Health is defined as the capacity to adapt and self-manage in the face of physical, mental and social challenges, a shift away from a disease-focused approach that is motivating changes in health systems worldwide.
- Alex Jadad MD DPhil FRCPC FCAHS
Founder, Centre for Global eHealth Innovation
HLE Update to Deans Council
September 2014
Timeline – Summary
• 2012/13 – Initial thoughts submitted to VP’s & PC
• May 2013 – Stakeholder Engagement with Community Leaders. Tour of best practice.
• June 2013 – Learning from Best Practice – Chicago St. Anthony Hospital
• July 2013 – Anxion Report on possible programming provided to College
HLE Next Steps
October 2014
Timeline – Summary
• Sept. 2013 – Board endorses renovation of Building A to accommodate Confederation High programs
• Dec. 2013 – Project vision and Principles (PVP) created for building A renovation. Building A is seen as first step in building out the broader vision.
• June 2014 – Best practice learning - President’s Council (PC) visits Dr. Alex Jaddad
HLE Next Steps
October 2014
Phase 1 – Creation of a Health Hub in A Building
September 2014 Building A renovation completed!
Three learning enterprises open:
• Hair Styling Salon
• Esthetics Spa
• Massage Therapy Clinic
HLE Next Steps
October 2014
Statement Documents to two VP’S/PC 2012-2013
Stakeholders Engagement CEO’s
Community Leaders
Chicago St. Anthony Hospital
Consultants Reports/Visits/Anxion Report
on Possible Programming
CLC Presentation –Outcomes on 2013-
14; Priorities “Innovation”
SEMC Growth/Programing
Strategies, New Programs
Plan & Strategic Needs –
“Growth/Innovate”
Where We Are Since 2012 INSTITUTIONAL HEALTHY LIVING VISION
Dental Clinic –Phase 1
Triple Gym –Phase 2
Phase 3
Health Services –
Pre-Phase 1
Confederation High School –
Phase 1
Brings Community
In
•Learning and Programing Strategy/Academic Component
•Learning Enterprises
•Common Services /Retail Space
•Living Labs
•Research and Innovative Space
•Take over East/West Wing of A Building
•Integrate Dental/CHS/Health Services
•Integrate Triple Gym/Student Association
•Feature new revenue model through retail and community space and units/suites.
Current Concept – Definition/Vision
Phase 3
Coherent, Integrated, Multi-faceted
Health and Wellness Strategy
Community
Academic
Student Staff
Health
Healthy Living: Envisioning Algonquin College’s Response to Health and Wellness
Update to President’s Council
July 5, 2015
Assembled by: Phil Rouble
Building Towards a Vision
8
Healthy Living Education:“To establish Algonquin College as the
demonstration site for new approaches to healthy living education and research across the
lifespan” (Placeholder From Healthy Living Nov. 2, 2012 - Goal)
Changing: Roles of
Practioners
Changing: Demands and
Emerging Practices
Culture: Healthy Living
Changing: Health
Technologies
Changing: Role of
Individuals
Learning for Real Life
Culture: Connect + Collaborate
See Appendix for More Detail on “The “Shape and Structure” of the Vision and Emerging Themes”
Knowledge generation
• Applied research
Knowledge dissemination
• Classrooms
• Labs
• Online
Knowledge application
• Clinics
• Storefronts
• Learning enterprises
• Work integrated learning
Algonquin CollegeHealthy Living Education
Trajectory of Change in Healthcare:3 Waves of Opportunity
Years
Ch
ange
Assuming exponential change based on doubling every 2 years12
204220172012 2027
System Transformation
Digital + Life-Sciences Revolutions
Reinvention of the Human Being?
Short-term Mid-term Long-term
13
Project Approval
and Funding
Implementation Phase
Incubation and Bridging Activities
Consideration Phase
Where Are We?
Vision & Guiding
Principles
Detailed Activity Profile
Initial Idea On Radar
/ Incubation
Innovative Prototypes(Simulation
Centre…)
Project Vision Application and
Academic Program Development
Preliminary curriculum
development and deployment (where
possible)
Concept Validation /
Endorsement
Advocacy Strategy
Proposal Document
Funding Alignment
Space Program
Design Construction
Fundraising Campaign Definition
Project Vision and
Principles
External Partnership
Development
See Appendix for More Detail on “The “Shape and Structure” of the Business Case”
Expansion of Health and Health Related Programs
Why?• Research data confirms that health and health related education is the
major growth area in post secondary education (Prism, Axion 2012/13)
• Health delivery shift toward prevention, promotion verses treatment (Doctors, drugs and hospitals)
• New categories of health care workers needed
• Applied research – incubator expanding on NSERC grant
• Healthy Living concept as an institutional goal engages and empowers employees
• Recent community engagement confirms direction ( Queensway, CHEO, Somerset West CHC, Perley Rideau Vets…)
• Healthy Living Education “Connects” Algonquin to the broader community
“ Yet there is not a story of innovation or progress that does not involve multiple false starts and flubs” – Amanda Lang
Expansion of Health and Health Related Programs
What?• Interdisciplinary programs such as Ehealth , food and nutrition, fitness and
health promotion
• In progress: one new Ehealth degree; two graduate certificates in Ehealthand Food and Chronic disease management; Pharmacy Technician; Occupational/Physiotherapy Assistant two year diplomas = 200 + students by 2016/17
• Increase in simulation based learning
Challenges?• Status quo is not good enough
• Health growth requires new or renovated space
• Store fronts/learning enterprises, including physio clinics, pharmacy on site. Food and nutrition counselling, massage clinics, fitness assessment, spa and esthetics
“ Yet there is not a story of innovation or progress that does not involve multiple false starts and flubs” – Amanda Lang
17
Healthy Living Education:“To establish Algonquin College as the
demonstration site for new approaches to healthy living education and research across the
lifespan” (From Healthy Living Nov. 2, 2012 - Goal)
Reframe the Roles of
PractionersLifelong Learning
Changing Demands and
Emerging Practices
A Culture of Healthy Living
Incubate Health
Technologies
Health + Wellness + Self-sufficiency +
Quality of Life
Convergence of the Digital Revolution
+ the Life Sciences Revolution
The Right Person with the Right Skillset at the
Right Time
Reframe the Role of the
IndividualTaking Responsibility for Our Health
Authentic Learning for Real
Life ExperienceConnect + Collaborate
Algonquin Connects – Inside /
Outside / In-betweenFrom Simulation to Learning Enterprises
A Culture of Healthy Living
• Health + Wellness + Self-sufficiency + Quality of Life• Engage our Community
– Promotion– Prevention– Intervention– Treatment
• Modeling the Behaviour• Student engagement• Employee engagement
– Top Employer
• External community engagement
The Right Person with the Right Skillset at the Right Time
• Optimizing the Scopes of Practice • Overlap of the Scopes of Practice
– Breaks down the hierarchy / silos – A generic worker with broader skillsets
• Roles, Professions and Skillsets / Rebuilding the Skillset Framework
• New health professions / professionals• Health Human Resources• Redefinition of roles• Accountability / Outcome-Based Care / Evidence-based
Decision Making• Addressing the impediments to change
Responsive to Changing Demands and Emerging Practices
• Helping Practitioners Adapt to Changing Career Paths / Skills Needs• Realignment of Care Needs – Moving from Acute to Complex and Chronic
Care – Is this a symptom or a trend?• New Opportunities / New Demand as Care Needs Re-align• Adapting to Changing Career Paths / Skills Needs• Prevention / New knowledge (gluten free…)• Does this create / change the demand for our grads?• New Opportunities for Continuing Education / Distance Education?
– Navigating the Ontario Health Care System– Health Advocacy– Coaching
• Lifelong learning• Accelerating change• Naturopathic practices• New practitioners
Incubator for Emerging Health Technologies
• Applied Research and Innovation• Technological Advancements in Treatment
(Biotechnology / Implants / Advancements in Prothetics…)
• Advances in all the life sciences - Genetics...• Information Management
– Analytics– eHealth– Digital Sharing / Centralization of Patient Info / Records
• Personalized medicine / precision medicine• Operational efficiencies
Reframing the Role of the Consumer
• Patient-centric• Participatory health• Taking Ownership / Responsibility for Our Health / Being Informed• Patient-Based / Empowering the Individual• Health promotion – nutrition…• Engage the students and staff in healthy lifestyles• Staff looking for healthy places to work• Coping with mental health issues• Teaching patient skills
– Enabling the individual
• Empowering the consumer• Shifting Responsibility to the Individual
Authentic Learning for Real Life Experience
• Learning technologies
– Online / Simulation…
• Learning enterprises
• Living lab
• Simulation labs
• Off-site use of active facilities
Connect and Collaborate - Inside, Outside and In-between
• Algonquin Connects• Collaborative• Inclusive / Integrated
– No more silos– All players invited– Eliminate barriers to participation– Academic / Non-academic
• Interprofessional Education / Interprofessional collaboration• New academic synergies / opportunities
– School of Media - Gamification...– Business - Health management...– Technology - Data management / analytics...
• Expanding Partnerships• External and Algonquin
Appendix B: The “Shape and Structure” of the Business Case
(Based on the Model Developed for the ACCE, Perth, Pembroke and
Student Commons)
26
Project Approval
and Funding
Project Implementation Phase
Project Incubation and Bridging Activities
Project Consideration Phase
Where Are We in the Business Case / Project Development?
Exec. Sponsor:
VP – Academic (C. Brule)
Lead:
Dean of Health, Community Studies and Public Safety
(B. Foulds)
Dean of Hospitality and Tourism (M. Savard)
Key Champions:
Director, Student Support Services (S. Styles)
General Manager, Students’ Association (J. Doyle)
Manager, Pension & Benefits (C. Powers)
Vision & Guiding
Principles
Detailed Activity Profile
Initial Idea On Radar
/ Incubation
Innovative Prototypes(Simulation
Centre…)
Project Vision Application and
Academic Program Development
Preliminary curriculum
development and deployment (where
possible)
Concept Validation / Endorsement
Advocacy Strategy
Proposal Document
Funding Alignment
Space Program
Design Construction
Fundraising Campaign Definition
Project Vision and
Principles
External Partnership
Development
Healthy Living
Planning Status
Needs Senior
Leadership Support
Healthy Living Initiative - Enrolment Summary of Programs Potentially Consolidating to Building A
June 28, 2013 - See separate Excel file for more detail on programs and enrolments
Row Labels 2017/18School of Health, Community Studies and Public Safety 2147
Emerging 0
Existing 1697
Proposed 450
School of Hospitality and Tourism 130
Emerging 0
Existing 82
Proposed 48
Grand Total 2277
28
Major Project Phases - SpecificsProject Consideration Phase
• Identification of Champion(s) for initiative• Articulation of a compelling vision
• Summary document – “Articulating the Dream”
• Engagement of internal partners• Advocacy and funding strategy
• Engagement of external partners• Funding source breakdown• Business plan (Operating + Capital
Investments)• Fundraising strategy
• Development of a proposal document and/or capital project template
• Enrollment / Growth plan• Preliminary Master Activity List
• Categorization of activity (Core, optional, exploratory…)
• Estimates for future activity• Utilization Profile for Scheduled Space• Preliminary space program based on
best available information to develop a concept plan and budget
Project Incubation and BridgingActivities
• Actions that can be implemented pre-project to create momentum and validate concepts
• Preliminary curriculum development and deployment (where possible)
• Faculty and staff engagement
• Prototypes (Eg: Simulation Centre)
• Pursue opportunities for other partners and activities (Both internal and external)
• Fundraising campaign definition
Project Implementation Phase
• Triggered by project approval and funding
• Fundraising campaign launch• Detailed Activity Profile
• Final activity mix• Utilization Profile for
Scheduled Space• Detailed curriculum• Enrollment / section
breakdown• Specialized space
features / attributes• Statements of future
growth or change• Teaching methodologies
• Space program• Project charter• Design• Construction
29
Advocacy Strategy(Lead by: Executive Director –
Advancement)
Funding Alignment(Lead by: VP – Admin)
External Partnership Business Development
(Lead by:??)
Advocacy, Partnering and Funding Development
Applied Research Opportunities
Algonquin Foundation
(Fundraising)
MTCU Request
Provincial Gov’t and Agencies
Fundraising
AFP – Alternative Funding and Procurement
Other Contributions(SA, Municipal…)
College Resources
Federal Gov’t and Agencies
Corporate Investments
College Advocate Resources
Provincial Government Engagement
Federal Government Engagement
Municipal Government Engagement
Other Agencies and Interest Groups(Industry unions, local institutions
and agencies…)
Communications Strategy
Student Involvement
Other External Partner
Opportunities(Professional
affinities, commercial
opportunities…)
New Revenue Streams
External Partner Opportunities(in Academic
Activities such as contract training,
PTS…)
• Note: “Lead” role coordinates the activities under each category
Life-Cycle Costing
30
Space Program Development(Lead by: Director of Physical Resources)
Aligning the Vision and the Infrastructure Response (Academic Facilities – Healthy Living)
Project Vision Application and Academic Program Development(Lead by: Barb Foulds – Dean of Health, Community Studies and Public Safety +
Michel Savard – Dean of Hospitality and Tourism)
External Partner
Opportunities• TBD (Lead???)
• Learning Enterprise
Partners
• Algonquin Foundation
Space Program
Other Internal
Partner
Opportunities• Additional
Academic Schools
• Students’
Association
• Student Support
Services
• Human Resources
Applied
Research
Opportunities• Centre for
Health and
Wellness
Other External
Partner
Opportunities• City of Ottawa
• Institutional / Health
Sector Partners
• Other?
Ancillary
Services
Opportunities• Thunder Alley
• Parking
• Lockers
• Other?
Internal Department and Support Service
Functions•ITS•Physical Resources•Algonquin Foundation
Functional Analysis / Program
Activity Profile
Curriculum Development
Academic Programming Opportunities