C14.1 From Forest Fires to Paramedics to Toothaches - We are in this together_ Rebecca Kavanagh

From Forest Fires to Pandemics to Toothaches - We Are In This Together: An Effective Public Health & Community Health Centre Partnership June 5, 2014 “Prevent More to Treat Less” Conference

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CFPC Conflict of Interest

Disclosure of Commercial Support Presenter Disclosure

Presenter:

Rebecca Kavanagh

Relationships with commercial interests: •

Grants/Research Support:

•

Speakers Bureau/Honoraria: None

•

Consulting Fees:

None

•

Other:

None

None

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Where We Live, Work & Play

Leeds, Grenville & Lanark 3 of 20

Leeds, Grenville & Lanark CHCs Health Unit Offices

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Leeds, Grenville & Lanark • Higher rates of obesity (23.1%: 18.3% ON), asthma (9.6%: 7.9% ON), hypertension (20%:17.6% ON).

• 24.2% smoking rate (19.2% ON).

• 34% of residents in LGL do not have access to any form of dental insurance (32% ON).

• 8.3 % unemployment rate (7.8% ON).

• Most of us live in a rural environment (58%) (14% ON).

• Strong sense of community belonging (71.3%: 67.5% ON).

• 91.1% satisfied with life (91.8% ON). http://www12.statcan.gc.ca/healthsante/82228/details/page.cfm?Lang=E&Tab=1&Geo1=HR&Code1=3543&Geo2=PR&Code2=35&Data=Rate&SearchText=Leeds,%20Grenville%20and%20Lan ark%20District%20Health%20Unit&SearchType=Contains&SearchPR=01&B1=All&Custom=&B2=All&B3=All. Ontario Agency for Health Protection and Promotion (Public Health Ontario). Report on access to dental care and oral health inequalities in Ontario. Toronto: Queen’s Printer for Ontario, 2012.

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Overarching Mandates Community Health Centres •

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Wide range of health promotion and community development services and delivery of primary care services.

Focus on the social determinants of health and health inequities.

Inter-professional teams respond to people’s individual health issues Create programs and services that reduce social and environmental problems harming health in their communities.

All services are carefully tailored to respond to the diverse needs of the many different communities being served.

http://www.ontariochc.org/index.php?ci_id=2341&la_id=1

Public Health Units •

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Wide range of programming including assessment and surveillance, health promotion and policy development, disease and injury prevention, and health protection.

Focus on the social determinants of health and health inequities.

Inter-professional teams that respond to community health issues (may be at an individual level).

Create programs and services that reduce social and environmental problems harming health in the communities they serve.

All services are carefully tailored to respond to the diverse needs of the many different communities being served. http://www.health.gov.on.ca/en/pro/programs/publichealth/o ph_standards/intro.aspx

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Partnership Continuum (Himmelman- 2002)

Image: http://www.toolkit2collaborate.ca/nature-of-collaboration/collaboration-structures/ Based on Arthur Himmelman’s Collaboration for a Change Guide, 2002

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Networking & Coordinating Networking • The simple exchange of information.

Coordinating • The exchange of information and altering activities for mutual benefit to achieve a common purpose.

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Networking & Coordinating Presentations

Websites

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Cooperating • The exchange of information, altering activities and sharing resources for mutual benefit and to achieve a common purpose.

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Cooperating Deer Lake Evacuation – 2011

Dental Programs & Services (use of clinic space)

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Cooperating Flu Centres - 2009

Fluoride Varnish Program with HCPs

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Collaboration • The exchange of information, altering activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose.

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Collaboration Rideau Tay Health Links

Oral Health Integration Steering Committee Purpose: To facilitate the integration of oral health care into local health programming.

To champion the inclusion of oral health into general health programs and services.

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Lessons Learned Benefits

Challenges

• Competing priorities • Collaboration provides within each organization. opportunities for efficiencies.

• Different boundaries and • Helps ensure services for reporting structures people who need them in a (MOHLTC and mostly rural area.

Municipalities for PH and 2 • Utilize each other’s strengths different LHINs for CHCs). to ensure smooth program • Understanding each delivery. other’s role and mandate.

• Ability to play different roles depending on issue.

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The Right Ingredients

http://www.toolkit2collaborate.ca/

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http://www.toolkit2collaborate.ca/

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Future Endeavours • Explore the opportunity to perform joint community assessments using some of the Canadian Index of Wellbeing indicators.

• To continue to build in sustainability and enhanced capacity for our current integrated programs and services.

• Explore more formal and strategic working relationships using an integration framework – pilot.

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A Good Feeling Quote!

Never doubt that a small group of thoughtful, committed people can change the world.

Indeed, it is the only thing that ever has. ~Margaret Meade 19 of 20

Thank You! John Jordan, Lanark Renfrew Health & Community Services Jjordan@lrhcs.ca Marty Crapper, County Roads Community Health Centre mcrapper@crchc.on.ca Mona Wynn, Rideau Community Health Services mwynn@rideauCHS.ca Peter McKenna, Rideau Community Health Services pmckenna@rideauCHS.ca Rebecca Kavanagh, Leeds, Grenville and Lanark District Health Unit Rebecca.kavanagh@healthunit.org

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