Supporting PCNs Towards Excellence in Governance

Presentation by Dr. Keith McNicol

Member, Engaged Leadership & Community Involvement WG

Faculty/Presenter Disclosure

• Faculty: Dr. Keith McNicol

• Relationships with commercial interests: – Grants/Research Support: Boehringer Ingelheim Canada Ltd. to

Westview PCN NPC – Honoraria: none. – Consulting Fees: AHS WHS. – Other: none

Disclosure of Commercial Support • This infomercial has received NO financial support from any

organization. • This program has received in-kind support from the AMA and

Accreditation Canada in the form of information and presentational material.

• Potential for conflict(s) of interest:

– I have received NO funding or payment.

Mitigating Potential Bias • Pharma association related to WestView PCN NPC grant for Diabetes and

COPD integration of care navigator roles.

Do you ever ask yourself in a Board Meeting… – Where and how could we be better? – Have we done everything possible that a typical well

functioning Board should be doing? – Are we being accountable and using our funds in the best

possible manner with the necessary checks and balances? – Why does our Board always seem to go in circles on every

issue we discuss? – Are we ready and well prepared for any challenge?

Now imagine a future PCN Board that…. – That knows exactly where any “gap” exists and can

pinpoint what needs to be improved. – Has “peace of mind” knowing that all risks have been

identified and a has a plan with support to address. – Can pinpoint problem governance issues ( e.g. conflict

of interest) while those issues may still be small versus a “festering board wound”

– Know how you’re performing in relation to other PCNs for ongoing CQI

So how do we get there? Governance “Nirvana” Governance

“Purgatory”

• The “fork” in the PCN Governance Expressway: – Unique partnership between PMP And Accreditation

Canada – Direction provided by The PCNe Engaged Leadership

Committee – Process will involve opportunity for input from PCNs and

representation from both Joint Venture Partners – Every effort is being made to keep the process simple,

easy and PCN friendly

The Board Health Check-up Tool:

• We will be using AC’s Governance Functional Tool which is one of the unique instruments included as part of Accreditation Canada’s Qmentum accreditation program

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Leadership

Medication Management

Service Area e.g. Primary

Care

Infection Prevention

Governance

GFT

• This is NOT accreditation but utilizes the same “process” and methodology Accreditation Canada uses within the “governance” portion of their accreditation process.

• The PCN “Board Governance Health Check-up Tool” will take advantage of the AC ‘s Governance Functional Tool but be tailored to fit PCNs (the tool will be relevant to the PCN setting)

• You have an opportunity to help form some of the questions today!

• The Governance Check-up Tool will look at four areas of PCN governance functioning:

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So what’s in it for you? Why should you care? • Responsibilities and actions of a board are a major factor in

your PCN’s overall organizational performance • This “tool” will help you analyse and improve function as an

effective governing body • An effective board will:

Set clear direction for the organization Support the organization to achieve its mandate Influence culture Establish accountability for the achievement of sustainable

results Give you peace of mind as a Board Member/ PCN Lead

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So what’s in it for you? Why should you care? • Responsibilities and actions of a board are a major factor in

your PCN’s overall organizational performance • This “tool” will help you analyse and improve function as an

effective governing body • An effective board will:

Set clear direction for the organization Support the organization to achieve its mandate Influence culture Establish accountability for the achievement of sustainable

results Give you peace of mind as a Board Member/ PCN Lead

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So what’s in it for you? Why should you care? • The Benefits far out weigh the cost and effort: Reduce risk Demonstrate accountability Standardize processes Develop staff knowledge and skills Manage change Monitor quality improvement throughout the organization Support achievement of provincial requirements Increase organizational efficiency

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The Process: How does your PCN Request a Review? • Participating PCNs will contact Accreditation Canada for

individual contract (participation for up to 3 years) • PCNs will provide contacts for all Board Members and

determine timelines for the survey • Accreditation Canada will administer the survey, gather

data and provide analytics on a yearly basis • Additional services: Simulation survey (accreditation interview) of Board

members, coaching and recommendations PMP can work with you to work on gaps and improvement

areas

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Getting Your Input! • Each of you will be given a handout that we ask you

to submit by the end of the Forum weekend (hand-in at PCN Registration Desk)

• Tell us your top 3 questions – the top 3 things you would like asked about your PCN Board.

• Think about those things that give you stress or make you lose sleep at night

Working Together to Support PCNs!