the Living Life to the Full (LLTTF) course, and its delivery in partnership with Toronto Community Health Centres (CHCs). LLTTF is an eight-week bilingual mental health promotion course based on the principles of cognitive behaviour therapy.

In this evidence-based course, groups of 10-15 older adults come together to learn coping skills and socialize with others experiencing similar life issues. In a new CMHA Ontario initiative, LLTTF is being delivered in a model that focuses on building community partnerships and strengthening the network of a city. This workshop will present the research evidence gathered on this mental health promotion program and explore how the program is being adapted for isolated caregivers, as well as for other audiences, such as Francophones. The role of Toronto CHCs in this program adaptation will be described, allowing an opportunity for other CHCs to consider a similar approach.

Presented by: Jennifer Hardy, Project Manager, Canadian Mental Health Association, Ontario Division; and Gillian Kranias, Health Promotion Consultant, Health Nexus Theme: Advancing people and community-centred services and programs Audience: All audiences

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Building a Wellbeing Movement Using the E6.2 CIW Framework Grand Bend Area Community Health Centre is using the Canadian Index of Wellbeing (CIW) as a framework to build a strong wellbeing movement in its community.

Working with community members and partners, the aim is to create the best quality of life for people living in the catchment area. Learn how a mixed methods approach was used to better understand the communities’ strengths, concerns and priorities and how that insight defined a shared vision and direction for leaders, decision makers, and community groups to take collective action.

Presented by: Miranda Burgess, BSc, BA, RD, MPH, Health Promoter and Registered Dietitian, Grand Bend Area Community Health Centre Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Policy makers | Program management

E7 - DOUBLE SESSION E7.1

A Quality Improvement Approach to Health Promotion Programs

South Riverdale Community Health Centre (SRCHC) has faced a number of challenges with using datadriven approaches to demonstrate the relevancy, efficiency and effectiveness of health promotion programs. This workshop will look at SRCHC’s journey in creating an inter-professional team who co-designed a data framework—based on the Model of Health and Wellbeing—that is being used to measure, monitor and evaluate the centre’s health promotion programs.

We will describe our journey, share challenges, tools (NOD health promotion dashboard) and processes (encountering standardizing practices) that we have developed. In addition, the team will describe how having access to this data has changed both their encountering practices and how they deliver programs.

Presented by: Andrew Omurangi, Manager, Newcomers & Families Team, South Riverdale Community Health Centre; and Lisa Kha, Data Management Coordinator, South Riverdale Community Health Centre Theme: Harnessing the power of data to drive improved outcomes Audience: All audiences

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E7.2

Measuring What Matters: Equity-based primary care measures

There is a growing awareness of inequities in health status and that quality of care often differs based on ethnicity, gender, socioeconomic or other personal characteristics. Strategies to improve quality of care include performance targets, quality improvement plans and financial incentives. Ongoing measurement and evaluation is one critical aspect of decreasing disparities because what we measure often matters for whether and how we will act; however, often the indicators prioritized are not effective or meaningful for clinicians providing care to people experiencing barriers to care, nor are they relevant to the clients/patients receiving this care. This collaborative project involved community members and the clinicians who provide primary health care (PHC).

The primary objective was to identify and operationalize PHC measures that capture the processes and impact of delivering equity-based primary care.

Presented by: Jennifer Rayner (on behalf of the Regent Park Research Team), Research and Evaluation Lead, Association of Ontario Health Centres Theme: Harnessing the power of data to drive improved outcomes Audience: All audiences

E8

Building capacity for a CHC response to Ontario’s Opioid Crisis

Ontario is in the midst of a prescription opioid crisis and, to date, the response has not been sufficient to address the scale of the problem. While costeffective medications and psychosocial treatments that reduce substance use, overdose deaths and health care utilization are available, the health care system frequently fails to adequately connect clients to evidence-based interventions. This workshop will highlight the need for CHCs to consider expanding their role in response to this urgent community crisis. We will present basic pharmacological properties of replacement treatments (methadone and buprenorphine-naloxone) and provide an overview of various innovative models of care. We will also discuss the benefits of integrating addiction medicine within existing primary care settings such as CHCs and report the results of the AOHC sector consultation on opportunities and barriers to expanding our response to the prescription opioid crisis.

Presented by: Rob Boyd, Oasis Program Director, Sandy Hill Community Health Centre; and Luc Cormier, RN, MScN, Oasis Nursing Team Leader, Sandy Hill Community Health Centre Theme: Championing health equity Audience: All audiences

E9 - DOUBLE SESSION E9.1

A Little Shop of Hope

This session will speak to how and why Grand River Community Health Centre (GRCHC) utilizes a participant engagement and community development approach in our programs. The GRCHC Gift Shop initiative will be used as a platform to speak to our approach in program development and delivery. Launched one year ago as a small social enterprise, the initiative has its roots in a small drop-in group for women called “Stitch and Chat and Things Like That.” It was formed six years ago as a response to the women’s shared feelings of isolation and need for a greater sense of belonging.

Presented by: Gloria Ord, Community Health Worker, Grand River Community Health Centre; and JoAnne Dubois, Community Developer, Grand River Community Health Centre Theme: Advancing people and community-centred services and programs Audience: Frontline/clinical and or program staff | Program management

E9.2

Nurturing Neighbourhoods Initiative: Health Equity in place-based settings

The Nurturing Neighbourhoods Initiative is a successful collaboration between Guelph Community Health Centre, Wellington Dufferin Guelph Public Health, and Guelph Wellington Family and Children’s Services. Through leadership, partnership, data-driven analysis and community engagement, we have created the Parent Outreach Worker Neighbourhood Based Program that is seeing results for neighbourhoods in Guelph that foster prevention and strong, healthy communities. The successes and challenges of the program will be shared.

Presented by: Kate Vsetula, Community Health Manager, Guelph Community Health Centre; Erin Harvey, Director of Service, Family & Children’s Services of Guelph and Wellington County; and Maryann SlyKensley, Parent Outreach Worker, Guelph Community Health Centre Theme: Championing health equity Audience: Frontline/clinical and/or program staff | Senior management | Policy makers

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CONFERENCE PLAN ConferenCeFLOOR floorPlan ConferenCe floorPlan Upper Conference Upper Level Conference Level

Lower Conference Lower Level Conference Level

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of noTe OF NOTE WI-FI ACCESS Complimentary Wi-Fi is available throughout the Sheraton Parkway Toronto North hotel/conference site.

DelegaTeS WiTh MoBiliTy DifficUlTieS The Sheraton Parkway Toronto North is accessible with ramps and elevator

PRIZES access. From the Best Western, access to the conference site is best via the Door prizes will be announced at Thursday’s plenary session! Good luck! outside.

PROMOTING A HEALTHY, SCENT-FREE ENVIRONMENT SPeCiAL DieTAry CONSiDerATiONS In consideration to those who are sensitive to chemicals, kindly ask you to refrain from wearing We hope the buffet meals at the conference will provide delegateswe with enough perfumes, colognes and other scented products at the conference and variety to meet most, if not all, dietary preferences and requirements. However, affiliated events. if needed, as you sit down for each meal, you are welcome to let your server

NOTE WITH MOBILITY know ofFOR yourDELEGATES dietary requirements and ask for a DIFFICULTIES special meal.

The Sheraton Parkway Toronto North is accessible via ramps and elevator access. From the Best Western, access hAVe yOur SAy! to the conference site is best via the outside.

Data On The Spot is the Canadian leader in audience response technology.

SPECIAL CONSIDERATIONS The systemDIETARY will allow us to ask you questions throughout the conference and We hope the buffet at the conference will The provide delegates have you respond usingmeals your hand held voting devices. results will be with enough variety to meet most, if not all, dietary preferences and requirements.

However, if needed, as you sit down for each meal, displayed on the screen for everyone to see. To use your device, simply press the you are welcome to let your server know of your dietary requirements appropriate number on your clicker that corresponds to your answer choice on and ask for a special meal. the screen. Vote now!

ACCESSIBLE DOCUMENTS Conference materials are available in large print for delegates that require them. Please visit the Wi-fi registration desk for more Complimentary wireless accessinformation. is available throughout the Sheraton Parkway Toronto North hotel/conference site.

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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, sharing your knowledge and leading the way forward to people and community health and wellbeing.

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 peer reviewers: Laura Lambie, The Anne Johnston Health Station; Akm Alamgir, Access Alliance Multicultural Health and Community Services; Randy Houston, Association of Ontario Health Centres; Barbara Neuwelt, Centretown Community Health Centre; Crystal Ferguson, South East Grey Community Health Centre; Simeon Kanev, Association of Ontario Health Centres; Dana Caines, Mary Berglund Community Health Centre; Paula Benbow, The Canadian Dental Hygienists Association; Sophie Bart, Stonegate Community Health Centre; Lise Marie Baudry, Centre Francophone de Toronto; Gail Grant, Peterborough, Ontario; Jeanie Page, South East Grey Community Health Centre; Gertie Mai Muise, Southwest Ontario Aboriginal Health Access Centre; and to Lindsay Hall who, once again, did a fantastic job coordinating our volunteers.

Heartfelt thanks also go to longtime 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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