A Provincial Emergency Medicine Knowledge Exchange Framework
Strategic Leaders: Kendall Ho, Julian Marsden, Helen Novak Lauscher
In alignment with the Department of Emergency Medicine’s Strategic Plan, we intend to design, develop, and implement a cohesive academic strategy involving the key stakeholder groups of health professionals, health policy makers, health administrators, researchers, and community members/health consumers. To this end, we will tangibly demonstrate and improve on bringing evidence-based knowledge and skills to routine practice in Emergency Medicine, leading to excellence in health outcome of our patients and community members.
Long Term Goals
To establish a provincial KT research and evaluation framework serving to clarify how the clinical, research, education, and health policy initiatives in the Department of Emergency Medicine in BC contribute kaleidoscopically and synergistically towards effective knowledge exchange and translation in all parts of the province. This framework will help guide the garnering of research and evaluation funding, the generation of evidence, the publication of best practices, and the continuing improvement of KT in BC, thus propelling our Department and the Faculty as an academic leader in KT implementation and science both nationally and internationally.
Sort Term Goals
- Encourage our provincial DEM members to participate in setting provincial priorities, documentation of current KT activities taking place, and co-creation of the KT evaluation framework.
- Engage key partners and inter-professional colleagues to collaborate in this provincial KT effort.
- Initiate strategic demonstration projects aligned with the priorities set within the next three years to demonstrate what we can accomplish together.
Key Partners and Stakeholders
- DEM Provincial Members
- Emergency Departments in B.C.
- Practicing Health Professionals in Emergency Medicine
- BCMA Section of Emergency Medicine
- UBC Faculty of Medicine eHealth Strategy Office
- UBC CPD Division
- Ministry of Health
- Health Authorities
- NGOs (e.g. Canadian Heart and Stroke Foundation)
- BC SPOR SUPPORT Unit
- UBC Department of Family Practice
- Rural Coordinating Centre of BC/REAP
Work to Date: Updated August 22, 2015
- Production of a five-page draft document highlighting KT in the DEM vision, with the premise of how to initiate our KT efforts using evidence based frameworks.
- Contributed to the creation of a DEM document proposing a BC-wide network to create and exchange knowledge comprised of four key components:
- Define and share key known clinical emergency best practices to optimize and increase consistency in provincial emergency care in all EDs in BC;
- Develop and share better emergency practices when they are unclear throughout the province across urban, rural and remote locations;
- Coordinate, scale up and develop relevant emergency medicine continuing professional development initiatives to support life-long learning of health professionals in practice; and,
- Develop a real time virtual network to support emergency care using information and communication technologies.
- Completed an online and telephone survey to each of the 95 centers in BC that provide emergency care. The challenges have been first, determining the appropriate contact person and second, a significant number of non-responders who have required repeated emails and phone calls.
- Current survey underway to assess topics that emergency care providers wish to have clear best evidence guidelines on as well as what real time support needs they have and want.
- Submitted a proposal to the BC Strategy for Patient-Oriented Research (SPOR) Unit Proposal to the CIHR. This is a combined BC Ministry of Health and Michael Smith Foundation for Health Research effort and will serve to form the basis for an effective research and evaluation framework for the BC Emergency Medicine Network. Subsequently asked to participate as one of two demonstration projects.
- Although shortlisted we were unsuccessful in applying for funding ($1 Million over 3 years) from the Shared Services Committee. Subsequent meetings have shed light on how to strengthen the proposal through a stronger sustainment strategy
- Conducted a WEDOC (Western Emergency Department Operations Conference) Webinar series to both disseminate the findings of the 2014 conference and to promote the upcoming 2015 WEDOC Conference (this was successfully held in Vancouver on April 16 &17th, 2015). These webinars are of interest to administrators and emergency clinicians in leadership positions. A secondary webinar series is being planned to further disseminate and embed the teachings from the Annual St Paul’s Emergency Medicine Update Conference held September 24-27th, 2015 and is aimed at addressing gaps in clinical knowledge and skills for clinicians.
- We completed a final evaluation report based on the two Simulation sessions, held in Trail and Quesnel. We are evaluating the effect this course has on clinicians’ perception of their competence and their teamwork and communication capacity using a Health Care Team Evaluation Instrument and more objectively using a Clinical Teamwork Scale.
- As a proposed SPOR demonstration project on real time emergency medicine support, we joined Department of Family Practice, RCCbc, REAP, and Northern Health Authority to visit the Valemount/McBride group of rural family physicians on July 3rd, 2015 to support them in their need for primary and emergency telehealth. We supported the discussion about use of telehealth for emergency cases, establishment of good practices for telehealth, and intent to carry out an evaluation strategy with this group as a demonstration of how the DEM network can provide real time support in emergency medicine care for this group and carry out knowledge exchange with them.
- Establishment of an interest group in Department of Emergency Medicine with Dr. Anna Cavalho, Dr. Todd Raine, Dr. Heather Lindsay, Dr. Donna Lee, Dr. Frank Scheuermeyer, Dr. Patrick Oxana, Dr. Josh (ED Resident), Dr. Ben Millar (ED Resident) was achieved in May 2015 through formal endorsement by DEMAC. A Facebook account and a twitter account have been set up, and social media activities will commence in Fall 2015.
- Work with UBC CPD on an annual eHealth Innovation and Technology Showcase Conference (eHITS) to increase health professional engagement in eHealth adoption in BC. This year, eHITS 2015 took place on May 9th. In addition, in collaboration with Department of Family Practice, we have started an eHITS telehealth webinar to discuss with provincial clinical colleagues on issues related to primary and emergency telehealth. The first webinar will take place on September 9th, 2015.
- Discussions with Department of Family Practice and Department of Emergency Medicine in the conceptual framework for telehealth in primary and emergency care in B.C. is leading to the development of the eHITS telehealth round, and also discussion with IT technology partners in the potential establishment of a telehealth/eHealth test and simulation lab in Vancouver.
- Work is starting in August 2015 with the Ministry of Health in its current provincial telehealth review as to how the use of technologies for health services delivery, including but not limited to videoconferencing, sensors, e mail and other virtual communication strategies, can be used with traditional media such as telephone to provide remote health services to patients in B.C. KH will be participating as a member of the core committee with leadership from Ministry of Health and Provincial Health Services Authority.
- We are starting work in the summer 2015 on engaging the general public, patients and family care givers in discussing about the work of emergency medicine in providing care to community members, and how to involve them in improving our services. This is done through collaboration with the Ministry of Health Patients as Partners Committee and the inter-Cultural Online health Network so as to solicit input and feedback from community members through live forums and electronic means on the improvement and achievement of excellence in primary and emergency care.
- A proposal to CIHR eHealth Innovation and Partnership Program has been submitted in July 2015 to use sensors and remote monitoring as a strategy for safer discharge of patients with heart failures home and improvement in communication between health professionals to support patients’ wellness at home. This project – TEC4Home – is led by the Department of Emergency Medicine and in partnership with the Ministry of Health, TELUS Health, Vancouver Coastal Health, VGH and St. Paul’s Emergency Department, Vancouver Division of Family Practice, and other community and health organizations.
- A manuscript regarding social media as real time support for clinical care in emergency medicine has been completed in September 2015 and will be submitted to BCMJ for consideration of publication.