Academic Health Sciences Network National Symposium Ottawa, Ontario April 1st, 2015 Gavin CE Stuart MD Heather A Davidson PhD 1 BC AHSN  How much does context really matter in the integration of care, training and research?  EVERYTHING! 2 BC AHSN  How much does context really matter in the integration of care, training and research?  Care – current influences     High quality health services “Personalized “ “De-hospitalized” “Closer to home” 3 BC AHSN  How much does context really matter in the integration of care, training and research?  Training – current influences  Curriculum renewal       Renewal of our social responsibility and accountability framework A competency-based curriculum Integration of foundational and clinical learning Increased opportunities to pursue scholarship Continuity of patients, faculty interaction and curriculum Preparation of learners for their current and future role in the health care system 4 BC AHSN  How much does context really matter in the integration of care, training and research?  Research     Strategy on Patient-Oriented Research Community-based research Matching funding Collaboration 5 BC AHSN  How much does context really matter in the integration of care, training and research?  External factors   Economy Sustainability     11.2% of GDP ($211 B) > 40% of Provincial budget Desire for improved outcomes Need for innovation 6 BC AHSN  British Columbia Academic Health Sciences Network Care Social determinants of health Patient-centred Primary care Accessibility Promotes healthy living 7 BC AHSN  British Columbia Academic Health Sciences Network Training Distributed and integrated model Community-based Primary care Inter-professional Lifelong learning 8 BC AHSN  British Columbia Academic Health Sciences Network Research SPOR Support Unit BC Clinical Research Infrastructure Network Builds on existing excellence Partnerships – collaborations 9 BC AHSN  British Columbia Academic Health Sciences Network Assets One Province with ~5M persons One medical school – four campuses Three relevant Ministries Four research-intensive Universities Seven Health Authorities 10 BC AHSN  British Columbia Academic Health Sciences Network “As part of the quality improvement strategy there is a commitment to establish an “academic health science network (AHSN)” in B.C. to drive effective teaching, placements, and applied health research that will promote and encourage improved quality and innovation linked to identified health care and service needs.” 11 Draft Vision, Mission and Goals for BC AHSN Vision:  A sustainable high quality health system infused with a culture of learning, innovation, and collaboration Mission:  Generate and utilize research and innovation to drive health system improvement, a robust health human workforce and economic growth for the province. Goals:  Accelerate the translation of research knowledge into clinical practice and improved health system effectiveness and efficiency  Support large scale provincial change initiatives in priority areas  Align education and training with the priorities and needs of the health system  Enhance economic gain through improved health outcomes, innovation and implementation, while improving the return on research and healthcare investment  Develop a culture which fosters excellence, inquiry, innovation, collaborative accountability and systems thinking 12 Centres and Networks: Complementary but different Academic Health Science Centres  Provide specialized and “one-of-a-kind” services such as burns, transplantation and high risk surgery and obstetrics  Perform as centres of innovation in clinical delivery of patient services  Have a key role in training many of the clinicians, and clinician-scientists  Conduct health research with a strong focus on discovery and biomedical research  Ensure that private sector and industry are engaged in an effective manner to create health and value within the health system Academic Health Science Networks  Provide integrated health services across the continuum for a defined population  Support application of research and best practice into improved care and service delivery approaches  Facilitates training of health professionals in continuum of clinical environments and ongoing professional development for practicing clinicians Conduct health research with a strong focus on health services and population health   Provide a “ system” for industry to engage with which allows for evaluation of products across the continuum of patient needs and clinical settings 13 BC AHSN: Network of networks 14 AHSN Next Steps   Policy framework sign off by Leadership Council and approved by Minister Establish AHSC working group (starting January 2015) to include representatives from UBC, PHSA, VCHA, PHC and MOH       Redefining the role and remuneration of “Academic Clinicians” Greater alignment and partnership of research assets and resources within the Lower Mainland A formal partnership with Life Sciences Industry, including the IT industry Complete review with CIHR for SPOR Support Unit; work with SPOR Interim Governing Council on implementation planning in alignment with AHSN goals and objectives Stakeholder forum and ongoing consultation to develop a shared understanding, vision, and commitment to the creation of an AHSN in BC. Develop shared governance model for AHSN (Fall 2015) 15
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