In attendance: Aristotle, Sarah, Nandini, Eva, Lillian, Janet, Dielle, Nadia, Chelsi
Action Items:
REB & Contracts:
North Bay & Durham REB → Follow-up on responses – Dielle
Niagara REB comments to be circulated to SC for review - Dielle
Send contracts to North Bay, Niagara & Durham – Dielle
Follow-up with Karleigh about youth/family involvement at each site & consult the YouthCan Impact Model – Dielle
Follow-up with trainer contracts – Janaki/Dielle
RMT intake forms - Nadia
Governance Structure & Committees:
Circulate draft governance structure to sites with sub-committees for SC comments – Chelsi/Dielle
Pre-Training & Training
Address site questions on monthly call on Nov 9 – Sarah/Chelsi
Update on CBT for pre-training – Sarah
Pre-training time conflict with Niagara → reach out to Piper about flexibility – Janaki/Chelsi
Reach out to Eva about technology recommendations for calls – Chelsi
Look into CS Room 853 for pre-training calls (ECHO compatible) – Nadia/Chelsi
Calendar hold for Steering Committee members for in-person 2.5 NAVIGATE day training – Chelsi/Nadia |Confirm prescriber dates → calendar hold for all physicians – Nadia/Chelsi
Inform trainers that they will use the ECHO model for post-training calls – Sarah
ECHO:
Send ECHO session recording - Eva
Minutes:
Operational:
Durham REB revisions sent on Monday Nov 5, 2018 → awaiting response
North Bay REB reviewing revisions → awaiting response
Niagara REB Call on Nov 7 2018 to address comments
All site agreement contracts are prepared → only sent to Sudbury because of REB approval, other sites will receive contracts in the next week
Advisory Committee → interested youth member for advisory and steering committee
Karleigh, coordinator at the McCain Family Centre, will help with the centralized training process
Family member of Slaight client is also interested (referral from Carolynn at OSSU)
Sufficient local youth and family members recruited → need to identify youth and family members.
Need to start gauging family/youth interest at sites and explain the commitments required → consult YouthCAN Impact model
KE Plan → Nandini to develop high-level overview of key project points and stakeholder that will map against the implementation plan → results to be shared with SC when ready
Implementation:
Implementation committee meetings to start once governance structure is updated
Draft of governance structure with operational sub-committees to be circulated for feedback and then to be populated by members based on expertise/project contribution.
Implementation and Youth & Family Advisory Committees are current priorities
Pre-Training & Training
Janaki → contracts
Niagara issue with pre-training times → determine if Piper has flexibility to accommodate a different pre-training time for Niagara
Pre-training to start the week of November 21st 2018
In-person training → Feb 6-8, 2019
Determine if CS Room 853 could be used for pre-training calls
Incorporation of CBT training to bring everyone to the same knowledge level as part of pre-training – Sarah to provide updates
Manual translation is on hold
ECHO
1. Different from telemedicine → highly collaborative problem-solving, less prescriptive, highly interactive
2. Too much HUB involvement decreases engagement of the spoke/community sites → requires culture shift on both ends to adapt to the model
3. Need to determine framework for our EPI-SET ECHO (roles, structure, content, etc)
4. Using ECHO model for post-training calls is an option
5. Discuss with trainers that they will be using a different model (ECHO) to build and sustain a community of practice
6. Post-Training vs. ECHO Call Differentiation
Post-training calls last for 1 year
May be occasions for specific post-training calls for skills/competency training and separate ECHO capacity building calls
Once implementation of the model happens → full ECHO sessions to start
6 month trialing/refining phase → start phasing in ECHO for specific interventions when sites start NAVIGATE cases
7. Standardized process of building an ECHO → requires 4-6 months to build curriculum
8. Trainers to be included in ECHO calls
9. ECHO component should be prepared by mid-April
10. Each site should track new cases and what modules are being completed at each sites prior to ECHO calls
Information to be gathered through a simple weekly survey prior to the ECHO calls which outlines didactic and presentation component
Survey results be consolidated for the trainers prior to the case presentation
11. Need to identify structure of our ECHO calls and roles and HUB members
Fidelity Updates:
First preparation call on Nov 7 2018 with Mary Hanna – sites were engaged
Mary Hanna will be one of the fidelity assessors
Calls scheduled for the remainder rest of the week
Chart review → December
Interviews → December & January – dates not firmly established yet (connect with Rebecca Oliveira)
Fidelity component directly connected with Dr. Don Addington → following his methodology
Melanie Barwick is also involved
PSSP will pay for readiness tool – working through contract (Emily Ng)
Perform RMT after the in-person training (February/March)
Overlap between Fidelity and pre/post ECHO assessments → determine if these questions can be incorporated into Fidelity RMT at a later date
EPION-NAVIGATE Collaboration
Janet mentioned an opportunity for a research collaboration with EPION → potential for data sharing on fidelity assessments
Project leads from both parties would need to work out the details and a data sharing agreement → arrange future meeting
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