2018 Health Equity Action and Transformation Conference Program by Alliance for Healthier Communities

Health Equity Action and Transformation Conference This program is supported in part by TELUS Health Sheraton Parkway Toronto North Hotel & Suites 9005 Leslie St Richmond Hill, ON June 13 & 14, 2018

TABLE OF CONTENTS 2 Schedule at a Glance 3 Welcome 4 Detailed Program 6 Networking Opportunities 7 Conference Learning Objectives 8 Speakers 12 Learning Session Descriptions 27 Of Note 34 Conference Floorplan 35 Thank You

SCHEDULE AT A GLANCE WEDNESDAY, JUNE 13 7:00 a.m. 7:30 8:30 – 9:45 10:00 – 10:45 10:45 – 11:15 11:15 – 12:15 p.m. 12:15 – 1:15 1:15 – 1:45 1:45 – 3:00 3:00 – 3:30 3:30 – 4:30 4:30 – 5:30 5:30 – 6:30 6:30 p.m.

Registration opens Exhibits open/breakfast Opening ceremony and Plenary 1: Blackness in Canada: Facing Racism to Improve Black Health Learning Sessions A Break Learning Sessions B Lunch Posters Plenary Two: Opioids, Overdose and Harm Reduction Break Learning Sessions C Free time Reception with cash bar Transformative Change Awards Gala

THURSDAY, JUNE 14 7:00 a.m. Registration opens 7:30 – 8:30 Exhibits open/breakfast 8:30 – 10:00 Plenary Three: The Future of Health and Wellbeing 10:00 – 10:30 Break 10:30 – 12:00 p.m. Learning Sessions D 12:00 – 1:30 Communities of Interest Networking Lunch 1:30 – 3:00 Plenary Four: Healthier Together: Social Prescribing in Action in the U.K.

Please use the hashtag

#AllianceON2018

for all your conference tweets

WELCOME Welcome to Health Equity Action and Transformation conference 2018! As the name suggests, this yearâ&#x20AC;&#x2122;s conference aims to put health equity front and centre, inspire action and drive transformation towards a more equitable and sustainable health care system in our province. Members of the Alliance for Healhier Communities have always been innovators, health equity leaders and change agents working to improve health outcomes for people and communities facing social, economic and environmental barriers through the delivery of community-governed, comprehensive primary health care. The conference will showcase many leading practices and inspiring examples of comprehensive primary health care in action that Alliance members deliver across the province in partnerships with other health and social services organizations and their communities. Learning sessions and research posters will highlight how high-quality, comprehensive and integrated programs and services geared towards community needs help improve the health and wellbeing of people that are most at risk of poor health and advance health equity in Ontario. We will hear from young leaders reimagining the future of health and wellbeing, and from our colleagues in the United Kingdom who will share their expertise and insights in social prescribing â&#x20AC;&#x201D; an innovative practice that helps reduce social isolation and improve wellbeing by better connecting primary care, health promotion and community development for individuals and communities. Most importantly, the conference will challenge us to re-examine our own biases and practices, to engage in important conversations around confronting systems of oppression, and to continue pushing boundaries as we advance equity, diversity and inclusion within our organizations and the in front of broader healthcare system. I want to thank all speakers, presenters, volunteers and delegates for contributing your time, knowledge and insights and helping turn the hotel halls into a vibrant hub of innovation, learning and inspiration. I am confident that the energy, ideas and connections generated over the next two days will lead to transformative change outside these walls as we continue to work together towards the best possible health and wellbeing for everyone in Ontario. Sincerely,

Sarah Hobbs Blyth Board Chair, Alliance for Healthier Communities

DETAILED PROGRAM WEDNESDAY, JUNE 13 7:00 a.m.

Registration opens

7:30

Exhibits open/breakfast

8:30 – 9:45

OPENING CEREMONY AND PLENARY 1: BLACKNESS IN CANADA: FACING RACISM TO IMPROVE BLACK HEALTH In our opening plenary, we’ll tackle the history of anti-Black racism in Canada and its impacts on Black health and wellbeing. Dr. Charmaine Nelson, a professor of art history at McGill University and this year’s William Lyon Mackenzie King Visiting Professor of Canadian Studies at Harvard University, will unpack the history of slavery in Canada and how it shapes the Black experiences today. The plenary will conclude with a call to action to address racism in our organizations and practices, be better allies and build more inclusive institutions.

10:00 – 10:45

Learning Sessions A

10:45 – 11:15

Break

11:15 – 12:15 p.m. Learning Sessions B 12:15 – 1:15

Lunch

1:15-1:45

Posters (see page 25 for details)

1:45 – 3:00

PLENARY TWO: OPIOIDS, OVERDOSE AND HARM REDUCTION While policy-makers have at times been slow to respond to Ontario’s opioid and overdose crisis, our members have demonstrated great leadership in working with communities to reduce harm to people who use drugs through de-prescribing, supervised consumption, overdose prevention and much more. In this plenary, we will explore how to build local support and find the right strategy for your community. Speakers include: Rob Boyd, Sandy Hill CHC; Frank Crichlow, South Riverdale CHC; Jackie Harris, Central CHC, and Steven Goodine, London InterCommunity Health Centre.

3:00 – 3:30 Break

3:30 – 4:30

Learning Sessions C

4:30 – 5:30

Free time

5:30 – 6:30

Reception with cash bar

6:30

TRANSFORMATIVE CHANGE AWARDS GALA

THURSDAY, JUNE 14 7:00 a.m.

Registration opens

7:30 – 8:30

Exhibits open/breakfast

8:30 – 10:00 PLENARY THREE: THE FUTURE OF HEALTH AND WELLBEING What does the future hold for health and wellbeing in Ontario? Inspired young leaders are working to advance a healthy, equitable and just future by claiming their space and creating space for others to imagine the future. In this panel, moderated by Anu Radha Verma, Parkdale Queen West CHC’s Board Chair and herself a young leader in this space, we will explore some of the main issues that we must address today to ensure healthier communities and a more inclusive society in the decades to come. The panel will feature Max FineDay, Executive Director of Canadian Roots Exchange, a national youthled charity that provides Indigenous and non-Indigenous youth with opportunities to engage in reconciliation dialogues and leadership development; Fayza Abdallaoui, President of the Board, Ontario Movement for Francophone Immigrant Women (MOFIF); and Syrus Marcus Ware, a Vanier Scholar, trans visual artist, and community activist with Black Lives Matter Toronto. 10:00 – 10:30

Break

10:30 – 12:00 p.m. Learning Sessions D 12:00 – 1:30

Communities of Interest Networking Lunch (see page 6 for details)

1:30 – 3:00

PLENARY FOUR: HEALTHIER TOGETHER: SOCIAL PRESCRIBING IN ACTION IN THE U.K. Social prescribing is a new spin on an old idea - that people are healthier when they are connected with social resources and supports in their communities. In our final conference plenary, we’ll welcome U.K. experts from the Social Prescribing Network to share best practices in social prescribing - reducing social isolation and improving wellbeing by better connecting primary care, health promotion and community development for individuals and communities. They are: commissioner Tim Anfilogoff, Head of Community Resilience, Herts Valleys Clinical Commissioning Group (HVCCG); physician Dr. Marie Anne Essam, Clinical Lead for Social Prescribing at HVCCG; and community involvement leader Alyson McGregor, the National Director of Altogether Better, an NHS national network organization whose interest lies in transforming the relationship between citizens and services.

NETWORKING OPPORTUNITIES WEDNESDAY, JUNE 13 – 1:00 – 1:45 P.M. | THORNHILL ROOM FOR BOARD MEMBERS: Five Simple Rules for Successful Boards Recruiting, onboarding, and properly orienting new board members is a demanding process, and a risky business. Sometimes, new directors just don’t work out, often because they do not understand what governance and oversight consist of confusing it with poking into day-to-day operations. But Tony Carella, a veteran director and observer of not-for-profit boards, has distilled the wisdom that comes from 35 years of experience in the field to just five simple rules. Get your board to observe these and more than half the battle is won! Communities of Interest Networking Lunches THURSDAY, JUNE 14 – 12:00 – 1:45 P.M.

TOPICS

TABLE

Aboriginal Health Access Centres Board to Board Lunch

Stouffville

Advancing Access to Team-Based Care

Advancing Black Health

Markham A

Advocacy Networks Exchange

Beyond Tokenism: Comprehensive and Cohesive Service Planning for LGBTQ

Markham B

Board to Board Dialogue: Good Governance

Thornhill

Building Anti-Oppressive Organizations

Building Capacity to Advance Health Equity

Building Cross-Sectoral Partnership

#11

Business Intelligence Reporting Tool Users

#13

Client Experience and Engagement in Quality Improvement

#15

Communications and Public Relations

#17

Community Health and Wellbeing Through Social Prescribing

#19

Francophone and Bilingual Exchange

Newmarket

Improving Indigenous Cultural Safety

#21

Mental Health and Addictions Exchange

#23

Naturally Occurring Retirement Communities (Seniors Belonging & Social Connectedness)

#25

Opioids and Overdose

#27

Rural Health and Rural Hubs Exchange

#29

Sub-Region Integration and Shared Service Planning

#31

Communities of Interest – Emerging Self Organizing Group(s)

#33, 35, 37

CONFERENCE LEARNING OBJECTIVES Through an exploration of eight 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. 1. Health equity and anti-oppression — What comprehensive primary health care interventions advance human rights and break down systemic barriers to good health?

5. Mental health and harm reduction — Who can we work with to tackle stigma, expand access and take the next steps on harm reduction, starting wherever we are now?

2. Truth and reconciliation — How can we confront colonialism and racism, reduce health disparities for Indigenous people, and support self-determination and self-governance in the delivery of services?

6. High performing interprofessional teams — What are the strategies and evidence to improve comprehensive primary health care and build clinical leadership, healthy and strong workplaces, and high quality, person-centred care?

3. Transforming our health system — How do we support population needs-based planning, work across sub-regions and expand access to comprehensive primary health care for the 22% of people living in Ontario who need it most? 4. People and communities at the centre — What can we learn from the initiatives, tools and evidence that put involvement of individuals, families and communities at the centre of service planning, improvement and delivery?

7. Demonstrating value and impact – What research, evaluation and quality improvement initiatives are gathering, analyzing and mobilizing data to improve population health and evidence-informed decision making? 8. Community-centred governance and equity — Why do we need inclusive leadership for health equity, and what are leading practices for high performing boards in health system transformation?

Accreditation This Group Learning program has been reviewed by the College of Family Physicians of Canada and is awaiting final certification by the College’s Ontario Chapter.

SPEAKERS Conference Emcee MICHELLE HURTUBISE Michelle Hurtubise has spent much of the past 22 years working with community health centres in Toronto and London. She is a sought after public speaker on health equity and community engagement. Currently, Michelle is the Executive Director of the Ontario Centre of Excellence for Child and Youth Mental Health in Ottawa. Michelle’s recent involvements include the Canadian Association of Community Health Centres 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 a well-executed dance move. On Twitter, she’s @hurtubisemh.

Plenary One | Blackness in Canada: Facing Racism to Improve Black Health CHARMAINE NELSON, PhD Charmaine A. Nelson is a Professor of Art History at McGill University. She graduated in 2001 with a PhD in Art History from the University of Manchester. Her research interests include postcolonial and Black feminist scholarship, Transatlantic Slavery Studies and Black Diaspora Studies. She has made ground-breaking contributions to the fields of Race and Representation and Black Canadian Studies. Nelson has edited and authored six books including Ebony Roots, Northern Soil: Perspectives on Blackness in Canada, as well as Slavery, Geography, and Empire in Nineteenth-Century Marine Landscapes of Montreal and Jamaica. Most recently, Nelson was appointed Visiting Professor of Canadian Studies at Harvard University for the 2017/2018 academic year. photo credit : Charles Michael

CONFERENCE EVALUATION We invite you to tell us about your experience at the Health Equity Action and Transformation conference. Please take a moment to provide us with feedback as we plan future conferences. Scan the QR code using your smartphone, or request a hard copy evaluation from the registration booth, for your chance to win one full registration for next year’s conference.

SPEAKERS Plenary Two | Opioids, Overdose and Harm Reduction

ROB BOYD

FRANK CRICHLOW

JACKIE HARRIS

STEVEN GOODINE

Rob Boyd has been working with youth and adults with mental health and substance use disorders in Ottawa for the past 25 years, including the last 14 years as the Oasis Program Director of the Sandy Hill Community Health Centre.

Frank Crichlow has been a harm reduction worker for over 12 years with the COUNTERfit harm reduction program at South Riverdale Community Health Centre where he provides harm reduction education, referrals and distribution. Frank works at the CHC safe consumption service and volunteers at the unsanctioned Overdose Prevention Site in Moss Park. He is a member of the Stigma and Discrimination Group, the Strategic Implementation Panel and the Drug Policy Committee of the Toronto Drug Strategy, Toronto Public Health. Frank is also the Chair of the Toronto Drug Users Union and a member of the Toronto Harm Reduction Alliance.

Jackie Harris is the Primary Care Manager at Central Community Health Centre in St. Thomas and Co-Chair of the Elgin Situation Table. Prior to working at CCHC, Jackie worked in emergency departments in Mississippi, Detroit, London and St. Thomas as a Registered Nurse, and at the Elgin St. Thomas Public Health Unit where she was the lead for the area’s Needle Exchange Program. Jackie’s specialty is increasing awareness and advocating for marginalized populations, and she has a strong passion for harm reduction strategies.

Steve is the Board Chair of the London InterCommunity Health Centre and CoDirector of the Centre for Research on Health Equity and Social Inclusion (CRHESI) at Western University. Steve was a London Police Service officer for 30 years and retired in 2016. Throughout his career, Steve’s passion was community policing, and he contributed to the development of the Ontario Community Policing Model. He’s @SGoodine on Twitter.

Oasis is a leader in integrating mental health, addictions and primary care services for people who experience barriers accessing mainstream services, and will offer Ottawa’s first supervised injection services this year. He’s @rboyd6 on Twitter.

SPEAKERS Plenary Three | The Future of Health and Wellbeing

FAYZA ABDALLAOUI

MAX FINEDAY

SYRUS MARCUS WARE

ANU RADHA VERMA

An immigrant from Algeria and an active member of the diverse Francophone community in Ontario, Fayza Abdallaoui is the founder of Next Level-Impact Consulting and the president of the Board of MOFIF, the Ontario Movement of Francophone Immigrant Women, committed to contributing to the economic growth, health, and civic engagement of women in a minority context. She’s on Twitter @Fayza_Amel.

Max FineDay is a nêhiyaw activist from the Sweetgrass First Nation. He is passionate about youth leadership development, theories of change-making, and increasing access to ceremonies for Indigenous youth. Max is currently serving as Executive Director of Canadian Roots Exchange, a national charity that delivers reconciliation programming to Indigenous and non-Indigenous youth. He also serves on the interim National Council on Reconciliation. Max is based in Toronto and can be found on twitter, @MaxFineDay.

Syrus is a visual artist, activist, curator and educator. He is the Coordinator of the Art Gallery of Ontario Youth Program and a facilitator/ designer at The Banff Centre. As a visual artist, Syrus uses painting, installation and performance to explore social justice frameworks and Black activist culture. Syrus’ writings on Trans health, disability studies and activism are part of curricula at City University of New York, York University, and Ryerson University. Syrus holds degrees in Art History, Visual Studies and a Masters in Sociology and Equity Studies. Syrus is a PhD candidate in the Faculty of Environmental Studies at York University. Syrus is on Twitter @syrusmarcusware.

Anu Radha Verma (BA, MES) has lived, worked, studied, played, struggled and agitated in places as disparate as Peterborough, New Delhi and Mississauga. Her work is focused on issues of social justice, including race, gender sexuality, migration, health poverty and the environment. She was responsible for the Inclusive Leadership in Governance work at the Alliance for Healthier Communities. She is also the Board Chair at Parkdale Queen West Community Health Centre. She dreams and works towards a world that is fundamentally different. Anu Radha is a queer, diasporic, cis, sometimes-femme, a survivor, and someone with lived experience of mental health struggles. You can find her on Twitter @aradhaverma.

SPEAKERS Plenary Four | Healthier Together: Social Prescribing in Action in the U.K.

TIM ANFILOGOFF

DR. MARIE ANNE ESSAM

ALYSON MCGREGOR

ADRIANNA TETLEY

Tim Anfilogoff is Head of Community Resilience for Herts Valleys Clinical Commissioning Group in the U.K., with a focus on social prescribing and promoting communityled health. As Head of Community Wellbeing for Herts County Council, Tim developed HertsHelp, an expert triaging service for voluntary and community assets, which now underpins social prescribing in the County, making referrals to 140 different community organizations per month. Tim co-authored Making Sense of Social Prescribing (2017) and is a member of the Economic and Social Research Council advisory board on Sustainable Care linked to an international network spanning 15 countries. Tim’s on Twitter @TimAnfilogoff.

Marie Anne has almost 30 years experience in primary care in the U.K., and 15 years in various leadership roles driving patient-centred improvements. Marie Anne’s experience of the transformative impact of social prescriptions for her own patients demonstrates the value of whole-person care, and the necessity to look wider than the relatively small medical part of health, to assist individuals towards personal resilience. Marie Anne also holds an MBA (London School of Business and Finance) and speaks regularly on the opportunities of social prescribing to catalyze a culture change in public services and in people’s lives. Marie Anne is on Twitter @MarieAnneDoc.

Alyson has over 30 years experience in a range of roles in the public, private and voluntary sector that meet the health and wellbeing needs of patients, people and communities. She is currently the National Director of Altogether Better. Alyson is a founding member of the National Social Prescribing Steering Group, and has worked with more than 100 primary care practices. Alyson was voted one of the top 50 inspirational women leaders in the NHS in 2013, and commended by the judges who said: “Community empowerment is going to be important in the NHS and Alyson is a visionary.”

Adrianna Tetley is the Chief Executive Officer of the Alliance for Healthier Communities. 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. Adrianna’s on Twitter @AdriannaTetley

LEARNING SESSION DESCRIPTIONS STREAM A A1

Addressing the Service Gap: Free mental health services for people experiencing depression and anxiety

The Government of Ontario is investing in two proven psychotherapy services, which will help over 100,000 people receive treatment for depression and anxiety. These services are available now, and free for people living in Ontario: Big White Wall, an online peer support and self-management tool, coordinated by the Ontario Telemedicine Network; and BounceBack, a telephone coaching program, managed by the Canadian Mental Health Association (CMHA) Ontario and CMHA York and South Simcoe. Attend this session to learn about the telephone coaching and online support tools, benefits seen in the pilot stages, and how to put these services into practice at your organization. Presenters: Anna Piszczkiewicz, Stakeholder Engagement Coordinator, Canadian Mental Health Association, Ontario Division; Harriet Ekperigin, Senior Business Lead, Ontario Telemedicine Network; Andrew Fairbairn, Stakeholder Engagement Coordinator, Canadian Mental Health Association, Ontario Division Theme: Mental health and harm reduction Audience: Front line/clinical and/or program staff | Senior management | Program management

Health in Housing Initiative: Increasing Access, A2 Integration and Impact This session will provide an overview of the Health in Housing Initiative, designed to engage isolated residents in their low-income housing complexes with the goal of achieving better health and being outcomes. During the session, we will share how an interdisciplinary team at London InterCommunity Health Centre collaboratively delivers mobile supports and services for this segment of the population, using data to drive improved outcomes. We will also touch on the robust evaluation framework used in the pilot stage, in-depth results, challenges and learnings, and how the initiative was grounded in the Model of Health and Wellbeing. Presenters: Tosha Densky, Community Development Worker, London InterCommunity Health Centre; Shelly Happy, Community Development Worker; London InterCommunity Health Centre Theme: Demonstrating value and impact Audience: Front line/clinical and/or program staff | Program management

Breathing Easier: Using the Health Equity Impact Assessment to ensure equitable delivery of a primary care respiratory program

A Health Equity Impact Assessment conducted by 10 primary care asthma program (PCAP) coordinators was compiled and followed up on by focus groups facilitated by the Ministry of Health and Long-Term Care and the Centre for Addiction and Mental Health. Where barriers to respiratory care were identified, such as low literacy and language barriers, partners such as The Lung Association (Ontario) provided innovative solutions — such as a pictorial triggers booklet for asthma patients, and an asthma infographic. Another common barrier addressed was geographic accessibility of PCAP programs. PCAP leaders will present lessons from the process of identifying gaps and addressing patients’ needs. Presenters: Sara Han, PCAP Provincial Coordinator, The Lung Association Ontario; Christina Dolgowicz, Lung Health Coordinator, Lanark Renfrew Lung Health Program, North Lanark CHC Theme: Transforming our health system Audience: All audiences

Cultural Humility: A Better Path for Enabling Health Equity

Participants will learn the difference between cultural competency and cultural humility, the principles of the latter, and what it looks like in practice. Cultural humility provides a container within which the researchplanning-implementation-evaluation techniques of Health Equity Impact Assessment, for example, can be undertaken with greater self- and other-consciousness and emotional intelligence. Using experiential and play-based techniques, this session will get people out of their chairs and into interactive encounters designed to give a sense of what it means to put cultural humility into practice in a health care setting. We’ll be surfacing difficult topics, but we’ll have fun, too! Presenter: LeeAnn McKenna, Principal, LeeAnn McKenna Associates SP Theme: Health equity and anti-oppression Audience: All audiences

Caring for My COPD: Successes, challenges and lessons learned from a community-based pulmonary rehab program

Quality Improvement in the Neighbourhood: A project to highlight population-health data and health-system concerns collected from clients

The HNHB Caring for My COPD program is a 10week community-based program for patients recently hospitalized with an acute exacerbation of their COPD or at risk of an acute exacerbation. Patients are supported by a multidisciplinary team, and the program is currently offered in four Community Health Centres, in Hamilton, Brantford, Welland and Niagara Falls. The session will provide an overview of the development and implementation of the program, highlighting innovations in a community-based approach. Personal stories from program staff, clients and their partners in care will shed light on the value and impact of designing and participating in an innovative patient-centered program.

A diverse team will outline steps taken in a quality improvement (QI) project that took place between February and December 2017 to make strategic use of population-level client health data. Following discussion with the leadership team at South Riverdale Community Health Centre (SRCHC), a decision was taken to assign 0.10FTE time of a data administrator to the organization’s LHIN-wide self-management program. Based on remote locations of teams, a workflow was identified, tested, and by December 2017 has been established. As a result of this QI project, by June 2018, we will publish reports to highlight clients’ stories and concerns for advocacy and education purposes.

Presenters: Elsa Deyell, Program Coordinator and Certified Respiratory Educator, Centre de santé communautaire Hamilton/Niagara; Keira Rainville, Community Health Counsellor and Certified Tobacco Educator, Centre de santé communautaire Hamilton/Niagara Theme: High performing interprofessional teams Audience: Front line/clinical and/or program staff | Senior management | Program management

Presenters: Parth Shah, Data Administrator; Rubina Kharel, Program Assistant; Jolene Funk, Program Assistant; Surkhab Peerzada, Manager, Choose Health program; Kathleen Foley, Manager of Quality Improvement; Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre Theme: High performing interprofessional teams Audience: All audiences

Rural Change: Creating the conditions for community-centred collaboration

This session will suggest the importance of allowing people and communities to identify service needs and requirements. At the core is a partnership between a Community Health Centre and a community foundation to create a collaborative environment among service providers. The Vital Signs initiative, developed and supported by Community Foundations Canada, was our model. We will describe the steps taken toward partnering with: the local health unit, community social service agencies, health experts, local politicians, as well as community members. We will also talk about how the results will be applied to improve community health outcomes. Presenters: Kara Symbolic, Community Programs and Communications Director, Lanark Renfrew Health & Community Services; Lynn McIntyre, Executive Director, Perth and District Community Foundation Theme: People and communities at the centre Audience: Front line/clinical and/or program staff | Program management

May the Force Be with Youth

Picture a youth-led mental health initiative in a small rural community featured on the six o’clock news. A group of 10 youth from the West Elgin Community Health Centre (WECHC) Youth Advisory Committee worked for a year and a half preparing this awareness day for 250 students, after a need had been identified using the Canadian Index of Wellbeing (CIW) survey. This learning session will explore the development of the WECHC Youth Advisory committee, and how WECHC addresses the needs of youth in a rural context, and explain initiatives they are currently working on. Presenters: Kristyn Munroe, Child and Youth Worker, West Elgin CHC; WECHC Youth Advisory Committee Theme: People and communities at the centre Audience: All audiences

Racial Battle Fatigue: Explorations and Challenges

As providers, we are concerned for the health and wellbeing of those who trust us to care for them. Some of our clients have been subjected to racial and social trauma that requires a special kind of space in which they can begin to heal and work through. We know that the impact of racism, discrimination, and social oppression is traumatic and affects clients mentally, emotionally, physically and spiritually — consider racial battle fatigue (RBF). How do we ensure that our “care” and “help” do not add to the trauma? How can we practise from an anti-oppressive position? This session examines the clinical space that is offered to clients who have experienced racial and social trauma; and offers some useful ways to build a privileged space for clients to work towards better health and wellbeing. Presenter: Tapo Chimbganda, Clinical Counsellor, Bramalea Community Health Centre Theme: Health equity and anti-oppression Audience: All audiences

A11

This hands-on presentation will provide attendees with information on the use of administrative data to drive practice improvement. The session will focus on the Community Health Centre version of the MyPractice: Primary Care report, with an emphasis on the new opioid prescribing information to be added in Spring 2018. It will also provide an overview of the suite of provincial supports for opioid prescribing and pain management that complement the MyPractice report and further support teams in planning for local practice improvement. Presenters: Wissam Haj-Ali, Senior Methodologist, Health Quality Ontario; Maria Krahn, Specialist, Clinical Improvement And Informatics, Health Quality Ontario Theme: Demonstrating value and impact Audiences: All audiences

A12 A10

Impacts and Opportunities of the Provincial Election to Advance an Integrated Health System

Community Health Ontario (CHO) is the voice of the LHIN-funded community sector, a strategic partnership between Addictions and Mental Health Ontario (AMHO), the Alliance for Healthier Communities, the Canadian Mental Health Association - Ontario Division (CMHA ON) and the Ontario Community Support Association (OCSA). Together, CHO represents the majority of the non-profit home care, community support, mental health, addictions and community governed primary health care organizations in Ontario. CHO envisions healthy communities served by a vibrant network of community-governed, communitybased, people-centred health services that are seamlessly coordinated with the full spectrum of care, including services that address the determinants of health. This panel presentation, designed for senior leaders and board members, will share insights from Community Health Ontario’s CEOs about the outcome of the provincial election, including potential impacts and opportunities for advancing an integrated health and community system, sub-LHIN planning, care coordination, and more. Presenters: Adrianna Tetley, CEO, Alliance for Healthier Communities; Gail Czukar, CEO, Addictions and Mental Health Ontario; Camille Quenneville , CEO Canadian Mental Health Association (Ontario) Theme: Transforming our health system; Community-centred governance and equity Audiences: Senior management | Board members

Using Data to Drive Practice Improvement

Rx Community I: Lessons in Collaborative Practice and Systems Change from Altogether Better

This session accompanies our Social Prescribing plenary and serves as part of the official launch for Rx: Community, our new Social Prescribing Pilot program. Come ask U.K. leaders how they do it! In this session we will have a Q&A on a whole systems approach to developing Collaborative Practice — a new relationship between citizens and services. Presenters: Alyson McGregor, National Director, Altogether Better; Martin Fischer, Associate, Altogether Better Theme: People and Communities at the Centre Audience: All audiences

STREAM B B1

Productivity Tools for Community Health Workers: Efficient Practices, GTD, Pomodoro and Todoist

Community health workers are constantly faced with thoughts, emails and tasks while having to juggle a heavy and complex caseload. Managing time and retaining focus can be challenges. A lack of productivity tools can contribute to burnouts and overwork. This session will explore efficient practices and some tools to manage thoughts; to stay focused and control time; and to organize tasks and get in sync with all devices. This workshop is designed to be interactive and engage participants. Whether you have a tablet, cellphone or laptop, you will learn ways to boost your productivity in a technology-driven environment.

Presenters: Marcus Zacharia, Multicultural Health Navigator, Somerset West Community Health Centre; Mary Nduati, Administrative Assistant, Somerset West Community Health Centre Theme: High performing interprofessional teams Audience: Front line/clinical and/or program staff | Program management | Administration

Health, Wellbeing, and Welcoming: Innovations uncovered while providing support to newcomer populations in Kingston

The Kingston Community Health Centres (KCHC) provides a wide variety of programming — including federally funded settlement services — for the majority of new arrivals in the area, including close to 400 over the last two years. KCHC has piloted a range of initiatives to address the needs of this complex client population, in areas of primary care, allied health, parenting and early learning. This four-part session will reflect on KCHC’s innovations in support for newly arrived refugees in a smaller urban centre. We’ll also hear from other CHCs in the audience about best practices for collaboration and integration. Presenters: Ruth Noordegraaf, Manager Immigrant Services; Meghan O’Leary, Manager Primary Health Care Theme: Health equity and anti-oppression Audience: All audiences

B3 - SPOTLIGHT SESSION B3.1

Towards More Equitable Engagement: Cancer Care Ontario’s project to build an inclusive framework for patient, family and public engagement practices

Cancer Care Ontario (CCO) works with more than 100 patient and family advisors (PFAs) from across Ontario who have lived experience in the cancer system and provide a voice for patients. But there is growing evidence this approach brings a narrow set of patient voices to the table. To create a framework for more diverse engagement, CCO invested in a multi-stage project to identify populations whose voices were not being heard. CCO also engaged with community partners to develop a new framework for engagement (now in the pilot stage). This session will detail CCO’s approach to improving equity in engagement.

B3.2

Mental Health Through an Equity Lens: An action framework for meeting the needs of marginalized populationsent

LGBTQ+ youth, women, older clients, Indigenous people, newcomers, and people living in poverty are some of the groups who regularly face difficulty accessing mental health and addictions resources. The issues they face are wide-ranging and complex, and system level changes that impact the social determinants of health are needed to reduce barriers. To ensure marginalized clients receive timely care according to their needs, organizations need to address equity in mental health care planning. CMHA Ontario has developed a tool called Advancing Equity in Ontario: An Action Framework, which will be introduced during the session. Presenters: Uppala Chandrasekera, Director of Public Policy, CMHA Ontario; Vizarath Ali, CMHA Ontario Theme: Health equity and anti-oppression Audiences: Senior management | Policy makers | Program management

Understanding institutional and client-level determinants of appointment no-shows at a Community Health Centre

Appointment no-shows can adversely affect the health of clients and cause substantial strain on resources and reduced productivity for the centre. Based on a retrospective chart review study and focus group discussions with healthcare providers, this session will share findings about institutional and client-level factors associated with appointment no-shows among rostered primary care clients at Access Alliance. Following this, we will engage in a facilitated discussion on potential solutions to reduce appointment no-shows and missed opportunities for care for vulnerable clients at community health centres. Presenters: Susitha Wanigaratne, Post-Doctoral Research Fellow, Centre for Urban Health Solutions (C-UHS), Institute for Clinical and Evaluative Sciences (ICES); Khnah Le, Manager, Primary Care Services, Access Alliance Multicultural Health and Community Services Theme: High performing interprofessional teams Audience: All audiences

Presenters: Suman Dhanju, Manager, Patient Experience & Engagement, Cancer Care Ontario; Brett Nicholls, PersonCentred Care Lead, Cancer Care Ontario Theme: Health equity and anti-oppression Audience: Policy makers | Program management | Administration

Integrated Supervised Consumption Services: Lessons learned from early adopters

A supervised injection/consumption service (SIS/SCS) is a health service where people inject or consume pre-obtained drugs in a safe and hygienic environment under the supervision of trained staff. South Riverdale CHC, Parkdale-Queen West CHC and Sandy Hill CHC have all recently expanded their harm reduction programs to include SIS/SCS. In this panel, we will share our experiences of developing and implementing SIS/ SCS, including service and staffing models, challenges, successes and lessons learned so far. There will be a discussion and time for questions on: the Health Canada exemption process; involving people who use drugs in model design; community engagement; and acceptability and uptake of SIS/SCS. Presenters: Natalie Kallio, Coordinator, keepSIX Supervised Consumption Services, South Riverdale Community Health Centre; Rob Boyd, Oasis Program Director, Sandy Hill Community Health Centre Theme:Mental health and harm reduction Audience: All audiences

Managing Back Pain and Opioid Use through Interprofessional Teams: Belleville NPLC Primary Care Low Back Pain Pilot

Three of the four leading causes of disability in North America are musculoskeletal (MSK) in nature, and low back pain ranks No. 1. Additionally, low back pain is reported in over half of opioid users. The Belleville Nurse Practitioner-Led Clinic (NPLC) Primary Care Low Back Pain Pilot is one of seven pilot sites that include MSK experts, such as chiropractors, working in interprofessional teams to manage clients’ pain. The Belleville NPLC Pilot Lead Chiropractor and Belleville Quinte West CHC Pharmacist will highlight the experiences of providers and clients as well as evaluation findings, which include high reductions in pain medication use, including opioids. Presenters: Dr. Bruce Flynn, Chiropractic Lead, Belleville PCLBP Pilot, Belleville Nurse Practitioner-Led Clinic; Luba Shepertycky, RPh Primary Care Pharmacist, Belleville Quinte West Community Health Centre Theme: Demonstrating value and impact Audience: All audiences

B7 - SPOTLIGHT SESSION B7.1

‘Not My Kid’: Opioids, Addiction and Adolescents

This session will share best practices on one community’s effort to educate and inform parents, teachers, coaches, and caregivers on opioid use and addiction in adolescents. Participants will learn about the “Not

My Kid” series of community forums held in WindsorEssex, which were unique opportunities for a range of partners to come together to educate attendees on the array of supports and services available to address adolescent substance use. Participants will learn about elements that went into designing this turnkey program, spearheaded by Windsor Essex Community Health Centre, including: how to engage community resources, community sponsorship, media outreach, and how to involve people with lived experience. Presenters: Jodi Pearce, Health Promoter, Windsor Essex Community Health Centre; Alexandra Wiseman, Health Promoter, Windsor Essex Community Health Centre Theme: People and communities at the centre Audience: Front line/clinical and/or program staff

B7.2

Walking the Path: Improving service pathways between primary care and community-based child and youth mental health services

Based on recommendations from a recently launched policy-ready paper, the Children’s Hospital of Eastern Ontario (CHEO) Research Institute, and the Ontario Centre of Excellence for Child and Youth Mental Health are jointly implementing an applied research pilot project in two Ontario communities. The project goal is to strengthen the interface between primary care and community-based child and youth mental health services. This session will share early lessons on: creating organizational structures and practices that support inter-provider communication; developing guidelines and standardized clinical pathways; and integrating standardized tools in primary care practices. Presenters: Dr. Mario Cappelli, Director, Psychiatric and Mental Health Research, CHEO Research Institute; Laura Kelly, Program Associate, The Ontario Centre of Excellence for Child and Youth Mental Health Theme: Mental health and harm reductions Audience: Front line/clinical and/or program staff | Senior management | Policy makers

CCA Accreditation and Quality Improvement 101

Accreditation is a learning opportunity that provides a wholistic assessment of organizational performance. This session will provide an overview of the Canadian Centre for Accreditation’s services to its clients, which include: providing peer review of client organizations that is based on various sources of evidence and recognized performance standards, and engaging all stakeholders in a continuous quality improvement process. For those who have yet to undergo accreditation, recommendations will be provided to help assist organizations to achieve a state of readiness for accreditation.

Presenters: Sui Mee Cheng, Executive Director, Canadian Centre for Accreditation; Jackeline Barragan, Accreditation Manager, Canadian Centre for Accreditation Theme: Demonstrating value and impact Audience: All audiences

Introduction to Inclusive Leadership in Governance

This session introduces an Inclusive Leadership in Governance framework for action through board membership and authentic engagement, and at the board table through effective strategies, policies, structures and practices. Topics covered in this session include: health equity, anti-racism, intersectionality, cultural humility, anti-oppression, inclusive leadership and meaningful community engagement. Participants will learn about examples of how boards are thinking and acting strategically to advance equity and inclusion. Presenters: Anu Radha Verma, Inclusive Leadership in Governance Project Coordinator, Alliance for Healthier Communities; Heidi Schaeffer, Knowledge and Learning Lead, Alliance for Healthier Communities Theme: Community-centred governance and equity Audience: Board members

B10 - SPOTLIGHT SESSION B10.1

Interprofessional models of care incorporating midwifery with OB, traditional birthing practices, teachings and NP supports

Presenter: Angela Recollet, Executive Director, ShkagamikKwe Health Centre Theme: Truth and Reconciliation Audience: All audiences

B10.2

Experience Implementing an Interprofessional and Integrated Care Model: Client intake that improves integrated and wholistic health and wellbeing

This session will share how Southwest Ontario Aboriginal Health Access Centre (SOAHAC) has implemented an integrated care model, focusing on Wholistic Integrated Care Circles (WICC) as a valuable tool for interprofessional care teams. Rooted in an Indigenous worldview of interconnectedness, these Circles improve wholistic care for clients and families by maximizing interprofessional collaboration and incorporating traditional Indigenous and western approaches. Participants will learn how these Circles create a safe space for direct, effective consultation and team-based problem solving to expertly address the health and wellness needs of clients and families

Presenters: Bonnie Smith, Integrated Care Manager for Southwest Ontario Aboriginal Health Access Centre - London; Lisa George, Integrated Care Manager for Southwest Ontario Aboriginal Health Access Centre - Owen Sound Theme: Truth and Reconciliation Audience: All audiences

B11

Equip Your Organization for a CQIP: How to participate in sub-region collaborative quality improvement planning

Quality Improvement Plans are shifting to include a collaborative model, piloted in Waterloo-Wellington LHIN. As lead for a Health Link in Cambridge & North Dumfries and the Hub@1145, Langs led the CQIP with participation of 12 health and social service partners (senior leaders and board members) to address mental health and addiction services integration with primary care. See tools and processes; Learn on the ground strategies, including Board engagement strategies, and lessons learned from stakeholders in the CQIP, including Health Quality Ontario, WWLHIN and Langs. Discuss opportunities and replicability of this sub-region quality improvement planning model in your sub-region, collaborative working groups or hubs. Presenters: Kerry-Lynn Wilkie, Health Link Director, Cambridge and North Dumfries, Langs; Bill Davidson, Executive Director, Langs; Julie Nicholls, Quality Improvement Specialist, Health Quality Ontario; Kerri Bennett, Quality Improvement Specialist, Health Quality Ontario Theme: Demonstrating value and impact Audience: All audiences

B12

Creating Collaboration: Tools and methods for weaving community wisdom into your organization

There are a multitude of techniques to engage the people we serve. But with the launch of Accreditation Canada’s Patient Experience Office in 2018, the standards of co-design are inching towards clients being involved from start to finish in all quality improvement efforts. This session will share a methodology and key tools robust enough to meet evidence requirements for your surveyors, yet flexible enough to be highly adaptive to your organization and its diverse clients. Participants will also explore these tools and methods — designed to unleash the wisdom of both staff and clients — in two in-session exercises. Presenter: Callum Tyrrell, Quality Engagement Manager, Scarborough Centre for Healthy Communities Theme: People and communities at the centre Audience: Front line/clinical and/or program staff | Program managements

STREAM C C1 - SPOTLIGHT SESSION C.1

Food Skills for Families Program Partnership Helps to Build Strong Communities

In 2017, Diabetes Canada (DC) and the Scarborough Centre for Healthy Communities (SCHC) partnered to offer the DC Food Skills for Families (FSF) program. The program is focused on increasing food literacy among Canadians and empowering them to make healthier food choices. With a focus on chronic disease prevention and management, its hands-on approach provides healthy eating and cooking skills to communities facing food insecurity. This successful partnership, which has seen the six-week program spread to eight agencies in Scarborough, will be discussed in a case-study format to share the roles, processes and success evidence the project uncovered. Presenter: Jill MacDonald, Master Trainer, Food Skills for Families, Diabetes Canada Theme: High performing interprofessional teams Audiences: All audiences

C1.2

Empowerment in the Kitchen: How to share food skills and promote wellbeing

This session highlights how cooking programs can be implemented to help promote food knowledge, skills, and access for clients who have a variety of mental health disorders. Experiences from a new drop-in cooking program will highlight how to engage clients in the planning and implementation of each class. Strategies and suggestions on how to alter program content (recipes, educational resources, teaching moments) for clients with persistent mental illness will be discussed. This talk will showcase how food literacy can be delivered across unique settings, and the effectiveness of a partnership between a CHC and local hospital in providing nutritional support. Presenter: Adam Hudson, Community Registered Dietitian, Port Hope Northumberland Community Health Centre Theme: People and communities at the centre Audiences: Front line/clinical and/or program staff | Program management

Advancing Organization- and System-level Indigenous Cultural Safety: Health Quality Ontario’s commitment and progress to date

This session is focused on sharing Health Quality Ontario’s (HQO) experience and learnings as it moves toward organization-wide Indigenous Cultural Safety and promotion of system-level practices across health sectors.

Since spring 2017, HQO has worked in close partnership with the Ontario Indigenous Cultural Safety (ICS) Training Program to formulate a learning plan for the organization as a first step toward becoming a culturally safe organization and promoting ICS as an important health quality issue. The learning plan consists of training for the organization’s board of directors and senior leadership team, followed by completion of the Core Health learning module by all HQO board and team members. Presenters: Andrea Bracaglia, Senior Analyst, Health Equity, Health Quality Ontario; Diane Smylie, Director, Ontario Indigenous Cultural Safety Program Theme: Truth and Reconciliation Audience: Senior management | Program management | Administration

Tapping the Potential of Primary Care Nurses: Are we utilizing RNs to their full scope of practice?

This session will demonstrate how the Scarborough Centre for Healthy Communities CHC implemented full scope of practice for Registered Nurses, including nurse-led programs, to continue to foster optimal and positive client experiences. This session will discuss how that implementation has opened up the possibility of expanded scope of practice of primary care registered nurses within an interprofessional team. Presenters: Kim Cook, Vice President Community Health & Chief Professional Practice, Scarborough Centre for Healthy Communities; Ade Oyemade, Professional Practice Manager, Scarborough Centre for Healthy Communities Theme: High performing interprofessional teams Audience: Front line/clinical and/or program staff | Program management

Culturally and Linguistically Tailored Health Promotion: Towards health equity for immigrant communities

CATIE, Access Alliance and Toronto Public Health, three organizations working closely with newcomers in three different settings, will make a case for inlanguage health promotion to reduce health inequities for immigrant populations. Topics covered will include: the role of culturally and linguistically tailored chronic disease prevention and management in reducing health disparities; the successful experience of taking hepatitis C information to large immigrant communities living in Ontario in their own language through communitybased education, outreach and media work; and anonymous counselling, information and referral resources offered over an infoline in 13 languages. The session will delve into identifying needs, development of partnerships, and how to ensure accuracy in translation.

Presenters: Fozia Tanveer, Manager, Immigrant and Newcomer Hepatitis C Community Health Programming, CATIE, Canada’s Source for HIV and Hepatitis C Education; Nicole Nitti, Family Physician, Access Alliance Multicultural Health and Community Services; Brian Chen, Supervisor AIDS and Sexual Health Info Line, Toronto Public Health Theme: People and communities at the centre Audience: Front line/clinical and/or program staff | Policy makers | Program management | Board members

Learning Health Systems: How to harness data to improve the health of populations served

An interprofessional research team has submitted a proposal to build tools that will automate real-time analyses of data sets such as patient encounters and community/client characteristics. By applying “big data” computing, artificial intelligence, and human-centred design to build analytics and clinician-patient decision support tools, personalized care options for each patient will ultimately improve care and outcomes. The goal of this project is to build knowledge that facilitates a cycle of health improvement. This session will review the proposed project plan and deliverables, and explore the necessary factors to promote success in developing a Learning Health System. Presenters: Jennifer Rayner, Director, Research and Evaluation, Alliance for Healthier Communities; Merrick Zwarenstein Theme: High performing interprofessional teams Audience: Front line/clinical and/or program staff | Program management

Trauma Informed Care: Unpacking the “Triple ACE” approach Collaborative’s Journey in Using QI

In this session, trauma-informed care will be reviewed in detail. A new framework that encompasses understanding the impact of the “Triple ACEs” — Adverse Childhood Experiences, Adverse Community Environments, and Accurate Compassion and Empathy — will be outlined. The comprehensive framework aims to understand the impact of generational and historical trauma as well as ongoing adversities. The final “ACE” gives front-line providers a framework of care that recognizes the need for boundaries for both the patient and provider to flourish, and the session will detail examples of daily applications in a range of health care settings. Presenters: Rupa Patel, Physician, Kingston Community Health Centres Theme: Mental health and harm reduction Audiences: Front line/clinical and/or program staff | Senior management | Policy makers

Reframing Governance: Leading Practices from Ontario’s Health Systeme

High performing boards are needed to support innovation and advance delivery of people and community-centred primary health care. In our complex environment, governing boards are required to work in multiple modes — fiduciary, strategic and generative. In this session, I will profile how higher performing boards have adopted governance as leadership and share leading practices to promote a culture of inquiry to impact an organization’s mission. Presenter: Gwen DuBois-Wing, PhD, Fellow, Institute for Social Innovation, Fielding Graduate University Themes: Community-centred governance and equity Audience: Senior management | Board members | Administration

C8 - SPOTLIGHT SESSION Breaking Down Barriers to Accessing C8.1 Quality Healthcare for the Amish/Mennonite Population in Elgin County Thousands of people within Ontario experience barriers accessing healthcare within their own community. In Elgin County, the approximately 6,000 Amish and LowGerman speaking Mennonites have been identified as a group experiencing barriers to primary care. During this session, Central Community Health Centre will share their experiences offering primary health care services to this under-serviced group by establishing trust within a historically difficult to reach population. Presenters: Jackie Harris, Primary Care Manager, Central Community Health Centre; Heather Stillitano, Executive Assistant/QIP Lead, Central Community Health Centre Theme: People and communities at the centre Audience: All audiences

C8.2

Moving Health Equity Forward ... a Shared Journey to Get It “Right”

In 2016, leaders in primary care, public health and community services came together to discuss the viability of a cross sector action group on health equity, and out of that discussion, the Moving Health Equity Forward in Grey Bruce group was created. A broad engagement plan included senior leaders, front line providers and individuals with lived experience. The group’s first priority was to create a tool to support using a health equity lens in all our work. Cross-sector, crossministry engagement was used to draft the tool, finalize it, and support adoption. This session will explore the tool, its accompanying website, and lessons learned from the development process.

Presenters: Debbie Taylor, Health Link Project Manager, South Bruce Grey Health Centre; Tanya Shute, Manager of Allied Health Services/Quality & Risk Management, South East Grey Community Health Centre Theme: People and communities at the centre Audience: All audiences

To Peer or Not to Peer? Harm reduction at work

Despite the apparent value of involving community members in health centre governance and service delivery, how often are our clients who use drugs meaningfully involved? This presentation will address questions related to oft-cited barriers to involving people who use drugs in program delivery. A panel of people with experience of illicit drug use, who are employed in harm reduction programming, will share experiences of their transition from client to coworker. Panellists have all been clients of the Toronto Community Hep C Program (TCHCP), and the session will cover how the TCHCP meaningfully employs people who use drugs in treatment and support. Presenters: Keith Williams, Community Support Worker, Toronto Community Hep C Program; Signe Dewar, Patient Advisory Board Member, Toronto Community Hep C Program Theme: Mental health and harm reduction Audience: Front line/clinical and/or program staff | Program management

C10

Can I trust you? Enhancing the trust paradigm between clients and providers

Privacy and security of information we collect, use, disclose, retain and dispose of presents a huge responsibility for organizations to protect the data we are entrusted with. This presentation looks at data protection from a C level angle involving protecting privacy and the security of the data by implementing best practices to secure the data within health care organizations using various industry-recognized frameworks such as NIST, ISO and CIS Controls. The presentation will also touch on the Freedom of Information and Protection of Privacy Act (FIPPA) which promotes transparency and accountability within the health care sector. This event will prepare organizations to think about upcoming regulation changes within privacy laws and security compliance requirements in the near future. Presenters: Simeon Kanev, Privacy Business Analyst, Association of Ontario Health Centres; Safraz Iqbal, IT Infrastructure and Systems Analyst, Association of Ontario Health Centres; Ram Shankar, CIO, North Hamilton CHC Theme: High performing interprofessional teams Audience: Senior management | Policy makers | Program management | Board members | Administration

C11

From Change Fatigue to Energizing Change through an Administrative Redesign Initiative

Presenters from Rideau Community Health Services (RCHS) will highlight the success of the Administrative Redesign Initiative. This initiative began two years ago with an aim to maximize scarce administrative resources. RCHS will share their journey on how they engaged with dedicated, hardworking administrative staff, who had expressed signs of change fatigue, and found efficiencies, improved effectiveness and discovered so much more along the way — energizing change! The session will highlight what was used to drive change, enablers along the way, and a-ha moments — both from the presenters’ perspective and through participants’ engagement. Presenters: Anne Caron, Director, Corporate and Administrative Services, Rideau Community Health Services; Terri Harrison, Vice President, Consulting Services & Sr. Strategist, tap Strategy & HR Consulting Theme: Demonstrating value and impact Audience: All audiences

C12

Transformation Governance: Best Practices for Boards Engaged in Health System Renewal

The health and social service sector has been undergoing significant systems level restructuring with a greater focus on integration of the care continuum to advance patient-centered care. This session will cover: a review of health system transformation legislation and legal obligations; roles and responsibilities of health centre board of directors members; best practices for generative governance, community-centered governance, and risk governance; and practical strategies and lessons learned from implementation of integration initiatives across Ontario. Presenters: Karima Kanani, Partner, Miller Thomson LLP Theme: Community-centred governance and equity Audience: Senior management | Board members

STREAM D D1

Visioning for Change — Health Equity and Self Aspiration BILINGUAL SESSION

We often see that the community members we serve are no longer dreaming because of the stress associated with daily living: learning an official language; looking for a job; taking care of family obligations — the list goes on. This interactive session, offered in English and French, will provide an opportunity to focus on hopes, dreams and aspirations through the creation of ‘vision boards.’ This session is a creative outlet for participants to self-reflect, invest in personal growth and wellbeing, and create social connections.

Presenters: Valerie Assoi, Community Engagement Worker, South East Ottawa Community Health Centre; Lynda Giffen, Community and Health Equity Developer, Sandy Hill Community Health Centre Theme: People and communities at the centre Audience: All audiences

How Can We Measure Progress on Health Equity? Lessons from the co-creation of a framework planning and measurement tool

The vast majority of Community Health Centres do health equity work, but how do we know if we are making progress? This session will introduce the concept behind the Health Equity Framework. The framework is adapted from the Institute for Healthcare Improvement white paper Achieving Health Equity: A Guide for Health Care Organizations (Cambridge, Mass., 2016), and is designed to help organizations build capacity for health equity work while strengthening organizational and staff commitment. Partner CHCs will provide their unique perspectives on practical applications of the framework. This will be followed by a hands-on collaborative learning activity. Presenters: Axelle Janczur, Executive Director; Heidi Schaeffer, Knowledge Management and Learning Lead; Miranda Saroli, Project Coordinator Theme: Health equity and anti-oppression Audience: All audiences

Consumer Health: Fad, or the natural evolution of health care?

Dr. Carole Orchard and Kateryna Metersky’s research in interprofessional client-centered collaborative practice shows full inclusion of clients in their team-based care has potential to improved health outcomes. Rethinking a client’s role in their care requires a significant shift in a health providers’ view of their role. This session will explore the perceived role of clients within health care and its effect on both them and providers. We’ll present a strategy using the Alliance’s Consumer Health ‘e’ Strategy to focus on the client’s role through their personal health records. Finally, we’ll lead a discussion about actions to transform understanding about the public’s role in their health care.

D4: DOUBLE SESSION D4.1

Breastfeeding Support: Highlighting Leading Practice Initiatives That Work With the Community

People and Communities at the Centre: highlighting the contribution and impact of families who take centre stage in the development and delivery of our multifaceted breastfeeding supports services in primarily low income, socially isolated, newcomer communities in Toronto. Our established system for delivering effective and accessible breastfeeding support is community-centred and based in the partnership model. We will present our accomplished, multiservice system model, which employs community engagement practices to deliver effective education programs that reduce social isolation and systemic service barriers, and improve duration in populations with lower rates of breastfeeding. Presenter: Clare Ambraska, Community Health Worker, Flemingdon Health Centre; Catherine McEvilly Pestl, Lactation Consultant, Flemingdon Health Centre Theme: Demonstrating value and impact Audiences: All audiences

Informed Decision-Making: Learning how to D4.2 have meaningful infant-feeding conversations This interactive workshop identifies and demonstrates tools for health care provides when sharing evidencebased information with families regarding their infant feeding decision. Learn how to incorporate key elements of mother-centred conversations in order to provide best practice information in a sensitive and unbiased manner while working through a video scenario. Presenters: Catharine Lowes, Health Promotion Specialist, BFI Strategy for Ontario; Doris Balcarras, Health Promotion Specialist, BFI Strategy for Ontario Theme: High performing interprofessional teams Audience: Front line/clinical and/or program staff | Senior management | Policy makers | Program management

Presenters: Rodney Burns, CIO, Alliance for Healthier Communities; Marc Gordon, IMS Program Lead, Alliance for Healthier Communities; Dr. Carole Orchard, Professor, Western University; Kateryna Metersky, Doctoral Candidate, PhD Nursing Program, Western University Theme: People and communities at the centre Audience: All audiences

D5 - SPOTLIGHT SESSION D5.1

Providing 2SLGBT Specific Care Within Northern/Rural Ontario

This session will focus on the struggles and discrepancies in providing 2SLGBT specific care within northern/rural Ontario. It will include a focus on the individualized care trends within the 2SLGBT communities from a medical viewpoint with special attention to working with the two spirit within an Aboriginal Health Access Centre. Additionally, we’ll discuss organizational change, policy, ensuring safe and competent workplaces/ environments and overall access of care and health equity. Presenter: Michael Barnett NP-PHC, BScN, MScN, Nurse Practitioner, Shkagamik-Kwe Health Centre Theme: High performing interprofessional teams

D5.2

Ottawa Senior Pride Network: Creative partnerships for a vibrant community initiative

LGBTQ+ people experience disparities in health outcomes and health inequities increase with age. This session will focus on a partnership between Centretown Community Health Centre and the Ottawa Senior Pride Network to reduce disparities and foster wellbeing. The approach is multi-faceted: building community, advocating for system and policy change, reducing social isolation, and providing services. Learn about several best practices developed and discuss how these might be adapted and applied to your communities. Presenters: Barry Deeprose, Ottawa Senior Pride Network; Janis Dahl, Health Promoter, Centretown Community Health Centre Theme: Health equity and anti-oppression

D5.3

Mental Health Services and LGBTQ2S Youth in Toronto

In 2016, the LGBTQ Youth Initiative conducted a needs assessment and found that LGBTQ2S youth were consistently saying, “When we’re with people who don’t support us, we feel horrible, but when we’re together, we’re better people and we’re here for each other.” This session will explore how the results of this program have resulted in responsive programming for youth mental health. The session will also explore how mental health programming for LGBTQ2S youth is offered within a CHC. Presenters: Anna Penner, Coordinator, Research and Programming, Planned Parenthood Toronto; Katarina MaattaHebdon MSW, RSW, Therapist, Planned Parenthood Toronto Theme: High performing interprofessional teams Audiences: All audiences

Surviving Overdose, Healing Communities: Comprehensive tools and advocacy for overdose response and prevention

The overdose crisis continues to have a devastating impact on individuals and communities. This workshop will explore some of the recent responses and actions of staff and clients of South Riverdale Community Health Centre’s COUNTERfit Harm Reduction team to both prevent and heal from overdose loss. Examples will include the Overdose Prevention Site in Moss Park, Toronto, as well as the use of Healing Circles. Lessons learned and impacts will be shared, as well as a discussion of the role of CHCs in this crisis and where we need to go from here. Presenters: Les Harper, South Riverdale Community Health Centre; Rhiannon Thomas, South Riverdale Community Health Centre; Zoe Dodd, South Riverdale Community Health Centre; Yvette Perreault, AIDS Bereavement & Resiliency Program of Ontario Theme: Mental health and harm reduction Audiences: All audiences

Organizational Commitment to Indigenous Cultural Safety for Senior Leaders in Health Settings

In this session, we’ll explore aspects of an Indigenous Cultural Safety organizational system framework for creating health service settings free of anti-Indigenous racial discrimination. Organizational learning and related wise/emerging practices for cultural safety training will be shared. In addition, the session will include an interactive activity to deepen understanding of how biases and stereotyping about Indigenous people shape services at all levels. Presenters: Diane Smylie, Director, Ontario Indigenous Cultural Safety Program; Michèle Parent-Bergeron, Provincial Practice Lead, Ontario Indigenous Cultural Safety Program; Leila Monib, Provincial Practice Lead, Ontario Indigenous Cultural Safety Program; Randy Ray, Provincial Practice Lead, Ontario Indigenous Cultural Safety Program Theme: Truth and Reconciliation Audiences: Senior Management

Transactional vs. Transformational: Leading with a Racial Equity Lens for Structural Change

Through a presentation and discussion, participants will strengthen their knowledge of strategies and tools to achieve community-centred governance and racial equity within their organizations. We will explore a framework for creating equitable boards that moves beyond diversity and inclusion to promoting equitable decision-making. We will discuss how leading with an anti-oppression lens is an essential component of an

organizational strategy for systemic transformation. This session will equip board members and leaders with skills and tools to examine the state of diversity, equity and inclusion in their organizations, and help them identify gaps in policies, programs, and practices. Presenters: TAIBU Community Health Centre Theme: Community-centred governance and equity Audience: Senior management | Policy makers | Board members

Presenters: Monika Dalmacio, Registered Nurse / Health Coach, Access Alliance Multicultural Health and Community Services; Amanda McIntyre, Nurse Practitioner, Primary Health Care, Access Alliance Multicultural Health and Community Services Theme: Demonstrating value and impact Audiences: Front line/clinical and/or program staff | Senior management

D10: DOUBLE SESSION D9 - SPOTLIGHT SESSION D9.1

An Interprofessional Approach to Chronic Disease Self-Management Among Immigrants and Refugees: Building Evidence and Organizational Best Practices

In this session, we use a systematic approach to recommend evidence-based, tailored changes at the institutional level to support chronic disease selfmanagement within a primary care setting. Racialized clients, particularly those who are newcomers (less than 10 years in Canada) at Access Alliance Multicultural Health and Community Services experience significant barriers that limit their ability to self-manage chronic diseases, leading to worsening health outcomes. By synthesizing the results from a systematic literature review and semi-structured interviews with service providers at Access Alliance, we will share recommendations for self-management support that can serve as a model for other primary care centres. Presenters: Rosalinda Chen, MD Candidate, University of Toronto; Nicole Nitti, Medical Director and Family Physician, Access Alliance Multicultural Health and Community Services Theme: High performing interprofessional teams Audience: All audiences

D9.2

Engaging interprofessional primary care teams in quality improvement projects to improve cancer screening rates and access to primary care

A nurse practitioner and registered nurse from Access Alliance Multicultural Health and Community Services will share evidence based stories from their experiences chairing quality improvement (QI) projects. Their projects aim to improve cancer screening rates and access to care for the centreâ&#x20AC;&#x2122;s immigrant and refugee client population. This workshop will explore the stages of QI process and the learning journey undertaken by front line service providers at Access Alliance. Participants can expect to learn about tools, resources, potential challenges and tips that would be helpful for any community-based health agencies interested in implementing QI projects in their own team settings.

Building a Seamless System: Enabling shared D10.1 care planning between Primary Care and Community Support Services A key focus of the Rural Hastings Health Link (RHHL) is to mobilize coordinated care. Pathways for coordinating care and technology that enables information flow between health system and community support partners are essential. This session explores the Care Coordination Protocol established between the RHHL System Navigator (SN) and the Regional Care Coordinator (RCC) program, used when Community Support Services (CSS) are required for individuals aged 60 and over. The session will also cover the development of a secure web-based portal (there will be a demo), and the integrated care pathways that decrease duplication and enhance patientsâ&#x20AC;&#x2122; experience of seamless care. Presenters: Julia Swedak, Director of Quality and Knowledge Management, Gateway CHC; Val Myles Gill, Manager Regional Care Programs, Community Care for Central Hastings Theme: Transforming our health system Audience: All audiences

D10.2

Designing a Better Experience for Patients and Providers with Patients and Providers: How to Implement Experience Based Design

The Experience Based Design model brings together patients and providers to co-design services in partnership. Learn how early adopter Health Links (Rural Hastings Health Link and Kingston Health Link) piloted this model to capture perspectives and feedback from primary care providers to identify successes, commonalities, barriers and challenges of the Health Link model. Participants will learn approaches and techniques used in the implementation of the model and have opportunity to discuss how they may apply Experience Based Design in their own practice. Presenters: Laura Cassidy, Quality Improvement Decision Support Specialist, Maple FHT; Alicia McCullam, Rural Hastings Health Link Project Manager; Linda Robb Blenderman, RN, BScN, MSc, Kingston Health Link Project Manager/Coordinator Theme: Transforming our health system Audience: All audiences

D11: SPOTLIGHT SESSIONS Design Thinking: A model for implementing D11.1 innovative change ideas and strategies at Community Health Centres Community Health Centres are always looking to improve access to and the quality of programs, both to meet the funders’ requirements and reduce costs. So, how can they deal with these priorities while controlling costs? How can they do more with less without compromising quality of care? This session will introduce participants to design thinking and its significant impact on the regional programs hosted at Kingston Community Health Centres. Workshop participants will learn the step-by-step process of how to implement change ideas and strategies over time, with a focus on team culture and strategy renewal. Presenter: Clément Habiyakare, Director of Planning and Community Engagement, French Language Health Services Network of Eastern Ontario Theme: Transforming our health system Audience: Front line/clinical and/or program staff | Senior management | Program management

Co-designing quality improvement: theory

comprehensive description of an ideal delivery model with concrete examples. Presenters: Rebecca Lyon, Practicum Student, Alliance for Healthier Communities; Jennifer Rayner, Director, Research and Evaluation, Alliance for Healthier Communities Theme: Demonstrating value and impact Audiences: All audiences

Vers une stratégie provinciale communautaire

D12 afin d’étendre l’accès aux services en français pour les Franco-Ontariens et les FrancoOntariennes SESSION IN FRENCH ONLY

Participez à une discussion novatrice au sujet de l’amélioration des services de santé en français (SEF) si vous faites partie d’un organisme francophone, bilingue ou anglophone avec un intérêt à ce sujet. La session est également ouverte aux divers membres des Conseils d’administration. Le but du dialogue sera de faire le lien entre la transformation actuelle du système de santé provincial et les opportunités que le secteur communautaire souhaite maximiser. Theme: Transforming our health system Audience: Senior management | Policy makers | Program management

D11.2 to practice

This leading practice spotlight will introduce codesign within the framework of equity-oriented quality improvement. Through an overview of methods and theories associated with collaborative human-centred design, participants will gain an understanding of its relative advantages, as well as potential effects on equity and anti-oppression in applied health services contexts. Topics covered will include: theory and ethics of co-design, distinctness from related approaches, codesign and equity, design and mixed methods research, iterative implementation, and measurement. Presenter: Joseph Donia, Founder, Huddle Theme: People and communities at the centre Audiences: Front line/clinical and/or program staff | Senior management | Program management | Administration

A Descriptive Case Study that Exemplifies the

D11.3 Model of Health and Wellbeing

As comprehensive, equitable primary health centre organizations become increasingly recognized as critical parts of the health system, it is important to capture their approach and the Community Health Centre values that drive their care on the front lines. The case study research conducted exemplifies the operationalization of the Model of Health and Wellbeing. This model, adopted by the 107 members of the Alliance for Healthier Communities, provides a

Rx: Community II: Lessons in Social Prescribing

D13 from the U.K.’s National Health Service

This session accompanies our Social Prescribing plenary and serves as part of the official launch for Rx: Community, our new Social Prescribing Pilot project. Come ask U.K. leaders how they do it! In this session we will have a Q&A on how to use health-promoting link workers to strengthen the connections between primary health care and the community and voluntary sectors. Presenters: Tim Anfilogoff, Head of Community Resilience, Herts Valleys Clinical Commissioning Group (HVCCG); Dr. Marie Anne Essam, Clinical Lead for Social Prescribing at HVCCG; Alyson McGregor, National Director, Altogether Better Theme: People and Communities at the Centre Audience: All audiences

POSTER SESSIONS Advancing Health Equity in the Central East LHIN

Quality Improvement with Cervical Cancer Screening

The Central East LHIN is home to a highly diversified population. The variation of needs across the Central East LHIN sub-region populations illustrates the importance of a coordinated approach to diffusing health equity best practices. This poster session will highlight the Central East LHIN’s approach to reducing health disparities and inequities, and addressing the social determinants of health, through the development of a Health Equity Framework.

Each year, Local Health Integration Networks establish M-SAA targets for Community Health Centres to achieve. One of these targets is cervical cancer screening. To address our low cervical cancer screening rates, an interprofessional team from Carea Community Health Centre’s two clinical sites came together to use quality improvement concepts and tools from Health Quality Ontario’s IDEAS training program. By applying this methodology, our agency was able to exceed the target set by the LHIN. We also ran focus groups for three client groups: older women, younger women and Trans men. Our poster will share our processes, findings and lessons learned.

Presenter: Lori Brady, Director, System and Sub-region Planning and Integration, Central East LHIN

C’est mon choix! From 2014-2017, the Centre de santé communautaire Hamilton/Niagara received funding from Health Canada to develop and implement a health promotion program for Francophone youth. With a goal to prevent substance abuse and addictions and misuse of prescription drugs among Francophone youth, the project “C’est mon choix!” was a massive success in elementary and secondary schools across Niagara and Hamilton regions. This poster will highlight the development, implementation, and evaluation of this initiative, as well as its successes, challenges, and opportunities for improvement. Presenter: Sabrina Piluso, Director, Health Promotion Services, Centre de santé communautaire Hamilton / Niagara

Exercise-Based Self-Management for Individuals with Chronic Diseases The Windsor Essex Community Health Centre (WECHC) Chronic Disease Management Program (CDMP) provides exercise, education and self-management programming for adults/seniors living with a chronic condition(s). The CDMP has transformed since 2010 through needs-based planning with community partners to ensure services are not duplicated in the community. Further investigation of community exercise programming highlighted the need for lower functioning programming for those facing transportation, income, education, mental health and other barriers. In a poster board presentation, WECHC would like to highlight the growth and research findings of the CDMP, which could assist other health care providers trying to promote needs-based exercise programs.

Presenters: Cathy Kurelek, Health Promoter, Carea Community Health Centre; Ashley Haan, Registered Nurse, Carea Community Health Centre

Walk to Quit - Smoking Cessation Walk to Quit is an innovative program offered at Sandy Hill Community Health Centre that combines smoking cessation with Nordic walking. Each week, program participants meet for one hour of Nordic pole walking, cessation goal setting and support. The bilingual program is designed to encourage people at all levels of cessation readiness and physical activity to participate. In this session, learn more about the program’s evolution and design, partnerships, client experiences, and challenges and successes. Presenter: Emily Clark, Physical Activity Specialist, Sandy Hill Community Health Centre

Transforming Community Hospice Palliative Care in Scarborough With a focus on supporting our primary care partners to palliate their own clients, Scarborough Centre for Healthy Communities has developed, in collaboration with seven hospice palliative care partners and the Central East LHIN, a Community Hospice as Hub model. Our Hospice philosophy embraces palliative and bereavement care through a single point of entry to access vital services that enhance the quality of life for individuals living with advanced illness, dying, and/or those bereaved. Presenter: Lynn Muir-Wheeler Director Community Health Teams Scarborough Centre for Healthy Communities

Presenters: Jillian Conlon, Recreational Therapist, Windsor Essex Community Health Centre; Donna Ofner, Physiotherapist, Windsor Essex Community Health Centre

Advancing Access to Team-Based Care Despite significant primary care investment, only one quarter of Ontarians have access to team-based care. Recently, a number of local initiatives to enable more equitable access to team-based care (TBC) have been emerging. Models such as Solo Providers In Need (SPIN), Primary Care Outreach (PCO), and People In Need of Teams (PINOT) were developed to advance access to team-based care. Advancing Access to Team-Based Care is an innovation that has leveraged the experiences from these initiatives and through the use of facilitation, QI and continued evaluation/feedback will attempt to increase access to interprofessional teams for patients attached to solo physicians through increased collaboration and integrated care. Presenter: Jennifer Rayner, Director, Research and Evaluation, Alliance for Healthier Communities

Health Equity Charter in Action The Health Equity Charter represents our common understanding and commitment to identify, name and confront inequity in our practices and the communities we serve. Access Alliance led a provincial initiative to operationalize the Charter through a Health Equity Framework, adapted from the Institute for Healthcare Improvement. The framework represents a structured approach to build organizational capacity and culture around health equity. Learn how seven CHCs used it, and equity-informed quality improvement practices, to address systemic inequities in healthcare access, healthcare quality and health outcomes. Presenters: Akm Alamgir, Manager, Quality and Accountability Systems, Access Alliance Multicultural Health and Community Services; Miranda Saroli, Project Coordinator, Access Alliance Multicultural Health and Community Services; Heidi Schaeffer, Knowledge and Learning Lead, Alliance for Healthier Communities

Community Health and Wellbeing Week October 22-28, 2018

www.allianceon.org

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COMPLIMENTARY WIRELESS ACCESS is available throughout the

Sheraton Parkway Toronto North hotel/conference site. DOOR PRIZES will be announced at Thursdayâ&#x20AC;&#x2122;s plenary session! Good luck! PROMOTING A HEALTHY, SCENT-FREE ENVIRONMENT In consideration to those who are sensitive to chemicals, we kindly ask you to refrain from wearing perfumes, colognes and other scented products at DelegaTeS WiTh MoBiliTy DifficUlTieS the conference and affiliated events. The Sheraton Parkway Toronto North is accessible with ramps and elevator access.FOR FromDELEGATES the Best Western, access to the conference site is best via the NOTE WITH MOBILITY CHALLENGES outside. The Sheraton Parkway Toronto North is accessible with ramps and

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requirements. However, if needed, as you sit down for each meal, you are hAVe yOur welcome toSAy! let your server know of your dietary requirements and ask for Data On The Spot is the Canadian leader in audience response technology. a special meal. The system will allow us to ask you questions throughout the conference and have you respond using your hand held voting devices. The results will be ACCESSIBLE DOCUMENTS displayed on the screen everyone to see. use your simply pressthat the require Conference materialsforare available in To large printdevice, for delegates appropriate number on your clicker that corresponds to your answer choice on them. Please visit the registration desk for more information. the screen. Vote now! Wi-fi Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.

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