ACTION ITEMS
Send new Thunder Bay Site lead info to Andrea, Dayna and Sandy – Dielle
Add Wanda to ECHO calendar invites and distribution list - Abanti
Administrative/REB/Contracts
REB
Received approval from North Bay to start with COVID assessments, so we can start now
Submitted COVID assessments amendment to Durham and Sudbury, waiting to hear back
Niagara and Waterloo are in the pipeline, will be submitted by next week
Starting REB/contract process with Thunder Bay, had a meeting yesterday to get the process started
Thunder Bay Site Lead
There has been a change in the Thunder Bay site lead
Dielle met with Tiffany (program director) and Joy (nurse practitioner) who will both assume the role and attend meetings
CFIR
Brannon and Dielle are working on the CFIR contracts for the work with Melanie Barwick at Sick Kids
YAC/FAC
It is important to explain the different between research and quality improvement to both groups. Quality improvement can usually result in faster implementation than research.
So, when discussing Quality Improvement feedback on Fidelity, we should clearly communicate that while we would love to implement suggestions right away, they will likely be made in the future.
Hopefully by communication this, our advisors will know what to expect and it will reduce frustrations around the perception that their suggestions are not being applied.
Onboarding new members: it will be helpful to review the onboarding documents for both groups. Perhaps they should be revised every 6 months to reflect the current stage of the project and what advisors can expect to contribute/what is possible at that time.
YAC is currently in process of revising onboarding document
When a new member joins either group, review the onboarding document as a group and discuss it
Implementation Measures
Quality Improvement on Fidelity Items
Evaluation team has been working with YAC and FAC to discuss ways the can meaningfully contribute to the Fidelity work.
Decided to have both groups generate some improvement strategies based on specific items on Fidelity scale to help practices improve their ratings in those areas.
In Fidelity reports there are quality improvement sections for each item, will identify FAC/YAC QI ideas with a symbol
Have talked to Lillian and Augustina to facilitate this through them
FAC Meeting
Latest FAC meeting was fairly emotional about the Fidelity scale and ratings, some ideas coming forward about not liking the scale cut-offs.
We cannot change the scale for the purposes of this study.
There were concerns about sites being rated too low and risking government funding.
E.g. Some of items will say to get a rating of 5, 80% of clients need to have received all 9 components of psycho-education. The concern was why it is 80% and not 100%.
One distinction to note is there is a difference between care being offered and care being received.
With the research study, we can evaluate barriers in real time. Why do people decline offers? Are there cultural barriers? Is it related to illness severity? These are unknowns right now.
If discussing scientific aspects of the project, it is best to have the PI who is the expert in that area to be present during the discussion.
• The FAC and YAC have real experiences and are participating because they want positive outcomes
• They want to know that the effort spent on research will show this program has positive outcomes
• We need our YAC and FAC to care a lot and we are very grateful for that.
• People need to be heard, and be given a forum to say what they want to say.
• This can hopefully be balanced and supported in a positive way during moderation of the meetings.
• The members of FAC and YAC want to have a positive role and not just read reports or see info after the fact, so how can they be used best? This is where frustration comes into play.
• They want high level of accountability and performance.
• Important to note: this is a research study, so no data from the study will result in lower funding.
o What we are trying to do is change the system through the data so that all EPI sites in province have training capacity, coordinated care and evidence-based.
o Often, we can do what the FAC are proposing as a next step, but right now we are learning during the research study.
o Once we move forward with this with the ministry, we can raise the bar and incorporate more of their suggestions.
• Even though the sites may have performed poorly in certain areas before, they are participating in this which is amazing and will be better off for it.
• Overall, for the Fidelity work with YAC and FAC, there are some very concrete areas where we think they could give feedback, whereas some other items may not be possible.
ECHO
Dr. Wanda Tempelaar has agreed to join the hub in the Prescriber role
o Wanda works in Slaight Centre and recently worked with Dr. Kozloff on the virtual delivery of NAVIGATE application
Next session on Tuesday July 21st on Behavioural Activation
Last session: 22 clinicians in attendance, 82% survey completion
Recruiting another physician for the ECHO hub team discussion
Currently working with sites and PSSP to find a better time for ECHO sessions for September onwards
Patient Measures
Total referrals received: 28
Niagara sent 5 referrals last week!
Baselines completed: 13 (Durham 10; NB: 3)
6-month follow-up completed: 1
We have 6 more follow-ups approaching
Participants this week: 1 (Niagara)
Participants next week: 1
Waiting to hear back from 8 referrals we contacted
Sudbury could not attend meeting this Thursday and waiting to hear back from Anne-Marie
Setting up regular Waterloo research meetings
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