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SILOS TO SOLUTIONS
October 21, 2015
How many of you are from community organizations?
How many of you come from organizations that are part of a network?
How many of you are in leadership positions?
Do you think you are a good collaborator?
GETTING TO KNOW YOU
OUR OBJECTIVES
Share our journey of coming together in a voluntary network
Share our experience: As leaders As members
The role of leadership in collaboration from our perspective
AGENDA
About Us
Who We
Serve
Our Journe
y
Lessons
Learned
What is Solutions?
WHAT IS SOLUTIONS?
Building relationships and establishing trust takes time
THE BEGINNINGS
Desire to Collaborate• Environmental
Pressures• Collaborate vs.
Compete• Practical reason for
getting together
Partners for Health• Voluntary• Courage • Leaders are not
always the best collaborators
WHO WE ARE
Active Since 2001 - Longer than government
mandated networks
Voluntary partnership comprised of East
Toronto Organizations
Working Together For Our Client’s Needs
• Improving Care Transitions• Addressing Gaps• Addressing Provincial Health-
Care Priorities
Community Health CentresOther Primary CareCommunity Support AgenciesCommunity Care Access CentresCommunity Mental HealthLong-Term CareEMSPublic HealthHospitals
collaboration
WHO WE ARE
OUR CONTEXT
All member organizations have separate
governance
Ontario is the only province without
single governance model
Local Health Integration
Networks: 2006
Health Links: 2013
Who We Serve
• Diverse mix of neighbourhoods: • From older,
established to many that change rapidly, often home to many immigrants and newcomers.
• 40% of the neighbourhoods in Toronto identified as key improvement areas.
WHO WE SERVE
• Low income populations.• High proportions of immigrants
and visible minorities.• Steadily growing proportion of
seniors; 1/3 living alone.• 5 times as many low income
moms and babies as high income.
• High numbers of children and youth.
• High number of doctors >55 years old
WHO WE SERVEDemographics
Health conditions in our community:• High disability rates.• High premature mortality rates.• High incidence of chronic disease including diabetes,
asthma & heart disease.• Low rates of access to screening for health prevention.• High rates of mental health and addictions issues.
WHO WE SERVEHealth characteristics
Our Journe
y
OUR JOURNEY
2002Procedural FrameworkMRSA Infection Control
OUR JOURNEY
2003Primary Care Project
2002
OUR JOURNEY
2004Healthy Connections: Call for an Urban Health LHIN
2003
2002
OUR JOURNEY
2005Community Referrals by EMS (CREMS)
2004
2003
2002
OUR JOURNEY
2008Healthy Connections: Health Equity
2006
2005
2004
2003
2002
OUR JOURNEY
2010Healthy Connections: Self Managing Care
Inventory of Falls Prevention Program
2008
2006
2005
2004
2003
2002
OUR JOURNEY
2013Healthy Connections: Health Links & Beyond
PATH Project
2012
2011
2010
2008
2006
2005
2004
2003
2002
OUR JOURNEY
2014Learning Management System Partnership (LMS)
Infection Prevention Project
Smoking Cessation Pilot Project
2013
2012
2011
2010
2008
2006
2005
2004
2003
2002
OUR JOURNEY
2015Healthy Connections: Community Hubs
Fostering an LGBTQ Inclusive Environment
Quality Improvement Plan (QIP) Collaborative Planning
2014
2013
2012
2011
2010
2008
2006
2005
2004
2003
2002
Lessons
Learned
Three main elements sustain the network:
LESSONS LEARNED
PROCESS
RELATIONSHIPS
STRUCTURE
LESSONS LEARNED
PROCESS
• Focus on meaningful, practical projects
• Defined community
• Member organizations come together for unique projects
• Use education to build cohesion and commitment
LESSONS LEARNED
PROCESS
• Provide start up funding
• Change is incremental and occurs through building teams and learning about each other
• Engagement of additional partners is faciliated by collaborative
• Academic
• Networks
RELATIONSHIPS
LESSONS LEARNED
• Allow time to build relationships and trust
• Organizational and leadership commitment• Insist that senior leaders
be at the table• Distributed leadership model
• Willingness to share
RELATIONSHIPS
LESSONS LEARNED
• Voluntary nature of the collaborative• Extends beyond LHIN
• Take time to onboard new members• Membership endured
despite leadership changes
LESSONS LEARNED
STRUCTURE
• Incorporated organization provides backbone
• Focus on Projects vs Governance
• Partners for Health
• Secures and holds funds
• Procedural framework
• Shared vision, clarity of language
• Goals, decision making, membership, etc.
LESSONS LEARNED
STRUCTURE
• Rotating co-chairs
• Lead organization provides infrastructure support
• Regular planning sessions
• Equity
• All organizations pay nominal membership fees
Collaboration takes time,
commitment and
determination
Diversity of organizations and leaders enables
innovation
REFLECTIONS
Collaboration makes our
organizations stronger and nimble
which helps our collective
community
Collaborative effort helped us stay ahead of
where system is going
Government mandated inter-organizational
collaboration is different from voluntary participation
in a network
REFLECTIONS
Working together allows networks
to be ready - opportunistically to
take advantage quickly
Partner with discreet
members of the collaborative,
outside of formal group
There are positive and successful partnerships
and some that are not…….appreciate and
leverage ones that work
Trouble shoot with someone you developed a
relationship with or can bring to table if many
organizations are impacted
Get to know who in the
collaborative you can count
on to do what
WHAT IS NEXT FOR SOLUTIONS?
Trust and relationships are the foundation of any partnership
Solutions has a track record of
working collaboratively
across the system
Can we use our journey and
lessons learned to further enhance the lives of the community we
serve?
QUESTIONS?
Lynne RaskinChief Executive Officer
South Riverdale Community Health Centrelraskin@srchc.com
Glen MoorhouseChief Executive Officer
Nisbet Lodgeg.moorhouse@nisbetlodge.com
Wolf KlassenVice President, Program Support
Toronto East General Hospitalwklas@tegh.on.ca
CONTACT US
GET IN TOUCH
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