ACTION ITEMS:
Follow-up to schedule meeting with Catherine Ford, Sarah, Aristotle – Andrea
MINUTES
Intro & Administrative / Study Progress Updates
COVID-19 self-assessment measures approved by CAMH
Amendment submitted to Waterloo
Approval from North Bay received
Email approval from Niagara, just waiting for official letter
Scheduling meeting Durham REB chair, as they want this amendment to be submitted as a new protocol
Original application submitted to Thunder Bay for patient measures component
CFIR amendment submitted, goal to complete first wave by October
Implementation - NAVIGATE Delivery
Durham
Dealing with staff turnover, hiring a new RN (family worker) starting in September.
Clinician Andrae Belle is going to be taking a paternity leave for 2 months.
Things are going well with NAVIGATE
Dielle and Abanti are joining weekly meetings to encourage referrals
Sheila recently sent an email to her staff with all clients that are eligible to be referred for research
Thunder Bay
Welcome Carol Maxwell! Carol is the Implementation Lead with Thunder Bay program
Niagara
Referred 11 patients to the study
Several new staff are now IRT trained
Working on getting family group up and running.
Sudbury
Actively recruiting for IRT position and should be filled by next week
NAVIGATE is being used with all new clients
Met with Abanti and Dielle to discuss next steps in terms of engaging clients in research
North Bay
Clinicians referred a new participant last week
Case load is currently at 27
Clinicians are seeing clients face-to-face or virtually
Implementation Measures and Outcomes
Sudbury
The Evaluation Team has started Fidelity review interviews with Sudbury and virtual chart reviews are going to start soon.
Waterloo-Wellington
Sandy is in conversation with WW to schedule interviews and chart review.
Thunder Bay: still waiting to schedule when given the go-ahead
Since there has been new leadership at this site, it will be important to understand
CFIR
The point of these additional interviews, which will be done with the site leads and a couple of staff, is to understand the barriers to implementation.
Interviews will be carried out with first wave of sites first.
Janet has connected with Andrea to get up-to-date description of staffing and FTEs by role, role-sharing. Will be sharing it with Melanie to help with her work.
How is patient engagement tracked at sites?
North Bay: this is something that would be within client’s chart
Durham: has to pull data manually
Thunder Bay: no-show rate has reduced considerably
Niagara: this would be a manual pulling to see no-shows, not tracked
o Definitely having less no-shows especially in psychiatry clinic
o Clients seem to like the electronic hand outs
Sudbury: chart whether care is delivered by OTN/in-person/phone.
o Have 2 EMRs, one captures contact but doesn’t define it according to virtual or face-to-face, so working with IT team to see whether that can happen.
e-NAVIGATE
A sub-set of the EPI-SET team has applied for funding to study the virtual delivery of NAVIGATE
The application has been shortlisted for UofT (final round) and waiting to hear back from CIHR.
For patients who are participants in the study, there are some measures that ask about aspects of the care they are receiving and their therapeutic relationship and captures the appointments from a self-report perspective. So we will get some of that info in terms of are they attending appts and how did they perceive the care they are receiving.
Youth and Family Advisory Committees
FAC will be releasing a video soon explaining what the project means to them
YAC met last week and are choosing e-gift card options for research participants
FAC and YAC investigator/guest schedule has been drafted
o Sanjeev is attending FAC in September
YAC still looking for representation from sites
o As people are in their last 3-6 months of the program, introduce this idea to them
o YAC members love giving back and helping other people, this can be healing for them
Implementation – ECHO
5th ECHO summer session completed, had a great discussion and lots of positive feedback on Health Lifestyles and Metabolic Factors by Dr. Mahavir Agarwal
15 spokes in attendance from 5 sites; collecting feedback from post session survey
Have finalized our curriculum for September onwards, will be circulating with the sites soon
ECHO sessions will be moved to Fridays, currently working with sites to determine the exact time - Abanti/Dayna
Will work with PSSP in orienting sites back to the formal structure of ECHOs for September
Next session topic: Navigating NAVIGATE: Supporting compassion & self-care by Seharish Jindani
Patient Measures and Outcomes
Recruitment update
Biggest update is now all 3 original sites are sending in referrals!
We have received 35 referrals from December to August and enrolled completed 15 participants
There has been a big jump in referrals from June onwards
Referring clinicians have been very helpful in coordinating and booking clients
Research team is attending regular site meetings to check-in with Durham, North Bay and Niagara for a couple of months
YAC members will be attending some upcoming site meetings, FAC to attend in future
Within the 10 min timeslot, they can bring the youth and family perspective to research recruitment
Research Orientation meetings completed with Waterloo and Sudbury
Hopefully we can get referrals coming in from these sites soon
Implementation Barriers Discussion - Catherine Ford
Thinking about the NAVIGATE model and its implementation across province, wanting to get sense of what the biggest challenges have been that might be applicable more provincially. Asking because it may apply to future projects.
Will schedule a smaller meeting to discuss this
Catherine is away in September so the sooner the better