Manitoba Partners in Planning for Healthy Living

History

February 2006 – Manitoba Integrated February 2006 – Manitoba Integrated Knowledge System (MIKS)Knowledge System (MIKS) Members: Members: CCS – MB DivisionCCS – MB Division

CancerCare MBCancerCare MB

CancerCare MB FoundationCancerCare MB Foundation

Interlake Regional Health AuthorityInterlake Regional Health Authority

Heart & Stroke Fdn of ManitobaHeart & Stroke Fdn of Manitoba

Alliance for the Prevention of Alliance for the Prevention of Chronic Disease (MB)Chronic Disease (MB)

Coalition focused on blending practice-Coalition focused on blending practice-based evidence with evidence-based based evidence with evidence-based practicepractice

May 2006 held first workshop – May 2006 held first workshop – Integrating Integrating Evidence with PracticeEvidence with Practice – RHAs, CancerCare – RHAs, CancerCare MB, Heart & Stroke Fdn, MHHL, PHAC, NGOsMB, Heart & Stroke Fdn, MHHL, PHAC, NGOs

Emerging blueprint of a knowledge integration system for preventionEmerging blueprint of a knowledge integration system for prevention Riley & Harvey, Mar 2006Riley & Harvey, Mar 2006

Implementation of Policies and Programs

Surveillance

Knowledge Translation and Exchange

Strategic and Investigator Driven Research

Best Practices Identification and Dissemination

PROVINCIAL

INTER/NATIONAL

PRACTICE-BASEDEVIDENCE

EVIDENCE-BASEDPRACTICE

Policy and Program Evaluation

Partnership Development

October 2006 - MIKS became Partners October 2006 - MIKS became Partners in Planning for Healthy Living (PPHL)in Planning for Healthy Living (PPHL)

First AGM – May 2007First AGM – May 2007 Membership expanded to include:Membership expanded to include:

• All RHAsAll RHAs• MHHLMHHL• Healthy Child MBHealthy Child MB• PHAC, MB & Sask Div.PHAC, MB & Sask Div.• Health in CommonHealth in Common• MECYMECY

Potential future partners: sport, Potential future partners: sport, environment, other NGOsenvironment, other NGOs

PPHL members come together toPPHL members come together to Pool resourcesPool resources Work together to support use of evidence Work together to support use of evidence

in planning interventionsin planning interventions Share common mandates for prevention Share common mandates for prevention

of chronic diseasesof chronic diseases Develop an integrated knowledge system Develop an integrated knowledge system

to inform local planning based on to inform local planning based on evidenceevidence

PPHL is a community of practicePPHL is a community of practice

Partners in Planning for Healthy Partners in Planning for Healthy LivingLiving

Our ValuesOur Values

We are inclusive and flexible.We are inclusive and flexible. We are non-judgmental.We are non-judgmental. We are community friendlyWe are community friendly..

Partners in Planning for Healthy Partners in Planning for Healthy LivingLiving

Our principlesOur principles We focus on evidence.We focus on evidence. We support the development of We support the development of

knowledge and capacity within knowledge and capacity within communities.communities.

We support integrated, community We support integrated, community planning for healthy living.planning for healthy living.

EVIDENCE -BASEDPRACTICE

PRACTICE -BASEDEVIDENCE

Regional Risk Factor Surveillance in Manitoba

Reporting

Evaluation

Surveillance

Best PracticeIdentification

And Dissemination

EVIDENCE -BASEDPRACTICE

PRACTICE -BASEDEVIDENCE

KnowledgeExchange

Evaluation

Surveillance

Best PracticeIdentification

And Dissemination

Program Development

Practice–Based EvidencePractice–Based Evidence

Requires local data Requires local data Created through action at the local Created through action at the local

levellevel Context is added through local Context is added through local

knowledgeknowledge Based on reality and what makes Based on reality and what makes

sensesense Evidence becomes an integral part of Evidence becomes an integral part of

interventionsinterventions

Evidence-Based PracticeEvidence-Based Practice

Dissemination of best practice Dissemination of best practice information through KEN and PHAC information through KEN and PHAC Portal, etc.Portal, etc.

Best practice information must be in a Best practice information must be in a format and language that is easily format and language that is easily understood at the community levelunderstood at the community level

Requires investment and buy-in of Requires investment and buy-in of research community to ensure research research community to ensure research results reach those who can benefitresults reach those who can benefit

Key Successes

PartnershipsPartnerships 20+ members & continuing to expand…! 20+ members & continuing to expand…! Working groups carrying out specific Working groups carrying out specific

taskstasks PPHL Executive CommitteePPHL Executive Committee S/KEWGS/KEWG YHS KE WGYHS KE WG Provincial roll up Provincial roll up

New relationships forming – still fragileNew relationships forming – still fragile

Building capacity at all levelsBuilding capacity at all levels

Risk Factor Surveillance Risk Factor Surveillance

11stst Youth Health Reports 2005– other Youth Health Reports 2005– other RHAs followRHAs follow

PHAC grants to IRHA and ARHAPHAC grants to IRHA and ARHA 22ndnd version of the Youth Health Survey – developed in version of the Youth Health Survey – developed in

collaborationcollaboration Community surveys pilotedCommunity surveys piloted

Youth Health Survey was completed Youth Health Survey was completed across all RHAs (spring 2008)across all RHAs (spring 2008)

52,000 students grades 6 to 1252,000 students grades 6 to 12 ~400 individual school reports (School Division, ~400 individual school reports (School Division,

community, region)community, region)

Risk Factor SurveillanceRisk Factor Surveillance

Working on the development of an integrated Working on the development of an integrated system of ongoing RFS at the community level:system of ongoing RFS at the community level:

• Produces practice-based learningProduces practice-based learning• Is consistent and sustainable across prov.Is consistent and sustainable across prov.• Is based on evidenceIs based on evidence• Builds capacity to plan at all levels Builds capacity to plan at all levels

(community, school, region, province)(community, school, region, province)• Allows us to ‘Allows us to ‘learn as we golearn as we go’’

Knowledge ExchangeKnowledge Exchange

School & community workshopsSchool & community workshops Symposia (January 2008 & 2009)Symposia (January 2008 & 2009)

Multi-stakeholder participationMulti-stakeholder participation Timely information based on KE needsTimely information based on KE needs ““expert” presentersexpert” presenters

RHA specific workshopsRHA specific workshops Newly formed YHS KE Working Group Newly formed YHS KE Working Group

to coordinate current & future needsto coordinate current & future needs

Multi-Level LeadershipMulti-Level Leadership

Change in expectations for leadership Change in expectations for leadership –regional, school division, NGO, –regional, school division, NGO, community, provincial and others community, provincial and others could provide leadershipcould provide leadership

Change in expectations for resources - Change in expectations for resources - in-kind and financial from regions, in-kind and financial from regions, NGOs, school divisions and other gov’t NGOs, school divisions and other gov’t depts.depts.

Lessons Learned

LessonsLessons

RFS/KE activities does not need RFS/KE activities does not need “provincial” leadership“provincial” leadership

Incorporating into regular health Incorporating into regular health promotion activities, increasing promotion activities, increasing likelihood of successful uptake of likelihood of successful uptake of informationinformation

Constant care and feeding of Constant care and feeding of partnershipspartnerships

Challenges & Opportunities

Challenges/Opportunities

Manitoba approach supports multi-Manitoba approach supports multi-level leadership & collaboration level leadership & collaboration (RHAs, School Boards, NGOs, (RHAs, School Boards, NGOs, Manitoba Health, PHAC, others) Manitoba Health, PHAC, others) to to build sustainability build sustainability

Manitoba geography makes Manitoba geography makes collaboration difficult & expensivecollaboration difficult & expensive

Challenges/Opportunities

Working & learning together while Working & learning together while meeting local needsmeeting local needs

Challenge to develop shared Challenge to develop shared meaning; link surveillance to meaning; link surveillance to planning & interventions and further planning & interventions and further evaluation – to think and act as a evaluation – to think and act as a systemsystem

Next Steps

Current RealityCurrent Reality Stay abreast of current changes (regular Stay abreast of current changes (regular

physical activity in schools, surveys, KEN, physical activity in schools, surveys, KEN, multilevel leadership and collaboration)multilevel leadership and collaboration)

On-going surveillance allows for future tool On-going surveillance allows for future tool development, a coordinated approach and development, a coordinated approach and shared experience for all involvedshared experience for all involved

Supporting research- validation of physical Supporting research- validation of physical activity policyactivity policy

‘‘Our Vision’Our Vision’

To buildTo build prevention capacity in Manitobaprevention capacity in Manitoba a province-wide chronic disease risk a province-wide chronic disease risk

factor surveillance system that is factor surveillance system that is integrated with community planning integrated with community planning and best practices.and best practices.

A sustainable system which fits into A sustainable system which fits into the planning cycles at all levelsthe planning cycles at all levels

Moving from ‘Chaos to Clarity’Moving from ‘Chaos to Clarity’