My history

1
My history

• Sexual Assault Service
• Sheway
• Fir Square
• The rest of BC Womens Hospital

2
Who are the collaborators?

• People and populations we serve
• Direct clinical care providers
• Allied providers outside of health system
• Indirect care providers (managers)
• Provider groups unions
• Researchers
• Leaders
• Government ()

3
What do we want to collaborate on?

• Individual persons specific experience
• One place or all places on continuum
• Site specific model of care
• Whole system

4
Why are we collaborating?

• Better individual experience more engagement
• Better health outcomes
• Stronger team work
• More fun for providers
• Ability to effect positive change

5
My life now issues and barriers at BC Womens

• Physicians
• Nurses
• Paraprofessionals
• Patient volumes
• Resources
• Ministry of Health/HA
• Stress

6
Physician characteristics

• Disaffected centre of system
• The disempowered powerful
• Long lived, outraged
• Key

7
Physician strategies

• Renegotiating relationship
• Clarifying roles
• Engaging in change
• Having more fun control and confidence

8
Getting ready for the change

• Prepare myself
• Prepare the group
• Clarify roles
• Identify the needed changes together

9
Sustainability of collaboration

• Line up the solution (collaborative practice)
  with the problem
• Line up the collaborators
• Develop common vision
• Practice