3M Health Care Quality Team Awards – Nomination Form Submit by: February 1, 2016 

Contact information for administrative purposes Please indicate the category that you are applying for.  

X   Quality improvement initiative(s) within an organization 

Prefix: Mrs. Name: Sue Fuller Blamey Title: Corporate Director, Quality and Safety,  Organization: PHSA/BC Cancer Agency Address: 600 West 10 Avenue, Vancouver, BC, V5Z 4E6 Phone: 604‐788‐3175 Fax:  Email: sue.fuller‐blamey@bccancer.bc.ca Project title: Get Your Province Together!  BC Cancer Agency Emotional Support Transformation 

Contact information for publication This will appear in the 3M Health Care Quality Team Awards booklet. If you do not wish to have contact information published, please indicate “n/a” in the applicable fields. 

Please use the contact information provided in the nomination form. 

Project title: 

Prefix:  Name:  Title:  Organization:  Address:  Phone:  Fax:  Email:  

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WithinOrg04-PHSA

 Please list project team members, with job titles, including anyone seconded or invited onto the team from other departments/groups. Include a separate page if necessary.   Name  Job Title  Role as it relates to the 

project 1. Sue Fuller Blamey  Corporate Director, Quality 

and Safety Co‐Lead 

2. Tracy Lust  Quality and Safety Leader  Co‐Lead 3. Kris Gustavson  Corporate Director, Pt 

Experience & Accreditation Co‐Lead 

4. Theresa O’Callahan  Director, Cancer Care, Fraser Health 

Team Member 

5. Georgene Miller  VP, Quality , Safety and Outcome Improvement 

Sponsor, PHSA 

6. Jane Rowlands  Media Productions  Media productions 7. Tammy Currie  Senior Director, BCCA 

Operations Team Member 

8. Kelly Nystedt  Director, BCCA Operations  Team Member 9. Rob Crisp  Manager, Operations, BCCA  Team Member 10. Gerald Gelewitz  Director, BCCA Operations  Team Member 11. Andrea Wolowski  Director, BCCA Operations  Team Member 12. Allison Pow  Manager, Operations, BCCA  Team Member 13. Mary Beth Rawlings  Coordinator  Team Member 14. Frankie Goodwin  Manager, Operations, BCCA  Team Member 15. Sophie Clyne‐Salley  Manager, Operations, BCCA  Team Member 16. Gina MacKenzie  Patient Family Counsellor  Content Expert 17. Heather Rennie  Patient Family Counsellor  Content Expert 18. Gregpry Huebner  Patient Family Counsellor  Content Expert 19. Sandy Faulks  Patient Family Counsellor  Content Expert 20. Jonathan Aiken  Emily Carr  Advertising Specialist 21. Stephanie Aldridge  Director, BCCA Operations  Team Member 22. Fiona Walks  VP, Quality, Safety and 

Supportive Cre BCCA Sponsor

23. Sandra Broughton  Director, BCCA Operations  Team Member 24. John Larmet  Director, BCCA Operations  Team Member 25. Kim Steger  Accreditation Coordinator  Team Member 26. Nancy Payeur  Patient Family Counsellor  Content Expert 27. Sharan Manship  Director, BCCA Operations  Team Member 28. Lexie Gordon  Patient Experience Director, 

Northern Health Team Member

29. Serena Bertoli‐Haley  Patient Experience Director, Vancouver Coastal Health 

Team Member

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30. Trish Hunt  Director, BCCA Operations  Team Member 31. Linda Comazzetto?James 

Chen Quality, Safety and Risk Corporate Director, Interior Health 

Team Member

32. Ev Pollack  Patient Experience Director, Northern Health 

Team Member

33. Damian Lange  Director, Island Health  Team Member 34. Anne Hughes  Professional Practice,BCCA  Team Member 35. Karen Janes  Professional Practice,BCCA  Team Member 36. Briggitte McDonough  Director, Interior Health  Team Member 37. Sarah Sample  Patient Family Counsellor  Team Member 38. Alice Christianson  Director, Northern Health 

Health Team Member

39. Jessica Place  Director, Northern Health  Team Member 40. Phil White  GP, Oncology  Team Member 41. Allison Filewich  Coordinator, BCCA  Team Member 42. Glenda Kerr  Patient Family Counsellor  Content Expert 43. Ann Hulstyn  Coordinator, BCCA  Team Member 44. Brenda La Prairie  Coordinator, BCCA  Team Member 45. Leanne Morgan  Director,  Canadian Cancer 

Society Team Member

46. Sarah HItner  BC Cancer Foundation  Funding sponsor 47. Joyce Pocha  Senior Director, BCCA 

Operations Team Member

48. Susan Walisser  Pharmacy, BCCA  Team Member 49. Jen Rosychuk  Coordinator, BCCA  Team Member 50. Lori Rowe  Senior Director, BCCA 

Operations Team Member

51. Cher Kinamore  Manager, Operations  Team Member 52. Joy Bunsko  Coordinator, BCCA  Team Member 53. Susan Schroeder  Senior Director, BCCA  Team Member 54.  Lisa McCune  Survivorship, BCCA  Team Member 55. Linda Holland   Administrative Assistant, BCCA Chief organizer 56. Judy Dang  Administrative Assistant, BCCA Chief organizer   

 

 

 

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3M Health Care Quality Team Awards – Nomination Template Submit by: February 1, 2016 

The following template has been provided to help with the nomination process. Please be sure to complete all sections within the template to the best of your ability. We request that you use this  template  to  submit your nomination. Please  submit your nomination as one  single PDF document.  Criteria:  The  award  criteria  are  structured  on  a  seven‐category  framework  (A through G).  The  issue statement and  team  leadership  requirements have been developed  to encourage stronger links between quality improvement efforts and strategic change.  

 

Executive Summary (Limit: 250 words): The MoH and BC Cancer Agency have conducted Provincial Out-patient Cancer Care Patient Experience Surveys. In 2013, the survey was conducted with 20,000 BC cancer patients/families with a 65% response rate. Although the overall rating was 97.5%, Emotional Support scored 46.8%, which is similar across Canada.

Beginning in March 2014, BCCA led 56 leaders from BCCA and each Health Authority with the aim to improve this rating. Focus groups were held with patients, families and staff to explore the reasons for the lower scores and create solutions. The top four solutions, prioritized by patients and families, were implemented. BCCA partnered with Emily Carr School of Art and Design to create an advertising campaign to promote the Emotional Support resources that are available to patients/families. 156 patients/families and 205 staff voted on the campaign slogan and the “look and feel”. Implementation of the advertising included elevator wraps, posters, business cards and pamphlets given to all new patients. Evaluation showed a 300% increase in cancerchat.canada, a 44% jump in perception of emotional support by patients and a significant improvement in the awareness of the Emotional Support resources by staff, patients and families. This transformation should be considered for an award because it is the first time that leaders in 6 cancer centres and 33 hospitals in a province not only worked together alongside patients to improve the emotional support, but also, made significant improvements in emotional support for cancer patients, which is a sticky problem worldwide.    

Carl Roy 

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This description provided in the executive summary will be published in the annual 3M Health Care Quality Team Awards booklet.  

 

 

Report  (Limit: 4,000 words. Please respect the word count limit. The College reserves the right to disqualify nominations that exceed the word count.) 

The  award  criteria  are  structured  on  a  seven‐category  framework  (A  through  G),  as  noted below. Submissions must address the seven categories, and touch on all applicable bullet points. Data should be  included  in the report, rather than  in the appendix. You are welcome to  insert graphs, etc. into the sections below. Please complete the following sections: 

1. Issue Statement (Section A)  5. Patients & Families (Section E) 2. Innovation (Section B)  6. Data and metrics (Section F) 3. Implementation (Section C)  7. Analysis (Section G) 4. Team Leadership (Section D) 

   

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A. Issue Statement:  Quality improvement initiative(s) within an organization  (5 POINTS)  Importance to the organization: The BC MoH and the BC Cancer Agency ( BCCA) have conducted 2 Provincial Out-patient Cancer Care Patient Experience Survey. In 2013, the survey was conducted with 20,000 BC cancer patients/families with a 65% response rate. Although the overall rating was 97.5%, the Emotional Support category scored only 46.8%, which is similar across Canada. The BCCA has a mandate to improve the quality of life of people living with cancer and the governance of cancer care for the province of BC. There are 6 provincial cancer centres and 33 Health Authority (HA) clinics.  The BCCA wanted to make a significant difference in ensuring that patients and families receive the emotional support during their cancer journey. It is well documented that cancer patients experience many physical and psychological symptoms when receiving cancer care and cope better with physical symptoms if their emotional, and psychological needs are met. Relationship between initiative and transformation: The BCCA is part of the PHSA, who’s vision is “Province-wide solutions. Better Health”. The transformation that has occurred with the Emotional Support initiative has occurred not only in the BCCA centres, but also, within cancer clinics in each HA . One of our mission statements is about improving the health of the population of those who have cancer, not only those who touch the BCCA doorsteps.  The BCCA wanted to try a fresh approach in ensuring that patients are truly first in the organization, which is one of PHSA’s values. In order to move toward the Institute for Healthcare Improvement’s description of patient-centered care, we needed to lay the foundation for patient engagement by encouraging “a significant change in thinking – from an expert model to a partnership model; from control to collaboration, from information gatekeeping to information sharing”. Three Goals:

• Disseminating the results of the survey • Creating a provincial working group to investigate root causes, create, implement

and evaluate the recommendations • Partner with patients and families throughout the entire process

Key issues: • Accessibility to cancer care in geographically diverse province • BCCA has direct authority over the BCCA but not the HA clinics • Challenging to keep 56 leaders appraised of changes and actions

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• Organizing focus groups within BCCA and Has major undertaking • Developing relationships across BC • Involving patients and families when they are already not feeling well from

receiving cancer treatment Goals to break barriers:

• Keeping 56 leaders up to date on an ongoing basis • BCCA co-leaders travelled throughout BC to facilitate the patient/family and staff

sessions in person • Senior level support as a high priority initiative from the PHSA and BCCA

The patient values: The team asked the patients/families what was important to them. 5,000 comments were trended from the survey and shared with patients/families to validate concerns. Most patients wanted someone to ask how they were doing throughout treatment and take the time to listen to their concerns. The top four solutions, ranked by patients/families were implemented. A number of resources for Emotional Support were already in place at the BCCA but staff, patients and families were not consistently aware of them. B. Innovation in Healthcare Delivery & System Innovation (15 POINTS) Initiative has contribution: After receiving results, a provincial workshop was held and an action team was struck. Given the success of Experience-Based Co-Design (EBCD) in the Cancer population thus far, (http://www.kcl.ac.uk/nursing/research/nnru/publications/Reports/EBCD-Where-are-we-now-Report.pdf) implementation methods included the steps outlined in The King's Fund's Experience-Based Co-Design (EBCD) toolkit. Highlights include: - Promote project to staff and work with senior leaders to identify areas of focus. - Observe cancer care process - Recruit and interview front-line staff and patients and identify problems and

solutions . - Begin small-scale implementation of solutions in Plan-Do-Study-Act cycles. - Report and evaluate solutions and celebrate achievements. - Sustain and spread improvements.

• Team adopted modified co-design approach • Listened to patients’ stories at workshop, then agreed on the top 2 areas for

improvement, which was under Emotional Support.

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• Two main focuses: o If you had worries/concerns during your visit/treatment, did your care

provider discuss them with you o Did you know who to go to with questions?

• Team trended 5,000 narrative comments • Summary was shared with patients/staff in focus groups held at BCCA and HA

clinics • Obtained feedback about underlying reasons for low scores and created solutions

Key learnings from the focus groups included that patients/families:

• Felt anxious due to the gap between diagnosis with a GP or surgeon and the first visit with the oncologist

• Needed a lot more information about their treatment and resources to assist them to cope

• Wanted staff/physicians to listen to their concerns and provide answers • Wanted more information about counselling services and support groups • Wanted to speak with someone that has had the same type of cancer as

them

There were 6 focus groups held across the province. The top 3 patient needs were: a) To connect with other patients who are experiencing the same type of cancer b) To be offered support services throughout their cancer care c) To be provided with information about support groups in their community

The insight of the patients made us realize that in order to do this, we had to change the culture and educate our staff and patients/families. We had to change the expectations of staff that it is “everyone’s responsibility” to ensure that a patient has emotional support. The top four solutions were already available in the BCCA centres and some HA clinics, but were not well known to staff, patients or families. Patients/families made us realize that we have to promote the information in multiple ways to meet their needs. Staff are now more equipped to provide information to patients/families of where to find information about emotional support. The second transformation was to enable patients and families to help themselves to information by making it easier to find the information. Innovative tools:

• BCCA partnered with Emily Carr School of Art and Design to create an advertising campaign

• 156 patients/families and 205 staff voted on the campaign slogan and “look and feel”.

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• Implementation of the advertising included elevator wraps, posters, business cards and pamphlets given to all new patients in BCCA and HAs.

• Rolling out to each GP/Surgeon office • Funding through PHSA and the BC Cancer Foundation

The photos and emotions shown on the promotional materials were chosen by patients and families, which included the slogan of “Every experience with cancer is unique. Whatever you’re feeling, we are here to support you.” C. Implementation (15 POINTS) Selection of performance data :

• Data was initially taken from the survey which had 13,000 patients/families that scored Emotional Support only 46.7%.

• Compared across Canada to find similar findings for all provinces • Internationally found similar results • Data was trended using 5,000 survey comments • Validated and expanded upon with patients, families and staff during the focus

groups. The top four recommendations, as selected by patients, and families, were to advertise Emotional Support resources to patients, families and to the staff. These were :

1. Cancerchat.canada : professionally let online support groups for Canadian cancer patients/families

2. Cancerconnection : A confidential telephone based peer support program where individuals are matched with a trained volunteer who has had a similar cancer experience

3. Counselling : Services offered at different stages throughout the patient’s journey to address both emotional and practical care such as work, finances and aspect of daily living

4. Support Groups : Information about how to access various support groups throughout BC

Indicators of Success :

• # of patients that have registered for cancerchat.canada • # of patients/families that accessed cancerconnections • # of patients/families who participated in support groups • # of counselling referrals • Results of patient/family surveys prior to and after implementation

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• Results of staff survey prior to and after education and implemention to test knowledge level and follow-through with providing Emotional Support resources to patients

Targeted approaches:

• Shared results of survey to educate staff/make case for change • Met with all HA representatives and BCCA Directors/Managers on a monthly and

sometimes weekly basis

Before the changes: • With patients/families, team discussed the previous process of asking patients how

they are doing emotionally • Created a vision of expectations of staff for the future • Explored new ways of sharing the information • The intent of the process change was to change the culture in the BC organizations

to ensure that it is “everyone’s responsibility to assist patients with emotional support”.

How process changes were made:

• Prtnered with Emily Carr to identify researched methods of getting information successfully out to patients and families

• BCCA Patient & Family Counselling (PFC) conducted research to identify the top emotional support issues requiring the most attention which was used to determine best practice for development of advertising materials

• Determined the photos of patients that were representative of cancer patients in BC in age, ethnicity, and other demographics

• Matched photos with the accurate emotion • Subjective experience so concensus - building was a challenge; however, worth the

time to reach agreement. Promotional materials are shown in the Appendix #1 which describe the innovative approach and materials that have been used:

• Promotional material has been mounted on elevator wraps, doors, and in posters • Pamphlet is now provided to all new cancer patients province • Available in public areas for easy access • Added a direct link to the BCCA Emotional Support section of the website • Education conducted with front-line staff 5, 7, 18, and 22 months throughout this

journey

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• Feedback was sought throughout the process from patients, families and staff as to the content of the messaging, the decisions about the choice of slogan, and “look and feel”.

After changes:

• Indicator data was used to compare before and after the journey started and advertising material was implemented

• Staff survey sent to all staff to assess awareness of the emotional support resources

• Patient/family survey conducted • Results show a significant improvement in patient/family awareness and satisfaction

with care. Results will be described in a later section. D. Team Leadership (10 POINTS) Roles of team members

• Three leaders that co-led the initiative (Quality and Safety) • 56 team members participated in the focus groups, selection of the slogan and look

and feel and the final proofing of promotional material over a 22 month period. • Despite changes in leadership, team meetings were held by video link and

teleconference, • Focus groups were held in person with video link to remote hospitals such as Powell

River, Nanaimo, and Quesnel. • A challenging but rewarding aspect was establishing a time to meet. • 6 content expert members from the BCCA Patient & Family Counselling team that

played a key role • A media productions specialist was paramount in assisting the team to insert

customized photos and make infinite number of changes to the advertising material during the Plan-Do-Study-Act cycles.

Team performance:

• Despite committed team members, each team meeting started with a review of previously agreed upon key decisions.

• Orientation meetings for new members • Education to HA clinics and managers was provided by the BCCA co-leaders who

were the project leads and content experts to ensure all education had been completed and the promotional materials had been displayed and provided to patients.

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Work processes:

• After trending the survey comments, the team conducted focus groups to validate the information with patients, families and staff and obtain recommendations for improvement.

• Team partnered with the Emily Carr to create a promotional campaign to educate the public and staff about the BCCA emotional support resources that already exist.

• Patients, families and staff participated in choosing 1 of 5 slogans and “look and feel” for the campaign.

• Research conducted by BCCA assisted in choosing the right emotions • Many meetings to choose the correct photos for the advertising materials

• Co-leaders successfully obtained funding from PHSA BC Cancer Foundation

• HA representatives were identified and assisted the co-team leads in having with

all cancer clinics to participate in focus groups and education/implementation

• GPs that assisted with promoting the information at GP meetings and in offices

• Poster, pamphlets and a letter to each GPs and surgeons in the province are currently underway.

• Presented at the BCCA Quality Council and Executive and is one of the key strategic indicators.

• The project has been presented to the PHSA Board in June 2015 and a presentation of the results will be given by one of the patients in February 2016 to the full PHSA Board.

• Results will be shared with staff using a variety of modes of communication. Hanging white boards are found at all cancer centres illustrating the project, the deliverables and results for the public and staff to see.

E. Patients & Family Engagement (10 POINTS) Patients/family involvement: The entire initiative was focused on the patient and family. The initiative started with surveying 20,000 patients in the BC about their out-patient cancer experience. The results from the survey were shared with staff and leaders in BCCA and HAs. A team of

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56 leaders reviewed the results and embarked on this initiative with patients/families to start a project to improve the emotional support for cancer patients. 5,000 patient/family comments from the survey were trended as reasons for lower scores in emotional support. Focus groups were held with patients, families and staff together and separately using a trending summary as a starting point to validate the patient/family concerns. Solutions were generated at the focus groups with the top three needs of the patients in mind.

a) To connect with other patients who are experiencing the same type of cancer b) To be offered support services throughout their cancer care c) To be provided with information about support groups in their community that could

assist with emotional support. The top four recommendations, as selected by patients, and families, were listed in section C. Please see this section to avoid duplication. Needs of patient and their family were asked: BCCA partnered with Emily Carr to create an advertising campaign. 5 slogans and campaigns were voted on by 156 patients and families and 205 staff. 1 of 5 slogans and “look and feel” were chosen that made the biggest impact on the patients/families. The patients and families selected the people’s faces with a word describing the many emotions that they experienced was the best representation of their cancer journey. Patients and families told us that they would like to have the information shared with them or available to them at numerous points in their journey. They wanted the information to be visible each time they come for treatment/care and also wanted to be asked how they are doing. Two years ago, many staff were unaware of the patient/family emotional support resources that are available and also, where to find them. The two year transformation has now made the expectation in the BCCA and HAs that it is everyone’s responsibility to offer emotional support to patients and families. This change is evidenced in the results of staff and patient/family surveys. F. Data and Metrics (10 POINTS) Scope, management and use of clinical, quality, financial and operational information:

• Data was initially taken from the survey of 13,000 patients/families that scored Emotional Support at only 46.7%.

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• Results were compared across Canada to find similar findings for other provinces • Similar findings internationally • Trended 5,000 survey comments which were validated and expanded with patients,

families and staff during the focus groups Indicators of Success : Please see section C to avoid duplication : Methods:

• Education has been conducted with front-line staff 5, 7, 18 and 22 months throughout this journey

• Feedback was sought throughout the process from patients, families and staff as to the content of the messaging, the decisions about the choice of slogan, and “look and feel”.

• Indicator data was reviewed to compare before and after education of staff and patients/families and after the advertising material was implemented

• Staff survey was conducted to identify changes in awareness • Patient/family survey was conducted • Results show a significant improvement patient/family awareness and satisfaction

with care. Results will be described in a later section.

G. Analysis (35 POINTS) Outcomes: This project was one of the first provincial cancer initiatives where BCCA all health authorities to make a positive and significant different in the emotional health of cancer patients. Changing the culture to ensure that all health professionals reach out to cancer patients to ask how they are doing and offer supportive resources has taken two years of concentrated effort. All HAs now have a standardized way of offering emotional support to cancer patients through the advertising of information and the multiple ways of communicating the resources to staff. The initiative has also started the movement for patients and families to continue to look for these resources and ask more about services can make their cancer journey a little easier. Improved patient and/or family satisfaction. Please see Appendix 2: Prior to the initiative, patients and families survey results showed a 46.7% satisfaction with emotional support in cancer care. After two years of sustained change, 680 patients and families currently receiving cancer care tell us that 90% of the time they are satisfied with the emotional support that they are receiving. Results show:

• 67% of current patients have seen the advertising in the centres and clinics.

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• Previously, patients/families were uaware that there were any resources and service to allow them to speak with someone who had the same type of cancer. 40% of current patients/families are now aware of cancerchat.canada and 48% are aware of cancerconnections.

• 50% of patients/families were previous aware that there were counselling services but felt that they had only heard this once in their cancer journey. 80% of current cancer patients/families tell that they are aware of counselling services.

• 40% of patients/families were previously aware of support groups in their community but did not know how to access them. 75% of current patients/families are aware of the support groups that are available to them in their community.

• 97% of patients and families are comfortable asking their care team about the emotional support resources

• 73% of patients/families are comfortable getting information form the BCCA website.

Contributed to the body of knowledge: This initiative has shown the power of asking patients and families what is important to them, what their needs are and how to solve their issues. Patients and families have told us what would have been helpful to them during their journey. This has now been implemented so that future cancer patients can benefit from these changes. Throughout Canada in particular, cancer patients consistently have scored emotional support lower using the same standardized survey tool. This would be the first time that an entire province has a standardized a method for sharing the right information, in the right way, at the right time to improve the emotional support for patients and families. It is significant as we make all care more patient-centered and more focused on what patients and families want, rather than what organizations only think they want. This initiative has taught all staff that were involved in the initiative, that the solutions recommended by patients and families are so much simpler than what we thought and that it has to be the way that we work for all future initiatives. Outcomes and effects of the sustainment: Education was provided to staff at a number of times over the past 2 years. This was the beginning of the implementation of explicitly changing the expectation of all staff. Staff are now aware that it is everyone’s responsibility to ask patients how they are doing and also, to offer emotional support information. Pre and post staff surveys were conducted with the following results.

• Previously, only 24% of staff were aware of cancerchat.canada, whereas, current results show that 52%

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• Previously, 37% of staff were aware of cancerconnections and currently, 52% of staff are aware

• Previously, 63% of staff were aware that they could share the information but only 24% of them knew where to find it

• Current results show that 50% of staff have shared the information and 44% knew exactly where to find the information

• The number of patients/families that have registered with cancerchat.canada has gone from an average of 14 per month to 35

Sustainability/replicability: This program would be very easy to replicate but the organization must be willing to put a significant amount of time into conducting focus groups with patients and families to better understand the reasons for the lower scores in emotional support, and what they need when they come to the cancer organizations. Patients and families have been very articulate in how the organization could be improved and how the emotional support resources could be provided. The promotional material will be up for the next 3 years with a view to change up the material to refresh the “look and feel”. All new patients will receive an Emotional Support pamphlet, which is mentioned during the chemotherapy and radiation therapy teaching session prior to beginning treatment. Staff education/refreshers are now part of orientation of new staff and are provided on a quarterly basis for the next year and then bi-annually after this. A learning hub course has been created so that all staff update their knowledge about the emotional support on an annual basis. The BCCA Executive have made this one of their strategic initiatives and indicators which are reviewed during Executive meetings. Quarterly patient/family and staff surveys will occur for one year and then the evaluation will occur b-annually. The results will be posted on a public board for patients and families to see in each cancer centre and Health Authority clinic. Performance indicators: Data was initially rolled up and shared as one overall improvement score with multiple more detailed layers. The data is divided per centre and also between health authorities to identify if there are lower or higher scores in specific centres or clinics. The team was initially able to compare scores for each category and every question across Canada using the standardized tool that each Canadian province uses to test the satisfaction of cancer patients. The next Provincial Out-patient Cancer Care Survey will

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occur in 2017 so we will be able to again compare the overall and category scores between provinces. Linkages between the goals of the initiative and BCCA/PHSA strategic priorities: There is a direct link between the Emotional Support Campaign and the strategic priorities of the BC CA/ PHSA. The BCCA has overall governance to improve the care of cancer patients provincially. The PHSA’s vision is for province-wide solution and better health. This initiative has not only standardized the emotional support for the province but also, has united the province and partnered with patients and families to implement a successful solution. The change in culture of staff to ensure that the emotional support of cancer patients is “everyone’s responsibility” has enabled staff members to participate in asking patients how they are doing and having the knowledge of sharing resources with them.

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Appendix 1: Emotional Support Initiative Promotional Poster/Elevator Wraps

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BCCA Emotional Support Initiative Results: Patient/Family Survey & Resource Use

0

5

10

15

20

25

30

35

Number of Patients Registered in CancerChat: Jan ‐ Dec 2015  

0

100

200

300

400

500

600

700

# of Referrals to Patient/Family Counselling Services BCCA

0

100

200

300

400

500

600

Jan‐15 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

# of Patients/Families Attending Support Groups

0%

10%

20%

30%

40%

50%

Cancerchat Cancerconnections

Patient Aware of Cancerchat & Cancerconnection

Pre

Post

0%

20%

40%

60%

80%

Counsel Support

Patient Aware of Counselling & Support Groups

Pre

Post

Campaign Ask questions Website

64%

97%

73%

Patient Aware of Initiative

0%

10%20%30%40%50%60%70%80%90%

Worries Questions

Rating of Original Two Questions

Pre

Post

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BC Cancer Agency Emotional Support Staff Survey Results:

Yes24%

No76%

Pre: Staff Aware of Cancerchat

Yes52%

No48%

Post:  Staff Aware of CancerChat

Yes37%

No63%

Pre: Staff Aware ofCancerconnections

Yes52%

No48%

Post:Staff Aware of Cancerconnections

0%

20%

40%

60%

80%

100%

Counsel Support

Staff Aware of Counselling and Support Groups

Pre

Post

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How to submit your nomination:  The nomination should include all of the items listed below. The nomination is to be submitted to cmacbride@cchl‐ccls.ca as one PDF file, including any appendices. Electronic signatures are acceptable.  Please include the following in your nomination package: 

the completed nomination form; and   the completed nomination template, not exceeding the 4,000 word limit, including the executive summary and report. Nominations that do not use the template will not be accepted. 

Relevant appendices (limit of 3pages)  

Should you have any questions, please contact: Cindy MacBride, Manager, Awards and Sponsorships Canadian College of Health Leaders 292 Somerset Street West Ottawa, ON  K2P 0J6 Tel: (613) 235‐7218 ext. 213 Toll free: 1‐800‐363‐9056 Fax: (613) 235‐7218 cmacbride@cchl‐ccls.ca  Nomination deadline: February 1, 2016 

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