electronic Community of Practice:
Supporting Interprofessional Learning &
                Practice

        WoHIT eHealth ...
Greetings
from
Vancouver,
Canada
What makes a GREAT piano?



              • Purity of each note
              • Depth/warmth
              • Connectivity...
Health Professionals & Patient Centred Care
Health Teams

      Advantages                   Challenges
•   Complementary skills   •   Shared understanding?
•   Coord...
Learning together?
Electronic Community of Practice
(eCOP)?

• Social learning and shared
  sociocultural practices when
  people who share c...
What eCoP is *NOT*…

•   Team: structured, tasks (vs informal)
•   Task force: timed (vs evolution)
•   Board: top down (v...
eCoP: Components


 Synchronous:            Asynchronous:
 •Videoconferencing
                         •Multimedia posting...
B.C. Statistics


    B.C.         Spain


 944,736 km2   499,542 km2


 4.2 M pop’n   46 M pop’n


                ~175,0...
Challenges: Medications Use

•   Large number of new medications
•   MDs: keeping up is difficult
•   Time to learn: premi...
Technology Enabled AD




      using information and communication technologies (e.g.
Internet, computer, personal digita...
Key Findings

         OVERALL                       TEAD & AD
• Majority:                       • MDs:
   Lack AD experie...
Challenge: Emergency

• Best practices vs urban/rural variations
• Complex & dynamic practice contexts
• Interprofessional...
Translating CPG into Practice: E2E through IHI

                 *EB     *EB       *EB order     Agreed        Optimal pat...
E2E: Results

• 40 EDs: MDs, nurses, administrators
• 3 learning forums
• Identify priority topics:
  Sepsis
  Triage
• De...
eCoP: Conditions for Success

•   Mutual respect of community members
•   Flexibility and adaptability
•   Accountability
...
Communal Learning: eCoP

• Through health vision, togetherness
• Through evaluation, mutual understanding
• Through collab...
Contact Information

                eHealth Strategy Office
    Faculty of Medicine, UBC, Vancouver, Canada

MISSION: IT ...
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Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care

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Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care. Ho K. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Electronic Community of Practice: Seamless Interprofessional Learning and Practice towards Patient Centred Care

  1. 1. electronic Community of Practice: Supporting Interprofessional Learning & Practice WoHIT eHealth 2010 Barcelona March 15-18, 2010 Kendall Ho, Executive Director, TEKTIC Director, eHealth Strategy Office Associate Professor of Emergency Medicine University of British Columbia, Canada
  2. 2. Greetings from Vancouver, Canada
  3. 3. What makes a GREAT piano? • Purity of each note • Depth/warmth • Connectivity/Harmony between notes
  4. 4. Health Professionals & Patient Centred Care
  5. 5. Health Teams Advantages Challenges • Complementary skills • Shared understanding? • Coordinated pt care • Duplication of care • Increase compliance • Conflicting advice • Avoid adverse events • Care gaps: errors • Mutual consultations • “Turf wars” • Time saving • Increased time spent
  6. 6. Learning together?
  7. 7. Electronic Community of Practice (eCOP)? • Social learning and shared sociocultural practices when people who share common goals interact* • Newcomers enter and acquire sociocultural practices of a community* • Enabled by I.T. *Rogoff, Lave, Wanger
  8. 8. What eCoP is *NOT*… • Team: structured, tasks (vs informal) • Task force: timed (vs evolution) • Board: top down (vs “grassroots”) • Assembly line: sequenced (vs flexible) • Orchestra: restricted by size or talents (vs growth and mentorship)
  9. 9. eCoP: Components Synchronous: Asynchronous: •Videoconferencing •Multimedia posting •Interactive sessions •Blogs •Live chats •Discussion boards •WebEx, Elluminate, Tanberg… •Wiki-documents
  10. 10. B.C. Statistics B.C. Spain 944,736 km2 499,542 km2 4.2 M pop’n 46 M pop’n ~175,000 ~9,000 MDs MDs
  11. 11. Challenges: Medications Use • Large number of new medications • MDs: keeping up is difficult • Time to learn: premium • Commercial detailing: double edge Useful, new “evidence based information” Knowledge vs “sell”
  12. 12. Technology Enabled AD using information and communication technologies (e.g. Internet, computer, personal digital assistants) to conduct AD.
  13. 13. Key Findings OVERALL TEAD & AD • Majority: • MDs: Lack AD experience Equally effective • MDs: AD: personal interaction unbiased, tailored drug info TEAD/AD: 49 vs 81 min • PharmDs: TEAD + webcam 1st BOTH Enjoyed MD interactions • PharmDs • Gain practice insights AD: read MDs’ reactions AD/TEAD: same content • Form eCoP Medication prescribing Evidence based medicine Just in time information
  14. 14. Challenge: Emergency • Best practices vs urban/rural variations • Complex & dynamic practice contexts • Interprofessional collaboration vital Health administrators/policy makers Health professionals
  15. 15. Translating CPG into Practice: E2E through IHI *EB *EB *EB order Agreed Optimal patient CPG inquiries sets indicators outcome *EB = Evidence Based Result IHI Improvement Process model People E2E Communities of Practice
  16. 16. E2E: Results • 40 EDs: MDs, nurses, administrators • 3 learning forums • Identify priority topics: Sepsis Triage • Develop joint measurement indicators • Grant: rigorous evaluation x 3 years
  17. 17. eCoP: Conditions for Success • Mutual respect of community members • Flexibility and adaptability • Accountability • Ability to table and deal with conflicts • Sharing successes and mistakes
  18. 18. Communal Learning: eCoP • Through health vision, togetherness • Through evaluation, mutual understanding • Through collaboration, transformative change
  19. 19. Contact Information eHealth Strategy Office Faculty of Medicine, UBC, Vancouver, Canada MISSION: IT to enable education, service, research and knowledge translation Kendall Ho: Director & Associate Professor, Emergency Medicine Kendall.Ho@ubc.ca www.eHealth.med.ubc.ca Facebook: Kendall Ho

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