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Tools from the CHWC

Tools from the Canadian Health Workforce Conference


 

Scopes of Practice 2

The Canadian Health Workforce Conference showcased the following list of innovations consisting of tools, guides, frameworks, methods, approaches, strategies, centres, programs, services and policies that were selected on the basis of relevancy and potential applicability to health policy and planning: 

Innovative Tools 

The Geoportal of Minority Health

The Geoportal for Minority Health is a novel analytic tool that was developed by researcher Dr. Bouchard at the University of Ottawa and drawing upon the expertise of Mr. Bourdon from CIHI. It is a single centralized web-based geographic database that combines multiple datasets on a range of health professionals and includes data on the number of health care providers, language of services available and distances required for travel for a given geographical area in Ontario. The tool analyzes and illustrates the intersection of these data in an interactive format and has flexible functionality to view data at various levels of analysis (macro, meso, micro) to facilitate a focused and comprehensive view of health professionals in the province of Ontario. The tool shows promise for informing health workforce planning at the local, regional, provincial and national levels. Refer also to Feature Presentation in the CHWC 2014 proceedings. 

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Webinar

Click Here to View the Beta Version of the Geoportal

 

Self-Assessment Readiness Tools (SARTS) for Internationally Educated Health Professionals

SARTS is an innovation for internationally educated health professionals (IEHPs) consisting of seventeen Self-Assessment Readiness Tools that provide information about the life and practice of many Canadian health professions including competencies, knowledge and skills required for registration and practice. The tools help IEHPs determine gaps and the transferability of their knowledge and skills to practice in Canada. Although it is not meant to be used to assess competency for licensure, it is meant to provide credible information from regulators about the requirements and pathways to practice their profession in Canada so that they can then to make informed decisions prior to immigration. Refer also to CS1-4.4 in the CHWC 2014 proceedings

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Pan-Canadian Physician Resources Planning Tool

The Pan-Canadian Physician Resources Planning Tool was developed by the Physician Resource Planning Task Force of the Federal/Provincial/Territorial (F/P/T) Committee on Health Workforce that consists of a single, centralized, national access point for physician supply data that ministries of health and faculties of medicine can use to obtain a better understanding of the current and projected future physician supply. More specifically, this tool enables users to generate supply scenarios; track physician migration across jurisdictions; create interprovincial comparisons; and make projections for both rural and urban communities of Canada. Refer also to CS2-1;T1-1 in the CHWC 2014 proceedings.

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Future MD Canada Career Planning Tool

The Future MD Canada Career Planning Tool is a second tool that was developed by the Physician Resource Planning Task Force. It consists of a centralized inventory that joins together multiple data sets of current and descriptive information about every aspect of the physician educational continuum. This web-based tool is intended to inform and guide career planning and decision-making by those considering and currently pursuing medical education, in Canada and abroad. Refer also to CS2-1;T1-2 in the CHWC 2014 proceedings.

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Sex/Gender Analytic Tool

The sex/gender analytic tool can be used to assess literature and existing data on health worker migration, to inform the development of sex/gender equitable health worker migration policies and related programs. More specifically, this tool can help researchers and health workforce policy and decision-makers explore, identify and analyze potential similarities and differences between the experiences of men and women based on biological (sex) and social (gender). This tool was developed in response to growing evidence about experiences of deskilling, discrimination and exploitation of migrant health workers on the basis of sex and gender, and the implications for source country health systems, populations, families and communities. Refer also to CS2-1;T3-3 in the CHWC 2014 proceedings.

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Tools from the Canadian Health Workforce Conference

 


 

Scopes of Practice 2

The Canadian Health Workforce Conference showcased the following list of innovations consisting of tools, guides, frameworks, methods, approaches, strategies, centres, programs, services and policies that were selected on the basis of relevancy and potential applicability to health policy and planning:

Innovative Guides and Frameworks

Robust Workforce Modelling Framework

The robust workforce planning framework is a method developed by the United Kingdom based Centre for Workforce Intelligence that uses a scenario-based approach as a means of identifying issues and determining the effectiveness and impact of potential workforce policies across a range of plausible future scenarios. The robust workforce planning framework will analyze, for instance, variables like economic outlook, population growth, health, ageing, the impact of part time workers and changing state of pension age and who delivers care, to help decision makers develop robust policies that are better able to address a range of issues and uncertainties that may arise in the future.  This multi-faceted approached to workforce planning involves a high degree of participation and collaboration with decision makers throughout every stage of the process. As a result, the robust workforce planning framework allows workforce planners to better understand the dynamic behaviour of the system over time, simplify complexity within the system through scenario generation and consider the implications of policy in a more robust manner, thereby avoiding implementation of policies that may lead to unexpected consequences. Refer to the conference proceedings CS1-3.1

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Enhanced Standardization of Advanced Care Planning and End of Life Care

Dr. Willison presented a pan-Canadian study that focuses on ways to enhance standardization of advanced care planning and end of life care in Canada. The goal of this study was to develop performance indicators that could be adopted across Canada to improve EOL (end of life) communication and decision-making. Refer to conference proceedings CS1-2.1.

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Observe, Coach, Assist and Report (OCAR) Framework for Interdisciplinary Care

The “OCAR” framework is a tool to help identify how an interdisciplinary care team can optimize frequent and consistent interaction unregulated providers typically have with clients so that all care team members work towards common goals using evidence-based strategies. Refer to conference proceedings CS1-2.2.

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Nursing Staff Mix Decision-Making Framework

The staff mix decision-making framework for quality nursing care intended to guide decision-making about staff mix. It is designed for real-world clinical settings in order to maximize outcomes for clients, staff and organizations. This evidence-based framework is developed for a wide variety of stakeholders including clinical managers, direct care staff and others involved in staff-mix decision-making and is intended to guide decision-making about current staff mix through four phases: assessment, planning, implementation and evaluation and considers the key clients, staff and organizational factors as well as outcomes indicators. Refer to conference proceedings CS2-1;T5-2.

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Child and Youth Mental Health and Addictions Framework

The Child and Youth Mental Health and Addictions Framework was developed to facilitate more efficient utilization of mental health services in the Yukon Territory. A process matches patients with mental health care providers based on level of severity and complexity of the patients’ mental health needs, and the competency and training of the mental health care providers. Acknowledging the lack of mental health care providers in the territory, this framework includes strategies for enhancing mental health competencies of every health care provider, in order to improve access to mental health services for rural and remote communities and enable more efficient utilization of specialized services and providers for those with more complex needs. The combination of mental health competency development, combined with electronic support and referral, is considered a core strategy to improve service delivery, and may be of relevance for other areas of healthcare in rural/remote regions of Canada. Refer to conference proceedings CS2-4.2

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Tools from the Canadian Health Workforce Conference

 


 

Scopes of Practice 2

The Canadian Health Workforce Conference showcased the following list of innovations consisting of tools, guides, frameworks, methods, approaches, strategies, centres, programs, services and policies that were selected on the basis of relevancy and potential applicability to health policy and planning:

Innovative Methods, Approaches and Strategies:

Clinical Scenario-Based Planning Approach

The Clinical Scenario-Based Planning Approach was led by New Zealand healthcare planners to move beyond conventional approaches to planning and respond to the inability to anticipate and thus plan for the disposition and training of healthcare workers facing an uncertain future. Dr. Des Gorman worked alongside Health Workforce New Zealand to develop and implement this clinical scenario-based planning approach with the logic that health need drives planning and that subsequent service configurations and models of care determine the interactive solutions of information technology (IT) and other resources, capital investment and workforce. The New Zealand clinical vignette model of planning is service-aggregated and not conducted in professional silos; it is clinician-led and patient-centred, and results in a forecast of multiple future possible models of care. These possibilities are culled against the following criteria: there can be no loss of quality or access and both ethnic and socioeconomic gaps must be closed; and services that can meet a doubling of demand over the next decade must cost no more than 140% of today’s base (derived from expected growth in GDP). Training purchases and practices are then considered against the requirement that all of the surviving forecasts are adequately addressed. The process is ongoing and iterative, and the consequent planning is consequentially responsive. Refer to conference proceedings International Perspectives for Health Workforce Planning and Management.

Integrated Approach for Health Workforce Planning and Surge Capacity

The Integrated Approach for Health Workforce Planning and Surge Capacity is an integrated approach to needs-based health workforce planning that optimizes the use of already limited HHR to respond effectively to surge conditions, while continuing to support ‘business as usual’. This approach involves a process that matches provider competencies to service requirements and is applicable across sectors, conditions and population groups. Refer to conference proceedings CS2-4.1.

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ICES Method for Defining and Identifying Physicians in Comprehensive Primary Care

At the CHWC 2014, Ms. Schultz presented a method developed by ICES for defining and identifying the number and proportion of primary care physicians in comprehensive primary care practice and focused practice using administrative data in Ontario. This method was developed to help addresses an unfounded concern that a substantial proportion of primary care physicians are in focused practice instead of comprehensive care thus negatively impacting primary care reform initiatives to ensure more comprehensive care in Canada. Refer to conference proceedings CS2-2.4.

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Société Santé en français (SSf) Strategy to Recruit and Retain Bilingual Health Professionals in Language Minority Settings

Led by the Société Santé en français (SSf), this strategy was developed to improve access to French and bilingual health professionals in language minority settings across the country. The strategy provides support to bilingual health care professionals, from training environments to integration into community settings and retention initiatives with health care facilities. These efforts have resulted in better integration of health professionals in official language minority communities, an increased number of bilingual professionals in schools, increased support to health facilities, increased supply of services in French, and valorization of linguistic competence of health professionals. Refer to conference proceedings CS2-3.3

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Tools from the Canadian Health Workforce Conference

 


 

Scopes of Practice 2

The Canadian Health Workforce Conference showcased the following list of innovations consisting of tools, guides, frameworks, methods, approaches, strategies, centres, programs, services and policies that were selected on the basis of relevancy and potential applicability to health policy and planning:

Innovative Programs and Services:

National Nursing Assessment Service

The National Nursing Assessment Service is a national online, centralized and standardized tool for the assessment of internationally educated nurse (IEN) applicants into Canada. This tool provides a single point of access for all IEN applicants through harmonization of application requirements of 23 regulators across three nursing disciplines, which enables regulators to obtain more accurate information of the IEN supply in Canada. This innovation highlights the benefits of collective efforts towards a national assessment service of foreign trained health professionals and has considerable applicability to other health professions. Refer to conference proceedings CS1-4.1.

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HealthForceOntario: Access Centre

The Access Centre is a provincial centre established by HealthForceOntario that acts as a central point of access to information and support for integration of internationally educated health professionals (IEHPs) into the Ontario health care system. Since its inception, the Access Centre has had about 25,000 clients, of which 2,500 IEHPs have successfully navigated through the Ontario health care system to licensure, including doctors, nurses, dentists, and pharmacists, of which doctors have been the largest client. Refer to conference proceedings CS2-1;T3-2.

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HealthForceOntario: Practice Ontario

Practice Ontario is a joint initiative developed by HealthForceOntario and Ontario’s six medical schools to support physician recruitment to rural communities by promoting awareness and increasing exposure to job opportunities in rural communities. Since its inception in 2010, this initiative has increased the number of physicians placed in rural Ontario communities through the provision of free career support services, with reports of high satisfaction from residents. Refer to conference proceedings CS2-4.4

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Northern Ontario Dietetic Internship Program

The Northern Ontario Dietetic Internship Program was established in 2008 to improve recruitment and retention of registered dietitians (RDs) in rural and underserviced areas in Northern Ontario. Preliminary evaluation results show that this program has been effective in recruiting and retaining RDs, with two-thirds of graduates practicing, and expressing confidence in their ability to practice in these areas. This same evaluation also examined factors influencing decisions to practice in rural and underserviced areas. These findings will be used to inform curriculum design, practicum experience planning, and strategies to recruit and retain dietitians in underserviced areas of Ontario.  Refer to conference proceedings CS2-4.3.

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Innovative Policies:

Ontario Nursing Graduate Guarantee

The Nursing Graduate Guarantee is an initiative introduced by the Ontario government to support every new Ontario nursing graduate in obtaining full time employment immediately upon graduation. The impact of this initiative extends beyond an increase in the number of new nursing graduates in full-time positions; it also contributes to workforce stability and capacity-building within the healthcare system, and proactively addresses predicted retirements. Refer to conference proceedings CS1-3.5

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