D11 3 a descriptive case study that exemplifies the model of health and wellbeing

D11.3 A Descriptive Case Study that exemplifies the Model of Health and Wellbeing June 14, 2018 Learning Session D: 10:30am-12:00pm Rebecca Lyon Practicum Placement Student January – April 2018

Presenter Disclosure Presenter: Rebecca, Lyon Relationships to commercial interests: Grants/Research Support: N/A Speakers Bureau/Honoraria: N/A Consulting Fees: N/A Other: N/A

OVERVIEW Research Question: How is the Model of Health and Wellbeing implemented in practice?

Purpose: To understand through an organizational case study, how the various attributes of the model are exercised in practice.

Methods: Case study research Document analysis + Qualitative research End-user: Members of the Alliance

EIGHT ATTRIBUTES ATTRIBUTE

DESCRIPTION

Population Needs-Based Planning

Centres strive to improve the health and wellbeing of the entire population in their catchment area.

They assess the needs of different demographic groups and develop action plans to address them.

A Community Development Approach

Centres work with community members to develop solutions that support healthy living.

A Strong Focus on the Determinants of Health

Centres mitigate the impact of the many nonmedical determinants of health and advocate for healthier public policies that enable people to access a healthy environment.

Interprofessional, Integrated and Coordinated

Teams collaborate with a wide range of primary care providers, as well as other parts of the health and social service system.

EIGHT ATTRIBUTES ATTRIBUTE

DESCRIPTION DESCRIPTION

Anti-oppression and Culturally Safe Population Needs-Based Planning Practices

Centresstrive recognize many populations facewellbeing Centres to improve the health and that harms health and area. ofdiscrimination the entire population in their catchment wellbeing. ensureoftheir staff demographic receive ongoing They assessThey the needs different trainingand in anti-oppression and culturally safe groups develop action plans to address them. practices.

Accessibility A Community Development Approach

Accessibility requires breaking down all racial, Centres with community members to develop cultural,work linguistic, physical, social, economic, legal solutions that support healthy living. people from and geographic barriers that prevent accessing health services.

Centres mitigate the impact of the many nonCentres constantly reorient their services to meet medical determinants of health and advocate for communities’ changing needs, informed by healthier public policies that enable people to community. access a healthy environment.

Centres are accountable to their communities and Teams collaborate a wide range of reporting primary care their funders.

Theywith develop and apply providers, other parts of thewith health and indicatorsas towell trackastheir performance respect social service system. to effectiveness and efficiency.

A Strong Focus on the Determinants Community Centredness and of Health Community Governance Accountability and Efficiency Interprofessional, Integrated and Coordinated

TODAY’S GOALS • Share research results through examples • A conversation about the Model of Health and Wellbeing • Discuss key enablers and barriers of implementation • Gain an understanding from conference participants on what the model means to you

INTRODUCTIONS Tell us about yourself: • Your name • The focus of your work • What are you passionate about?

MODEL ENABLERS 1. Adaptability 2. Meeting Patient Needs & Providing Resources 3. Community Partnerships 4. Workplace Culture 5. Leadership Engagement 6. Personal Attributes 7. Staff Engagement 8. Implementation Leader 9. Model Execution 10. Evaluation

KEY EXAMPLES

Enablers: Meeting patient needs & well resourced.

KEY EXAMPLES

Enablers: Executive Director as implementation leader.

KEY EXAMPLES

Enablers: Community partnerships.

KEY EXAMPLES

Enablers: Staff engagement.

BARRIERS • Differing application of model definitions • Funding parameters • Upholding organizational values with community partners • Communication barriers in reaching clients • Addressing stigma in accessing health care services

DISCUSSION QUESTIONS • Is the Model familiar to you?

How do you interpret the Model?

• What are your own enablers and barriers?

• What are your strategies to overcome these barriers?

REPORT BACK & FINAL THOUGHTS

Thank you Merci Miigwetch Rebecca Lyon rebecca.lyon@mail.utoronto.ca