In Attendance: Sarah, Aristotle, George, Eva, Janet, Catherine Ford, Lillian, Dielle, Chelsi, Nadia, Jasmyn
Action Items:
Operational: Contracts & REB Amendments
Inquire about ICES contracts with Dr. Kurdyak – Dielle
Respond to remaining questions from Niagara Region’s Privacy Office to finalize contract – SC Members/Dielle
Incorporate ADDIS scale into next round of REB amendments – SC/Jasmyn
Create list of future REB amendments - Jasmyn
NAVIGATE Training Survey
Decide who will be in charge of creating and delivering a post-NAVIGATE training survey (ECHO or PSSP) – Implementation Committee
Janaki has sent standard template used with CAMH staff to Mary Hanna
PSSP and ECHO have survey templates/tools
CME Credits for Prescribers
Prepare letter for education hours based on in-person training – Chelsi/Jasmyn
PSSP to provide list of prescribers interviewed for Fidelity and length of interviews for CME credits – Chelsi/Jasmyn
Substance Use Metrics
Circulate ADDIS substance use scale to Steering Committee – Dielle – DONE
Circulate ADDIS scale to prescribers – Nadia/Chelsi
ECHO/ZOOM
Have offline discussion about licensing and need for multiple Zoom accounts – Eva/Chelsi
Circulate ECHO mental health schedule to CAMH clinicians and physicians on the ECHO Project Planning group to observe an ECHO – Christine/Nadia
Discuss front loading ECHO registration forms to evaluate technological capacity of each site for ECHO sessions, post-training calls and participant assessments via Zoom videoconferencing – Implementation Committee
EPI-SET Progress Report
Create 1-page progress report for sites to circulate to higher-level reports – Implementation Committee
Circulate meeting notes from Implementation Committee meeting at in-person training (Feb 15) – Sarah – DONE
Minutes:
Quick Summary:
All sites and frontline staff attended NAVIGATE training from February 13-15, 2019
Implementation Committee meetings are occurring after Steering committee meetings each week to further explore the local context and implementation of NAVIGATE
Booster training calls with role-play are occurring over the next 6 weeks to support the practice and implementation of NAVIGATE
We are currently exceeding the current training standards
Gently begin implementation after 6 weeks with the support of PSSP staff
Building ECHO sessions out over the next 6 months to launch by July 2019
Debrief on In-Person Training
Aristotle → send education credit letters now to build engagement with prescribers
Decide upon frequency of education credit distribution
Janet → Feedback from implementation specialists indicates that clinicians found the NAVIGATE model to be more flexible that they originally perceived, and felt it had adaptability to their needs
Post-training survey → Sanjeev had highlighted the need to execute a survey in a previous meeting
There are two types of surveys → one that was distributed with front line staff at CAMH. The other type being a classical education survey. Sanjeev’s team may have models to share that we can adapt for this particular evaluation.
Another option is to use a stock model for this survey.
Janet → PSSP may also have tools for this type of evaluation
Janaki sent survey to Mary Hanna
To be resolved during PSSP Implementation Committee Meeting → is ECHO or PSSP in charge of this evaluation?
Addition of substance use survey to patient evaluations → ADDIS → covers a wide range of substances (tobacco, alcohol, marijuana, hallucinogens, stimulants, benzodiazepines, etc.)
Sites would like a 1-page progress report to circulate to higher level representatives
Zoom
We may need multiple zoom accounts to enable multiple concurrent Zoom sessions (this situation occurred during in-person training)
ECHO provides free Zoom license for ECHO sessions
For day-to-day use of Zoom, we may need to acquire our own program license (small fee)
Take discussion offline
Operational: REB Amendments & Contracts
Make list of all updates for next REB amendments
Leave Sudbury REB documentation on file
Significant changes have been made to Lakeridge’s consent forms. These changes will not be reflected in Niagara and North Bay’s consent forms. (DECISOIN LOG)
All consent forms require updated to compensation figures (DECISOIN LOG)
No contract updates from Durham site
Niagara Contract → privacy office has a few questions and accepted our previous responses. Steering Committee to send responses by the end of this week. The contract is near final execution.
Wandersman Readiness Monitoring Tool (RMT) contract still in progress → verbal approval received
ECHO
Need to evaluate site technology needs for ECHO sessions and for participant videoconferencing assessments (i.e., patient outcomes)
ECHO prefers to register participants individually rather than at the organizational level
ECHO registration form → clearly delineates what ECHO is and what they are signing up for, includes questions about their technological capacity
Registration form to be developed during the Echo Project Planning sessions, which can be used to identify gaps in technological readiness and capacity
ECHO also conducts a 10-15 minute orientation Zoom call after registration to orient people to Zoom and how to use the functions
This conversation is to be continued during the Implementation Committee meeting → implementing the registration form earlier in the ECHO project planning timeline
Project Committee Formation
Family Advisory Committee will have its second meeting next month; the Youth Advisory Committee will be meeting for its second meeting on Feb 22, 2019. One youth advisory committee member may no longer be interested in participating, not yet confirmed. We will touch base with this committee member.
Implementation Committee has started regular teleconference meetings after SC meetings on Wednesdays
Janet → Service Measures & Outcomes Operational Committee (Fidelity) has started meeting once per month - Asking for a template for the terms of reference - Aristotle → the Implementation Committee terms of reference can be used as a template and modified accordingly
The Steering Committee’s role will evolve to receive updates from representatives from each project committee and to help with decision making processes. A larger focus of these meetings moving forward will to discuss updates from the Implementation Committee.
George → Patient-level Outcome Operational Committee has scheduling meeting with Steve to discuss RedCap
The Steering Committee will begin to shift toward decision-making and to develop a system of interaction between the project committees.
Begin to gently shift SC to feel comfortable with their decisions and learn a system of interaction with the committees
The Steering Committee will discuss new site additions and on-boarding (ex. Waterloo-Wellington is expressing interest).
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