2014 1
AHOC Conference Program 2014.indd 1 14-05-23 9:51 PM Table of ConTenTs 1 Schedule at a glance 2 Welcome 34 Detailed Program 34 Lunch Networking sessions 45 Accreditation 56 Speakers 910 Award Recipients 1011 Workshop Descriptions 1011 Best Practices for Keeping People and Communities Healthy 1516 Working Upstream to Promote Community Health and Wellbeing 1920 Making Primary Health Care and Public Health Relationships More Sustainable 2425 Conference floorplan 2627 Thank you message
sChedule aT a GlanCe
Wednesday, June 4, 2014 Thursday, June 5, 2014
7:00 am Registration opens 7:00 am Registration opens 7:30 Exhibits open 7:30 Exhibits open Breakfast Buffet opens Breakfast Buffet opens 8:30 Opening Ceremonies and Plenary 1: 8:30 Plenary 3: Make no small plans Teaming up for Transformation 10:00 Break 10:00 Break 10:30 Learning Sessions A: 10:30 Learning Sessions C: Making Primary Best Practices for Keeping People and Health Care and Public Health Communities Healthy Relationships More Sustainable 12:15 pm Lunch & Networking Sessions 12:15pm Buffet Lunch 1:30 Plenary 2: 1:15 Plenary 4: The Art of Advocacy Taking action together: where do 2:45 Break we go from here? 3:15 Learning Sessions B: Door Prizes Working Upstream to Promote 3:00 Adjournment: Exhibits close Health and Wellbeing 6:15 Reception with Cash Bar 7:00 Banquet Dinner 9:00 Dance Party
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AHOC Conference Program 2014.indd 1 14-05-23 9:51 PM Welcome
We are proud to welcome you to Prevent More to Treat Less | Public Health and Primary Health Care Together. It has been a pleasure to plan this conference with our partners to create an opportunity for our colleagues working in both public health and primary health care to showcase existing collaborations and to propose some new ones.
When we started planning this conference we identified from the beginning that there were many areas of common interest for public health and primary health care—early childhood development, oral health and health equity—to name just a few. As the submissions started rolling in for concurrent sessions, it became clear that what we had identified as areas of common interest were indeed playing out in communities across Ontario. This was very exciting and we can’t wait for us all to share in these rich experiences.
This will undoubtedly be an energizing event with inspiring presentations, panel discussions, think tanks and networking sessions that will enable both sectors to learn from each other and share best collaborative practices on shared priorities. No matter what interests you, we are sure that you will find plenty to intrigue your mind and stimulate your passion for working together to promote the best possible health and wellbeing for everyone in the communities you serve.
We encourage all participants to make the most of this unique opportunity to connect with your colleagues and make new contacts. That is what this conference is all about; public health and primary health care working better together. We look forward to meeting you and learning with you.
Sincerely,
Linda Stewart Adrianna Tetley Executive Director Chief Executive Officer Association of Local Public Health Agencies Association of Ontario Health Centres
32 Detailed Program Wednesday, June 4, 2014
7:00 am Registration opens Lunch Networking sessions 7:30 Exhibits open Networking sessions run Wednesday, Breakfast Buffet opens June 4 over lunch 8:30 Opening Ceremonies Grab your lunch and join one of these Emcee Dr. Paul Roumeliotis, AOHC Chair Cate Melito and alPHa President Mary Johnson welcome delegates. hosted “conversation lunch” network- ing sessions. It will give us a chance to Plenary 1: Make no small plans reflect on the conference plenaries and Official launch of the music video “Make no small plans.” Music workshops, as well as shared questions and lyrics by Chris Birkett, video production by Cinefocus Canada of common interest to the group. Angela Recollet, Executive Director of the Shkagamik-Kwe Health Centre, reflects on the need to “be creative” and “think outside the box” as we work together preventing more, to treat less. N1 Aboriginal Wholistic Health and Wellbeing Dr. Rosana Pellizzari and Dr. Michael Rachlis gather insights on N2 Newcomer Health and Wellbeing what delegates hope to achieve during our two day gathering N3 LGBT Health and Wellbeing AOHC CEO Adrianna Tetley and Toronto Public Health’s Healthy N4 Seniors Health and Wellbeing Living and Chief Nursing Officer Carol Timmings explain how the N5 Prenatal, Newborn and Early stage is set, and the timing is right for a strengthened relationship years between Public Health and Primary Health Care. Health and Wellbeing N6 Francophone Networking—Public Health and Primary Health Care N7 Board to Board Dialogue 10:00 Break N8 Bringing Health Equity to Life 10:30 Learning Sessions A: Best Practices for Keeping People and N9 Chronic Disease Prevention Communities Healthy Strategies N10 Public Health and Primary Health 12:15 pm Lunch networking sessions with a buffet lunch Care Educators N11 New Network for Public Health 1:30 Plenary 2: The Art of Advocacy and Preventive Medicine Dr. Ryan Meili, spokesperson for Canadian Doctors for Medicare, N12 Canadian Index of Wellbeing Trish Hennessy, Canadian Centre for Policy Alternativeand Elinor early Adopters Caplan, Ontario’s former Health Minister offer their ideas for N13 Community Health Links how Public Health and Primary Health Care providers can more N14 Withdrawn effectively advocate for healthier public policies and upstream N15 Open Networking Session interventions. Moderated by Dr. Rosana Pellizzari
2:45 Break
3:15 Learning Sessions B: Working Upstream to Promote Health and Wellbeing 6:15 Reception with Cash Bar 7:00 Banquet Dinner
9:00 Dance Party
4 Thursday, June 5, 2014
7:00 am Registration opens For interpretation into French: Please get headsets 7:30 Exhibits open at audio-visual booth Breakfast Buffet opens The plenary sessions for this 8:30 Plenary 3: Teaming up for Transformation conference are in English. For simultaneous interpretation into Family Physician Dr. Danielle Martin, Associate Medical French, remember to pick up your Officer of Health Dr. Kieran Moore, Medical Officer of headset at the back of the Grand York Health Dr. David Mowat and Dr. Richard Massé, Montreal’s ballroom where the plenaries are being Director of Public Health speak out on how strengthening held. You will be asked to leave a piece relationship between public health and primary health care of identification with staff during the could be a game changer for improving population health times you are using the headset. and advancing health equity.
10:00 Break Join us on
10:30 Learning Sessions C: Making Primary Health Care and Public Twitter! Health Relationships More Sustainable
12:15 pm Buffet Lunch Use the hashtag #PMTL2014 1:15 Plenary 4: Taking action together: where do we go from here?
Delegates offer their ideas on what needs to happen next so Public Health and Primary Health Care can continue preventing more to treat less.
Closing remarks: Dr. Rosana Pellizzari
3:00 Adjournment: Exhibits close
Accreditation This conference has been accredited by the College of Family Physicians of Canada and by the Royal College of Physicians & Surgeons of Canada.
Door prizes will be announced at Thursday’s plenary session! Good luck!
5 Speakers
Hon. Elinor Caplan Dr. Danielle Martin Hon. Elinor Caplan is Chief Executive Officer of Canada Dr. Danielle Martin is Vice-President, Medical Affairs and Strategies Inc. and a former Ontario Health Minister. She Health System Solutions at Women’s College Hospital (WCH), served in the Legislative Assembly of Ontario and was a a family physician in the Family Practice Health Centre Member of Parliament for Thornhill. From 1987 to 1990, at WCH, and an Assistant Professor in the Departments Elinor was titled Ontario’s Health Minister and since then of Family and Community Medicine and Health Policy, she completed a review of Ontario Home Care Procurement Management and Evaluation at the University of Toronto. Policy & Practices entitled The ‘Caplan Report.’ From 2005 to Danielle’s policy expertise and passion for equity have made 2007, Elinor was the Governance, Program & Financial Lead her an emerging leader in the debate over the future of on the Ministry of Health & Long Term Care project to create Canada’s health-care system. In 2006 she helped launch independent ‘best practice’ governance for Sunnybrook Canadian Doctors for Medicare and chaired the board of Health Science Centre and Women’s College Hospital. CDM until May 2013. Presently, she is a member of the Canadian Public Health Initiative, the Sheela Basrur Centre Board and the Closing the Gap Advisory Committee.
Trish Hennessy Trish Hennessy is the founding director of the new Canadian Centre for Policy Alternatives’ (CCPA) Ontario office. She was the founding director of the CCPA’s national project examining income inequality in Canada, which began in 2006, and is an ongoing contributor to the growing gap team. Her blog, www.framedincanada.com examines how we talk about the challenges of our times. Her monthly Hennessy’s Index (www.policyalternatives.ca/index) takes a snapshot of key issues and breaks them down by the numbers. Trish is a former newspaper journalist. She has a B.A. Sociology from Queen’s University, B.S.W. from Carleton University, and M.A. in Sociology from OISE/University of Toronto.
6 Dr. Ryan Meili Dr. Richard Massé Ryan Meili is a family doctor at the West Side Community Dr. Richard Massé has been Director of Public Health at Clinic in Saskatoon. He also works for the College of Medicine Agence de la santé et des services sociaux de Montréal since at the University of Saskatchewan as head of the Division April 2012, where he has taken on two priorities: reducing of Social Accountability, where he’s responsible for helping social inequalities in health and chronic disease prevention ensure that Saskatchewan’s future doctors are equipped to and management. He is committed to using scientific meet the health needs of the diverse communities they will evidence, enhancing evaluations of population health serve. Ryan also serves as vice-chair of the national advocacy initiatives and the health impacts of public policies. organization, Canadian Doctors for Medicare. From 1998 to 2003, Dr. Massé served as Assistant Deputy Ryan has recently published his first book A Healthy Society: Minister of Health and Chief Medical Officer of Health for how a focus on health can revive Canadian democracy with Québec, and as President and CEO of Institut national de Purich Publishing of Saskatoon. Ryan founded the non-profit santé publique du Québec. organization Upstream: Institute For a Healthy Society, a He has had a prolific academic career as assistant professor movement to create a healthy society through evidence- in the Department of Epidemiology and Biostatistics at McGill based, people-centred ideas. University, Director of Université de Montréal’s School of Public Health and associate professor in the Department of Dr. Kieran Moore Social and Preventive Medicine.
Dr. Kieran Moore is an associate professor of emergency and family medicine at the Queen’s University in Kingston. He received his medical degree from the University of Ottawa in 1985 and subsequently received his specialty certification in family medicine, as well as emergency medicine, from the College of Family Physicians of Canada. He has a masters degree in disaster medicine as well as public health and a di- ploma in tropical medicine and hygiene. He also completed a Canadian Royal College of Physicians and Surgeons fellowship in public health and preventive medicine at Queen’s.
7 Speakers
Dr. David Mowat Dr. Michael Rachlis Dr. David Mowat is the Medical Officer of Health for the Dr. Michael Rachlis graduated from the University of Region of Peel. His interests include the built environment, Manitoba medical school in 1975. He interned at McMaster the public health workforce and training in public health University and then practiced family medicine at the South practice, and evidence-informed decision making. Riverdale Community Health Centre for eight years. He completed specialty training in Public Health at McMaster Prior to joining the Region of Peel in 2007, Dr. Mowat was and was made a fellow of the Canadian Royal College of Deputy Chief Public Health Officer at the Public Health Agen- Physicians in 1988. cy of Canada, where he had responsibilities for strengthening public health practice, including knowledge translation and Dr. Rachlis practices as a private consultant in health policy the development of the public health workforce. analysis. He has consulted to the federal government, all ten provincial governments, and two royal commissions. In Previous appointments include Consultant in Maternal and 2010, the University of Manitoba conferred upon Dr. Rachlis Child Health in the Ministry of Health of Newfoundland, an honorary doctor of laws in recognition of his service to Medical Officer of Health for Kingston and area and Chief Canadian health policy. He is also an Adjunct Professor at the Medical Officer of Health for Ontario. University of Toronto. He is a frequent media commentator on health policy issues Dr. Rosana Pellizzari and the author of three national bestselling books about Canada’s health care system. Dr. Rosana Pellizzari has served as the Medical Officer of Health for the Peterborough County-City Health Unit since 2008. She also worked in both Toronto and Stratford in similar positions. Dr. Pellizzari currently holds appointments at the University of Toronto and Queen’s University, and has worked internationally and in First Nations communities in Canada. As a Family Physician, she specialized in the care of immigrant, refugee and HIV-infected populations. She continues to practice clinical medicine in the Health Unit’s Sexual Health Clinic. Dr. Pellizzari has been a health column- ist for the Toronto Star in the past and co-hosted a daily TV health show.
8 Angela Recollet Carol Timmings Angela Recollet is an Ojibwe woman from the Wikwemikong Carol Timmings is currently Chief Nursing Officer and Unceded Reserve and the big water of the Wahnapitae First Director, Chronic Disease and Injury Prevention with Toronto Nation. She is the Executive Director of the Shkagamik-Kwe Public Health. She is also the divisional lead for the Best Health Centre. Angela has extensive experience working with Practice Spotlight Organization initiative. Carol is a highly the aboriginal community both as an advocate in education developed nursing leader with demonstrated abilities in and in improving the general living and health conditions of senior management, policy development and strategic aboriginal populations. She belongs to the Northern Ontario system and service planning. Carol’s leadership philosophy School of Medicine Board of Directors, Social Planning embodies the belief that leadership is a reciprocal process Council Board of Directors, and External Advisory Council and a life-long journey. for the Ministry of Community Safety and Corrections. She also served on the Board of Directors for the Association of Ontario Health Centres. Angela received her formal Adrianna Tetley education with Laurentian University in political science and native studies. Adrianna Tetley is the Chief Executive Officer of the Association of Ontario Health Centres. She has over 35 years’ experience in advocacy, public administration, community Dr. Paul Roumeliotis development, financial and staff management, policy and board development. Her work in government, the labour Dr. Paul Roumeliotis is the Medical Officer of Health and movement and several community-based associations has Chief Executive Officer of the Eastern Ontario Health Unit. focused on issues related to health care and determinants He received his medical degree in 1983 at McGill University of health. and trained as a pediatrician at the Montreal Children’s Hospital. He was Director of Continuing Medical Education in the Department of Pediatrics and founding Director of Multiformat Health Communications at McGill. He completed his Masters of Public Health Degree at Johns Hopkins in 2009.
9 Award Recipients
Champion for Public Health and Primary Health Care Award The Champion for Public Health and Primary Health Care Award honours an individual for significant leadership in advancing the relationship between primary health care and public health at system, managerial and/or frontline levels.
Recipients: Dr. Kieran Moore Hersh Sehdev Associate Medical Officer of Health, Executive Director Kingston, Frontenac and Lennox & Kingston Community Health Centres Addington Public Health
Presented during Plenary 1
Media Award The Media Award honours a journalist, body of work, or media outlet which has highlighted the importance of addressing the determinants of health to improve population health and advance health equity.
Recipient: Laurie Monsebraaten Social Justice Reporter, Toronto Star
Presented during Plenary 2
Innovation in Public Health and Primary Health Care Award The Innovation in Public Health and Primary Health Care Award honours a policy, program or initiative for excellence in advancing collaborative practice between public health and primary health care.
Recipient: Tungasuvvingat Inuit Family Health Team (TIFHT)
Presented during Plenary 3
Champion for Public Health and Primary Health Care Award The Champion for Public Health and Primary Health Care Award honours an individual for significant leadership in advancing the relationship between primary health care and public health at system, managerial and/or frontline levels.
Recipient: Dr. Hazel Stewart Director of Dental and Oral Health Services Toronto Public Health
Presented during Plenary 4
10 Workshop Descriptions
• Catherine Birken, Research Lead, TARGetKids! Best Practices for Keeping People and • Richard Birthwhistle, Canadian Primary Care Sentinel Communities Healthy Surveillance Network and Queen’s University • Ruth Sanderson, Manager, Public Health Ontario • Mari Teitelbaum, Executive Director, BORN The Continuum of Prevention to Treatment • Karen Tu, Senior Scientist, ICES and Founder, EMRALD A1.1 for Child Health: SickKids & Toronto Public • Irfan Dhalla, Vice President, Health System Performance, Health Early Intervention Program Health Quality Ontario Through an interactive case study this presentation will highlight • Jonathan Kerr, President, Ontario College of Family Physicians the SickKids Team Obesity Management Program (STOMP), Early Intervention Program, an innovative partnership between SickKids Hospital and Toronto Public Health. This ground- Healthy Partnership for Healthy Children A2 breaking program is led by an inter-professional team and integrates current practices and resources from health care Creating a healthy partnership between Centretown Community and public health, such as individual and group support and Health Centre and Ottawa Public Health has led to the success education, home visiting, and the Incredible Years Preschool of supporting healthy childhood development within the Program. community. We will describe a range of partnership initiatives from prenatal classes to oral health screenings to nutrition Audience: Front Line/Program Staff, Program Management, education and more. We will show how the initiatives are Senior Management breaking down barriers to good health and wellbeing, and Presenters: allowing the community to increase access, knowledge and skills • Dianne Knox, Social Worker, Hospital for Sick Children to good health. • Dr. Catherine Birken, MD, MSc, FRCPC Staff Paediatrician, Audience: Front Line/Program Staff, Program Management, Department of Paediatrics, Hospital for Sick Children, Board Members Associate Scientist, Clinical Health Evaluative Sciences, SickKids Research Institute Presenters: • Maple Cardona, Hospital for Sick Children • Jennifer Theriault, Early Years Coordinator, Health Promoter, • Alisa Bar-Dayan, Dietitian, Hospital for Sick Children Centretown Community Health Centre • Allison Jeffery, Clinical Research Manager, Hospital for • Lyne Lafrance, RDH Supervisor, Dental Health Promotion, Sick Children Ottawa Public Health
What Gets Counted Counts: Leveraging Primary Care new Technology Benefits in Public & Community A1.2 Data to Enhance Ontario’s Data and Surveillance A3 health Centres systems for Child Health Delivering better care and achieving operations efficiencies This panel and small group discussion will familiarize participants in public and community health through technology. with data and surveillance systems for child health in Ontario. Audience: Program Management, Senior Management, Participants will include Ontario College of Family Physicians, Administrators Health Quality Ontario, Institute for ClinicalE valuative Sciences, Canadian Primary Care Sentinel Surveillance Network, Electronic Presenters: Medical Record Administrative Data Linked Database, Better Sam Chebib, President & CEO, Nightingale Outcomes Registry Network, Public Health Ontario and Target Product Specialist: Kids. Participants will discuss in small groups how Ontario can Nightingale leverage primary care data to enhance child health focusing on prevention from the individual to population level. Audience: Front Line/Program Staff, Program Management, Session moved to A11.4 Senior Management A4 Presenters: • Jessica Hopkins, Associate Medical Officer of Health, Niagara Region Public Health • Rosana Pellizari, Medical Officer of Health, Peterborough County-City Health Unit
11 Using Public Health & Afrocentric Approaches for Addressing Social Determinants of Health: A5 increasing Cancer Screening in Primary Care A8 Interventions at the Intersection of Primary Care and Public Health TAIBU CHC serves the Black community in the GTA as well as the local, largely immigrant, populations of Scarborough. Our cancer Social processes that impact health have been labeled the social screening rates are improving over time, by applying public determinants of health (SDOH). Perhaps the most important health frameworks and integrating them with our organizational SDOH is income security, a person’s actual, perceived and values (mainly Afrocentric) in order to improve our internal expected income. Despite strong evidence linking income with screening practices and ultimately, community outcomes. health, interventions are rarely found within our health care Through our case example, we intend to facilitate a larger system. We will present findings from a systematic review discussion between CHCs and public health practitioners, to of the literature, lessons learned from an ongoing pragmatic share experiences and promising practices for improving cancer randomized controlled trial of income focused health promotion screening in CHCs and beyond. within primary care, and ideas about how local public health can be involved in addressing SDOH. We will conclude with an Audience: Front Line/Program Staff, Program Management, analysis of how such work could inform policy change. Senior Management Audience: All audiences Presenters: • Dr. Onye Nnorom, Chronic Disease Prevention Lead, TAIBU Presenters: Community Health Centre • Dr. Andrew Pinto, Family Physician, St. Michael’s Hospital • Liben Gebremikael, Executive Director, TAIBU Community • Danyaal Raza Health Centre • Karen Tomlinson, Income Security Health Promoter, St. • Nan Shi, Physician Assistant, TAIBU Community Health Centre Michael’s Hospital • Dr. Rosana Pellizzari, Medical Officer of Health, Peterborough County-City Health Unit WAASEGIIZHIG NANAANDAWE’IYEWIGAMIG (WNHAC) • Dr. Michael Rachlis, Health Policy Analyst A6 inter-Disciplinary Model of Care • Dr. Gary Bloch, Family Physician, St. Michael’s Hospital
WNHACs panel of health promoters and clinicians will demonstrate how they work collaboratively to enhance the LGBTQ Identities in Public Health and Primary health of Anishinaabe people in WNHAC’s catchment area. A9 health Care WNHAC has been successfully delivering services that rely on effective collaboration between the primary and public This session will provide a context for understanding the diverse health care sectors for the past fifteen years. Presenters will physical, mental & community health needs of lesbian, gay, demonstrate the importance of cultural relevance in service bisexual, trans, two-spirit, queer and questioning (LGBTQ) delivery, as well as the relationship between culture and overall individuals care—past & present. We will review promising, health. Successes, barriers, and challenges encountered will be effective and best practices in public health & primary health highlighted. care for LGBTQ individuals. Think tank participants will work in small groups to brainstorm how these practices can be Audience: Front Line/Program Staff, Program Management, applied “locally’’ in the Ontario scene, identify gaps, & how Senior Management, Board Members we can address, apply and move forward in terms of practices to Presenters: improve public health and primary health care for LGBTQ people • Janice Spencer, Registered Dental Hygienist, Waasegiizhig in Ontario. Nanaandawe’Iyewigamig Health Access Centre Audience: All audiences • Nicole Bowen • Dayna Clarke Presenters: • Ida Copenace, HIV/AIDS Educator, Waasegiizhig • Cliff Ledwos, Acting Executive Director & Director, Primary Nanaandawe’Iyewigamig Health Access Centre Health Care and Special Initiatives, Access Alliance Multicultural Health and Community Services • Kirsten Schmidt-Chamberlain, Director of Organizational and A7 Withdrawn Community Development, Scarborough Centre for Healthy Communities • Wendy Talbot, Chief Executive Officer, NorWest Community Health Centres
12 Using Ontario’s Health Equity Impact Assessment • Includes useful planning for pregnancy tools (e.g. Fertility A10.1 (HEIA) Tool Tracking Tool) • Track your prenatal care visits and create your personal birth The 45 minute workshop would include a brief introduction plan. This Mom + Baby 2B app is a reliable resource created to the Health Equity Impact Assessment (HEIA) Tool 2.0, by Niagara Region Public Health for use on the iPhone, iPod launched by MOHTLC in May 2012, and discussion of its current Touch and iPad. application in the public health and acute care sectors. This will • Features: be followed by followed by an opportunity for participants to Planning for pregnancy discuss each step of the HEIA tool in depth as it is applied to a Helpful tools case study scenario. Checklists & facts Audience: Front Line/Program Staff, Program Management, Fertility tracking tool Senior Management, Board Members, Policy Makers Audience: Front Line/Program Staff, Senior Management, Presenters: Administration • Ingrid Tyler, Physician, Health Promotion Chronic Disease and Presenter: Injury Prevention, Public Health Ontario • Lia Swanson, Public Health Nurse, Niagara Region Public • Branka Agic, Manager, Health Equity, Centre for Addiction and Health Mental Health (CAMH) • Bob Gardner, Director of Policy, Wellesley Institute • Nila Sinnatamby, Health Equity Impact Assessment Project Development of a Nurse-Led Periodic Health Visit to Lead, Ontario Ministry of Long-Term Care A11.2 Promote Evidence-Based Preventive Care for Adults
Aiming to shift away from the annual physical examination Collecting, Using, and Evaluating Patient towards a more individualized periodic health visit, collaboration A10.2 Demographic Data between the primary care and public health has been developed. The team has designed a pilot to test a new nurse- The Toronto Central LHIN has mandated that Hospitals and led preventive health visit. The lessons learned from this pilot Community Health Centres (CHCs) collect client demographic will be discussed. data, a unique initiative that will transform the way we understand patient needs and health inequities. In the first Audience: Front Line/Program Staff, Program Management, part of the session, a Hospital-CHC team will train participants Senior Management, Policy Makers, Primary Care Physicians on data collection using the eight demographic questions that Presenters: are mandated by TC/LHIN and now standardized by CHC sector • Marina Afanasyeva, Public Health & Preventative Medicine (language, born in Canada, ethnicity/race, disability, sexual Resident, University of Ottawa orientation, gender, income). Next, participants will learn about tools and resources for evaluating data quality, followed by strategies for using that data toward health equity and service Best Practice in Performance Measurement of Fall planning. A11.3 Prevention Training: Toronto Public Health’s Step Audience: Front Line/Program Staff, Senior Management, ahead Program for Health Care Providers and Professionals involved in health equity planning Caregivers to Older Adults Presenters: Performance measurement requires public health programmers • Caroline Bennett-AbuAyyash, Health Equity Project to move beyond simple counting of numbers to an appraisal of Coordinator, Mount Sinai Hospital service quality and impact. This presentation shares early results of our experience in implementing performance measurement of Toronto Public Health’s Step Ahead Program, training to Spotlight Sessions: Promising Practices agency staff. Performance measures are collected using a Six ten minute presentations workshop feedback survey at the end of each training session and at three-month post training. Feedback surveys capture all available levels of evidence of program efficacy, namely, M+B 2B (Mom &Baby to Be)—A Mobile Innovation knowledge, intention and behaviour. Results tabulated to date A11.1 for Prenatal Health suggest these surveys to be a feasible method for collecting The Mom and Baby to Be (M+B 2B) app is a dynamic, yet meaningful performance data. simple prenatal app with the all tools needed for a healthy Audience: Front Line/Program Staff, Program Management pregnancy. This presentation will review the features of the app, the development process, successes and challenges, Continued on next page... app promotional initiatives, along with the next steps in the development of the M+B 2B app.
13 Presenters: Presenter: • Susan Plante, Health Promotion Consultant, Toronto Public • Heidi Schaeffer, Knowledge Management and Learning Lead, Health Association of Ontario Health Centres • Margaret de Wit, Quality Improvement Specialist, Toronto Public Health Reaching and Supporting Populations with Lower A12 Rates of Breastfeeding Engaging Primary Care Providers to Address Healthy A11.4 Gestational Weight Gain in Simcoe Muskoka Breastfeeding is a key population health promotion strategy. Breastfeeding is known to reduce both acute and chronic This presentation will focus on Simcoe Muskoka District Health disease in both mother and baby, reduce the burden of poverty Unit’s engagement with local nurse practitioners, midwives, and address the social determinants of health. Breastfeeding registered nurses and physicians over the last 3 years. We promotion is best done as a collaborative effort involving explored nutrition and physical activity behaviours of local public health and primary health care. Together with public pregnant women and developed strategies, in consultation with health and primary health care representation the Best Start primary health care providers, which support women to gain Resource Centre is addressing the MOHLTC strategy Healthy within their recommended gestational weight gain range. The Start: Breastfeeding Supports in Ontario to reach and support resulting strategies have included the provision of professional populations with lower rates of breastfeeding. development opportunities in gestational weight gain, creating Audience: Front Line/Program Staff, Program Management, and sharing of professional and patient resources, and Senior Management, Policy Makers implementation and evaluation of outreach visits to antenatal care providers. Presenters: • Hiltrud Dawson, Promotion Consultant, Breastfeeding Project Audience: Front Line/Program Staff, Program Management Lead, Health Nexus Presenters: • Susan Hayward, Family Physician, Queens Square Family • Natalie Riewe, Public Health Nurse, Reproductive Health Health Team Program, Simcoe Muskoka District Health Unit • Debbie Silvester, Manager of Family Health, Windsor-Essex County Health Unit
A11.5 Passports for Preventive Health Maintenance Withdrawn A13 Patient passports for preventive health lead to excellence and sustainability in screening rates, immunization rates and lifestyle interventions for good health. Spotlight Sessions: Child Health Audience: Front Line/Program Staff, Program Management, Administration Six ten minute presentations Presenters: Lori Teeple, Susanne Schodey, Janet Willert A Multi-Institutional Approach to Improving Maternal A14.1 and Fetal Health
Health Promotion Programming at Community Health The Grey Bruce region has both an increased smoking rate A11.6 Centres to be Influenced by “How Are You Really compared to the provincial average as well as an increased Doing” Survey Results teenage pregnancy rate. The Owen Sound Family Health Team, Grey Bruce Health Unit, and Grey Bruce Health Services Building on the Canadian Index of Wellbeing framework and collaborated on an initiative to provide an increased focus to Subjective Wellbeing Survey, six communities throughout prenatal smoking cessation efforts within the city of Owen Ontario piloted a survey that would more effectively measure Sound and surrounding areas. The primary objective was to what matters, engage clients, and address the determinants make timely referrals to appropriate, effective community of health. A large portion of CHC/AHAC work is focused on smoking cessation programs. health promotion and overlaps with public health. However, all Audience: Front Line/Program Staff, Program Management, performance indicators focus on primary care. The “How Are You Senior Management, Board Members, Administration Really Doing?” survey captures data that falls beyond primary care. The desired survey outcomes are highly relevant to both Presenters: primary care and public health, as they point to how to increase • Christie Webster, Primary Health Care Nurse Practitioner, wellbeing at a population health level. Owen Sound Family Health Team Audience: Front Line/Program Staff, Program Management, Senior Management
14 Telephone-Based Peer Support for the Prevention of Presenters: A14.2 Postpartum Depression among At-Risk Mothers • Dr. Andrea Feller, Associate Medical Officer of Health, Niagara Region Public Health A large multi-site randomized controlled trial was conducted across the province of Ontario to evaluate the effect of telephone-based peer support for the prevention of postpartum Iron Deficiency Among Low Income Toddlers Served at depression among mothers with beginning depressive symptoms A14.5 Kingston Community Health Centres within the first 2 weeks following childbirth. Mothers who received the telephone-based support were two times less likely Iron deficiency and iron deficiency anemia have been associated to develop postpartum depression at 12 weeks postpartum then with poor neurocognitive outcomes. This presentation will mothers who did not receive the peer support. Telephone-based report preliminary results from the PRIDE T study, examining peer support cut the risk of developing postpartum depression the prevalence of iron deficiency and iron deficiency anemia by 50%. A full economic evaluation has also been published. and associated risk factors, and conducted at the Kingston Audience: All audiences Community Health Centres, serving a low income population. The results will add to the literature regarding the scope of the Presenters: problem of iron deficiency and the benefits and limitations of • Dr. Cindy-Lee Dennis, Professor, University of Toronto screening for iron deficiency in early childhood and help with planning community based interventions to optimize early childhood nutrition. A Collaborative Community Approach to Audience: Front Line/Program Staff, Program Management, A14.3 exploring Infant Feeding Choices of Young Mothers Senior Management, Policy Makers of Low Socioeconomic Status Presenters: Highlights of a multi-phase collaborative approach to engaging • Imaan Bayoumi, MD, MSc, FCFP, Napanee Area Community young moms under 25 of low socioeconomic status with regards Health Centre to their infant feeding decision will be shared. Discussion will • Kendra Link, RD, Kingston Community Health Centres also include an overview of Phase two: the development, delivery, and findings from a community-wide infant feeding survey targeting young moms. The outcomes of this survey will Strengthening Collaboration Between Public Health help to further shape the SDOH nurse role in public health, and A14.6 and Primary Health Care to Meet Baby-Friendly community partner’s larger role in working with this population. Designation Audience: Front Line/Program Staff, Program Management, Senior Management One of the strategies that York Region Public Health implemented to support the Baby-Friendly Initiative Integrated Presenters: Ten Steps was to pilot a prenatal breastfeeding class. Results • Rachel Scott, Public Health Nurse, Family Health Division, from York Region’s Infant Feeding Survey (2010-2011) indicated Niagara Region Public Health that prenatal intention to supplement with infant formula • Marty Mako, Health Promoter, Chronic Disease & Injury was associated with shorter breastfeeding duration. The Prevention Division of Niagara Region Public Health breastfeeding prenatal class objective was to promote maternal and newborn health by informing pregnant women and their families about the importance and process of breastfeeding. In Prevent decay! Niagara collaborative assessing the this presentation the results from the pilot will be shared which A14.4 feasibility of applying fluoride varnish during well includes improved breastfeeding intention, and the potential for baby/well child visits will make the case for supporting collaborating with community partners to expand outreach will this primary care intervention for optimal oral health, be explored. right from the start Audience: Front Line/Program Staff, Program Management, Cavities are the most common chronic disease of children, and Senior Management the leading cause of day surgery among one to five year olds. Presenters: Fluoride varnish has been shown to reduce dental caries in • Teresa Cozzella, Public Health Nurse, Lactation Consultant, children, especially when application starts very early. Primary Regional Municipality of York, Community and Health care providers (PCPs) see children extensively before the age of Services five and dental visits often begin too late. Though 44 US states currently reimburse PCPs for fluoride varnish application, there are no similar programs in Canada. Niagara Region will highlight their pilot program which will assess the feasibility and readiness of primary care providers to apply fluoride varnish. Audience: All audiences
15 Inter-sectoral Action for Population Health in Canada: Working Upstream to Promote Community B5 Public Health, Primary Care and Beyond Health and Wellbeing For health systems in Canada, the whole is greater than the sum of its parts. Interested in knowing how health system actors Public Health and Primary Health Care: Creating a are working together to improve the health of populations? B1 research Agenda While emphasis is still placed on clinical care, a number Aligning the mission, vision and goals of public health and of leaders are applying the population health approach to primary care and translating this into effective practice establish partnerships focused on the social determinants of requires a solid evidence base. This evidence base is currently health, wellness, prevention, and health equity. This session underdeveloped and its creation is a high priority. Creating a will describe results from a new CIHI study focused on the research agenda and setting research priorities to create this integration of the population health approach in healthcare evidence base requires the input from front line practitioners and will encourage discussion about future inter-sectoral for it to be relevant. In this interactive session, participants will opportunities through examination of Canadian case studies. discuss the gaps in evidence that research can address. Audience: Senior Management, Policy Makers, Board Members Audience: All audiences Presenters: Presenters: • Deborah Cohen, Dr. David McKeown, Dr. Andrew Pinto • Dr. Ross E. Upshur, Head, Division of Clinical Public Health, Dalla Lana School of Public Health; Medical Director, Clinical Research, Bridgepoint Health Canada; Research Chair in Health Providers Against Poverty (HPAP): Lessons Primary Care Research; Professor, Department of Family B6 Learned From Nine Years of Education, Engagement, and Community Medicine and Dalla Lana School of Public and Political Advocacy Health, University of Toronto Our 90 minute workshop will describe the origins and upstream successes of Ontario’s first interdisciplinary political advocacy organization comprised solely of health care providers. We will Awareness, Prevention, Training and FASD Diagnostics present a frank critique of what has worked and the challenges B2 at NorWest Community Health Centres encountered followed by an interactive break-out session in In 2001, the Norwest Community Health Centres (CHCs) which participants work through lessons learned and strategies responded to the request of community members to assist for fostering innovative collaborations between public health with the development of an FASD Coalition with 20 partner and primary care. We will conclude by establishing a group agencies, including public health. Several grants and many consensus on priority issues and collective brainstorming on partnerships enabled Norwest CHCs to function as an incubator how to move those issues forward. for awareness, training, support and enhancement of local Audience: All audiences diagnostic ability. Participants will see the goodness of fit for FASD programs and services within the CHC model. Presenters: • Kathy Hardill, Nurse Practitioner Audience: Front Line/Program Staff, Program Management, • Katie Dorman, Family Medicine Resident, University of Senior Management, Policy Makers, Board Members Toronto Presenters: • Monika Dutt, Medical Officer of Health, Cape Breton District • Maureen Parkes, FASD Coordinator, NorWest Community Health Authority Health Centres • Anita Jean, Programs and Systems Manager, NorWest Community Health Centres Addressing Poverty as the Biggest Barrier to Health: B7 how can we move forward on pharmacare and public dental? Curated Session: By Invite Only – Building the As primary care providers and public health workers many of B3 Foundation for Collaborative Relations between Public us see firsthand the impact of poverty on health. We’re not health Units and the Aboriginal Community surprised to learn from an Ekos poll that 23% of Canadians can’t afford the medications they need. At this session hear from 3 speakers who are working upstream to promote community Withdrawn B4 health and wellbeing through public education and advocacy calling for policies to reduce poverty and increase access to dental and drug benefits. At this knowledge building workshop you will get an update on Ontario’s Poverty Reduction Strategy, learn what a pharmacare plan for the province might look like, and hear a call for OHIP to cover dental care. 16 Audience: Front Line/Program Staff, Program Management, HANS KAI An Innovative Community Led Health Senior Management, Board Members, Policy Makers B9.2 Promotion Project Presenters: • Jacquie Maund, Policy & Government Relations Lead, HANS KAI is a community led health program that empowers Association of Ontario Health Centres particpants to monitor their own health in a group setting • Michael McBane, National Coordinator, Canadian Health independent of health care providers. Prior to meeting, all Coalition particpants attend an 8 session health school with healthcare • Dr. Chris Mackie, Medical Officer of Health, Middlesex- providers to learn how to monitor physical, social, and mental London Health Unit health. Support is available after groups are independent. This session will focus on showcasing what HANS KAI really is and why it works. Stand Up For Health!—A Simulation Game for the Audience: Front Line/Program Staff, Program Management, B8 social Determinants of Health Senior Management, Board Members Stand Up For Health is a fun and innovative learning simulation Presenters: that immerses participants physically, psychologically, and • Michelle Kirkbride, Community Development Coordinator, emotionally, in the life of a low-income Canadian. It is based NorWest Co-op Community Health Centre on a challenge to get through two weeks as a single parent, • Mike Sadlowski, Corrective Exercise Specialist down to your last $1000. This session will focus on experiential learning as an effective form of teaching the SDOH, and highlight research outcomes from nursing students who played this Weight and Wellbeing: An Interactive Think Tank game. In addition, all session delegates will play the simulation B10 around Making Healthy Weights Part of the Healthy together! The session concludes with a group discussion on Kids Conversation at Well-Child Visits in Ontario integrating experiential learning into SDOH education on a broader scale. The Ontario Government set a target to reduce childhood obesity by 20% in 5 years. Subsequently the Healthy Kids Audience: All audiences Panel made 23 recommendations in its fulsome Healthy Kids Presenters: Strategy. This Think Tank Session (a thematic roundtable) will • Latif Murji address Recommendation #1.5 relevant to the collaboration of • Dr. Onye Nnorom, Chronic Disease Prevention Lead, TAIBU public health, primary and community practice and child health Community Health Centre research, which will form the basis for interactive discussion. • Tony Jno Baptiste, Program Manager, TAIBU Community Effective practice-based interventions will be explored with a Health Centre focus on best practices for children and families during the well child visit, in order to help participants ensure they prevent more to treat less. Audience: Front Line/Program Staff, Program Management, B9.1 street Based Sex Workers Needs Assessment Senior Management, Policy Makers
Our presentation will present findings from a needs assessment Presenters: completed in February 2014 on street based sex workers in • Imaan Bayoumi, MD, MSc, FCFP Family Physician, Napanee Barrie, Oshawa and Greater Toronto Area. Findings from the Area Community Health Centre assessment will be shared, along with recommendations • Cara Kasdorf, RD, MAN, CDE, Nutrition Program Team Lead, for providing better services to this population of women. New Vision Family Health Team, Two Rivers Family Health The workshop will also focus on harm reduction services for Team women and trans-women who engage in sex work; 2) share • Joanne Beyers, MA, RD, Foundational Standard Specialist, best practices building on successes and 3) identify gaps in Health Promotion Division, Sudbury & District Health Unit services for women and trans women engaged in sex work. The • Paula Brauer, PhD, RD, FDC, Associate Professor, Dept Family workshop will be an interactive discussion with the audience. Relations and Applied Nutrition, University of Guelph • Catherine Birken, MD, MSc, FRCPC Staff Paediatrician, Audience: All audiences Department of Paediatrics, Hospital for Sick Children, Presenters: Associate Scientist, Clinical Health Evaluative Sciences, • Flavia Genovese, HIPS Project Co-ordinator, Regent Park SickKids Research Institute Community Health Centre • Ruta Valaitis, RN PhD Associate Professor, School of Nursing, • Norma Neal, Peer Outreach worker, Regent Park Community Dorothy C. Hall Chair in Primary Health Care Nursing Health Centre • Umberto Cellupica, MD, FRCPC Community Pediatrician, • Judy Hyndman, Peer Outreach worker, Regent Park Maple Kidz Clinic Community Health Centre Continued on next page... • Sushi, Peer Harm Reduction Worker, Street Health
17 • Patricia Parkin, MD, FRCPC Research Director, Division of growing a Baby-Friendly Ontario – Progress Check Pediatric Medicine and the Pediatric Outcomes Research B13 and Update Team (PORT), Professor, Department of Pediatrics, and Institute of Health Policy, Management and Evaluation; This presentation will provide an overview of the Baby Friendly University of Toronto Faculty of Medicine, Senior Associate Initiative (BFI) Strategy for Ontario including an update on work Scientist, Child Health Evaluative Sciences, Hospital for Sick to date and the work plan for the next two years. Toronto East Children Research Institute, Hospital for Sick Children General Hospital (TEGH) was invited by the Ministry of Health • Tracy Hussey, MSc, RD Nutrition Program Manager, and Long-Term Care to lead this initiative in partnership with Hamilton Family Health Team the Provincial Council for Maternal and Child Health (PCMCH) • Kendra Link, RD Community Dietician, Kingston Community and the Best Start Resource Centre (BSRC). The scope of the Health Centres implementation plan includes Hospitals, Family Health Teams, Community Health Centres, Aboriginal Health Access Centres, Nurse Practitioner-Led clinics and Birthing Centres, a total of Achieving Community Wellbeing In Oxford County about 370 organizations across Ontario. Research indicates B11 by Working Together that ongoing support from community partners such as public health and primary care is essential to breastfeeding success. A partnership involving Oxford Public Health and Emergency Participants attending this session will acquire increased Services, the Woodstock and Area Community Health Centre understanding of the toolkits, workshops, materials, coaching (WACHC), United Way of Oxford, Social Planning Council of strategy and evaluation components for the BFI Implementation Oxford and others has been engaging people of Oxford County Strategy. in discussions about community wellbeing. The Canadian Audience: Front Line/Program Staff, Program Management Index of Wellbeing (CIW) is a resource that has assisted people in understanding the factors that affect their wellbeing. This Presenter: discussion has helped people to become involved in a plan to • Linda Young, Director Maternal Newborn and Child Health, increase community belonging as one domain where people in Mental Health, Interprofessional Practice and Organization, Oxford County feel committed to creating of individual, family Toronto East General Hospital and community wellbeing. • Joan Bueckert, Centretown Community Health Centre Audience: All audiences Presenters: Spotlight Sessions: Population Health • Cate Melito, Executive Director, Woodstock and Area Six ten minute presentations Community Health Centre • Lynn Beath, Director/CEO, Oxford County Public Health Peer Leadership Model: Maximizing Access to Public and Emergency Services B14.1 Health Services for Diverse Communities
This presentation will highlight a peer leadership model focused kingston Community Health Centres & Kingston, on the prevention of type 2 diabetes. The model will be explored B12 frontenac, Lennox & Addington Public Health; as a strategy to enhance capacity to provide health services Partners for Health Equity for high-risk communities in a way that reduces cultural, educational and social barriers. The session will use several partnership initiatives between KCHC and KFL&A Public Health as case studies to demonstrate Audience: Front Line/Program Staff, Program Management, how CHCs and public health can work together for health equity. Senior Management From Healthy Smiles and Needle Exchange to Healthy Kids Presenter: Strategies and applied research for population health, these • Ella Manowiec, RD, MHSc, Nutrition Promotion Consultant, partners are influencing health care planning tables in Kingston Toronto Public Health and Napanee area. The workshop will engage participants in exploring opportunities and challenges they face in developing sustainable partnerships in their own communities. Meeting the Needs of Ontarians with Myalgic Audience: All audiences B14.2 Encephalomyelitis/Chronic Fatigue Syndrome (ME/ CFS), Fibromyalgia (FM) and Environmental Presenters: Sensitivities/Multiple Chemical Sensitivity (ES/MCS), • Hersh Sehdev, Executive Director, Kingston Community with a Focus on the Role of Primary Care Health Centres • Dr. Kieran Moore, Associate Medical Officer of Health, A business case requesting increased supports for Ontarians Kingston, Frontenac and Lennox & Addington Public Health with ME/CFS, FM and/or ES/MCS was submitted to the Ontario Ministry of Health and Long-Term Care in 2013. Patients and professionals worked together to document the current
18 situation, based on statistics, patient experience and clinical healthy Nail Salon Workers: Exploring Strategies to experience. The study found serious inequities and gaps in B14.5 reduce the Health Risks of Women Working at health and social services. The role of primary care and support Toronto Nail Salons for primary care providers, are important issues as this initiative moves forward. This session describes a community research project exploring how the social determinants of health impact nail salon workers’ Audience: Front Line/Program Staff, Program Management, health. Throughout the workday, nail salon workers are regularly Senior Management, Policy Makers exposed to chemicals known to cause cancer, respiratory Presenters: illnesses and reproductive problems. As immigrants, issues such • Margaret Parlor, President, National ME/FM Action Network as gender, language, income, and immigration status create increased vulnerabilities and barriers to health and safety. Audience: Front Line/Program Staff, Program Management, Smoking Cessation Services for People with Serious Board Members, Policy Makers B14.3 Mental Illnesses Presenter: To address gaps in smoking cessation services for clients with • Linor David, Health Promoter, Central Toronto Community serious mental illnesses, our focus was to develop, deliver and Health Centres evaluate an innovative interagency model of cessation services between three mental health agencies, a hospital, community pharmacist and a public health nurse as a part of a community Inter-Sectoral Action for Healthcare for the Homeless B14.6 of practice. People experiencing homelessness continue to have significantly Audience: Front Line/Program Staff, Program Management worse health outcomes than the general population. Interventions focused solely on medical care have failed to Presenters: achieve significant impact on these outcomes. In this session • Rosemary Lamont, Clinical Nurse Specialist, Tobacco-Free I will explore opportunities for inter-sectoral collaboration Living Program, York Region Community and Health Services that holds promise for going beyond medical needs to a • Eva Estrella, Clinical Nurse, Markham Stouffville Hospital, comprehensive improvement on health. Outpatient Mental Health, Medication and Wellness Clinic Audience: Program Management, Senior Management, Policy Makers Mobilizing Newcomers and Immigrants to Cancer Presenter: B14.4 screening Through Partnership • Abe Oudshoorn RN PhD, Assistant Professor, School of Nursing, Western University Between 2012 and 2014, the Integrated Cancer Screening Unit at the South West Regional Cancer Program, in partnership with the Middlesex-London Health Unit, Cross Cultural Learner Centre, London InterCommunity Health Centre and Canadian Cancer Society, were funded by the Public Health Agency of Canada to increase participation rates in cancer screening programs among two newcomer and two immigrant populations in London. Working directly with Peer Health Educators, the project provided equitable access to information about cancer screening and primary prevention, to develop, deliver and evaluate an evidence-based cancer prevention/screening service delivery model. Audience: Front Line/Program Staff, Program Management Presenters: • Linda Stobo, Program Manager for Chronic Disease Prevention and Tobacco Control, Middlesex-London Health Unit
19 • Dr. Victoria Lee, Medical Health Officer, Fraser Health Making Primary Health Care and Authority, BC Public Health Relationships More • Michael E. Green, Associate Professor, Department of Family Sustainable Medicine and Public Health Sciences, Queen’s University • Dr Anita Kothari, Associate Professor, School of Health Population Management: The Convergence of Primary Studies , University of Western Ontario C1 Care and Public Health • Carol Timmings, Director, Healthy Living and Chief Nursing Officer at Toronto Public Health The continuing adoption of electronic medical records (EMRs) in primary care is driving public health and primary care together. The Canadian Primary Care Sentinel Surveillance Network Creating and Sustaining a Primary Care—Public Health (CPCSSN) is Canada’s first primary care EMR data repository, C3 Partnership: Lessons from Peel Region providing a rich new data source for both primary care and public health. This session will explore the role of public health The partnership between primary care and public health in primary care population management and similarly, how created by Frank Martino, Chief of Family Medicine at William primary care data can inform public health practice. We will Osler Hospital in Brampton, Paul Philbrook, Chief of Primary present an example of a collaborative project using CPCSSN EMR Care at Trillium Health Partners in Mississauga and Megan data for healthy weight surveillance at the local health unit level. Ward, Associate Medical Officer of Health at Peel Public Health has been active since 2005. This panel discussion will present Audience: Front Line/Program Staff, Program Management, the stories and perspectives of these three physician leaders Senior Management, Policy Makers around the themes of communication, co-planning and system Presenters: integration. • Suzanne Biro, Foundational Standard Specialist, Chronic Audience: All audiences Disease and Injury Prevention Division, Kingston, Frontenac and Lennox & Addington Public Health Presenters: • Dr. David Barber, Regional Network Director Canadian • Megan Ward, Associate Medical Officer of Health, Peel Primary Care Sentinel Surveillance Network (CPCSSN), Public Health Assistant Professor, Department of Family Medicine, • Paul Philbrook, Chief of Primary Care, Trillium Health Queen’s University Partners • Dr. Tyler Williamson, Senior Epidemiologist, CPCSSN, • Dr. Frank Martino, Chief of Family Medicine, William Osler Assistant Professor Department of Family Medicine and Hospital Department of Public Health Sciences, Queen’s University • Dr. Richard Birtwhistle, Director, Centre for Studies in Primary Care (CSPC), Chair, CPCSSN Committee, Professor, speaking out for Change: Health Service Providers Department of Family Medicine, Queen’s University C4 and Advocacy • Dr. Karim Keshavjee, CEO InfoClin, Research Data Architect and EMR Consultant, CPCSSN Health service providers have powerful voices that can help • Rachael Morkem, Research Associate, CPCSSN and CSPC, effect public policy change when they speak out. Physicians Department of Family Medicine, Queen’s University and health professionals are respected in the community, and listened to by politicians and decision makers. As we saw earlier this year with media coverage of health providers calling for a Primary Care and Public Health Collaboration: higher minimum wage, the media carry their message when C2 Perspectives from British Columbia and Ontario they speak out. At this panel discussion hear from experienced public health leaders and Community Health Centre activists This session will explore the influence of public health policy about their advocacy experiences. Think about what role YOU renewal on primary care and public health collaboration in can play to move people from talk to action by adding your voice British Columbia (BC) and Ontario (ON). Following a presentation as an advocate. of research results involving in-depth case studies of 6 ON Audience: Front Line/Program Staff, Program Management, health units and 4 BC health authorities and the provincial Board Members health authority, a panel of primary care and public health stakeholders from both provinces will respond to the research Presenters: results. The audience will also have opportunities to engage in • Lori Kleinsmith, Health Promoter, Bridges Community the discussion. Health Centre • Rhonda Barron, Health Promoter, Bridges Community Audience: All audiences Health Centre Presenters: • Dr. Hazel Stewart, Director, Dental and Oral Health Services, • Ruta Valaitis, Associate Professor, School of Nursing, Toronto Public Health, Member of Ontario Oral Health McMaster University Alliance
20 • Dr. Monika Dutt, Medical Officer of Health, Cape Breton isn’t easy. Every day you engage in partnerships that influence District Health Authority your reputation and your results. Your relationships can be collaborative or competitive, transactional or transformational. Value-based partnering is about learning to leverage the best Public Health and Commmunity Health Centres: of others for mutual benefit and growth. The size of your C5 How can we be Better Together partnership bank account will influence your ability to get partners to contribute more and require less external motivation Ontario’s public health units and CHCs have a lot in common. to ensure they follow through. The session is designed to help Both sectors are focussed on populations as well as individuals. you get better results, faster, with less stress. Both sectors look upstream for solutions to health problems. Both sectors value equity and working with communities. This Audience: All audiences session features two medical officers of health and two CHC Presenters: Executive Directors in a conversation about how the two sectors • Enette Pauze, Partnership Broker could be better together. Audience: Program Management, Senior Management, Board Members, Policy Makers, Administration How Do We Move Collaboration Upstream? C8 Building Strategies Together Presenters: • Dr. Michael Rachlis, Health Policy Analyst The Healthy Birth Weights Coalition formed in 2011 to • Rosana Pellizari, Medical Officer of Health, Peterborough enhance community health and reduce low birth weight risk by County-City Health Unit addressing inequities and strengthening the system of supports • Jack McCarthy, Executive Director, Somerset West in Hamilton, Ontario. In this participatory workshop we will Community Health Centre share and create strategies to overcome system and structural • Dr. Irene Armstrong, Associate Medical Officer of Health, barriers to eliminating health and social inequity. At the end Toronto Public Health of the session we will have collectively developed an action • Axelle Janczur, Executive Director, Access Alliance strategy for moving inter-sector collaboration upstream. Multicultural Community Health Centre Audience: All audiences Presenters: Effective Outreach to Promote Health Programs to Low • Vanessa Parlette, Project Manager, Healthy Birth Weights C6 income Families: Lessons Learned from Community Initiative, City of Hamilton Public Health Services and Public Oral Health Programs • Jen Vickers-Manzin, Program Manager, City of Hamilton Public Health Services Learn about some successful practices for outreach to • Dr. Keyna Bracken, Physician Director, Maternity Centre of vulnerable communities (low income families, newcomers) Hamilton to effectively support their participation in community based health programs. Oral health care will be used as a case study from the perspective of community health and public health. EQUIP Healthcare: An Innovative Research Partnership How can CHCs and public health units do a better job on C9 to Enhance Equity-Oriented Primary Health Care outreach to meet the targeted community needs? In this skills building workshop learn from a speaker with lived experience Health inequities remain a pressing national concern. One of and two program coordinators about what works and what the most important ways of closing the gap is through effective, doesn’t if your program is trying to reach people struggling just accessible primary health care (PHC) services for people whose to make ends meet. lives and health are affected by poverty, social exclusion, and discrimination. However, little is known about how to provide Audience: Front Line/Program Staff, Program Management, effective services to such populations. Our research partnership Senior Management, Policy Makers involves university researchers and four health clinics, including Presenters: a CHC and a Nurse Practitioner-led Clinic in Ontario and an • DawnMarie Harriott, Coordinator, Voices from the Street Aboriginal Health Centre and Inner City CHC in BC. We are • Jan Herbison, Dental Manager, Region of Waterloo Public evaluating an innovative organizational-level PHC intervention to Health improve health equity for this population. Audience: All audiences value-Based Partnerships: Improving Performance Presenters: C7 & Engagement • Myrna Fisk, Nurse Practitioner, Health Zone Nurse Practitioner-Led Clinic Building, funding, and maintaining a successful partnership • Kathy Bresett, Executive Director, North Lambton Community Health Centre
21 • Marilyn Ford-Gilboe, Professor, Women’s Health Research that investments in capacity of community organizations can Chair in Rural Health, University of Western Ontario make? Health Nexus and the Association of Ontario Health • Nadine Wathen, Associate Professor, Health Information Centres, working with Tamarack and with leadership from The Science and Library and Information Science, University of Mowat Centre at the University of Toronto, asked just these Western Ontario questions in a recent evaluation. Come and hear about the Partnership Grants Learning Project that set out to measure outcomes of investment in 27 not-for-profit community C10 indigenous Cultural Competency (ICC) Training organizations by the Ontario Ministry of Citizenship and Immigration through partnership grants. This short presentation This session will demonstrate the new Ontario Online Indigenous will include key findings from the evaluation and insights about Cultural Competency (ICC) Training available through Southwest innovative methods to measure complex change in partnerships Ontario Aboriginal Health Access Centre (SOAHAC). Participants and networks including: Outcome Harvesting; Social Network will learn how a unique partnership between SOAHAC and the Analysis; and the Most Significant Change Technique. Provincial Health Services Authority in British Columbia was formed in response to a growing interest within Ontario’s health Audience: Program Management, Senior Management, Board system for culturally safe care. They will be shown samples Members of the curriculum and learn how to register for the training. Presenters: Participants will also learn why it’s important to specifically • Suzanne Schwenger, Program Manager, Health Nexus address Indigenous populations within the development of • Heidi Schaeffer, Knowledge Management and Learning cultural competency and safety. Lead, Association of Ontario Health Centres Audience: All audiences
Presenters: Board Roles in Successful Collaborations, Integrations • Guy Hagar, Cultural Safety Trainer C12 and Alliances • Gertie Mai Muise, Primary Care Director, Southwest Ontario Aboriginal Health Access Centre What do board members need to know and do for their organization’s to have successful collaboration, integrations and alliances? Come and explore collaboration and integration C11.1 Building a Bigger Sandbox through the lens of governance and grapple with questions about how much board members have to think and work Is it possible to always play nice in the sandbox of partnership? differently than they have in the past. Do boards members need As children grow to learn the benefits of playing together, so too a new set of muscles to be successful in building and nurturing can organizations, while keeping their focus on the improved the right kinds of collaborations and integrations? Join this think health and wellbeing of the community. Dr. April Rietdyk the tank to gain a better understanding about governance roles and Director of Public Health and Kristen Williams the CEO of the the unique competencies, strategies, culture and structures that Chatham-Kent Community Health Centre will answer this make collaboration, integration and alliances work. To begin question as they highlight initiatives between primary care and representatives from boards of health and from primary care public health. Participants will hear our successes and lessons boards will share their views and experiences. learned on how Chatham-Kent partners collaborate on topics ranging from oral health, falls prevention, infant health, smoking Audience: Board Members cessation, policy development, and paramedicine. Presenters: Audience: Front Line/Program Staff, Program Management, • Linda Mollenhauer, Principal, Mollenhauer Consulting Board Members, Senior Management • Heather Graham, Heather Graham Consulting Services Presenters: • Dr. April Rietdyk, Director of Public Health, Chatham-Kent Public Health and Primary Care Partnership in Public Health Unit C13 Population Health Planning and Advancing • Kristen Williams, CEO, Chatham-Kent Community Health health Equity Centres This workshop will highlight a partnership between Community Health Centres, public health and the South East LHIN to analyze Innovative Evaluation of Community Health and the primary health care needs of a population of South East C11.2 Wellbeing Partnerships and Networks Ontario using a determinants of health lens. The presentation will include: key findings of the report prepared by Kingston, What type of capacity building in community organizations has Frontenac and Lennox & Addington (KFL&A) Public Health for the most impact on strengthening collaboration, partnerships local Community Health Centres in the South East LHIN; details and networks? How can we know more about the difference of data sources; the mixed methodology analyses; limitations;
22 and other relevant background. Novel real time information Audience: Front Line/Program Staff systems will also be highlighted, including the South Eastern Presenters: Ontario Health Integrated Information Portal (SHIIP). Results of • Mandy Deeves, Network Coordinator, North Simcoe this research are discussed to build a framework for partnership Muskoka Infection Control Network, Public Health Ontario and potentially transform primary health care to improve health equity and outcomes in South Eastern Ontario. This process could be similarly adopted in other LHINs. it Takes a Village: CIHR Knowledge Synthesis Audience: Senior Management, Board Members, Policy Makers, C14.3 Grant awarded for Realist Synthesis on the integration Administration of public health and clinical primary care in early Presenters: childhood development • Dr. Kieran Moore, Associate Medical Officer of Health, This presentation will provide a background on social paediatrics Kingston, Frontenac and Lennox & Addington Public Health and outline the objectives and methods of a recently funded realist synthesis to identify program theory(s) and associated mechanisms that lead to successful integration between primary Spotlight Sessions: Public Health and care, public health and community resources in child health, Primary Health Care Together through a determinants of health (DOH) lens. Six ten minute presentations Audience: All audiences
from Forest Fires and Pandemics to Toothaches, We Presenters: C14.1 Are In This Together: An Effective Public Health and • Ingrid Tyler, Physician, Health Promotion Chronic Disease Community Health Centre Partnership and Injury Prevention, Public Health Ontario
This session will describe the effective partnerships that exists between the three Community Health Centres in our area Integrating Public Health Services in a Primary Care (Country Roads Community Health Centre, Lanark Health and C14.4 Setting: Kingston Community Health Centres Paving Community Services and Rideau Community Health Services) the Way and the Leeds, Grenville and Lanark District Health Unit. Using past initiatives, participants will learn how our roles and Kingston Community Health Centres (KCHC) is a unique responsibilities have evolved and how we have learned to utilize Community Health Centre that hosts several innovative each other’s strengths in times of needs to better serve our programs within a clinical setting to address the social overlapping mandates and clients. determinants of health. Clients at KCHC have access to medical and dental services and are referred and encouraged to Audience: All audiences participate in public health programs such as: Better Beginnings Presenters: (supports low income families); Thrive (supports pregnant • Rebecca Kavanagh, RN, BScN, MPA, Manager, Healthy women with opioid use history); The Space (youth drop-in Living & Development Department , Dental, Smoke Free centre); Pathways to Education; Immigrant Services; Senior Ontario, Harm Reduction, Substance Misuse and School Services, and regional and provincial harm reduction services. Coordination, Leeds, Grenville and Lanark District Health Unit By integrating primary care with public health services, KCHC’s clients are cared for in a holistic way. Audience: Front Line/Program Staff, Program Management, Public Health Ontario and Ontario College of Senior Management, Administration C14.2 Physicians and Surgeons: An example of collaboration to achieve common goals Presenter: • Despina Tzemis, Health Promoter, Ontario Harm Reduction Public Health Ontario (PHO) and the College of Physicians and Distribution Program, Kingston Community Health Centres Surgeons of Ontario (CPSO) both have similar mandates to protect and promote public health. A mutual need to promote infection prevention and control best practices in health care CASTLE – Creating Access to Screening and Training in brought about the collaboration to create the document titled C14.5 the Living Environment: A Unique Public Health – Best Practices for Infection Prevention and Control in Clinical Primary Care Partnership Office Practice. Since its publication, these organizations have been working together to create and take advantage of The CASTLE project is a collaborative effort among public health opportunities to increase awareness of the document and its units in Hamilton, Niagara, Haldimand-Norfolk and Brant and contents. This aligns with the conference theme Best Practices community health centres working within the Aboriginal and for Keeping People and Communities Healthy focusing on IP&C. Francophone communities of these regions. This innovative partnership effectively engages low-income communities to
23 participate in cancer screening. CASTLE employs Community Health Brokers (CHBs) as community leaders to provide “a voice” for those living in priority populations. This presentation will highlight unique stories about the CHB role of innovative outreach to communities as well as their strong successful alliances with public health and primary care providers. Audience: Front Line/Program Staff, Program Management, Senior Management, Policy Makers Presenter: • Marty Mako, Health Promoter, Niagara Region Public Health and Regional Lead, CASTLE Project
Toolkit2Collaborate: An Evidence-Informed C14.6 Online Toolkit to Support Public Health and Primary Care Collaboration
This session will provide an overview of a newly developed online evidence-based toolkit for public health and primary care collaboration. The presentation will briefly describe the evidence which underpins the toolkit and will introduce the audience to its structure and content. We gratefully acknowledge funding from the Public Health Agency of Canada to support this project. Audience: All audiences Presenters: • Ruta Valaitis, RN PhD Associate Professor, School of Nursing, Dorothy C. Hall Chair in Primary Health Care Nursing
24 conference floorplan
Upper Conference Level
Lower Conference Level
25 of note
Delegates with mobility difficulties The Sheraton Parkway Toronto North is accessible with ramps and elevator access. From the Best Western, access to the conference site is best via the outside.
Special dietary considerations We hope the buffet meals at the conference will provide delegates with enough variety to meet most, if not all, dietary preferences and requirements. However, if needed, as you sit down for each meal, you are welcome to let your server know of your dietary requirements and ask for a special meal.
Have your say! Data On The Spot is the Canadian leader in audience response technology. 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 displayed on the screen for everyone to see. To use your device, simply press the appropriate number on your clicker that corresponds to your answer choice on the screen. Vote now!
Wi-Fi Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.
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26 Thank You
AOHC and alPHa extend gratitude to the many organizations and people who have contributed to this joint Public Health and Primary Health Care conference
Great thanks go out to the many people who have contributed • Learning session submission peer reviewers: Lisa Brown, to this joint conference. We offer gratitude to our partners, Black Creek Community Health Centre; Peggy Schultz, sponsors, speakers and learning session presenters, our exhibi- Health Nexus; Pamela Chapman, Port Hope Community tors, volunteers and staff colleagues—to all who came together Health Centre; May Tao, Toronto Public Health; Julie Toole, to develop the conference content and promote the conference, Association of Ontario Midwives; Lise Marie Baudry, Centre and to all of you who are here making connections, sharing col- Francophone de Toronto; Christine Schofield, Toronto Public laborations and proposing new ways to move forward together. Health; Jacinda Firth, Norwest Community Health Centre; Nicolette Slovitt, Toronto Public Health; Karen Quigley-Hobbs, A special thanks to: Region of Waterloo Public Health; Cliff Ledwos, Access • The conference advisory committee who developed the Alliance Community Health Centre conference themes and topics, learning session and joint • The AOHC joint award peer reviewers: Jane DeJong, South awards criteria; reviewed submissions and joint award East Grey Community Health Centre; Brenda McNeil , nominations; and promoted this conference to their Anne Johnston Health Station; Stefanie Ralph, Grand River memberships and networks. In line with the goals of this Community Health Centre; Jason Marin Sossin, Access conference, these individuals worked collaboratively to Alliance Community Health Centre; Melanie Thomas, French bring Public Health and Primary Health Care together at this River Nurse Practitioner-Led Clinic conference: • Conference marketing and communications ‘swat’ team: »»Ingrid Tyler, Public Health Ontario Barb Prud’homme, Ontario Public Health Association; »»Carol Timmings, Registered Nurses Association Melissa Potvin, Andrea Bodkin, Health Nexus; Marion Zych, of Ontario Registered Nurses Association of Ontario; Shirley Connor, »»Clarys Tirel, Association of Family Health Teams Sarah Hicks, Ontario College of Family Physicians; Amber of Ontario Lepage-Monette, Association of Ontario Midwives »»Barb Willet, Health Nexus • Lindsay Hall who fantastically coordinated volunteers from all »»Rosana Pellizzari, Peterborough County-City of our organizations Health Unit • Jacqueline Gauthier who developed the French lyrics for »»Juana Berinstein, Julie Toole, Association of music video “Make No Small Plans.” Ontario Midwives »»Jessica Hill, Eilyn Rodriguez, Ontario College of Family »»Pegeen Walsh, Ontario Public Health Association
Sincerely,
Linda Stewart Adrianna Tetley Executive Director Chief Executive Officer Association of Local Public Health Agencies Association of Ontario Health Centres
Presented by:
Partners: The 2014 Joint Conference Prevent More to Treat Less | Public Health and Primary Health Care Together
Presented by:
Partners: