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",{"text":2376,"type":348,"marks":2377},"Brightshores Health System",[2378],{"type":1391,"attrs":2379},{"href":2380,"uuid":53,"anchor":53,"custom":2381,"target":1395,"linktype":1396},"https://www.brightshores.ca/",{},{"text":2383,"type":348}," operates six hospitals in the Grey Bruce region and offers a full range of specialty services. ",{"type":15,"attrs":2385,"content":2386},{"textAlign":53},[2387],{"text":2388,"type":348},"The Grey Bruce OHT and Brightshores Health System is partnering with Saugeen First Nation, Chippewas of Nawash Unceded First Nation, Grey and Bruce Counties, Southwest Ontario Aboriginal Health Access Centre, Home and Community Care Support Services and the Grey Bruce Palliative Medicine Group to develop and deliver the Improving Equity in Access to Palliative Care collaborative. ",{"type":15,"attrs":2390,"content":2391},{"textAlign":53},[2392],{"text":2393,"type":348},"In collaboration with local community partner organizations and people with lived and living experience, this project aims to: ",{"type":378,"content":2395},[2396,2403,2410,2417],{"type":381,"content":2397},[2398],{"type":15,"attrs":2399,"content":2400},{"textAlign":53},[2401],{"text":2402,"type":348},"Build trust and develop meaningful relationships across our community. ",{"type":381,"content":2404},[2405],{"type":15,"attrs":2406,"content":2407},{"textAlign":53},[2408],{"text":2409,"type":348},"Increase capacity to offer a palliative approach to care for people experiencing homelessness or vulnerable housing as well as First Nations, Inuit and Métis who live on and off reserve. 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",{"type":12,"content":2425},[2426],{"type":15,"attrs":2427},{"textAlign":53},{"_uid":2429,"title":2430,"ctaLeft":2431,"ctaRight":2432,"component":374,"columnLeft":2433,"columnRight":2490},"1a2eae69-fd2c-47c2-a1ff-184cd8c5656c","Champlain Hospice Palliative Care Program, Bruyère (Ottawa, Ontario) ",[],[],{"type":12,"content":2434},[2435,2448,2453,2458],{"type":15,"attrs":2436,"content":2437},{"textAlign":53},[2438,2439,2446],{"text":2365,"type":348},{"text":2440,"type":348,"marks":2441},"Champlain Hospice Palliative Care program (CHPCP)",[2442],{"type":1391,"attrs":2443},{"href":2444,"uuid":53,"anchor":53,"custom":2445,"target":1395,"linktype":1396},"https://champlainpalliative.ca/",{},{"text":2447,"type":348}," at Bruyère supports organizations that provide or wish to provide palliative care across the Champlain Region. The CHPCP works collaboratively with any organization that requests support to serve their clientele better and improve access to a palliative approach to care.  ",{"type":15,"attrs":2449,"content":2450},{"textAlign":53},[2451],{"text":2452,"type":348},"The CHPCP is partnering with Tungasuvvingat Inuit, Ottawa Inner City Health, The Ottawa Mission, Queen's University and the Division of Palliative Medicine at the University of Ottawa. ",{"type":15,"attrs":2454,"content":2455},{"textAlign":53},[2456],{"text":2457,"type":348},"Through the collaborative, the CHPCP aims to:  ",{"type":378,"content":2459},[2460,2467,2483],{"type":381,"content":2461},[2462],{"type":15,"attrs":2463,"content":2464},{"textAlign":53},[2465],{"text":2466,"type":348},"Understand the experiences of Inuit living with serious illness who seek or are eligible for palliative care in the urban setting of Ottawa and their opportunities to participate in decisions during this journey to receive palliative care. ",{"type":381,"content":2468},[2469],{"type":15,"attrs":2470,"content":2471},{"textAlign":53},[2472,2474,2481],{"text":2473,"type":348},"To tailor, apply and evaluate “",{"text":2475,"type":348,"marks":2476},"Not Deciding Alone",[2477],{"type":1391,"attrs":2478},{"href":2479,"uuid":53,"anchor":53,"custom":2480,"target":1395,"linktype":1396},"https://notdecidingalone.com/",{},{"text":2482,"type":348},"” in the context of palliative care. “Not Deciding Alone” is an Inuit-led project that community members have defined as supporting culturally safe care and consisting of tools and strategies for supporting clients in health decision-making. ",{"type":381,"content":2484},[2485],{"type":15,"attrs":2486,"content":2487},{"textAlign":53},[2488],{"text":2489,"type":348},"To engage in activities and practices, that community members define as culturally safe to support Inuit receiving palliative and end-of-life care.  ",{"type":12,"content":2491},[2492],{"type":15,"attrs":2493},{"textAlign":53},{"_uid":2495,"title":2496,"ctaLeft":2497,"ctaRight":2498,"component":374,"columnLeft":2499,"columnRight":2532},"04e427ca-fcbe-4a76-a4b1-8980d1568662","Fort Erie Native Friendship Centre (Fort Erie, Ontario) ",[],[],{"type":12,"content":2500},[2501,2513,2518,2527],{"type":15,"attrs":2502,"content":2503},{"textAlign":53},[2504,2511],{"text":2505,"type":348,"marks":2506},"Fort Erie Native Friendship Centre (FENFC) ",[2507],{"type":1391,"attrs":2508},{"href":2509,"uuid":53,"anchor":53,"custom":2510,"target":1395,"linktype":1396},"https://www.fenfc.org/",{},{"text":2512,"type":348},"Enhances All Aspects of Native Life while Extending Friendship to the Community. FENFC offers programming for all stages of life including family services, youth-based programs, lifelong care, employment and training to name a few. FENFC continues to expand and grow program and service offerings to match Community growth and identified needs. FENFC is honoured to partner with Hospice Niagara.  ",{"type":15,"attrs":2514,"content":2515},{"textAlign":53},[2516],{"text":2517,"type":348},"Through the collaborative, FENFC aims to:   ",{"type":378,"content":2519},[2520],{"type":381,"content":2521},[2522],{"type":15,"attrs":2523,"content":2524},{"textAlign":53},[2525],{"text":2526,"type":348},"Create a sustainable volunteer peer-support program informed by an Indigenous approach to palliative care to better serve and improve access to palliative care for vulnerable people in the Fort Erie community.   ",{"type":15,"attrs":2528,"content":2529},{"textAlign":53},[2530],{"text":2531,"type":348},"Ongoing engagement with the Indigenous community will help to inform the direction of this initiative to ensure community needs are reflected in this model of care.   ",{"type":12,"content":2533},[2534],{"type":15,"attrs":2535},{"textAlign":53},{"_uid":2537,"title":2538,"ctaLeft":2539,"ctaRight":2540,"component":374,"columnLeft":2541,"columnRight":2598},"a237a68d-29e7-4953-a92b-a9fc8a5de530","George Spady Society (Edmonton, Alberta) ",[],[],{"type":12,"content":2542},[2543,2565,2574],{"type":15,"attrs":2544,"content":2545},{"textAlign":1485},[2546,2550,2558,2563],{"text":2365,"type":348,"marks":2547},[2548],{"type":1291,"attrs":2549},{"color":16},{"text":2551,"type":348,"marks":2552},"George Spady Society",[2553,2556],{"type":1391,"attrs":2554},{"href":2555,"uuid":53,"anchor":53,"custom":53,"target":1395,"linktype":1396},"https://www.gspady.org/",{"type":1291,"attrs":2557},{"color":16},{"text":2559,"type":348,"marks":2560}," provides a continuum of support services to people with complex life circumstances associated with substance-related concurrent disorders and homelessness, empowering them to improve their lives through client-centred, evidence-informed best practices. The George Spady Society is partnering with the Palliative Care Outreach and Advocacy Team (PCOAT) at the Indigenous Wellness Clinic and the Calgary Allied Mobile Palliative Program (CAMPP).",[2561],{"type":1291,"attrs":2562},{"color":16},{"text":2564,"type":348}," ",{"type":15,"attrs":2566,"content":2567},{"textAlign":1485},[2568,2573],{"text":2569,"type":348,"marks":2570},"Through the collaborative, the George Spady Society aims to:",[2571],{"type":1291,"attrs":2572},{"color":16},{"text":2564,"type":348},{"type":378,"content":2575},[2576,2587],{"type":381,"content":2577},[2578],{"type":15,"attrs":2579,"content":2580},{"textAlign":53},[2581,2586],{"text":2582,"type":348,"marks":2583},"Provide palliative supports, home care, transitional support from acute to community care.",[2584],{"type":1291,"attrs":2585},{"color":16},{"text":2564,"type":348},{"type":381,"content":2588},[2589],{"type":15,"attrs":2590,"content":2591},{"textAlign":53},[2592,2597],{"text":2593,"type":348,"marks":2594},"Consult with healthcare providers and provide hospice support and information to people experiencing homelessness or vulnerable housing.",[2595],{"type":1291,"attrs":2596},{"color":16},{"text":2564,"type":348},{"type":12,"content":2599},[2600],{"type":15,"attrs":2601},{"textAlign":53},{"_uid":2603,"title":2604,"ctaLeft":2605,"ctaRight":2606,"component":374,"columnLeft":2607,"columnRight":2642},"eb9ad141-5c18-45f7-a6bc-23610679fa7c","Huron Shores Family Health Team (Blind River, Ontario) ",[],[],{"type":12,"content":2608},[2609,2621,2626],{"type":15,"attrs":2610,"content":2611},{"textAlign":53},[2612,2619],{"text":2613,"type":348,"marks":2614},"Huron Shores Family Health Team (HS FHT)",[2615],{"type":1391,"attrs":2616},{"href":2617,"uuid":53,"anchor":53,"custom":2618,"target":1395,"linktype":1396},"https://huronshoresfamilyhealthteam.com/index.html",{},{"text":2620,"type":348}," is a not-for-profit healthcare organization that provides high-quality, interdisciplinary primary care and improves the health, well-being and quality of life for people in the communities of Blind River, Bruce Mines, Richards Landing and Thessalon. HS FHT is partnering with North Shore Health Network.  ",{"type":15,"attrs":2622,"content":2623},{"textAlign":53},[2624],{"text":2625,"type":348},"Through the collaborative, HS FHT aims to:   ",{"type":378,"content":2627},[2628,2635],{"type":381,"content":2629},[2630],{"type":15,"attrs":2631,"content":2632},{"textAlign":53},[2633],{"text":2634,"type":348},"Conduct a needs assessment to understand gaps and challenges in accessing care for people experiencing homelessness or vulnerable housing.  ",{"type":381,"content":2636},[2637],{"type":15,"attrs":2638,"content":2639},{"textAlign":53},[2640],{"text":2641,"type":348},"Create a referral pathway and system navigation plan to address the palliative care needs of this population.  ",{"type":12,"content":2643},[2644],{"type":15,"attrs":2645},{"textAlign":53},{"_uid":2647,"title":2648,"ctaLeft":2649,"ctaRight":2650,"component":374,"columnLeft":2651,"columnRight":2676},"ac8bd5b1-184f-4316-98fd-10311ea6c61f","Institut de soins palliatifs et de fin de vie Michel-Sarrazin – Université Laval (Québec City, Québec) ",[],[],{"type":12,"content":2652},[2653,2666,2671],{"type":15,"attrs":2654,"content":2655},{"textAlign":53},[2656,2657,2664],{"text":2365,"type":348},{"text":2658,"type":348,"marks":2659},"Institut de soins palliatifs et de fin de vie Michel-Sarrazin – Université Laval",[2660],{"type":1391,"attrs":2661},{"href":2662,"uuid":53,"anchor":53,"custom":2663,"target":1395,"linktype":1396},"https://institutmichelsarrazin.ulaval.ca/",{},{"text":2665,"type":348}," contributes to the field of palliative and end-of-life care through its research and knowledge transfer activities.  ",{"type":15,"attrs":2667,"content":2668},{"textAlign":53},[2669],{"text":2670,"type":348},"The Institut’s partners: Clinique SPOT; Direction du soutien à l’autonomie des personnes âgées, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale; Lauberivière; Centre d’hébergement autochtone de Québec; Direction de la qualité, de l’évaluation, de l’éthique et des affaires institutionnelles, CHU de Québec; Ministère de la Santé et des Services sociaux, Direction des soins infirmiers et responsable du dossier des soins palliatifs.  ",{"type":15,"attrs":2672,"content":2673},{"textAlign":53},[2674],{"text":2675,"type":348},"Through the collaborative, the Institut de soins palliatifs et de fin de vie Michel-Sarrazin – Université Laval aims to forge ties between people who are homeless or at risk of homelessness, care providers, and community organizations in the Québec City region in order to adapt palliative and end-of-life care to the needs of homeless or precariously housed individuals.   ",{"type":12,"content":2677},[2678],{"type":15,"attrs":2679},{"textAlign":53},{"_uid":2681,"title":2682,"ctaLeft":2683,"ctaRight":2684,"component":374,"columnLeft":2685,"columnRight":2704},"a32b4a8d-234c-4021-95b2-dc21d800f2f3","Kingston Community Health Centres (Kingston, Ontario) ",[],[],{"type":12,"content":2686},[2687,2699],{"type":15,"attrs":2688,"content":2689},{"textAlign":53},[2690,2697],{"text":2691,"type":348,"marks":2692},"Kingston Community Health Centres",[2693],{"type":1391,"attrs":2694},{"href":2695,"uuid":53,"anchor":53,"custom":2696,"target":1395,"linktype":1396},"https://kchc.ca/",{},{"text":2698,"type":348}," is a dynamic provider of integrated services that empower people and build communities. They strive to create inclusive, resilient and healthy communities. Kingston Community Health Centres is partnering with Queen’s University Palliative Medicine Program, Home-Based Housing and Queen’s University. ",{"type":15,"attrs":2700,"content":2701},{"textAlign":53},[2702],{"text":2703,"type":348},"Through the collaborative, Kingston Community Health Centres aims to better understand the unique needs of people experiencing homelessness or vulnerable housing and requiring palliative care services and ensure that they are connected to specialist palliative care services in a seamless and equitable manner. ",{"type":12,"content":2705},[2706],{"type":15,"attrs":2707},{"textAlign":53},{"_uid":2709,"title":2710,"ctaLeft":2711,"ctaRight":2712,"component":374,"columnLeft":2713,"columnRight":2757},"51b06812-deef-4e09-b719-15cf8bfdc711","Maison du Père (Montréal, Quebec) ",[],[],{"type":12,"content":2714},[2715,2729,2734],{"type":15,"attrs":2716,"content":2717},{"textAlign":53},[2718,2720,2727],{"text":2719,"type":348},"Ever since it was founded in 1969, ",{"text":2721,"type":348,"marks":2722},"Maison du Père",[2723],{"type":1391,"attrs":2724},{"href":2725,"uuid":53,"anchor":53,"custom":2726,"target":1395,"linktype":1396},"https://www.maisondupere.org/?lang=en",{},{"text":2728,"type":348}," has been renowned for its innovative spirit and expertise with people experiencing homelessness. Over the years, the organization has offered clients a continuum of services including a prevention service, a shelter referral centre, a social reintegration and housing maintenance service, a residence for seniors on the street and a specialized and palliative health care wing for people without an address. Maison du Père is partnering with the Palliative Home-Care Society of Greater Montreal and the Fondation Virage, as well as several other partners. ",{"type":15,"attrs":2730,"content":2731},{"textAlign":53},[2732],{"text":2733,"type":348},"Through the collaborative, Maison du Père aims to: ",{"type":378,"content":2735},[2736,2743,2750],{"type":381,"content":2737},[2738],{"type":15,"attrs":2739,"content":2740},{"textAlign":53},[2741],{"text":2742,"type":348},"Improve the experience of participants, their loved ones and providers by establishing a coordinated, user-friendly approach and integrating a harm-reduction approach for a broader client base. ",{"type":381,"content":2744},[2745],{"type":15,"attrs":2746,"content":2747},{"textAlign":53},[2748],{"text":2749,"type":348},"Strengthen collaboration and referrals between community, institutional and hospital partners. ",{"type":381,"content":2751},[2752],{"type":15,"attrs":2753,"content":2754},{"textAlign":53},[2755],{"text":2756,"type":348},"Improve access to care for clients experiencing homelessness in and around downtown Montréal, by increasing the number of spots available. ",{"type":12,"content":2758},[2759],{"type":15,"attrs":2760},{"textAlign":53},{"_uid":2762,"title":2763,"ctaLeft":2764,"ctaRight":2765,"component":374,"columnLeft":2766,"columnRight":2794},"c389f8cb-5bb4-4843-b5a3-b699fa860ba9","Medavie Health Services West - Moose Jaw (Moose Jaw, Saskatchewan) ",[],[],{"type":12,"content":2767},[2768,2780],{"type":15,"attrs":2769,"content":2770},{"textAlign":53},[2771,2778],{"text":2772,"type":348,"marks":2773},"Medavie Health Services West",[2774],{"type":1391,"attrs":2775},{"href":2776,"uuid":53,"anchor":53,"custom":2777,"target":1395,"linktype":1396},"https://medaviewest.ca/",{},{"text":2779,"type":348}," brings together four western emergency medical services (EMS) companies – MD Ambulance, Moose Jaw and District EMS, Guardian Ambulance, and Prairie EMS – into a single organization with regional expertise connected to national leadership in primary care. Medavie Health Services West - Moose Jaw is partnering with Square One Community Moose Jaw Inc., Thunder Creek Rehabilitation Association, Saskatchewan Health Authority and the Moose Jaw Age Friendly Committee. ",{"type":15,"attrs":2781,"content":2782},{"textAlign":53},[2783,2785,2792],{"text":2784,"type":348},"Through the collaborative, ",{"text":2786,"type":348,"marks":2787},"Medavie Health Services West - Moose Jaw",[2788],{"type":1391,"attrs":2789},{"href":2790,"uuid":53,"anchor":53,"custom":2791,"target":1395,"linktype":1396},"http://www.moosejawems.ca/",{},{"text":2793,"type":348}," aims to provide medical supports and treatment, as well as referrals to appropriate resources, to people experiencing homelessness or vulnerable housing who have palliative care needs through their community paramedic program.  ",{"type":12,"content":2795},[2796],{"type":15,"attrs":2797},{"textAlign":53},{"_uid":2799,"title":2800,"ctaLeft":2801,"ctaRight":2802,"component":374,"columnLeft":2803,"columnRight":2830},"fc7c6d98-0f15-4880-8d98-69f9ec480aa8","Newfoundland and Labrador (NL) Health Services – Labrador-Grenfell Zone (Nain, Newfoundland and Labrador) ",[],[],{"type":12,"content":2804},[2805,2816],{"type":15,"attrs":2806,"content":2807},{"textAlign":53},[2808,2814],{"text":2809,"type":348,"marks":2810},"NL Health Services",[2811],{"type":1391,"attrs":2812},{"href":1766,"uuid":53,"anchor":53,"custom":2813,"target":1395,"linktype":1396},{},{"text":2815,"type":348}," provides a broad range of programs and services to the people of NL through a large suite of facilities, clinics, and community services, overseen by the health zones. The Labrador-Grenfell Zone serves all communities in Labrador, and those north of Barlett’s Harbour on the Northern Peninsula.",{"type":15,"attrs":2817,"content":2818},{"textAlign":53},[2819,2821,2828],{"text":2820,"type":348},"Through the collaborative, NL Health Services – Labrador-Grenfell Zone aims to implement a model of care through the ",{"text":2822,"type":348,"marks":2823},"Nain Community Clinic",[2824],{"type":1391,"attrs":2825},{"href":2826,"uuid":53,"anchor":53,"custom":2827,"target":1395,"linktype":1396},"https://www.lghealth.ca/facilities/community-clinics/nain/",{},{"text":2829,"type":348}," that enables community members to receive palliative care within their community and homes. This initiative is intended to reduce the number of individuals who must travel outside of their remote community to receive palliative care.",{"type":12,"content":2831},[2832],{"type":15,"attrs":2833},{"textAlign":53},{"_uid":2835,"title":2836,"ctaLeft":2837,"ctaRight":2838,"component":374,"columnLeft":2839,"columnRight":2863},"ca7f73d2-c9ae-4757-9739-8b1345024837","Newfoundland and Labrador (NL) Health Services – Eastern-Rural/Urban Zones (St. John’s, Newfoundland and Labrador) ",[],[],{"type":12,"content":2840},[2841,2853,2858],{"type":15,"attrs":2842,"content":2843},{"textAlign":53},[2844,2846,2851],{"text":2845,"type":348},"As the provincial health authority, ",{"text":2809,"type":348,"marks":2847},[2848],{"type":1391,"attrs":2849},{"href":1766,"uuid":53,"anchor":53,"custom":2850,"target":1395,"linktype":1396},{},{"text":2852,"type":348}," delivers high-quality health care to all residents of the province through a comprehensive range of programs. Utilizing an extensive network of facilities, clinics, and community services, we employ a zonal approach to ensure accessible and effective care for everyone.",{"type":15,"attrs":2854,"content":2855},{"textAlign":53},[2856],{"text":2857,"type":348},"The Eastern Urban Zone of NL Health Services, as part of the Downtown Health Collaborative, is partnering extensively with community organizations to improve health services and access to palliative and end of life care in the St. Johns Metro area.",{"type":15,"attrs":2859,"content":2860},{"textAlign":53},[2861],{"text":2862,"type":348},"Through the collaborative, NL Health Services – Eastern Zone aims implement a bed-based model of care within the community setting for people experiencing homelessness and unstable housing.",{"type":12,"content":2864},[2865],{"type":15,"attrs":2866},{"textAlign":53},{"_uid":2868,"title":2869,"ctaLeft":2870,"ctaRight":2871,"component":374,"columnLeft":2872,"columnRight":2912},"2b33e67d-4a7e-4729-8ef6-e0838b9a2091","Niginan Housing Ventures (Edmonton, Alberta)",[],[],{"type":12,"content":2873},[2874,2886,2891,2896],{"type":15,"attrs":2875,"content":2876},{"textAlign":53},[2877,2884],{"text":2878,"type":348,"marks":2879},"Niginan Housing Ventures",[2880],{"type":1391,"attrs":2881},{"href":2882,"uuid":53,"anchor":53,"custom":2883,"target":1395,"linktype":1396},"https://www.niginan.ca/",{},{"text":2885,"type":348}," is an Indigenous-led registered charity serving those hardest-to-house with complex medical, social and housing needs. They provide supportive, affordable housing opportunities for individuals and families who no other organization in Edmonton has successfully served. Residents are provided with loving and caring support for all areas of their lives and access to Indigenous ceremonies and cultural support.   ",{"type":15,"attrs":2887,"content":2888},{"textAlign":53},[2889],{"text":2890,"type":348},"Niginan Housing Ventures is partnering with Kokums Helper Society and other community partners such as George’s House.  ",{"type":15,"attrs":2892,"content":2893},{"textAlign":53},[2894],{"text":2895,"type":348},"Through the collaborative, Niginan Housing Ventures aims to:  ",{"type":378,"content":2897},[2898,2905],{"type":381,"content":2899},[2900],{"type":15,"attrs":2901,"content":2902},{"textAlign":53},[2903],{"text":2904,"type":348},"Provide Indigenous end-of-life care to the urban, houseless, vulnerable and predominantly Indigenous people.  ",{"type":381,"content":2906},[2907],{"type":15,"attrs":2908,"content":2909},{"textAlign":53},[2910],{"text":2911,"type":348},"Create guidelines for Indigenous end-of-life care to support other communities to build capacity to deliver culturally safe(r) palliative care. ",{"type":12,"content":2913},[2914],{"type":15,"attrs":2915},{"textAlign":53},{"_uid":2917,"title":2918,"ctaLeft":2919,"ctaRight":2920,"component":374,"columnLeft":2921,"columnRight":2961},"fb07c37e-374a-4027-a85f-70a9a5d886e6","Nova Scotia Health (Central Zone, Nova Scotia) ",[],[],{"type":12,"content":2922},[2923,2933,2938],{"type":15,"attrs":2924,"content":2925},{"textAlign":53},[2926,2931],{"text":1788,"type":348,"marks":2927},[2928],{"type":1391,"attrs":2929},{"href":1792,"uuid":53,"anchor":53,"custom":2930,"target":1395,"linktype":1396},{},{"text":2932,"type":348}," provides health services to Nova Scotians and some specialized services to Maritimers and Atlantic Canadians. It operates hospitals, health centres and community-based programs across the province. Nova Scotia Health is partnering with Northwood, the Victorian Order of Nurses and many other community partners to serve the most vulnerable.  ",{"type":15,"attrs":2934,"content":2935},{"textAlign":53},[2936],{"text":2937,"type":348},"Through the collaborative, Nova Scotia Health aims to:  ",{"type":378,"content":2939},[2940,2947,2954],{"type":381,"content":2941},[2942],{"type":15,"attrs":2943,"content":2944},{"textAlign":53},[2945],{"text":2946,"type":348},"Develop a network of organizations and providers with the shared goal of improving equitable access to palliative care.  ",{"type":381,"content":2948},[2949],{"type":15,"attrs":2950,"content":2951},{"textAlign":53},[2952],{"text":2953,"type":348},"Collaborate with community partners to adapt services to meet the needs of those experiencing homelessness or vulnerable housing by embedding services in local shelters and hospices.  ",{"type":381,"content":2955},[2956],{"type":15,"attrs":2957,"content":2958},{"textAlign":53},[2959],{"text":2960,"type":348},"Build capacity across community partners to identify who may benefit from a palliative approach to care and what this approach looks like for this population.  ",{"type":12,"content":2962},[2963],{"type":15,"attrs":2964},{"textAlign":53},{"_uid":2966,"title":2967,"ctaLeft":2968,"ctaRight":2969,"component":374,"columnLeft":2970,"columnRight":3026},"b5b8d318-f3a0-4f58-a1ca-4c37ea3fbd77","Scarborough Centre for Healthy Communities/Inner City Health Associates (Scarborough, Ontario)  ",[],[],{"type":12,"content":2971},[2972,2984,3007,3012,3021],{"type":15,"attrs":2973,"content":2974},{"textAlign":53},[2975,2982],{"text":2976,"type":348,"marks":2977},"Scarborough Centre for Healthy Communities (SCHC)",[2978],{"type":1391,"attrs":2979},{"href":2980,"uuid":53,"anchor":53,"custom":2981,"target":1395,"linktype":1396},"https://schcontario.ca/",{},{"text":2983,"type":348}," provides accessible, equitable and transformational health and social service choices for the well-being of diverse communities.   ",{"type":15,"attrs":2985,"content":2986},{"textAlign":53},[2987,2989,2996,2998,3005],{"text":2988,"type":348},"SCHC is partnering with ",{"text":2990,"type":348,"marks":2991},"Palliative Education and Care for the Homeless (PEACH)",[2992],{"type":1391,"attrs":2993},{"href":2994,"uuid":53,"anchor":53,"custom":2995,"target":1395,"linktype":1396},"https://www.icha-toronto.ca/programs/peach-palliative-education-and-care-for-the-homeless",{},{"text":2997,"type":348},", a program of the ",{"text":2999,"type":348,"marks":3000},"Inner City Health Associates (ICHA)",[3001],{"type":1391,"attrs":3002},{"href":3003,"uuid":53,"anchor":53,"custom":3004,"target":1395,"linktype":1396},"https://www.icha-toronto.ca/",{},{"text":3006,"type":348},", to address a rapid increase in the number of Scarborough residents who have overlapping housing insecurity, marginalization and palliative care needs. PEACH is a partnership between ICHA, Toronto Centre Home and Community Care Support Services and Kensington Health.   ",{"type":15,"attrs":3008,"content":3009},{"textAlign":53},[3010],{"text":3011,"type":348},"Through the collaborative, SCHC aims to:   ",{"type":378,"content":3013},[3014],{"type":381,"content":3015},[3016],{"type":15,"attrs":3017,"content":3018},{"textAlign":53},[3019],{"text":3020,"type":348},"Develop and implement a sustainable regional model of PEACH in Scarborough.  ",{"type":15,"attrs":3022,"content":3023},{"textAlign":53},[3024],{"text":3025,"type":348},"This model will be tailored to the unique needs of the Scarborough community.",{"type":12,"content":3027},[3028],{"type":15,"attrs":3029},{"textAlign":53},{"_uid":3031,"title":3032,"ctaLeft":3033,"ctaRight":3034,"component":374,"columnLeft":3035,"columnRight":3072},"94943943-4cbf-47be-b484-deaa1294bc3c","The Palliative Home-Care Society of Greater Montreal (Montreal, Quebec) ",[],[],{"type":12,"content":3036},[3037,3049],{"type":15,"attrs":3038,"content":3039},{"textAlign":53},[3040,3047],{"text":3041,"type":348,"marks":3042},"The Palliative Home-Care Society of Greater Montreal",[3043],{"type":1391,"attrs":3044},{"href":3045,"uuid":53,"anchor":53,"custom":3046,"target":1395,"linktype":1396},"https://www.societedesoinspalliatifs.com/",{},{"text":3048,"type":348}," enables all persons in the advanced stages of cancer or other life-limiting illnesses to conclude the final chapter of their lives in the comfort of their homes at no cost. From an academic and research perspective, the Society contributes to advancing knowledge in palliative care and participates in developing scientific and clinical approaches, particularly in-home palliative care. Through the program, the Society aims to: ",{"type":378,"content":3050},[3051,3058,3065],{"type":381,"content":3052},[3053],{"type":15,"attrs":3054,"content":3055},{"textAlign":53},[3056],{"text":3057,"type":348},"Strengthen partnerships with community-based organizations serving individuals experiencing structural vulnerabilities. ",{"type":381,"content":3059},[3060],{"type":15,"attrs":3061,"content":3062},{"textAlign":53},[3063],{"text":3064,"type":348},"Design and implement a sustainable outreach model that enables individuals living in a state of social precariousness to receive palliative care in the environment of their choice, thanks to the early referral of potential candidates. ",{"type":381,"content":3066},[3067],{"type":15,"attrs":3068,"content":3069},{"textAlign":53},[3070],{"text":3071,"type":348},"Develop resources to support reciprocal knowledge exchange within the community to better understand palliative approaches to care and the unique needs of people who are homeless or living in a state of precariousness. ",{"type":12,"content":3073},[3074],{"type":15,"attrs":3075},{"textAlign":53},{"_uid":3077,"title":3078,"ctaLeft":3079,"ctaRight":3080,"component":374,"columnLeft":3081,"columnRight":3139},"fb0756e8-9cac-4918-9291-acbf9dbce249","The Dorothy Ley Hospice (Etobicoke, Ontario)",[],[],{"type":12,"content":3082},[3083,3095,3100],{"type":15,"attrs":3084,"content":3085},{"textAlign":53},[3086,3093],{"text":3087,"type":348,"marks":3088},"The Dorothy Ley Hospice",[3089],{"type":1391,"attrs":3090},{"href":3091,"uuid":53,"anchor":53,"custom":3092,"target":1395,"linktype":1396},"https://dlhospice.org/",{},{"text":3094,"type":348}," is a volunteer-based community service organization offering compassionate care to people living with the challenges of a life-limiting illness or loss. Programs offered meet individual physical, emotional, spiritual and psychosocial needs to ensure each person can live life to the fullest. Through support from government donors and community partners, services are provided at no cost. The Hospice is partnering with GPS Health Navigators, Hope House Community Hospice and COMPASS Community Health Centre.  ",{"type":15,"attrs":3096,"content":3097},{"textAlign":53},[3098],{"text":3099,"type":348},"Through the collaborative, the Hospice aims to:   ",{"type":378,"content":3101},[3102,3118,3125,3132],{"type":381,"content":3103},[3104],{"type":15,"attrs":3105,"content":3106},{"textAlign":53},[3107,3109,3116],{"text":3108,"type":348},"Establish a system navigation service to ensure vulnerably housed refugees with ",{"text":3110,"type":348,"marks":3111},"Interim Federal Health Insurance",[3112],{"type":1391,"attrs":3113},{"href":3114,"uuid":53,"anchor":53,"custom":3115,"target":1395,"linktype":1396},"https://www.canada.ca/en/immigration-refugees-citizenship/services/refugees/help-within-canada/health-care/interim-federal-health-program.html",{},{"text":3117,"type":348}," and palliative care needs are connected with appropriate services.   ",{"type":381,"content":3119},[3120],{"type":15,"attrs":3121,"content":3122},{"textAlign":53},[3123],{"text":3124,"type":348},"Increase awareness of insurance barriers for this population among community partners.  ",{"type":381,"content":3126},[3127],{"type":15,"attrs":3128,"content":3129},{"textAlign":53},[3130],{"text":3131,"type":348},"Increase access to palliative care services for this population.   ",{"type":381,"content":3133},[3134],{"type":15,"attrs":3135,"content":3136},{"textAlign":53},[3137],{"text":3138,"type":348},"This project will begin with a focus on communities including Mississauga, Hamilton and York Region, with opportunities to spread to other jurisdictions.  ",{"type":12,"content":3140},[3141],{"type":15,"attrs":3142},{"textAlign":53},{"_uid":3144,"title":3145,"ctaLeft":3146,"ctaRight":3147,"component":374,"columnLeft":3148,"columnRight":3181},"d3f74a17-6950-412f-9556-6a2eabd77b7b","The Salvation Army Crossroads Residential Services (Saskatoon, Saskatchewan) ",[],[],{"type":12,"content":3149},[3150,3162,3167,3176],{"type":15,"attrs":3151,"content":3152},{"textAlign":53},[3153,3160],{"text":3154,"type":348,"marks":3155},"The Salvation Army Crossroads Residential Services",[3156],{"type":1391,"attrs":3157},{"href":3158,"uuid":53,"anchor":53,"custom":3159,"target":1395,"linktype":1396},"https://www.salvationarmysaskatoon.org/residential-homes",{},{"text":3161,"type":348},", which opened in 1952, offers a Male-Identified Emergency Shelter program and the New Frontiers' Correctional Services Canada's halfway house program. Crossroads provides the Emergency After-Hours Program and a Community Feeding Program to support the vibrant community surrounding it. Crossroads is partnering with Medavie Health Services West.  ",{"type":15,"attrs":3163,"content":3164},{"textAlign":53},[3165],{"text":3166,"type":348},"Through the collaborative, Crossroads aims to: ",{"type":378,"content":3168},[3169],{"type":381,"content":3170},[3171],{"type":15,"attrs":3172,"content":3173},{"textAlign":53},[3174],{"text":3175,"type":348},"Embed paramedicine services focused on improving proximity to streamlined and dignified care within its shelter sites.   ",{"type":15,"attrs":3177,"content":3178},{"textAlign":53},[3179],{"text":3180,"type":348},"This initiative will involve the implementation of a health clinic informed by community needs. ",{"type":12,"content":3182},[3183],{"type":15,"attrs":3184},{"textAlign":53},{"_uid":3186,"title":3187,"ctaLeft":3188,"ctaRight":3189,"component":374,"columnLeft":3190,"columnRight":3250},"797dcac4-8b38-4e81-81eb-a40a26d090cb","Second Mile Club of Toronto/Kensington Health (Toronto, Ontario)",[],[],{"type":12,"content":3191},[3192,3209,3218,3227,3234],{"type":15,"attrs":3193,"content":3194},{"textAlign":1485},[3195,3203,3208],{"text":3196,"type":348,"marks":3197},"The Second Mile Club of Toronto/Kensington Health",[3198,3201],{"type":1391,"attrs":3199},{"href":3200,"uuid":53,"anchor":53,"custom":53,"target":1395,"linktype":1396},"https://www.kensingtonhealth.org/HelpSMC",{"type":1291,"attrs":3202},{"color":16},{"text":3204,"type":348,"marks":3205}," supports older adults and people living with disabilities in the community. They offer safe, recreational spaces and in-home services for older adults and adults living with disabilities. They also offer crisis intervention, home-making, senior active living centers, community day hospice and a caregiver support program.",[3206],{"type":1291,"attrs":3207},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":3210,"content":3211},{"textAlign":1485},[3212,3217],{"text":3213,"type":348,"marks":3214},"The Second Mile Club of Toronto/Kensington Health is partnering with the PEACH – Palliative Education and Care for the Homeless program, which is a program through the Inner City Health Associates and The Neighborhood Group to ensure that the Peer Worker Initiative is collaborative and best serves the community we care for. The Second Mile Club of Toronto/Kensington Health is funded by the Ontario Ministry of Health, the Ontario Senior Secretariat, and the City of Toronto.",[3215],{"type":1291,"attrs":3216},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":3219,"content":3220},{"textAlign":1485},[3221,3226],{"text":3222,"type":348,"marks":3223},"Through the collaborative, the Second Mile Club of Toronto/Kensington Health aims to provide support, advocacy and case management to individuals who are living with life-limiting illness while experiencing homelessness through a peer worker who will work alongside a health navigator.  ",[3224],{"type":1291,"attrs":3225},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":3228,"content":3229},{"textAlign":1485},[3230],{"text":3231,"type":348,"marks":3232},"Related resources: ",[3233],{"type":1436},{"type":378,"content":3235},[3236],{"type":381,"content":3237},[3238],{"type":15,"attrs":3239,"content":3240},{"textAlign":53},[3241,3248],{"text":3242,"type":348,"marks":3243},"Palliative Education and Care for the Homeless (PEACH): A Model of Outreach Palliative Care for Structurally Vulnerable Populations",[3244],{"type":1391,"attrs":3245},{"href":3246,"uuid":53,"anchor":53,"custom":3247,"target":1395,"linktype":1396},"https://www.longwoods.com/content/27055/healthcare-quarterly/palliative-education-and-care-for-the-homeless-peach-a-model-of-outreach-palliative-care-for-stru%0d",{},{"text":3249,"type":348}," (Healthcare Quarterly, April 2023): This article describes how PEACH’s unique model, critical community partnerships and research have been necessary for it to become a leader in community-based palliative care for structurally vulnerable people.",{"type":12,"content":3251},[3252],{"type":15,"attrs":3253},{"textAlign":53},{"_uid":3255,"title":3256,"ctaLeft":3257,"ctaRight":3258,"component":374,"columnLeft":3259,"columnRight":3294},"5f7dde02-6611-4b25-aa15-00344e45142b","Thunder Bay Palliative Advocacy & Care Team (PACT) (Thunder Bay, Ontario)",[],[],{"type":12,"content":3260},[3261,3266,3271],{"type":15,"attrs":3262,"content":3263},{"textAlign":53},[3264],{"text":3265,"type":348},"Thunder Bay Palliative Advocacy & Care Team (PACT) provides primary healthcare and social services in the Thunder Bay community and surrounding District. PACT is partnering with Hospice Northwest, St. Joseph’s Group Northwest Regional Palliative Care Program, Thunder Bay Palliative Care Associates, the Centre for Education and Research on Acting and Health (CERAH) and NorWest Community Health Centre. ",{"type":15,"attrs":3267,"content":3268},{"textAlign":53},[3269],{"text":3270,"type":348},"Through the collaborative, PACT aims to: ",{"type":378,"content":3272},[3273,3280,3287],{"type":381,"content":3274},[3275],{"type":15,"attrs":3276,"content":3277},{"textAlign":53},[3278],{"text":3279,"type":348},"Improve access to care through an outreach worker dedicated to vulnerably housed palliative care clients. ",{"type":381,"content":3281},[3282],{"type":15,"attrs":3283,"content":3284},{"textAlign":53},[3285],{"text":3286,"type":348},"Increase knowledge about palliative care among healthcare providers and people experiencing homelessness. ",{"type":381,"content":3288},[3289],{"type":15,"attrs":3290,"content":3291},{"textAlign":53},[3292],{"text":3293,"type":348},"Inform future programming though community engagement sessions and then build capacity to address identified needs in the community. ",{"type":12,"content":3295},[3296],{"type":15,"attrs":3297},{"textAlign":53},{"_uid":3299,"title":3300,"ctaLeft":3301,"ctaRight":3302,"component":374,"columnLeft":3303,"columnRight":3355},"a2b58489-39aa-44a2-baa2-77763e6f1f42","Vancouver Coastal Health/Providence Health Care (Vancouver, British Columbia)",[],[],{"type":12,"content":3304},[3305,3317,3322,3327,3332],{"type":15,"attrs":3306,"content":3307},{"textAlign":53},[3308,3315],{"text":3309,"type":348,"marks":3310},"Vancouver Coastal Health",[3311],{"type":1391,"attrs":3312},{"href":3313,"uuid":53,"anchor":53,"custom":3314,"target":1395,"linktype":1396},"https://www.vch.ca/en",{},{"text":3316,"type":348}," and Providence Health Care are responsible for the delivery of community, hospital and long-term care services to people in communities including Richmond, Vancouver, the North Shore, Sunshine Coast, Sea to Sky corridor, Powell River, Bella Bella and Bella Coola, and provide specialized care and services for people throughout the province. ",{"type":15,"attrs":3318,"content":3319},{"textAlign":53},[3320],{"text":3321,"type":348},"Vancouver Coastal Health and Providence Health Care are the provincial hub for healthcare education and research, and together provide services to the Vancouver Downtown Eastside of Vancouver where a large community of people experience homelessness and/or precarious housing, and multiple other structural vulnerabilities.  ",{"type":15,"attrs":3323,"content":3324},{"textAlign":53},[3325],{"text":3326,"type":348},"Vancouver Coastal Health and Providence Health Care are partnering with Peer Operations/Overdose Emergency Response Team, Vancouver Coastal Health Indigenous Health, Vancouver Coastal Health Regional Mental Health/Substance Use, First Nations Health Authority, and BC Centre for Substance Use. ",{"type":15,"attrs":3328,"content":3329},{"textAlign":53},[3330],{"text":3331,"type":348},"Through the collaborative, Vancouver Coastal Health and Providence Health Care aim to: ",{"type":378,"content":3333},[3334,3341,3348],{"type":381,"content":3335},[3336],{"type":15,"attrs":3337,"content":3338},{"textAlign":53},[3339],{"text":3340,"type":348},"Better understand the care planning preferences of patients who are experiencing homelessness or other structural vulnerabilities and living with a serious illness. ",{"type":381,"content":3342},[3343],{"type":15,"attrs":3344,"content":3345},{"textAlign":53},[3346],{"text":3347,"type":348},"Develop, implement and evaluate patient-informed best practice guidance for serious illness care planning conversations. ",{"type":381,"content":3349},[3350],{"type":15,"attrs":3351,"content":3352},{"textAlign":53},[3353],{"text":3354,"type":348},"Address barriers and improve communication and collaboration between teams that support patients in the Downtown Eastside community of Vancouver, including community care and acute care teams and other service providers. ",{"type":12,"content":3356},[3357],{"type":15,"attrs":3358},{"textAlign":53},{"_uid":3360,"title":3361,"ctaLeft":3362,"ctaRight":3363,"component":374,"columnLeft":3364,"columnRight":3413},"ce29f3e0-b0a3-45aa-9759-057d8b3fc479","Victoria Cool Aid Society (Victoria, British Columbia) ",[],[],{"type":12,"content":3365},[3366,3378,3392,3397],{"type":15,"attrs":3367,"content":3368},{"textAlign":53},[3369,3376],{"text":3370,"type":348,"marks":3371},"Victoria Cool Aid Society",[3372],{"type":1391,"attrs":3373},{"href":3374,"uuid":53,"anchor":53,"custom":3375,"target":1395,"linktype":1396},"https://www.coolaid.org/",{},{"text":3377,"type":348}," works with partners to offer life-changing services to adults impacted by poverty, colonization, stigma and homelessness. These services include permanent housing, emergency shelter, health and dental care, employment assistance, and social and recreational opportunities. Victoria Cool Aid Society is partnering with Island Health.  ",{"type":15,"attrs":3379,"content":3380},{"textAlign":53},[3381,3383,3390],{"text":3382,"type":348},"Building on foundational learnings from the Island Health’s ",{"text":3384,"type":348,"marks":3385},"Palliative Outreach Resource Team (PORT)",[3386],{"type":1391,"attrs":3387},{"href":3388,"uuid":53,"anchor":53,"custom":3389,"target":1395,"linktype":1396},"https://www.equityinpalliativecare.com/port",{},{"text":3391,"type":348},", the team is committed to meaningful community engagement and participatory action to develop a shared vision of palliative care services for the greater Victoria area.  ",{"type":15,"attrs":3393,"content":3394},{"textAlign":53},[3395],{"text":3396,"type":348},"Through the collaborative, the Victoria Cool Aid Society aims to:  ",{"type":378,"content":3398},[3399,3406],{"type":381,"content":3400},[3401],{"type":15,"attrs":3402,"content":3403},{"textAlign":53},[3404],{"text":3405,"type":348},"Co-design a sustainable model of care with community partners, including housing services, Island Health Authority, community-based care providers and people with lived and living experience.  ",{"type":381,"content":3407},[3408],{"type":15,"attrs":3409,"content":3410},{"textAlign":53},[3411],{"text":3412,"type":348},"Implement and evaluate a community-based, end-of-life care environment (cluster of beds) for individuals experiencing homelessness or structural vulnerabilities in the greater Victoria area.  ",{"type":12,"content":3414},[3415],{"type":15,"attrs":3416},{"textAlign":53},{"_uid":3418,"title":3419,"ctaLeft":3420,"ctaRight":3421,"component":374,"columnLeft":3422,"columnRight":3448},"ec0563e0-8698-4e1e-88e1-c43966191f22","Winnipeg Regional Health Authority (Winnipeg, Manitoba)",[],[],{"type":12,"content":3423},[3424,3438,3443],{"type":15,"attrs":3425,"content":3426},{"textAlign":53},[3427,3428,3436],{"text":2365,"type":348},{"text":3429,"type":348,"marks":3430},"Winnipeg Regional Health Authority",[3431],{"type":1391,"attrs":3432},{"href":3433,"uuid":53,"anchor":53,"custom":3434,"target":1395,"linktype":1396},"https://wrha.mb.ca/",{"aria-label":3435},"Winnipeg Regional Health Authority (opens in a new tab)",{"text":3437,"type":348}," provides healthcare services to residents of the city of Winnipeg, as well as the northern community of Churchill and the rural municipalities of East and West St. Paul.  ",{"type":15,"attrs":3439,"content":3440},{"textAlign":53},[3441],{"text":3442,"type":348},"Winnipeg Regional Health Authority is partnering with George and Fay Yee Centre for Health Innovation and Shared Health to collaboratively work with existing partners who support those experiencing homelessness within the Winnipeg Health Region. Additional stakeholders and participating agencies will be added through an iterative, targeted engagement strategy as part of this collaborative. ",{"type":15,"attrs":3444,"content":3445},{"textAlign":53},[3446],{"text":3447,"type":348},"Through the collaborative, the Winnipeg Regional Health Authority aims to establish and implement a strategic plan for providing palliative approaches to care for people experiencing homelessness or vulnerable housing within their jurisdiction.",{"type":12,"content":3449},[3450],{"type":15,"attrs":3451},{"textAlign":53},"Improving Equity in Access to Palliative Care Communities",{"type":12,"content":3454},[3455,3460,3465],{"type":15,"attrs":3456,"content":3457},{"textAlign":53},[3458],{"text":3459,"type":348},"Healthcare Excellence Canada and the Canadian Partnership Against Cancer are supporting 23 communities through the Improving Equity in Access to Palliative Care, a collaborative designed to make measurable improvement in access to palliative care with and for people experiencing homelessness or vulnerable housing.  ",{"type":1340,"attrs":3461,"content":3462},{"level":1342,"textAlign":53},[3463],{"text":3464,"type":348},"Participating communities and projects",{"type":15,"attrs":3466,"content":3467},{"textAlign":53},[3468],{"text":3469,"type":348},"The following teams have been accepted to participate in Improving Equity in Access to Palliative Care. ",{"id":16,"_uid":3471,"items":3472,"component":1311},"a0e15930-40db-4176-b4fb-474664d5f742",[3473],{"_uid":3474,"image":3475,"quote":3477,"author":3484,"component":1309,"author_title":3485},"31a262bf-55c1-42b5-a494-5df221ddd564",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3476},{},{"type":12,"content":3478},[3479],{"type":15,"attrs":3480,"content":3481},{"textAlign":53},[3482],{"text":3483,"type":348},"A benefit I was not expecting in joining the collaborative but have found incredibly valuable is the opportunity to connect with other teams across the country who are doing similar or related work. 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And we did.”",[3536],{"type":1291,"attrs":3537},{"color":3538},"#1F1F1F",{"_uid":3540,"image":3541,"quote":3543,"author":16,"component":1309,"author_title":16},"16f2b85e-e1b5-4405-9ccf-c33ae7236f87",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3542},{},{"type":12,"content":3544},[3545],{"type":15,"attrs":3546,"content":3547},{"textAlign":53},[3548],{"text":3549,"type":348},"“It takes a village to do equity work. 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That is worth sharing.”",{"_uid":3573,"image":3574,"quote":3576,"author":16,"component":1309,"author_title":16},"52c3d400-db0a-49e0-a302-ed68fb046074",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3575},{},{"type":12,"content":3577},[3578],{"type":15,"attrs":3579,"content":3580},{"textAlign":53},[3581],{"text":3582,"type":348},"“You have to slow down to get to where you want to go.”",{"id":16,"_uid":3584,"link":3585,"image":3595,"title":3592,"video_id":16,"component":2131,"media_type":1417,"description":3597,"video_title":16},"0d29058e-ea7f-48e6-8c31-1d612481a66a",[3586],{"_uid":3587,"link":3588,"label":1164,"component":1325},"3e0055e7-12ac-46f1-be6d-637f3d993b87",{"id":3589,"url":16,"linktype":1157,"fieldtype":1158,"cached_url":3590,"story":3591},"cfae4060-3740-44a5-b1d2-610422753c4e","updates/from-workshop-to-action-takeaways-on-equitable-access-to-palliative-care",{"name":3592,"id":3593,"uuid":3589,"slug":3594,"url":3590,"full_slug":3590,"_stopResolving":291},"From workshop to action: takeaways on equitable access to palliative care",123415805256828,"from-workshop-to-action-takeaways-on-equitable-access-to-palliative-care",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3596},{},{"type":12,"content":3598},[3599],{"type":15,"attrs":3600,"content":3601},{"textAlign":53},[3602],{"text":3603,"type":348},"In this blog, Improving Equity in Access to Palliative Care program coaches share takeaways from a health equity workshop, and the importance of improving access to palliative care with – and for – people experiencing homelessness.",{"id":16,"_uid":3605,"items":3606,"component":1311},"dae403fe-8fb2-4c3b-bb18-c5e80fb539b2",[3607],{"_uid":3608,"image":3609,"quote":3611,"author":3628,"component":1309,"author_title":3629},"d3283d68-2b71-4969-be5e-7edce083147c",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3610},{},{"type":12,"content":3612},[3613,3618,3623],{"type":15,"attrs":3614,"content":3615},{"textAlign":53},[3616],{"text":3617,"type":348},"\"These promising practices demonstrate the impact of designing and delivering compassionate, person-centred, trauma-informed care while incorporating principles of harm reduction, anti-oppressive practice, interprofessional approaches and culturally safe(r) care. ",{"type":15,"attrs":3619,"content":3620},{"textAlign":53},[3621],{"text":3622,"type":348},"By working in new and innovative ways we can improve care, together. ",{"type":15,"attrs":3624,"content":3625},{"textAlign":53},[3626],{"text":3627,"type":348},"People who experience homelessness and other structural vulnerabilities often lack equitable access to palliative care.\"","Dr. Kelli Stajduhar | Dr. Naheed Dosani","Professor and Canada Research Chair (Tier 1), Palliative Approaches to Care in Aging and Community Health, University of Victoria | Palliative Care Physician, Department of Family & Community Medicine, St Michael's Hospital at Unity Health Toronto",{"id":3631,"_uid":3632,"link":3633,"image":3634,"title":3639,"video_id":16,"component":1332,"video_mp4":3640,"media_type":1335,"video_type":1336,"description":3642,"video_title":16,"video_mp4_thumbnail":3664},"equity","431b4d58-2de3-477f-8ae4-d09e80d7c723",[],{"id":3635,"alt":3636,"name":16,"focus":16,"title":16,"source":16,"filename":3637,"copyright":16,"fieldtype":283,"meta_data":3638,"is_external_url":285},114292706842811,"A colorful illustration titled “What does equity-oriented palliative care mean to you?” featuring six individuals with speech bubbles expressing their views: Culturally-safe(r), trauma-and-violence informed care and harm reduction; It's more than pain and symptom management; Individualizing care! It could be food, water, clothing or a hug; Centre the person, not the system; Justice, inclusion access, agency and power!; Develop policies that support us to meet the unique needs of each person.","https://a-ca.storyblok.com/f/850807391887861/ac2f2acb57/blog-hero-image-en.png",{"alt":3636,"title":16,"source":16,"copyright":16},"What is Equity-Oriented Palliative Care?",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3641},{},{"type":12,"content":3643},[3644,3649,3654,3659],{"type":1340,"attrs":3645,"content":3646},{"level":1342,"textAlign":53},[3647],{"text":3648,"type":348},"Palliative care that meets people where they are at",{"type":15,"attrs":3650,"content":3651},{"textAlign":53},[3652],{"text":3653,"type":348},"Most definitions of palliative care focus on improving quality of life and alleviating pain and suffering for people throughout the course of their serious illness. It is generally understood that the goal of palliative care is to enable people to die with dignity. This involves taking a holistic and person-centered approach to ensure the specific needs and preferences of each person is met. This approach also includes supporting friends and families in their grief and bereavement.",{"type":15,"attrs":3655,"content":3656},{"textAlign":53},[3657],{"text":3658,"type":348},"While this definition helps us to understand what palliative care might look like in practice, the underlying social, economic, cultural structures that create and perpetuate health inequities are often overlooked. These are known as the structural determinants of health.",{"type":15,"attrs":3660,"content":3661},{"textAlign":53},[3662],{"text":3663,"type":348},"An equity-oriented definition of palliative care recognizes system barriers and seeks to address them to ensure access to high-quality and safe care.",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3665},{},{"id":16,"_uid":3667,"items":3668,"title":3730,"component":3731,"description":3732},"bfaef104-de71-4ea0-b8fd-f7782c07f286",[3669,3685,3700,3715],{"_uid":3670,"image":3671,"title":3676,"component":3677,"description":3678},"a378388f-4dfe-4287-991a-b2e187fcdc39",{"id":3672,"alt":3673,"name":16,"focus":16,"title":16,"source":16,"filename":3674,"copyright":16,"fieldtype":283,"meta_data":3675,"is_external_url":285},114292697143478,"A person holding a stack of papers labeled ‘Policies’ against a bright pink circular background.","https://a-ca.storyblok.com/f/850807391887861/3f6f05a63f/blog-illustration-1en.png",{"alt":3673,"title":16,"source":16,"copyright":16},"Reflecting on aspects of your organization that create barriers to care.","small-text-image-item",{"type":12,"content":3679},[3680],{"type":15,"attrs":3681,"content":3682},{"textAlign":53},[3683],{"text":3684,"type":348},"This could include policies, physical spaces, location and more. Engage your community in these conversations.",{"_uid":3686,"image":3687,"title":3692,"component":3677,"description":3693},"62ed6746-ccc6-42ad-b17e-1e977d0fc602",{"id":3688,"alt":3689,"name":16,"focus":16,"title":16,"source":16,"filename":3690,"copyright":16,"fieldtype":283,"meta_data":3691,"is_external_url":285},114292701141176,"Two people exchanging a large triangle-shaped document, set against a yellow circular background.","https://a-ca.storyblok.com/f/850807391887861/44ab1e8abe/blog-illustration-2.png",{"alt":3689,"title":16,"source":16,"copyright":16},"Collaborating across sectors to identify and address system gaps.",{"type":12,"content":3694},[3695],{"type":15,"attrs":3696,"content":3697},{"textAlign":53},[3698],{"text":3699,"type":348},"Build meaningful partnerships with community-based organizations that are already doing the work to integrate care.",{"_uid":3701,"image":3702,"title":3707,"component":3677,"description":3708},"273d880e-6d5f-470e-abc0-2d549ffbd5f5",{"id":3703,"alt":3704,"name":16,"focus":16,"title":16,"source":16,"filename":3705,"copyright":16,"fieldtype":283,"meta_data":3706,"is_external_url":285},114292698646711,"Two people standing and talking, with a large yellow light bulb above them on a dark blue circular background. One person is wearing a shirt with a white name tag.","https://a-ca.storyblok.com/f/850807391887861/650b09e6db/blog-illustration-3.png",{"alt":3704,"title":16,"source":16,"copyright":16},"Identifying opportunities to build capacity.",{"type":12,"content":3709},[3710],{"type":15,"attrs":3711,"content":3712},{"textAlign":53},[3713],{"text":3714,"type":348},"Exchange learnings within your community and across organizations.",{"_uid":3716,"image":3717,"title":3722,"component":3677,"description":3723},"90f4e87a-b9cd-4b83-b2c8-525ada909592",{"id":3718,"alt":3719,"name":16,"focus":16,"title":16,"source":16,"filename":3720,"copyright":16,"fieldtype":283,"meta_data":3721,"is_external_url":285},114292702804153,"A computer monitor displaying a line graph with three differently colored lines (pink, teal, and purple) on a white screen.","https://a-ca.storyblok.com/f/850807391887861/d55400010b/blog-illustration-4.png",{"alt":3719,"title":16,"source":16,"copyright":16},"Planning for sustainability in mind.",{"type":12,"content":3724},[3725],{"type":15,"attrs":3726,"content":3727},{"textAlign":53},[3728],{"text":3729,"type":348},"Consider what data you can start collecting (or may already collect) that will help you better understand who is accessing care in your community and where.","How Can Equitable Access to Palliative Care be Improved in Your Community?","small-text-image",{"type":12,"content":3733},[3734,3739],{"type":15,"attrs":3735,"content":3736},{"textAlign":53},[3737],{"text":3738,"type":348},"In the Improving Equity in Access to Palliative Care (IEAPC) collaborative, we are learning how communities are shifting their approach to palliative care to better meet the needs of people who are experiencing structural vulnerabilities.",{"type":15,"attrs":3740,"content":3741},{"textAlign":53},[3742],{"text":3743,"type":348},"While examples of equity-oriented palliative care might look slightly different in each community, we encourage you to consider how more equitable access to palliative care can be improved in your community by:",{"id":16,"_uid":3745,"items":3746,"title":3807,"component":1281,"description":3808},"b0e1ed28-7324-4f1e-83c6-709f3fa8a523",[3747,3764,3781,3794],{"_uid":3748,"link":3749,"image":3759,"title":3756,"component":1142,"description":3761},"23f50297-d56c-4fbd-8eb7-6f1416afd420",[3750],{"_uid":3751,"link":3752,"label":1164,"component":1165},"e639362a-99ed-4787-a2e7-4645461e47c1",{"id":3753,"url":16,"linktype":1157,"fieldtype":1158,"cached_url":3754,"story":3755},"83c0cbd6-cb93-4e70-9834-3d292564405b","resources/promising-practices-IEAPC",{"name":3756,"id":3757,"uuid":3753,"slug":3758,"url":3754,"full_slug":3754,"_stopResolving":291},"Promising Practices for Improving Equity in Access to Palliative Care",154505498585914,"promising-practices-IEAPC",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3760},{},{"type":12,"content":3762},[3763],{"type":15},{"_uid":3765,"link":3766,"image":3776,"title":3773,"component":1142,"description":3778},"4fe81d8f-3a0d-4fe6-959d-e20cf6b28229",[3767],{"_uid":3768,"link":3769,"label":1164,"component":1165},"7807723f-d949-425a-8853-5fbe7740077a",{"id":3770,"url":16,"linktype":1157,"fieldtype":1158,"cached_url":3771,"story":3772},"ab63409c-fa17-4681-8d59-dc6ec0a838f8","resources/improving-equity-in-access-to-palliative-care-collaborative-evaluation-framework",{"name":3773,"id":3774,"uuid":3770,"slug":3775,"url":3771,"full_slug":3771,"_stopResolving":291},"Improving Equity in Access to Palliative Care Collaborative Evaluation 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Care",{"type":12,"content":3792},[3793],{"type":15},{"_uid":3795,"link":3796,"image":3801,"title":3803,"component":1142,"description":3804},"c4992ef7-6e02-42e9-a5f7-74fd35b40d5c",[3797],{"_uid":3798,"link":3799,"label":1164,"component":1165},"b9c0c7fa-a1f6-4ecf-af5e-47b879b90d3a",{"id":16,"url":3800,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":3800},"https://equiphealthcare.ca/",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":3802},{},"Equipping Health and Social Services for Equity",{"type":12,"content":3805},[3806],{"type":15},"Related Resources",{"type":12,"content":3809},[3810],{"type":15},[150,143,115,129],[3813,3925,3946],{"_uid":3814,"content":3815,"component":1409},"759e4b55-d3c6-4f48-b9bc-93ac6216ea26",[3816,3847],{"_uid":3817,"content":3818,"component":1408},"43d699ff-1c41-44a2-8c0a-ca207c336999",{"type":12,"content":3819},[3820,3825,3830],{"type":1340,"attrs":3821,"content":3822},{"level":1498,"textAlign":53},[3823],{"text":3824,"type":348},"What is the Improving Equity in Access to Palliative Care collaborative?",{"type":15,"attrs":3826,"content":3827},{"textAlign":53},[3828],{"text":3829,"type":348},"Many current models of palliative care are not prepared to meet the needs of people who are vulnerably housed, staying in shelters or living in outdoor spaces. There are often barriers to diagnosis, treatment and support needs, which means that health conditions that could be preventable or treatable may become life threatening. This makes it difficult to access palliative care when it is needed most.",{"type":15,"attrs":3831,"content":3832},{"textAlign":53},[3833,3835,3845],{"text":3834,"type":348},"Improving Equity in Access to Palliative Care brings together diverse perspectives and experiences, including people with lived and living experiences to design, implement and evaluate initiatives that will improve access to ",{"text":3836,"type":348,"marks":3837},"equity-oriented palliative care",[3838],{"type":1391,"attrs":3839},{"href":3840,"uuid":2273,"anchor":3631,"custom":3841,"target":1646,"linktype":1157,"story":3842},"/programs/improving-equity-in-access-to-palliative-care",{},{"name":2268,"id":2272,"uuid":2273,"slug":3843,"url":3844,"full_slug":3844,"_stopResolving":291},"improving-equity-in-access-to-palliative-care","programs/improving-equity-in-access-to-palliative-care",{"text":3846,"type":348},". 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approach.","ffe15307-cd56-4ecc-adda-b7daba725ec5",[5060],{"get":16,"_uid":5061,"image":5062,"title":5049,"status":1554,"component":340,"description":5067,"requirements":16,"programEndDate":16,"programStartDate":16,"inscriptionsEndDate":16,"inscriptionsStartDate":16},"eb71573a-07f5-4b0f-b1bf-5958255b6604",{"id":5063,"alt":5064,"name":16,"focus":16,"title":16,"source":16,"filename":5065,"copyright":16,"fieldtype":283,"meta_data":5066,"is_external_url":285},133283542312008,"Scenic view of a lake surrounded by dense green forest under a soft sunset sky, framed by bold geometric shapes.","https://a-ca.storyblok.com/f/850807391887861/1340x907/3575882d8f/promoting-life-together-collab.webp",{"alt":5064,"title":16,"source":16,"copyright":16},{"type":12,"content":5068},[5069],{"type":15,"attrs":5070,"content":5071},{"textAlign":53},[5072],{"text":5073,"type":348},"The Promoting Life Together Collaborative modelled a co-designed learning program, bringing together multi-disciplinary teams from across northern, rural and remote parts of Canada using a shared learning approach. The name of the collaborative was re-framed to focus on ‘life promotion’, recognizing the need to take a broader and more encompassing approach to the issue of suicide, to consider all aspects of one’s life and community wellness.",[222],[5076],{"_uid":5077,"file":5078,"link":5083,"label":5084,"linkType":5085,"component":5086,"linkLabel":5087},"5a68ce75-e1b6-45b1-ae87-0b70d1502215",{"id":5079,"alt":5080,"name":16,"focus":16,"title":5080,"source":16,"filename":5081,"copyright":16,"fieldtype":283,"meta_data":5082,"is_external_url":285},114293644212657,"20211117 Storyofthepltcollaborative Overview EN","https://a-ca.storyblok.com/f/850807391887861/2c9aa541b5/20211117-storyofthepltcollaborative-overview-en.pdf",{},{"id":16,"url":16,"linktype":1157,"fieldtype":1158,"cached_url":16},"The Story of the Promoting Life Together Collaborative (Overview)","file","banner-link","Read the story",[],[91,62,76,32,98],[5091,5219,5663,5892,6293,6630],{"id":16,"_uid":5092,"content":5093,"component":365},"b7bc5f7c-191a-41a3-b849-0c1c40d35895",[5094],{"_uid":5095,"content":5096,"component":1408},"8cb28606-763c-4c1d-9655-0a1102f49b51",{"type":12,"content":5097},[5098,5103,5108,5148,5153,5158,5163,5214],{"type":1340,"attrs":5099,"content":5100},{"level":1498,"textAlign":53},[5101],{"text":5102,"type":348},"Overall Goals",{"type":15,"attrs":5104,"content":5105},{"textAlign":53},[5106],{"text":5107,"type":348},"The overall goals of the collaborative were to:",{"type":378,"content":5109},[5110,5120,5127,5134,5141],{"type":381,"content":5111},[5112],{"type":15,"attrs":5113,"content":5114},{"textAlign":53},[5115],{"text":5116,"type":348,"marks":5117},"Support the development of meaningful partnerships with teams to work alongside community members (First Nations and/or Métis), health authorities, persons with lived experience and other community partners",[5118],{"type":1291,"attrs":5119},{"color":16},{"type":381,"content":5121},[5122],{"type":15,"attrs":5123,"content":5124},{"textAlign":53},[5125],{"text":5126,"type":348},"Provide learning opportunities for understanding and applying wise practices for life promotion and First Nations mental wellness frameworks",{"type":381,"content":5128},[5129],{"type":15,"attrs":5130,"content":5131},{"textAlign":53},[5132],{"text":5133,"type":348},"Support teams to enhance their capacity towards culturally safe environments to promote health transformation",{"type":381,"content":5135},[5136],{"type":15,"attrs":5137,"content":5138},{"textAlign":53},[5139],{"text":5140,"type":348},"Enhance the capacity of teams to design, implement and evaluate improvement initiatives together and alongside communities",{"type":381,"content":5142},[5143],{"type":15,"attrs":5144,"content":5145},{"textAlign":53},[5146],{"text":5147,"type":348},"Strengthen the capacity of HEC to collaborate with, and learn from First Nation and Métis partners and communities on health improvement initiatives",{"type":15,"attrs":5149,"content":5150},{"textAlign":53},[5151],{"text":5152,"type":348},"The Promoting Life Together Collaborative formally ended in December 2019. The Guidance Grouprenewed its partnership to focus on knowledge sharing and sustainability, beginning with the development of a knowledge sharing protocol and knowledge sharing products.",{"type":1340,"attrs":5154,"content":5155},{"level":1498,"textAlign":53},[5156],{"text":5157,"type":348},"Guiding Principles",{"type":15,"attrs":5159,"content":5160},{"textAlign":53},[5161],{"text":5162,"type":348},"The Promoting Life Together Collaborative was guided by seven principles, developed together, and in partnership with the Guidance Group. These principles include:",{"type":378,"content":5164},[5165,5172,5179,5186,5193,5200,5207],{"type":381,"content":5166},[5167],{"type":15,"attrs":5168,"content":5169},{"textAlign":53},[5170],{"text":5171,"type":348},"Cultural humility/safety and reconciliation is an ongoing journey, and opportunities to further knowledge and capacity will be emphasized throughout the Collaborative.",{"type":381,"content":5173},[5174],{"type":15,"attrs":5175,"content":5176},{"textAlign":53},[5177],{"text":5178,"type":348},"The voice of Indigenous peoples, families, communities, patients, youth, caregivers, and individuals with lived experience will guide the Collaborative, and teams will be expected to model this approach.",{"type":381,"content":5180},[5181],{"type":15,"attrs":5182,"content":5183},{"textAlign":53},[5184],{"text":5185,"type":348},"Indigenous knowledge is recognized as evidence and will guide all stages of the collaborative (development, implementation and evaluation).",{"type":381,"content":5187},[5188],{"type":15,"attrs":5189,"content":5190},{"textAlign":53},[5191],{"text":5192,"type":348},"An Indigenous social determinants of health lens has been, and will continue to be, applied to the work of the Collaborative. Mental health is influenced by many factors including culture, life experiences, colonization workplace or other environments, and the social and economic conditions that shape our lives.",{"type":381,"content":5194},[5195],{"type":15,"attrs":5196,"content":5197},{"textAlign":53},[5198],{"text":5199,"type":348},"Respect, listening to and valuing other perspectives and other ways of knowing, learning together and collaboration will be modelled and championed.",{"type":381,"content":5201},[5202],{"type":15,"attrs":5203,"content":5204},{"textAlign":53},[5205],{"text":5206,"type":348},"A strength-based approach that fosters hope to address suicide prevention/life promotion will be applied.",{"type":381,"content":5208},[5209],{"type":15,"attrs":5210,"content":5211},{"textAlign":53},[5212],{"text":5213,"type":348},"Collaborative action in health transformation promotes equity through mutual recognition, respect, sharing and responsibility.",{"type":15,"attrs":5215,"content":5216},{"textAlign":53},[5217],{"text":5218,"type":348},"These principles recognize the unique context of this work and the capacity required to make meaningful systemic change in the way that mental health services are delivered, while acknowledging that teams within the collaborative work with First Nations and Métis, communities and organizations.",{"id":16,"_uid":5220,"title":5221,"video_id":5222,"component":5223,"transcript":5224,"video_type":1336,"description":5598,"video_title":5648,"video_description":5649},"9ecf392c-72d3-4d26-885b-2d2b9de1856f","Sharing the Story of the Promoting Life Together Collaborative ","WPnTFja82gw","video-transcript",{"type":12,"content":5225},[5226,5232,5237,5242,5247,5253,5258,5263,5268,5273,5278,5283,5288,5293,5298,5303,5308,5313,5318,5323,5328,5333,5338,5343,5348,5353,5358,5363,5368,5373,5378,5383,5388,5393,5398,5403,5408,5413,5418,5423,5428,5433,5438,5443,5448,5453,5458,5463,5468,5473,5478,5483,5488,5493,5498,5503,5508,5513,5518,5523,5528,5533,5538,5543,5548,5553,5558,5563,5568,5573,5578,5583,5588,5593],{"type":1340,"attrs":5227,"content":5229},{"level":5228,"textAlign":53},4,[5230],{"text":5231,"type":348},"The Promoting Life Together Collaborative Story: Our Ongoing Journey of Relationship and Partnership Strengthening",{"type":15,"attrs":5233,"content":5234},{"textAlign":53},[5235],{"text":5236,"type":348},"A collaborative is a learning network designed to support teams to realize improvements for the people they serve through relationship and partnership building. In 2017 the Promoting Life Together Collaborative was created to facilitate relationship development between health organizations and Indigenous communities to address suicide prevention and life promotion. We hope others can build on our experience and create their own processes of relationship and partnership strengthening that works for them and their partnerships. ",{"type":15,"attrs":5238,"content":5239},{"textAlign":53},[5240],{"text":5241,"type":348},"[01:51] ",{"type":15,"attrs":5243,"content":5244},{"textAlign":53},[5245],{"text":5246,"type":348},"[Albert Dumont]: My name is Albert Dumont. I'm an Algonquin, and right now I’m living in the Algonquin community of Kitigan Zibi. My connection to the PLT Collaborative and how they look at me as somebody that could bring in my definition of Indigenous knowledge, my spiritual beliefs, my life experiences to help out. And I'm grateful, because I'm committed to the health and well-being of our Indigenous communities. Ceremony has always been really important to me. I'm very grateful to the collaborative for always beginning their meetings and gatherings and everything that they do with a ceremony, with a prayer and with teachings. And it's always done in such a respectful manner. I've always actually have kind of felt special every time because I don't take these things for granted. To me, it's an acknowledgment that the Indigenous worldview matters and that somebody is interested in it. ",{"type":1340,"attrs":5248,"content":5250},{"level":5249,"textAlign":53},5,[5251],{"text":5252,"type":348},"The Promoting Life Together Collaborative ",{"type":15,"attrs":5254,"content":5255},{"textAlign":53},[5256],{"text":5257,"type":348},"[03:18] ",{"type":15,"attrs":5259,"content":5260},{"textAlign":53},[5261],{"text":5262,"type":348},"[Despina Papadopoulos]: The Promoting Life Together Collaborative brought together teams from coast to coast to support the development of meaningful partnerships between regional health organizations and Indigenous communities to develop life promotion initiatives. Six teams from across northern and remote regions in British Columbia, Alberta, Ontario, Newfoundland, and two teams in Manitoba participated in the collaborative. As the convener of this initiative, our organization became the seventh team, as it became very apparent that we were also learning alongside all of the teams. This 19-month initiative included coaching for each team by experienced knowledge keepers and service providers who mentored the teams to enhance their capacity for relationship and partnership building with Indigenous organizations and communities. ",{"type":1340,"attrs":5264,"content":5265},{"level":5249,"textAlign":53},[5266],{"text":5267,"type":348},"Building Relationships ",{"type":15,"attrs":5269,"content":5270},{"textAlign":53},[5271],{"text":5272,"type":348},"[04:24] ",{"type":15,"attrs":5274,"content":5275},{"textAlign":53},[5276],{"text":5277,"type":348},"[Despina Papadopoulos]: The Canadian Northern and Remote Health Network brings together northern health leaders to enhance leadership and to provide opportunities for shared learning and collaboration. In 2017, the network discussed their intention to focus on a suicide prevention life promotion collaborative in northern and remote regions of Canada, and they requested support from the Northern and Indigenous Health Team of the Canadian Foundation for Healthcare Improvement. Indigenous knowledge holders and organizations, including the Thunderbird Partnership Foundation and First Peoples Wellness Circle, were subsequently asked if they were open to having conversations to explore partnership and to codesign a collaborative. ",{"type":15,"attrs":5279,"content":5280},{"textAlign":53},[5281],{"text":5282,"type":348},"[05:05] ",{"type":15,"attrs":5284,"content":5285},{"textAlign":53},[5286],{"text":5287,"type":348},"[Carol Hopkins]: When we first started our relationship, we were very intrigued about CFHI and how they support their stakeholders through the collaboratives, and specifically in bringing on First Nations or Indigenous faculty or– to deliver training. And so that was one piece that interested the organization. Further to that, there was interest in working with CFHI to build relationships with provincial health authorities. And so we did that for a period of time. We were in conversation. We actually signed a memorandum of understanding with CFHI. But then there were some challenges in the relationship and really, those challenges were broader issues than just an individual. And we didn't quite understand them at first in the context of the organization. And as we continued the conversation over time, there was a little bit of a pause. And when I think about that now, it was a good pause because it was an opportunity for reflection. And as new people came on, Carol Fancott, and later on meeting Despina Papadopoulos, we had an opportunity to have further conversation about the relationship, about the partnership and how to grow that, and to understand the different factors or variables that were part of every relationship. So whether it's a relationship between organizations or a relationship between people, there are different factors and variables that are at play. And so the conversation really was about exploring those elements and trying to understand them. And one of the key things that I found critically important and in our work together to re-establish the relationship with greater clarity is the genuine listening skills. And so often times there would be conversations and then questions that maybe sometimes were asked with a little bit of shyness. ",{"type":15,"attrs":5289,"content":5290},{"textAlign":53},[5291],{"text":5292,"type":348},"[07:48] ",{"type":15,"attrs":5294,"content":5295},{"textAlign":53},[5296],{"text":5297,"type":348},"[Carol Fancott]: Yes, it was daunting. The subject matter is very difficult, and feeling– we want to make a difference in this area. And it matters. And it matters to our partners, our northern network partners. But it also matters to all of us within CFHI and to the Indigenous partners that we were forming new relationships with. So, yeah, it was– and sometimes I think maybe it was the newness that was actually quite helpful. I was new to CFHI, I was new to this area, and I was very open to wanting to learn. And I didn't have any preconceived ideas about how we run collaboratives, how we run programming. It was truly, and I think our entire team, the Northern and Indigenous Health Team, was very open because this was the first collaborative that we were doing as a group in this area. And so, again, going in without preconceived ways that we had to work, I think there was an element of freedom in that. ",{"type":15,"attrs":5299,"content":5300},{"textAlign":53},[5301],{"text":5302,"type":348},"[08:58] ",{"type":15,"attrs":5304,"content":5305},{"textAlign":53},[5306],{"text":5307,"type":348},"[Carol Hopkins]: And so that's the second piece of this key learning for me, and re-entering a relationship and working on it, is not letting fear hold you back and making sure that when you are in a difficult place of understanding, that you simply say that. “This is the way we've always done business. And we've heard that that doesn't sit well. It doesn't accommodate, it doesn't respect, it doesn't reflect the values or the needs that you have expressed on behalf of First Nations people. Let's talk about that.” And so that's another important element, following, you know, the courage to have the dialogue, to have the hard conversation, to be respectful in the questions, is to take time. And my father used to say to me, anything worth having takes hard work. It takes time. And so we spent time in conversation and asking the question, exploring the possibilities, learning about where we've been and where we can go. Who else needs to become part of the relationship? Is it ready to invite others, are we ready to invite others to the relationship, to the conversation, for the potential and possibilities for the future? It wasn't a conversation or a relationship that was nicely mapped out as a logic model. We're going to go from step A to B to C, and the outcome we're hoping for is this. We explored it and we were willing to map it out as we went along. ",{"type":1340,"attrs":5309,"content":5310},{"level":5249,"textAlign":53},[5311],{"text":5312,"type":348},"Sharing Experiences in Our Relationships ",{"type":15,"attrs":5314,"content":5315},{"textAlign":53},[5316],{"text":5317,"type":348},"[10:57] ",{"type":15,"attrs":5319,"content":5320},{"textAlign":53},[5321],{"text":5322,"type":348},"[Despina Papadopoulos]: Relationship development was an ongoing process that pervaded all aspects of the work. We focus on building and nurturing trust-based relationships, and sometimes it was hard work, but often our relational experiences were inspiring, and we became part of something greater than ourselves. ",{"type":15,"attrs":5324,"content":5325},{"textAlign":53},[5326],{"text":5327,"type":348},"[Dr. Ed Connors]: I recall vividly one of the first experiences we had when we went to Western Health, Newfoundland, how we one morning as we began, at the beginning, the first thing we did the morning of the first gathering with that group was we gathered on the shore of the ocean and we conducted what we call a sunrise ceremony. And the people who participated in that sunrise ceremony were the people from CFHI, ourselves, and the community members who were participating, as well as the people who came from the Western Health organization. And that morning when we conducted that ceremony, I think you could, you know, speak to any one of those people, and they could tell you vividly their recollection of how when we lit the fire on the shore and we began the ceremony, how the sun came up, and as it was rising it hit the face of a cliff, and that cliff just turned golden. And as that happened, we heard– some people who were facing out to the ocean actually saw two seals pop their heads up and sit there and watch and listen as we were participating in that ceremony. Those kinds of experiences were what in fact built those relationships in the way that I have just shared with you, that our ancestors imagined could happen. ",{"type":1340,"attrs":5329,"content":5330},{"level":5249,"textAlign":53},[5331],{"text":5332,"type":348},"Guidance Group ",{"type":15,"attrs":5334,"content":5335},{"textAlign":53},[5336],{"text":5337,"type":348},"[13:08] ",{"type":15,"attrs":5339,"content":5340},{"textAlign":53},[5341],{"text":5342,"type":348},"[Despina Papadopoulos]: The guidance group of the collaborative included a spiritual advisor, First Nations and Métis mental health leaders, a youth representative, an external evaluator, as well as representatives from national mental health organizations. This group supported the creation of guiding principles for the work of the collaborative, which focused on cultural humility, respect for Indigenous knowledge and diverse Indigenous voices and an understanding of strength-based approaches to Indigenous health. ",{"type":15,"attrs":5344,"content":5345},{"textAlign":53},[5346],{"text":5347,"type":348},"[13:39] ",{"type":15,"attrs":5349,"content":5350},{"textAlign":53},[5351],{"text":5352,"type":348},"[Brenda Restoule]: The conversation we had around the guidance group, I think, was really born out of the recognition of a collaborative that would have equity, I think, in the ability to co-lead and to codesign the work that we were doing. And so when we first started on this journey with CFHI, and Thunderbird was brought into the conversation along with First Peoples, there was a recognition that having the opportunity to bring in multiple voices that could contribute to the conversation around mental wellness and Indigenous mental wellness was critical. We, as First Nations people, couldn't speak on behalf of the other Indigenous groups, but it was important to have people at the table who had Métis knowledge and who were familiar with the concepts of mental wellness and had worked with communities around Métis wellness and Métis health indicators, I guess you could say. So there was an important part, I think, about that. It wasn't just one way of doing and one way of knowing that helped to guide the work that we were doing as a guidance group. And so there was that opportunity for co-learning and codesigning that came by creating a guidance group that had both Indigenous and non-Indigenous organizations at the table with the knowledge around mental wellness and suicide prevention and, ultimately, life promotion. Because of the recognition in the guiding principles around reconciliation and health transformation, that for so long there had not been equitable opportunities for Indigenous knowledge to play an equal part in the development of new initiatives or new knowledge that influences health care and health systems. ",{"type":15,"attrs":5354,"content":5355},{"textAlign":53},[5356],{"text":5357,"type":348},"[16:20] ",{"type":15,"attrs":5359,"content":5360},{"textAlign":53},[5361],{"text":5362,"type":348},"[William (Bill) Mussell]: I really enjoyed being co-chair with Carol of CFHI, and again, doing everything that we could to honour the implementation of the guiding principles, and in particular, paying particular attention to knowledge translation both ways, in terms of the English speakers, in terms of what it is they're talking about to help make sure that we understand as the Indigenous participants and vice-versa, that they understand our Indigenous points of view, and appreciating at all times that the project we were working on had to build on strengths of the Indigenous community and how important it was that we build on those strengths in regard to the knowledge that we rely upon, and making the decisions and choosing the directions we go. And, as was described, creating the kinds of living circumstances where each of us feels safe enough and comfortable enough with each other relationally to be able to be open and honest about our thoughts and feelings and particularly comfortable about talking about our inner life, as opposed to playing it safe at all times and waiting for the circumstances to say something that really had little to do with our inner world. Because I'm a real believer that we really were challenged as human beings to bring together things of our external world with our inner world. And when we're able to do that, we're able to make the kind of meaning necessary that's going to help us to navigate life quite successfully, along with many other people, because of the importance of community in our life on Mother Earth and the importance of all working together, much like it is modelled through Mother Earth for us to be able to ensure that we're attending to the needs of people of seven generations and more into the future. ",{"type":1340,"attrs":5364,"content":5365},{"level":5249,"textAlign":53},[5366],{"text":5367,"type":348},"Indigenous Knowledge ",{"type":15,"attrs":5369,"content":5370},{"textAlign":53},[5371],{"text":5372,"type":348},"[18:41] ",{"type":15,"attrs":5374,"content":5375},{"textAlign":53},[5376],{"text":5377,"type":348},"[Carol Hopkins]: One key piece that was so critical in a relationship, in a memorandum of understanding, which was about the ownership of knowledge, and how do you engage in a relationship that doesn't damage or take away or diminish ownership of knowledge? I often talk about Indigenous knowledge and the difference between Indigenous knowledge and sacred knowledge. Sacred knowledge belongs to the cultural societies, the medicine societies, ceremonial societies of First Nations people across Canada. And there are many distinct and unique societies that hold that sacred knowledge that has gone across many, many generations fully intact. And there are certain parameters around that knowledge, and it's specifically for First Nations people. But as holders of that knowledge, students of that knowledge, teachers of that knowledge, we all have the responsibility and learn how to translate that knowledge. Likewise, communities, they have their stories about how to live life well, and that knowledge is the same. It's been passed on from generation to generation with the mindset of supporting the future with good guidance for living life well. That's sacred knowledge. All of that gets translated across generations because it has to apply in the current context. And so the discussion on the ownership of knowledge was so critical because from a First Nations lens, it doesn't belong to any organization. It belongs to the people. It belongs to our future, and we have a responsibility to ensure its integrity and its safety for the future. That was the critical conversation that we were having with CFHI. And they had the courage to have the conversation. ",{"type":1340,"attrs":5379,"content":5380},{"level":5249,"textAlign":53},[5381],{"text":5382,"type":348},"A Paradigm Shift to Life Promotion ",{"type":15,"attrs":5384,"content":5385},{"textAlign":53},[5386],{"text":5387,"type":348},"[21:08] ",{"type":15,"attrs":5389,"content":5390},{"textAlign":53},[5391],{"text":5392,"type":348},"[Despina Papadopoulos]: We learned that a strength-based approach to mental wellness requires leading with language of life rather than relying on deficit-centred risk factor language. This understanding led to a paradigm shift from suicide prevention to life promotion. ",{"type":15,"attrs":5394,"content":5395},{"textAlign":53},[5396],{"text":5397,"type":348},"[Ed Connors]: What we really needed to be doing if we were really going to help people to live long and good lives was to focus on life and not to focus on death or trying to prevent death. That in actual fact, we could not prevent death, but we can help people and support people to live longer and healthier lives. ",{"type":15,"attrs":5399,"content":5400},{"textAlign":53},[5401],{"text":5402,"type":348},"[Brenda Restoule]: Part of what led to the whole discussion around changing the context of the work from suicide prevention to life promotion, because it allowed us to then change the narrative around the language we use from suicide prevention to life promotion. And it allowed us to think about this work from a strengths-based perspective as opposed to deficits and illness. And I think in doing so, it also allowed us to be centred around spirit. And I think that when we're talking about life promotion, it really needs to be centred around spirit. ",{"type":1340,"attrs":5404,"content":5405},{"level":5249,"textAlign":53},[5406],{"text":5407,"type":348},"Ceremony ",{"type":15,"attrs":5409,"content":5410},{"textAlign":53},[5411],{"text":5412,"type":348},"[22:35] ",{"type":15,"attrs":5414,"content":5415},{"textAlign":53},[5416],{"text":5417,"type":348},"[Despina Papadopoulos]: Albert Dumont was offered tobacco with the request to accept the role of spiritual advisor to the guidance group, and he accepted. His guidance cultivated strength in unity and ensured that ceremony was honoured and integrated into all of our meetings.",{"type":15,"attrs":5419,"content":5420},{"textAlign":53},[5421],{"text":5422,"type":348}," [Brenda Restoule]: From an Indigenous perspective or a First Nations perspective, we always are guided and supported by an Elder. And so the group was quite supportive of the notion of making sure that there was an Elder that led our group and ensured that we did things in a good way, that it was led by spirit, it was led by ceremony, and it continued to, in some ways, place a little bit of extra value on Indigenous knowledge, not because we thought it was better than, but because of the recognition in the guiding principles around reconciliation and health transformation that for so long there had not been equitable opportunities for Indigenous knowledge to play an equal part in the development of new initiatives or new knowledge that influences health care and health systems. And so by placing an Elder in that role, it ensured that there was a little bit of extra weight given to Indigenous knowledge, so we could give it some equity that it had not previously had. ",{"type":15,"attrs":5424,"content":5425},{"textAlign":53},[5426],{"text":5427,"type":348},"[Kelly Brownbill]: It's sometimes difficult for non-Indigenous people to enter into a circle, to enter into the ceremonies, particularly since a lot of the non-Indigenous people that were part of this process maybe didn't have a faith community of their own. Maybe they weren't used to ceremony or ritual within their lives. One of the things I tried to do in my part when I was bringing ceremony into our work was to talk about the fact that no one has to be confined by anyone else's idea of faith or spirit or ceremony, that you can come to a place in safety and participate in ways that are meaningful to you. ",{"type":1340,"attrs":5429,"content":5430},{"level":5249,"textAlign":53},[5431],{"text":5432,"type":348},"Coaches/ Mentors ",{"type":15,"attrs":5434,"content":5435},{"textAlign":53},[5436],{"text":5437,"type":348},"[Despina Papadopoulos]: Building readiness and health organizations to effectively partner with Indigenous organizations was a key goal of this collaborative. The coaches visited the teams for in-person mentoring and followed up with regular teleconferences, and these experiential learning strategies were supported by topic-specific webinars. ",{"type":15,"attrs":5439,"content":5440},{"textAlign":53},[5441],{"text":5442,"type":348},"[25:38] ",{"type":15,"attrs":5444,"content":5445},{"textAlign":53},[5446],{"text":5447,"type":348},"[Denise McCuaig]: I joined the Promoting Life Together Collaborative as a coach two years ago. And when I was first contacted, it was described to me that I would be a coach for one or two teams somewhere in northern Canada that were looking at doing a suicide prevention project with youth, and that they were partnering with non-Indigenous partners, mostly health authorities, and that I would be available by phone to coach and mentor for about an hour every two weeks. That was the original description that I received, but it very quickly became much more than that. Where I think it worked really well from a coaching perspective is that we as coaches were able to meet with non-Indigenous staff, often from health authorities, and they could practice with us doing a land acknowledgement. Or they could ask questions about how to offer an Elder in the community tobacco, or about what was expected of them when they arrived in the community to dialogue with the Indigenous people who lived there. And I hadn't seen that model happen before, where non-Indigenous health care providers could have the opportunity to get coaching and mentoring, to practice these new ways of communicating and these new ways of engaging with their Indigenous partners. So I think it worked really beautifully, and it allowed them to build their capacity and to grow. And so I think as a coach, I also took the time to often challenge them to think about their unconscious bias, to think about their perception of First Nations and Métis and Inuit people based on where they learned their information, and to break down some of those barriers that existed, because a lot of information received as Canadians is coming from the media, and it's often slanted or skewed in one way or another. And so this was a chance for them to actually have discussion with us as coaches about what our true lived experience was, and how we felt history would potentially impact the ongoing communications or the goals that they were trying to reach.",{"type":15,"attrs":5449,"content":5450},{"textAlign":53},[5451],{"text":5452,"type":348},"[28:24] ",{"type":15,"attrs":5454,"content":5455},{"textAlign":53},[5456],{"text":5457,"type":348},"[Brenda Restoule]: The guidance group spent quite a bit of time talking about what would be some of those key pieces of information or transmission of knowledge that could support them in their own collaborative, but also really create a shift in how the non-Indigenous health organizations and the Indigenous communities could work in a different way that would promote health transformation at the same time. And so some of the ones that they talked about, that they were offered, I should say, was allyship, cultural safety and humility, readiness, Indigenous knowledge, so centring Indigenous knowledge. And we had lots of discussions about who within the guidance group or outside of the guidance group might hold that knowledge, who could do those webinars. So they were created specifically for the collaborative. This wasn't knowledge that we, you know, went and picked off from somewhere else, but made it very specific to the conversations and the work that we were doing. ",{"type":15,"attrs":5459,"content":5460},{"textAlign":53},[5461],{"text":5462,"type":348},"[29:42] ",{"type":15,"attrs":5464,"content":5465},{"textAlign":53},[5466],{"text":5467,"type":348},"[Nancy Parker]: The fact that this was a learning collaborative was really key, and CFHI, just can’t compliment them enough because they supported constantly a very strength-based approach and acknowledged that every team’s journey is unique and of equal value. And, you know, again, in a Western perspective, we would maybe otherwise judge a team to say, oh, they got to these targets and other teams didn't, so therefore, they were better. But that, in fact, wasn't the case. We realized that a team maybe that had a whole different rhythm to their moving forward in their learning and understanding was perhaps maybe really, really, deeply transformational for them. And so I certainly saw on the team individual transformation of people's worldviews starting to shift. And I think, as others have mentioned, at times, it did mean some really kind but gentle pushing and questioning against bias or ways of doing, because there was that natural impulse to just go back to doing business as usual in thinking about moving a project forward. But that notion that you need to step back, you need to listen, you need to walk alongside, it doesn't mean your view isn't important. But in this particular process, in this particular collaborative, we are going to keep emphasizing the Indigenous voice and the Indigenous worldview. And so within that common ethical space that we've shared between these two worldviews, it was weighted more towards that voice. And I think that was essential in order to start some of that decolonization work with our Northern Health Authority team. ",{"type":1340,"attrs":5469,"content":5470},{"level":5249,"textAlign":53},[5471],{"text":5472,"type":348},"Evaluation ",{"type":15,"attrs":5474,"content":5475},{"textAlign":53},[5476],{"text":5477,"type":348},"[31:44] ",{"type":15,"attrs":5479,"content":5480},{"textAlign":53},[5481],{"text":5482,"type":348},"[Despina Papadopoulos]: A decolonizing approach was also applied to the evaluation of the collaborative. The Canadian Foundation for Healthcare Improvement supported innovation in the evaluation to ensure consistency with the guiding principles, Indigenous ways of knowing, Indigenous research methods, and Indigenous mental wellness frameworks. Most importantly, the evaluation framework recognized that our process, and particularly the quality of our relationships, were the main indicators of success. ",{"type":15,"attrs":5484,"content":5485},{"textAlign":53},[5486],{"text":5487,"type":348},"[Marion Maar]: Mainstream evaluation frameworks are usually designed for urban programs. They often don't fit northern, rural, or Indigenous services very well at all. And when you are actually dealing with diverse cultures, diverse worldviews and program philosophies, then the assumptions on which the original evaluation framework was built on is simply inappropriate. And if you use it, you will– it will lead you to false conclusions.",{"type":15,"attrs":5489,"content":5490},{"textAlign":53},[5491],{"text":5492,"type":348},"[Nancy Parker]: It is all about Indigenous voice. It is all about the primacy of Indigenous voice and that Indigenous knowledge is evidence. We don't need to go through, you know, the Western ways of determining what's effective or not. ",{"type":15,"attrs":5494,"content":5495},{"textAlign":53},[5496],{"text":5497,"type":348},"[33:02] ",{"type":15,"attrs":5499,"content":5500},{"textAlign":53},[5501],{"text":5502,"type":348},"[Marion Maar]: The NIH team had to do some advocacy work for us internally to enable us to develop our own evaluation framework that would fit the collaborative, that would fit the principles, and that allowed us then to apply a participatory framework. What our approach was to seek to understand processes, the how, why, and under what circumstances, for example, good relationships could be developed between mainstream and Indigenous organizations. We relied a lot on qualitative methods and Indigenous research methods, and I believe, as an external evaluator, that this really allowed us to come up with an evaluation and a report that was strong. It was rigorous, valid and accountable. It measured what we set out to do. So it looked at, you know, under what circumstances relationships could be built. It allowed us to track innovations that happened, for example, changes in the coaching model. Because part way through, we realized the coaching model had to be adapted. There had to be more experiential learning, so all those things could be accounted for with our evaluation framework. Another thing that was important is also to include Indigenous research methods. So as part of this, our evaluation became a quest for truth and healing, because as we were sharing our learning in an ethical space, we could also address and resolve issues at the same time. ",{"type":15,"attrs":5504,"content":5505},{"textAlign":53},[5506],{"text":5507,"type":348},"[34:48] ",{"type":15,"attrs":5509,"content":5510},{"textAlign":53},[5511],{"text":5512,"type":348},"[Carol Fancott]: And that was a real key learning for us to let go of some of those traditional indicators that we would always look at as part of our collaboratives, and to be able to open ourselves up much more to be thinking about, sort of, the importance of relationship in this work. And that was a very valid outcome that we needed to understand. And that the only way we would understand it was actually through a process evaluation. ",{"type":1340,"attrs":5514,"content":5515},{"level":5249,"textAlign":53},[5516],{"text":5517,"type":348},"Sustainability ",{"type":15,"attrs":5519,"content":5520},{"textAlign":53},[5521],{"text":5522,"type":348},"[Kelly Brownbill]: There's 500 years of creating paradigms and policies and procedures that minimized Indigenous voices, so we need to make sure that we have the ability to support the sustainability moving forward. Part of the process in the collaborative was asking them, okay, we're going to leave eventually. The coaches are going to withdraw, the support of the funding agency is going to withdraw. What can we do right now to help you build a process that will keep this momentum going? Incorporating that Indigenous way of being is challenging, there's no roadmap, and it takes a significant investment in time, which is why it hasn't been done before. Sustainability, one of the other challenges, is how do we keep the momentum going? Incredible amounts of work were done on all sides of these collaboratives, particularly those mainstream agencies that said, “We're ready to make a change.” They put their heart and soul into hearing what they've been doing wrong, what they could do better. They invested so much humility in saying, “We might be experts in doing this work, but we certainly aren't experts on doing that work with Indigenous communities.” And I often use the expression, we're pushing a boulder up a hill, right? And every inch that boulder gets higher up the hill is a success. It's a celebration. It's amazing. ",{"type":15,"attrs":5524,"content":5525},{"textAlign":53},[5526],{"text":5527,"type":348},"[36:56] ",{"type":15,"attrs":5529,"content":5530},{"textAlign":53},[5531],{"text":5532,"type":348},"[William (Bill0 Mussell]: If we experience the benefits of teaching and learning through the building of relationships and the sharing of stories and lived life experiences, and create a need to know on the part of those we're interacting with, because by interacting in that way, we're really demonstrating a need to know, if we can inspire that kind of activity, and people experience the payoffs and the benefits from enhancing their knowledge and understanding and enhancing their ability to form relationships with other people and other things and Mother Nature and so on, they're going to be able to embrace life more fully, and by embracing life, then take care of sustainability. ",{"type":1340,"attrs":5534,"content":5535},{"level":5249,"textAlign":53},[5536],{"text":5537,"type":348},"Health Transformation: The Way Forward ",{"type":15,"attrs":5539,"content":5540},{"textAlign":53},[5541],{"text":5542,"type":348},"[Despina Papadopoulos]: Health transformation is a process, not an outcome, and it takes time. Truth and reconciliation is an ongoing journey, and it begins with creating readiness within mainstream health organizations to develop respectful relationships and partnerships with First Nations, Inuit and Métis organizations and communities. ",{"type":15,"attrs":5544,"content":5545},{"textAlign":53},[5546],{"text":5547,"type":348},"[38:25] ",{"type":15,"attrs":5549,"content":5550},{"textAlign":53},[5551],{"text":5552,"type":348},"[Mariette Sutherland]: I wanted to share a little bit about the seventh guiding principle, which is really about system change, and again, link it back to the idea of the learning journey and the process undertaken in the PLT Collaborative. Really, the guidance group was thinking long and hard about, you know, how does change happen. And I spoke earlier a little bit about change management process, and you know, there's certainly a lot of, you know, mainstream models and approaches to that. I think, though, the PLT Collaborative was able to look at change management in a much more relational and spirit-centred way. And I think that will have way more traction in the long run, because often, I think change management processes happen to be couched or framed in very tactical and strategic ways. And missing from that is that notion of the spirit and intent behind it, you know, how people are feeling. So when you understand that change management is not an organization with disparate parts and, you know, units of service or departments or programs, but it's actually people, when you understand that change is driven by people, then coming at it from a relational and spirit-centred approach absolutely makes sense. And I think for Indigenous people just generally, we've always known that before any change happens, you establish a relationship and acknowledge one another’s spirit and understand where they're coming from. ",{"type":15,"attrs":5554,"content":5555},{"textAlign":53},[5556],{"text":5557,"type":348},"[40:21] ",{"type":15,"attrs":5559,"content":5560},{"textAlign":53},[5561],{"text":5562,"type":348},"[Ed Connors]: We've been part of this journey, all of us, and we are all needing again to come back to this place of good relationship. And I believe that this is part of what’s happened in this collaborative. It's an important part of the process of reconciliation, and what we would refer to as healing, and what we also speak of, when we, in our work, in the Anishinaabe language, they refer to it as bizaani-bimaadiziwin, living the good life or living a long and good life. ",{"type":15,"attrs":5564,"content":5565},{"textAlign":53},[5566],{"text":5567,"type":348},"[Kelly Brownbill]: I've often mentioned that CFHI is the first contract I ever signed that had the protection of Indigenous knowledge embedded in my contract. No one had ever done that before. Those are the things that we need to do, whether it's with the PLT Collaborative, whether we're working with a mainstream corporate organization, or whether we're working with a government agency, we need to continue to listen to Indigenous ways of being and knowing, we need to continue to look for ways to incorporate that within the bigger picture. We need to continue to find ways to support people who have been entrenched within government policy and corporate procedures, to support them to really want to change or to consider change. It's very vulnerable for them. So it's so important that we continue to look for ways that we can support them to want to go into this work, because that's when the collaborative is the pebble in the pond, right, and the ripples spread out farther and farther and farther. ",{"type":15,"attrs":5569,"content":5570},{"textAlign":53},[5571],{"text":5572,"type":348},"[42:10] ",{"type":15,"attrs":5574,"content":5575},{"textAlign":53},[5576],{"text":5577,"type":348},"[Albert Dumont]: We need to be dedicated. And for the sake of the next generations, we need to understand about what it is just to hold your grandchild, hold them in your arms, and imagine that you're holding that grandchild's grandchild or your grandchild's grandchild’s grandchild. Because it's the same thing, it's your relative, it’s your blood relative. But you're able to hold this grandchild physically, the next one, you're going to be holding them spiritually, and if I have my way, there's going to be help for them too, yeah. So it's good to talk about it and have the opportunity to talk about it, because that's what the collaborative is supposed to be all about, and I believe it is. That they’re trying, we’re all trying our hardest to do some good work together as one, as a unit, as a team. And that's finding the strength to keep pushing forward. ",{"type":1340,"attrs":5579,"content":5580},{"level":5249,"textAlign":53},[5581],{"text":5582,"type":348},"Kelly Brownbill sings the “Water Song.” ",{"type":15,"attrs":5584,"content":5585},{"textAlign":53},[5586],{"text":5587,"type":348},"\"Water, we love you. We thank you. We respect you.\" ",{"type":15,"attrs":5589,"content":5590},{"textAlign":53},[5591],{"text":5592,"type":348},"The Water Song used by permission of Dorene Day, Waubanewquay, Wazbizheshi Dodem. ",{"type":15,"attrs":5594,"content":5595},{"textAlign":53},[5596],{"text":5597,"type":348},"The Canadian Foundation for Healthcare Improvement (CFHI) and the Canadian Patient Safety Institute (CPSI) are now amalgamated as a new organization, Healthcare Excellence Canada (HEC). Healthcare Excellence Canada is an independent, not-for-profit charity funded primarily by Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.",{"type":12,"content":5599},[5600,5621,5630,5639],{"type":15,"attrs":5601,"content":5602},{"textAlign":53},[5603,5608,5615,5620],{"text":5604,"type":348,"marks":5605},"We’re sharing the ",[5606],{"type":1291,"attrs":5607},{"color":16},{"text":5609,"type":348,"marks":5610},"Story of the Promoting Life Together Collaborative",[5611,5613],{"type":1291,"attrs":5612},{"color":16},{"type":5614},"italic",{"text":5616,"type":348,"marks":5617}," as seen through the eyes and the experiences of the PLT Collaborative Guidance Group and the Northern and Indigenous Health (NIH) Team at Healthcare Excellence Canada.",[5618],{"type":1291,"attrs":5619},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":5622,"content":5623},{"textAlign":1485},[5624,5629],{"text":5625,"type":348,"marks":5626},"It’s the story of collaboration and relationship development that was required to bring together different world views and facilitate the life promotion work of the PLT Collaborative teams across the country. This story represents our collective learning and connection of spirits.",[5627],{"type":1291,"attrs":5628},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":5631,"content":5632},{"textAlign":1485},[5633,5638],{"text":5634,"type":348,"marks":5635},"It’s also the story of a pan-Canadian health organization (CFHI and now HEC) and its staff’s journey working with and learning from First Nations and Métis leaders, organizations, and communities. It’s the story of coming together with the goal of integrating community voices and Indigenous ways of knowing in life promoting work, and in turn supporting teams to do the same in six geographic regions. ",[5636],{"type":1291,"attrs":5637},{"color":16},{"text":2564,"type":348},{"type":15,"attrs":5640,"content":5641},{"textAlign":1485},[5642,5647],{"text":5643,"type":348,"marks":5644},"Finally, it’s a story of why respect for culturally appropriate engagement and Indigenous knowledge, values and people are essential to the successful collaboration between Indigenous and non-Indigenous health organizations. ",[5645],{"type":1291,"attrs":5646},{"color":16},{"text":2564,"type":348}," The Story of the Promoting Life Together Collaborative ",{"type":12,"content":5650},[5651,5656,5661],{"type":15,"attrs":5652,"content":5653},{"textAlign":53},[5654],{"text":5655,"type":348},"Due to the pandemic most of recordings were conducting using Zoom. Despite not being able to connect in person, we were grateful for the opportunity to come together virtually to share teachings and what we have learned together.",{"type":15,"attrs":5657,"content":5658},{"textAlign":53},[5659],{"text":5660,"type":348},"Thank you to all of the Promoting Life Together (PLT) Collaborative Guidance Group members and CFHI/HEC staff past and present.",{"type":15,"attrs":5662},{"textAlign":53},{"id":16,"_uid":5664,"items":5665,"title":5884,"component":1089,"description":5885},"1c5696ac-df0e-4527-8fb5-28e490b7b5ca",[5666,5706],{"_uid":5667,"title":5668,"ctaLeft":5669,"ctaRight":5670,"component":374,"columnLeft":5671,"columnRight":5674},"2b677bcb-ccfa-4e00-95d3-6267a4ea94ac","Co-Chairs of the Guidance Group",[],[],{"type":12,"content":5672},[5673],{"type":15},{"type":12,"content":5675},[5676],{"type":378,"content":5677},[5678,5689],{"type":381,"content":5679},[5680],{"type":15,"attrs":5681,"content":5682},{"textAlign":53},[5683,5687],{"text":5684,"type":348,"marks":5685},"Carol Fancott",[5686],{"type":1436},{"text":5688,"type":348},", Director, Patient Engagement and Partnerships, HEC (previously CFHI)",{"type":381,"content":5690},[5691],{"type":15,"attrs":5692,"content":5693},{"textAlign":53},[5694,5698,5700,5704],{"text":5695,"type":348,"marks":5696},"William (Bill) Mussell",[5697],{"type":1436},{"text":5699,"type":348},", Adult Educator, Coast Salish/Stó:lō “People of the River” Board Member, ",{"text":5701,"type":348,"marks":5702},"First Peoples Wellness Circle",[5703],{"type":5614},{"text":5705,"type":348},", PLT Coach/Mentor",{"_uid":5707,"title":5708,"ctaLeft":5709,"ctaRight":5710,"component":374,"columnLeft":5711,"columnRight":5714},"35af057c-7c2d-41c6-b5a5-8ac291e32d2a","Members of the PLT Guidance Group",[],[],{"type":12,"content":5712},[5713],{"type":15},{"type":12,"content":5715},[5716],{"type":378,"content":5717},[5718,5729,5744,5755,5770,5781,5792,5803,5825,5840,5851,5862,5873],{"type":381,"content":5719},[5720],{"type":15,"attrs":5721,"content":5722},{"textAlign":53},[5723,5727],{"text":5724,"type":348,"marks":5725},"Kelly Brownbill",[5726],{"type":1436},{"text":5728,"type":348},", Indigenous Educator/Consultant, PLT Coach/Mentor",{"type":381,"content":5730},[5731],{"type":15,"attrs":5732,"content":5733},{"textAlign":53},[5734,5738,5740,5743],{"text":5735,"type":348,"marks":5736},"Ed Connors",[5737],{"type":1436},{"text":5739,"type":348},", Psychologist, Member of the Mohawks of Kahnawá:ke, Board member, ",{"text":5701,"type":348,"marks":5741},[5742],{"type":5614},{"text":5705,"type":348},{"type":381,"content":5745},[5746],{"type":15,"attrs":5747,"content":5748},{"textAlign":53},[5749,5753],{"text":5750,"type":348,"marks":5751},"Albert Dumont",[5752],{"type":1436},{"text":5754,"type":348},", Spiritual Advisor for the PLT Collaborative",{"type":381,"content":5756},[5757],{"type":15,"attrs":5758,"content":5759},{"textAlign":53},[5760,5764,5766],{"text":5761,"type":348,"marks":5762},"Carol Hopkins",[5763],{"type":1436},{"text":5765,"type":348},", Executive Director, ",{"text":5767,"type":348,"marks":5768},"Thunderbird Partnership Foundation",[5769],{"type":5614},{"type":381,"content":5771},[5772],{"type":15,"attrs":5773,"content":5774},{"textAlign":53},[5775,5779],{"text":5776,"type":348,"marks":5777},"Marion Maar",[5778],{"type":1436},{"text":5780,"type":348},", Associate Professor, Northern Ontario School of Medicine, External Evaluation Lead",{"type":381,"content":5782},[5783],{"type":15,"attrs":5784,"content":5785},{"textAlign":53},[5786,5790],{"text":5787,"type":348,"marks":5788},"Denise McCuaig",[5789],{"type":1436},{"text":5791,"type":348},", Métis, PLT Coach/Mentor",{"type":381,"content":5793},[5794],{"type":15,"attrs":5795,"content":5796},{"textAlign":53},[5797,5801],{"text":5798,"type":348,"marks":5799},"Despina Papadopoulos",[5800],{"type":1436},{"text":5802,"type":348},", Senior Program Lead, Northern and Indigenous Health Team, HEC (previously CFHI)",{"type":381,"content":5804},[5805],{"type":15,"attrs":5806,"content":5807},{"textAlign":53},[5808,5812,5813,5817,5819,5823],{"text":5809,"type":348,"marks":5810},"Nancy Parker",[5811],{"type":1436},{"text":5765,"type":348},{"text":5814,"type":348,"marks":5815},"Marymound",[5816],{"type":5614},{"text":5818,"type":348},", Board Chair, ",{"text":5820,"type":348,"marks":5821},"Canadian Association for Suicide Prevention, ",[5822],{"type":5614},{"text":5824,"type":348},"PLT Coach/Mentor",{"type":381,"content":5826},[5827],{"type":15,"attrs":5828,"content":5829},{"textAlign":53},[5830,5834,5836,5839],{"text":5831,"type":348,"marks":5832},"Brenda Restoule",[5833],{"type":1436},{"text":5835,"type":348},", Psychologist, Anishinabek from Dokis First Nation, CEO, ",{"text":5701,"type":348,"marks":5837},[5838],{"type":5614},{"text":5705,"type":348},{"type":381,"content":5841},[5842],{"type":15,"attrs":5843,"content":5844},{"textAlign":53},[5845,5849],{"text":5846,"type":348,"marks":5847},"Mariette Sutherland",[5848],{"type":1436},{"text":5850,"type":348},", External Knowledge Translation Lead",{"type":381,"content":5852},[5853],{"type":15,"attrs":5854,"content":5855},{"textAlign":53},[5856,5860],{"text":5857,"type":348,"marks":5858},"Will Landon, ",[5859],{"type":1436},{"text":5861,"type":348},"Youth Representative",{"type":381,"content":5863},[5864],{"type":15,"attrs":5865,"content":5866},{"textAlign":53},[5867,5871],{"text":5868,"type":348,"marks":5869},"Mara Grunau, ",[5870],{"type":1436},{"text":5872,"type":348},"Executive Director, Centre for Suicide Prevention",{"type":381,"content":5874},[5875],{"type":15,"attrs":5876,"content":5877},{"textAlign":53},[5878,5882],{"text":5879,"type":348,"marks":5880},"Karla Thorpe, ",[5881],{"type":1436},{"text":5883,"type":348},"Interim Vice President, Organizational Performance and Public Affairs, Mental Health Commission of Canada","The Guidance Group",{"type":12,"content":5886},[5887],{"type":15,"attrs":5888,"content":5889},{"textAlign":53},[5890],{"text":5891,"type":348},"An external Guidance Group was established to provide guidance for the ongoing design, delivery and evaluation of the collaborative. This group of leaders in Indigenous health and wellness, community engagement, suicide prevention and life promotion, guide HEC staff (the Northern and Indigenous Health team), in identifying and responding to the common needs of the teams, including curriculum development, content, tools, resources and timelines. 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The Flatts are my home and will always be my home.”– an Indigenous woman shares her experiences growing up in Churchill.",{"type":15,"attrs":5930,"content":5931},{"textAlign":53},[5932],{"text":5933,"type":348},"Our goal is to promote life and build resilience in the community of Churchill by celebrating the various cultures, traditions, heritages and the pioneers - our shared environment - resulting in the “Churchillian identity”. This is accomplished largely by cultivating mentorship opportunities between youth (up to 30), seniors and Elders of the community.",{"type":15,"attrs":5935,"content":5936},{"textAlign":53},[5937],{"text":5938,"type":348},"Churchill is located along the Western Hudson Bay and is Manitoba’s most Northern & remote community. Traditionally, Inuit, Dene, Cree, Ojibway, Métis and Pioneers from Europe have traversed through Churchill. Even American military and scientists from around the world have converged in Churchill for Arctic exploration because of the unique subarctic climate and wildlife species, dating back hundreds of years.",{"type":15,"attrs":5940,"content":5941},{"textAlign":53},[5942],{"text":5943,"type":348},"The partnership is about celebrating the distinctions of each of the Indigenous groups that have contributed to the Churchill way of life, which has been influenced and cultivated by our collective resiliency.",{"_uid":5945,"link":5946,"label":5904,"component":1325},"1b8f028e-f416-4b0f-a414-1e8c125d3b88",{"id":16,"url":5908,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":5908},{"_uid":5948,"link":5949,"label":5950,"component":1325},"3c86bb00-1591-4127-bec1-508e5f78bc85",{"id":16,"url":5917,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":5917},"Learn more about Winnipeg Regional Health Authority ",{"_uid":5952,"link":5953,"label":5955,"component":1325},"eda5b06e-b51f-4a9b-bc33-c299e0b919f1",{"id":16,"url":5954,"linktype":283,"fieldtype":1158,"cached_url":5954},"https://a-ca.storyblok.com/f/850807391887861/9da609f2c3/mb-churchill-health-doodle.jpg","View the team's visual sketch about their work","wysiwyg-column",{"_uid":5958,"image":5959,"title":5979,"content":5980,"component":5956},"0add086b-c951-428f-8a43-5be41ca500fc",{"type":12,"content":5960},[5961,5970],{"type":15,"attrs":5962,"content":5963},{"textAlign":53},[5964],{"text":5965,"type":348,"marks":5966},"Learn more about First Nations Health Authority",[5967],{"type":1391,"attrs":5968},{"href":5969,"uuid":53,"anchor":53,"target":1395,"linktype":1396},"http://www.fnha.ca/",{"type":15,"attrs":5971,"content":5972},{"textAlign":53},[5973],{"text":5974,"type":348,"marks":5975},"Learn more about Life Promotion for All My Relations",[5976],{"type":1391,"attrs":5977},{"href":5978,"uuid":53,"anchor":53,"target":1395,"linktype":1396},"https://www.fnha.ca/about/news-and-events/news/life-promotion-for-all-my-relations-video-short","Youth Leading Youth Advisory Committee for Life Promotion, British Columbia",[5981,6005,6008,6011],{"_uid":5982,"content":5983,"component":1408},"e0f4662a-8951-40d7-bfc5-d0a2ac355683",{"type":12,"content":5984},[5985,5990,5995,6000],{"type":15,"attrs":5986,"content":5987},{"textAlign":53},[5988],{"text":5989,"type":348},"“Instead of being just another person that talks about wanting change or making a difference, I want to step up and start doing something! I want to be a part of something bigger than just me and the small town where I grew up.”- Megan Metz, Haisla Nation",{"type":15,"attrs":5991,"content":5992},{"textAlign":53},[5993],{"text":5994,"type":348},"The 16 members of the Youth Leading Youth Advisory Committee represent four health authorities in BC: Fraser Health Authority, Island Health Authority, Interior Health Authority and Northern Health Authority.",{"type":15,"attrs":5996,"content":5997},{"textAlign":53},[5998],{"text":5999,"type":348},"Our goal is to empower First Nations youth who have lived experience with suicide to steer the collaborative project process - from planning to implementation to evaluation - while we (the partners) provide the platform for engagement and the tools, resources and support for them to succeed.",{"type":15,"attrs":6001,"content":6002},{"textAlign":53},[6003],{"text":6004,"type":348},"Through empowering the Youth Leading Youth Advisory Committee for Life Promotion (YLYAC-LP) members, the reach of this project will expand across BC as the members bring their enhanced skills, knowledge, and confidence back to their families, friends, schools, employers, and communities. Each YLYAC-LP member will become a community resource capable of prioritizing community needs for action, engaging with community and leadership to plan locally appropriate responses, and building local capacity to promote life. We aim to help develop a generation of Indigenous leaders with strengthened personal coping skills, understanding of mental health and wellness, and project management skills to implement meaningful and positive changes in their communities and beyond.",{"_uid":6006,"link":6007,"label":5965,"component":1325},"2bbea5e3-6aed-4a1d-9a0d-78c4e6a08390",{"id":16,"url":5969,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":5969},{"_uid":6009,"link":6010,"label":5974,"component":1325},"a2de0323-7e42-4784-8fb3-96e0cee893c8",{"id":16,"url":5978,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":5978},{"_uid":6012,"link":6013,"label":5955,"component":1325},"11362874-a3ff-4753-800d-fd2829976d1a",{"id":16,"url":6014,"linktype":283,"fieldtype":1158,"cached_url":6014},"https://a-ca.storyblok.com/f/850807391887861/db6ca60667/youth-leading-youth-advisory-committee-bc.jpg",{"_uid":6016,"image":6017,"title":6028,"content":6029,"component":5956},"e6402c4d-fe19-4b42-9134-f8e19c12ee66",{"type":12,"content":6018},[6019],{"type":15,"attrs":6020,"content":6021},{"textAlign":53},[6022],{"text":6023,"type":348,"marks":6024},"Learn more about Maamwesying North Shore Community Health Services",[6025],{"type":1391,"attrs":6026},{"href":6027,"uuid":53,"anchor":53,"target":1395,"linktype":1396},"https://www.mamaweswen.com/","Naandwe Noojimowin Nakiiwin, Northeastern Ontario",[6030,6049,6052],{"_uid":6031,"content":6032,"component":1408},"312716af-b77a-4d99-940d-121e107b5910",{"type":12,"content":6033},[6034,6039,6044],{"type":15,"attrs":6035,"content":6036},{"textAlign":53},[6037],{"text":6038,"type":348},"“The impact of the program is something that I will reflect on for the rest of my life. I finally see and feel how my actions effected my surroundings and the people I love the most... Naandwe Noojimowin is an amazing and inspiring program that everyone should be brave and take the first step and register. You never stop learning and healing.”",{"type":15,"attrs":6040,"content":6041},{"textAlign":53},[6042],{"text":6043,"type":348},"Our vision is to promote nation to nation collaboration and partnerships using our culture of generosity and reciprocity to assist other First Nations communities develop and deliver the Naandwe Noojimowin program that promotes life.",{"type":15,"attrs":6045,"content":6046},{"textAlign":53},[6047],{"text":6048,"type":348},"We promote partnerships between Maamwesying and other First Nation communities/organizations who are ready to engage in life promotion programming. These organizations are being trained in the development and delivery of the Naandwe Noojimowin program, designed to end domestic violence, child abuse, child neglect and the effects of intergenerational trauma using a culturally strength-based approach through community capacity building and sustainability. 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(CFHI identified RACE™ through the ",{"text":6789,"type":348,"marks":6790},"EXTRA Executive Program",[6791],{"type":1391,"attrs":6792},{"href":6793,"uuid":6794,"anchor":53,"custom":6795,"target":1646,"linktype":1157,"story":6796},"/programs/extra","0d250e3b-c34d-45b6-8b49-1a309622bad9",{},{"name":6797,"id":6798,"uuid":6794,"slug":6799,"url":6800,"full_slug":6800,"_stopResolving":291},"EXTRA™: Executive Training Program",123451205911741,"extra","programs/extra",{"text":6802,"type":348},".)",{"type":15,"attrs":6804,"content":6805},{"textAlign":53},[6806,6808,6814,6816,6822],{"text":6807,"type":348},"Through this 18-month quality improvement collaborative, 11 teams from across Canada improved primary care provider access to specialist advice by adapting and implementing one or both of the ",{"text":6809,"type":348,"marks":6810},"RACE™",[6811],{"type":1391,"attrs":6812},{"href":6813,"uuid":53,"anchor":53,"custom":53,"target":1395,"linktype":1396},"http://www.raceconnect.ca/",{"text":6815,"type":348}," and Champlain ",{"text":6817,"type":348,"marks":6818},"BASE™",[6819],{"type":1391,"attrs":6820},{"href":6821,"uuid":53,"anchor":53,"custom":53,"target":1395,"linktype":1396},"https://www.champlainbaseeconsult.com/",{"text":6823,"type":348}," proven remote consult models of care. ",{"type":15,"attrs":6825,"content":6826},{"textAlign":53},[6827],{"text":6828,"type":348},"The quality improvement collaborative built on the 2016-17 Connected Medicine e-collaborative in which 10 provincial/territorial and international teams came together to develop business cases and strategies to implement remote consult services in their jurisdictions.",{"type":15,"attrs":6830,"content":6831},{"textAlign":53},[6832],{"text":6833,"type":348},"Some of the participating teams have since joined HEC’s Momentum Challenge – an invitation-only program that assists teams which have completed a collaborative to expand the reach of the innovation and sustain its impact.",{"type":1340,"attrs":6835,"content":6836},{"level":1498,"textAlign":53},[6837],{"text":6838,"type":348},"How Connected Medicine contributes to better healthcare in Canada",{"type":15,"attrs":6840,"content":6841},{"textAlign":53},[6842],{"text":6843,"type":348},"Connected Medicine is part of HEC’s ongoing efforts to spread and scale proven innovations that deliver high quality care closer to home and the community.",{"type":15,"attrs":6845,"content":6846},{"textAlign":53},[6847],{"text":6848,"type":348},"Through remote consultations, eligible patients can access specialist advice closer to home from primary care providers they know and trust. The process is typically faster than being referred for a face-to-face specialist appointment and often avoids unnecessary trips to the emergency department.",{"type":15,"attrs":6850,"content":6851},{"textAlign":53},[6852],{"text":6853,"type":348},"During the collaborative, more than 2,200 primary care providers participated in a remote consult service and continue to benefit from it – rapidly accessing specialist advice, typically within a week or less. By the end of the collaborative, more than 800 specialists had enrolled and were consulting through a BASE™ or RACE™-like service; the most common specialty service is psychiatry, followed by cardiology, nephrology, obstetrics/gynecology and pediatrics.",{"type":15,"attrs":6855,"content":6856},{"textAlign":53},[6857],{"text":6858,"type":348},"Between June 2017 and September 2019, patients took part in more than 19,000 remote consults with specialists.",{"type":1340,"attrs":6860,"content":6861},{"level":1498,"textAlign":53},[6862],{"text":6863,"type":348},"Using an improvement collaborative to spread new models of care",{"type":15,"attrs":6865,"content":6866},{"textAlign":53},[6867],{"text":6868,"type":348},"Publicly-funded Canadian healthcare delivery organizations, ministries and providers participated in the Connected Medicine collaborative from June 2017 until September 2018. The collaborative focused on supporting teams in the spread and adaption of RACE™ and BASE™ – that improved primary care access to specialist advice through telephone services and digital technology.",{"type":15,"attrs":6870,"content":6871},{"textAlign":53},[6872],{"text":6873,"type":348},"Participating teams had up to $600,000 in seed funding available, in addition to support with the implementation, spread, scale and evaluation of the innovations within their project areas. Teams took part in a curriculum to enhance their quality improvement skills. This included educational webinars, in-person workshops, access to a network of expert faculty and coaches, and peer-to-peer networking.",{"id":16,"_uid":6875,"items":6876,"component":1311},"283da444-b759-44f9-9f06-041f26e8c820",[6877],{"_uid":6878,"image":6879,"quote":6881,"author":6890,"component":1309,"author_title":6891},"485eba3a-a8a1-4d6a-a9f7-63b8927a0eeb",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":6880},{},{"type":12,"content":6882},[6883,6888],{"type":15,"attrs":6884,"content":6885},{"textAlign":53},[6886],{"text":6887,"type":348},"If one group had tried this project in isolation, it wouldn’t have worked. This was never a ‘top-down’ initiative. It was always seen as a true collaborative, with all stakeholders at the table.",{"type":15,"attrs":6889},{"textAlign":53},"Karla Faig","Healthcare Consultant, Department of Health, New Brunswick (2019)",{"id":16,"_uid":6893,"content":6894,"component":365},"e34a00cf-79f7-4d94-9f18-36bfe072335a",[6895,7027],{"_uid":6896,"content":6897,"component":1408},"9fab81ad-0192-46f7-b637-d5a781597394",{"type":12,"content":6898},[6899,6904,6918,6923,6930,6935,6940,6947,6952,6959],{"type":1340,"attrs":6900,"content":6901},{"level":1498,"textAlign":53},[6902],{"text":6903,"type":348},"Connected Medicine Collaboration Results",{"type":15,"attrs":6905,"content":6906},{"textAlign":53},[6907,6909,6912,6914,6917],{"text":6908,"type":348},"The Connected Medicine collaboration spread two proven Canadian healthcare innovations that improved access to specialist advice by enabling primary care providers, such as family doctors and nurse practitioners, to ask specialists patient care questions: Champlain BASE",{"text":6750,"type":348,"marks":6910},[6911],{"type":6723},{"text":6913,"type":348}," and RACE",{"text":6750,"type":348,"marks":6915},[6916],{"type":6723},{"text":2179,"type":348},{"type":15,"attrs":6919,"content":6920},{"textAlign":53},[6921],{"text":6922,"type":348},"Results from this collaboration are consistent with those that have been achieved through original implementations of these two innovations. The Connected Medicine collaboration brought about improvements for patients and providers in a number of areas.",{"type":1340,"attrs":6924,"content":6925},{"level":1342,"textAlign":53},[6926],{"text":6927,"type":348,"marks":6928},"Improvements for providers",[6929],{"type":1436},{"type":15,"attrs":6931,"content":6932},{"textAlign":53},[6933],{"text":6934,"type":348},"Primary care providers initiated more than 12,300 remote consults with specialists to support patient care. Teams from Newfoundland and Labrador, New Brunswick, Quebec, Manitoba, Saskatchewan, Alberta, British Columbia and the Department of National Defence enrolled more than 2,200 primary care practitioners and 800 specialists, including many in underserved rural and remote regions.",{"type":15,"attrs":6936,"content":6937},{"textAlign":53},[6938],{"text":6939,"type":348},"In some regions, primary care providers had access to as many as 38 specialties for remote consultation. The most commonly available specialty was psychiatry, followed by cardiology, nephrology, obstetrics/gynecology and pediatrics. Four services also offered palliative care consults. Results by team are available in the Results of Collaborative. These practitioners can now access specialist consults through secure digital technology and telephone services.",{"type":1340,"attrs":6941,"content":6942},{"level":1342,"textAlign":53},[6943],{"text":6944,"type":348,"marks":6945},"Improvements for patients",[6946],{"type":1436},{"type":15,"attrs":6948,"content":6949},{"textAlign":53},[6950],{"text":6951,"type":348},"Eligible patients receive care based on specialist advice closer to home, from a primary care provider they know and trust. The process is typically faster than being referred for a face-to-face specialist appointment and often avoids unnecessary trips to the emergency department.",{"type":1340,"attrs":6953,"content":6954},{"level":1498,"textAlign":53},[6955],{"text":6956,"type":348,"marks":6957},"Key facts and figures",[6958],{"type":1436},{"type":378,"content":6960},[6961,6975,6994,7005,7016],{"type":381,"content":6962},[6963],{"type":15,"attrs":6964,"content":6965},{"textAlign":53},[6966,6969,6973],{"text":6737,"type":348,"marks":6967},[6968],{"type":1436},{"text":6750,"type":348,"marks":6970},[6971,6972],{"type":1436},{"type":6723},{"text":6974,"type":348}," currently provides access to 114 specialty groups and 1,000 cases each month in Ontario, with a median response time of 21 hours and nearly two thirds (65 percent) of cases resolved without requiring patients to attend a face-to-face specialist visit1.",{"type":381,"content":6976},[6977],{"type":15,"attrs":6978,"content":6979},{"textAlign":53},[6980,6984,6988,6992],{"text":6981,"type":348,"marks":6982},"A RACE",[6983],{"type":1436},{"text":6750,"type":348,"marks":6985},[6986,6987],{"type":1436},{"type":6723},{"text":6989,"type":348,"marks":6990}," data evaluation ",[6991],{"type":1436},{"text":6993,"type":348},"found that 60 percent of RACE calls appropriately avoided a face-to-face visit with a specialist and 32 percent of calls appropriately avoided hospital ED visits.",{"type":381,"content":6995},[6996],{"type":15,"attrs":6997,"content":6998},{"textAlign":53},[6999,7003],{"text":7000,"type":348,"marks":7001},"Rapid access to specialist advice: ",[7002],{"type":1436},{"text":7004,"type":348},"More than four in five eConsults (85 percent) received a response from a specialist within seven days (based on a sample of more than 3,200 eConsults). This work addresses a recognized issue in Canada as identified, for example, in the 2016 Commonwealth Fund Survey – where Canada placed last on a measure of specialist access among the 11 countries surveyed, with 56 percent of the people living in Canada reporting waiting four weeks or longer to see a specialist.",{"type":381,"content":7006},[7007],{"type":15,"attrs":7008,"content":7009},{"textAlign":53},[7010,7014],{"text":7011,"type":348,"marks":7012},"Care closer to home: ",[7013],{"type":1436},{"text":7015,"type":348},"More than half of eConsults (53 percent) led to an appropriately avoided face-to-face referral to a specialist, where the primary care provider originally contemplated it but no longer needed to do so based on specialist advice (based on a sample of over 2,600 e-Consults).",{"type":381,"content":7017},[7018],{"type":15,"attrs":7019,"content":7020},{"textAlign":53},[7021,7025],{"text":7022,"type":348,"marks":7023},"Avoided emergency department visits: ",[7024],{"type":1436},{"text":7026,"type":348},"Two in five remote consults (42 percent) via phone/app led to an appropriately avoided emergency department (ED) visit, where the primary care provider originally contemplated sending the patient to the ED but the visit was no longer needed based on specialist advice (based on a sample of over 600 phone or mobile app consults).",{"_uid":7028,"file":7029,"link":7031,"label":7033,"linkType":1391,"component":5086,"linkLabel":7034},"f508cd2c-ef0f-462b-a0fb-cb9fafe284c2",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":7030},{},{"id":16,"url":7032,"target":1395,"linktype":1396,"fieldtype":1158,"cached_url":7032},"https://bmjopen.bmj.com/content/9/5/e028888.full","Supporting the spread and scale-up of electronic consultation across Canada: cross-sectional analysis","Read about the 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