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From Forest Fires to Pandemics to Toothaches - We Are In This Together:

An Effective Public Health & Community Health Centre Partnership

June 5, 2014 “Prevent More to Treat Less” Conference

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CFPC Conflict of Interest

Presenter Disclosure

Presenter: Rebecca Kavanagh Relationships with commercial interests: • Grants/Research Support: None

• Speakers Bureau/Honoraria: None

• Consulting Fees: None

• Other: None

Disclosure of Commercial Support

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Where We Live, Work & Play

Leeds, Grenville &

Lanark

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Health Unit Offices

CHCs

Leeds, Grenville & Lanark

• Higher rates of obesity (23.1%: 18.3% ON), asthma (9.6%: 7.9% ON), hypertension (20%:17.6% ON).

• 24.2% smoking rate (19.2% ON). • 34% of residents in LGL do not have access to any form

of dental insurance (32% ON). • 8.3 % unemployment rate (7.8% ON). • Most of us live in a rural environment (58%) (14% ON).

• Strong sense of community belonging (71.3%: 67.5% ON). • 91.1% satisfied with life (91.8% ON).

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Leeds, Grenville & Lanark

http://www12.statcan.gc.ca/healthsante/82228/details/page.cfm?Lang=E&Tab=1&Geo1=HR&Code1=3543&Geo2=PR&Code2=35&Data=Rate&SearchText=Leeds,%20Grenville%20and%20Lanark%20District%20Health%20Unit&SearchType=Contains&SearchPR=01&B1=All&Custom=&B2=All&B3=All. Ontario Agency for Health Protection and Promotion (Public Health Ontario). Report on access to dental care and oral health inequalities in Ontario. Toronto: Queen’s Printer for Ontario, 2012.

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Overarching Mandates Community Health

Centres • Wide range of health promotion and

community development services and delivery of primary care services.

• Focus on the social determinants of health and health inequities.

• Inter-professional teams respond to people’s individual health issues

• Create programs and services that reduce social and environmental problems harming health in their communities.

• All services are carefully tailored to respond to the diverse needs of the many different communities being served.

Public Health Units

• Wide range of programming including assessment and surveillance, health promotion and policy development, disease and injury prevention, and health protection.

• Focus on the social determinants of health and health inequities.

• Inter-professional teams that respond to community health issues (may be at an individual level).

• Create programs and services that reduce social and environmental problems harming health in the communities they serve.

• All services are carefully tailored to respond to the diverse needs of the many different communities being served. http://www.ontariochc.org/index.php?ci_id=2341&la_id=1 http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/intro.aspx

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Partnership Continuum (Himmelman- 2002)

Image: http://www.toolkit2collaborate.ca/nature-of-collaboration/collaboration-structures/ Based on Arthur Himmelman’s Collaboration for a Change Guide, 2002

Networking & Coordinating

Networking • The simple exchange of

information.

Coordinating • The exchange of

information and altering activities for mutual benefit to achieve a common purpose.

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Presentations Websites

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Networking & Coordinating

• The exchange of information, altering activities and sharing resources for mutual benefit and to achieve a common purpose.

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Cooperating

Deer Lake Evacuation – 2011 Dental Programs & Services (use of clinic space)

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Cooperating

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Flu Centres - 2009 Fluoride Varnish Program with HCPs

Cooperating

• The exchange of information, altering activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose.

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Collaboration

Rideau Tay Health Links Oral Health Integration Steering Committee

Purpose: To facilitate the integration of oral health care into local health programming. To champion the inclusion of oral health into general health programs and services.

Collaboration

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Benefits

• Collaboration provides opportunities for efficiencies.

• Helps ensure services for people who need them in a mostly rural area.

• Utilize each other’s strengths to ensure smooth program delivery.

• Ability to play different roles depending on issue.

Challenges • Competing priorities

within each organization. • Different boundaries and

reporting structures (MOHLTC and Municipalities for PH and 2 different LHINs for CHCs).

• Understanding each other’s role and mandate.

Lessons Learned

The Right Ingredients

http://www.toolkit2collaborate.ca/

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http://www.toolkit2collaborate.ca/

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• Explore the opportunity to perform joint community assessments using some of the Canadian Index of Wellbeing indicators.

• To continue to build in sustainability and enhanced capacity for our current integrated programs and services.

• Explore more formal and strategic working relationships using an integration framework – pilot.

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Future Endeavours

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Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.

~Margaret Meade

A Good Feeling Quote!

John Jordan, Lanark Renfrew Health & Community Services Jjordan@lrhcs.ca Marty Crapper, County Roads Community Health Centre mcrapper@crchc.on.ca Mona Wynn, Rideau Community Health Services mwynn@rideauCHS.ca Peter McKenna, Rideau Community Health Services pmckenna@rideauCHS.ca Rebecca Kavanagh, Leeds, Grenville and Lanark District Health Unit Rebecca.kavanagh@healthunit.org

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Thank You!