PROGRAM(Draft)FamiliesinCanadaConference2019

March27&28,2019ViscountGortHotel,Winnipeg,MB

CONFERENCEPRESENTATIONS:Day1–FirstPresentation

Dr.AlexSingerDr.AlexSingerisanAssociateProfessorintheDepartmentofFamilyMedicineattheUniversity ofManitoba where he leads the Quality Improvement and Informaticscurriculum. He is the Network Director of the Manitoba Primary Care ResearchNetwork and the Manitoba eHealth Family Physician Champion. He is a familymedicineclinicianandteacheratWinnipeg’sFamilyMedicalCenterandSt.BonifaceHospital.

Presentation:Participatingandleadingeffortstosystematicallyimprovethequalityofhealthcaredeliveryisbecomingacoreelementinthepracticeofhealthprofessionalsinrecentyears.Inher2012keynotepresentationattheInstituteforHealthcareImprovement(IHI)NationalForumonQualityImprovementinHealthCare,IHICEOMaureenBisognanosaid,“everyoneinhealthcareshouldhavetwojobs:todotheworkandtoimprovehowtheworkisdone.”Participatingin“qualityimprovement”activitieshasrecentlybecomearequirementoftheCollegeofPhysiciansandSurgeonsofManitobaandispartofanactiveeducationalandpracticeenhancementsbeingundertakenbytheCollegeofFamilyPhysiciansofCanada.

Inthecontextofprimarycaresettings,qualityimprovementisateamactivitythattypicallyinvolvesbothcareinterdisciplinaryprovidersandpatients.Havingtheskillsandtoolstodecideonimprovementopportunities,gatheressentialmeasurementsandthenexecutechangeseffectivelyisessentialforsuccessofeffectiveandsustainedimprovements.Further,understandinghowtosystematicallyuseprogramorpracticeleveldatatoaffectpatient(orclient)outcomesarecentraltoparticipatinginqualityimprovement.

Inthissession,youwilllearnthebasicsofhowtoapplyqualityimprovementandmeasurementmethodologiestobenefitthecareofthefamilieswithinyourmandate.

LearningObjectives

§ Definequalityimprovement(QI);

§ DescribetheQuadrupleAimandtheSixDimensionsofQuality;

§ Describedifferentopportunitiesanddatasourcestoidentifyopportunitiesforimprovement

§ Describethekeyactivitiesandmethodsinherentinsuccessfulpracticeimprovementinitiatives

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Day1–SecondPresentation

NoralouRoosNoralou is the Co-Director of the Get Your Benefits! project which focuses onconnecting people with low income to government benefits and other communitysupports. Noralou was a Co-Founder of the Manitoba Centre for Health Policy.CitationstoDr.Roos'workplaceheramongthetop100CanadianscientistsaccordingtoTheInstituteofScientific Information.ShewasamemberofthePrimeMinister'sNationalForumonHealth,promotedtoOfficerintheOrderofCanadaandamemberof the Royal Society of Canada and the Canadian Academy of Health Sciences.

Noralou’sresearchhasused“big”dataroutinelycollectedbypublicagenciestounderstandtheroleofpovertyindrivinghealth,educationandothersocialoutcomes.PRESENTATION:OurProjectDevelopandpromoteinitiativesthathelplow-incomeManitobansobtaingovernmentbenefitsandaccessservicesforwhichtheyareeligible.

Projectgoals- Communicatetheimportanceofdiagnosingandtreatingpovertytohealthcareproviders- Distribute"GetYourBenefits"booklets- Collaboratewithfederalandprovincialagenciesandcommunityagenciestoencouragelow

incomeManitobanstousethefreetaxclinicstosavefees- Liaisingwithgroupsacrosstheprovinceandcountrytoshareideasandinitiativesthatarein

place- IncreaseawarenessanduptakeoftheCanadaLearningBond(CLB).In2014,Manitoba'suptake

oftheCLBwasonly22%–91,600childrenwerelosingoutonthe$2000federalbenefit–$183millioninincentivesforeducationforlowincomeManitobachildrenisgoingunclaimedandnotmuchhaschangedsince2014.

Projectoutcomes- IncreaserefundstoManitobansearningunder$40,000/yearbyencouragingthefilingoftax

returns.In2018,CommunityVolunteerIncomeTaxProgramclinicshelped27,800Manitobanslivingonlowincomesreceive$87.7millioninrefundsandbenefits

- Engagephysiciansandhealthcareproviderstoscreenforlowincomeandinformpatientsofbenefitsforwhichtheymaybeeligible

- EncouragepoliciestoincreasesignupfortheCLB

NextSteps

- CommunicatetheGetYourBenefitsprojectswithFirstNationsgroups- Continuenational,provincial,andlocalcollaborationtodevelopinitiativesthatensureall

childrenaresignedupfortheCLB- PromoteFirstBookCanadawhichprovideslowincomechildrenwithfreenewbooks

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Day1–ThirdPresentation

CheryleDreaverCheryleDreaverisaNehiyawakmotherfromMistawasisCreeNation.Shehasthreechildrenandtwograndchildren.HereducationbackgroundisinReligionandCulturalStudiesfromtheUniversityofWinnipeg.ShespentmuchofhercareerinEmployment,EducationandTraining.Shehasfacilitatedmanyworkshopsfromemploymentandtrainingdeliverytoyouthandadults.CheryleistrainedandcertifiedtodeliverNon-ViolentCrisisInterventionskillstrainingandisacertifiedLifeSkillsfacilitator.InhercurrentroleasAssistantFirstNationsFamilyAdvocate,CherylehasalsodevelopedandfacilitatedaRedRoad

toHealingprogramforwomenwhohaveexperienceddomesticviolence.Herprogramfocusesoncreatingproactiveawareness.ShestartedworkingwiththeFirstNationsFamilyAdvocateOffice(FNFAO)in2017asanAssistantAdvocateworkingwithFirstNationsfamiliesnavigatingtheChildandFamilyServicessystem.TheFirstNationsFamilyAdvocateofficeisveryuniqueasitismandatedby62FirstNationsmembercommunitiesoftheAssemblyofManitobaChiefs.FNFAO’smissionistosupportandadvocateforFirstNationfamilies,involvedwiththeChildandFamilyServicessystembychallengingexistingjurisdictions,policies,lawsandorganizationusingFirstNationsknowledge,customarylaws,traditionsandbeliefsystemstocreatepositivechangeforourchildrenandfamilies.PriortoworkingfortheFNFAO,Cherylehadnoworkexperienceintheareaofchildwelfare;shereferstoitasaneyeopeningexperience.Herworkismotivatedbyensuringourfamiliesareheardandworkingtowardsreunificationand“BringingOurChildrenHome”.Cherylejoinsyoutodaywithheruniqueknowledgeofdeliveringourperspectivesandexperiencesofourfamiliestoyou.Presentation:My presentationwill explain how poverty exacerbates an already negative relationship between CFSagencies,andFirstNations.Part 2 of theManitoba CFS ACT has promised services to families at risk. Yet Services to Families ishardly implemented. The First Nations Family Advocate Office (FNFAO) has numerous familiesrequestingserviceswhichwouldintheorybeprovidedbyCFSagencies.YetthevaguenessoftheCFSActcauses agencies to provide the least amount of services as possible. As a result CFS focuses onapprehensionratherthanprevention.Agencieshaveaccessible resources toprovideadded supports to families like theRespiteWorkersorHomeMakers.Yettheseagenciesfailintheirduties.Ourfamiliesareexhaustedwithverylittlesupportthatshouldbeavailableforeverydayerrands(buspassesortaxislips).Familiesneedhelponacasebycasebasis,whileinactionwouldplacefamiliesatriskofhomelessness.Billssuchashydroandwateroreven a landline phone/cell phone could be covered by the agency, but agencies refer families toSunshine Village, thus avoiding any expense. All parents are entitled to leisure, yet without theseresourcesduringstressfultimes,breakdowninfamilyunitsaretobeexpected.ThepurposeofmytalkistodiscusshowCFSaddstothepovertyofourFirstNationsfamiliesbyrefusingtoprovideaccessibleresources.IfagenciesfollowedtheManitobaCFSActDeclarationofPrincipleswithalittlemoregenerosity,theamountofapprehensionswouldnotbeashighastheyaretoday.

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Day2–FirstPresentation

Dr.CarolynPetersCarolynisaDirectoratNewDirectionsinWinnipegwheresheoverseesFamilyTherapyServices,TrainingandEvaluation.HereducationisinSocialWorkandherresearchhasfocusedonwomen'sexperienceswithsocialservicesystems.Dr.JavierMignoneJavierMignone isprofessor intheDepartmentofCommunityHealthSciences,RadyFaculty of Health Sciences, the University of Manitoba, where he teachesundergraduate and graduate courses, including program evaluation, and socialdevelopment. On a regular basis he leads workshops on health information andprogramevaluationforsmallNGOs,includingIndigenousorganizationsinArgentina,Canada, Colombia, Dominica, and Guatemala. He leads the Program and Policy

EvaluationResearchGroupattheuniversity.

Dr.AynslieHindsAynslie completed her Bachelor of Science and Arts Honours degrees, majoring inStatistics,Mathematics, and Psychology, from the University ofWinnipeg, and shehas a Masters and PhD in Community Health Sciences from the University ofManitoba. Aynslie volunteers with several community organizations, including Artfrom the Heart, Art City, and the United Way. She is one of the co-chairs ofCommunityHub-InformationandResearchPartnerships(CHIRP).

MarianneKrawchukMs.KrawchukisaCredentialedEvaluatorandPast-PresidentofCESManitoba.WithaMaster’s Degree in Sociology, she brings strong research skills to her work. Ms.Krawchuk is the Senior Manager, Family Resource Centre Initiative at UnitedWayWinnipeg.Prior to this, shewas theEvaluation&OutcomeMeasurementManagerfocusingonbuildingevaluationcapacityinternally,andwithagencypartners.Shehasextensive knowledge of the realities and challenges of evaluation in non-profitagencies.

CynthiaDrebotCynthia Drebot has been the Executive Director of North End Women’s Centre(NEWC)sinceJanuary2014.ShehaslivedinWinnipegherwholelifeandherhearthasbeendedicatedtoworkinginnot-for-profitcommunity-basedorganizationsfor25years.Herearlierworkincludedworkingwithyouth,specificallythoseinvolvedin the justice and child welfare systems, evaluation in varying capacities andmanagingandleadingprogramsinthenotforprofitsector.Heracademictraining

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is in Human Ecology and Social Work, which led to a focus and passion for leadership and changemanagementinitiatives.Presentation:ProgramEvaluationasSocialAdvocacyCommunity based social service resources rely on program evaluation results for accountability tonumerousstakeholders,particularly thepopulations that theyserve.Programevaluationexpectationsmaybehighfromfundersforoutcomeresults,howeverfundingresourcesseldomadequatelycoverthecosts for data bases and analysts to generate comprehensive evaluation reports. Creative programevaluationpracticesareneededtoreportbacktostakeholders likeboardsandfunders.Strategiesareneeded to illustrate results that advocate for and with people who do not have equitable access toresources.

• Howcanprogramevaluationresultsbeatooltoadvocateforandwithpeoplewhoexperiencebarrierstoresourcesandinclusion?

• Whatopportunitiesexistfororganizationstopartnerinprogramevaluationstrategies?

• Whatresourcesandstrategiesexistfororganizationstodoprogramevaluationonabudget?

• Whatarefunderslookingforinoutcomeresults?

ChairofthePanelis:CarolynPeters,Panelmembersare:JavierMignone,AynslieHinds,CynthiaDrebot&MarianneKrawchuckDay2–SecondPanel

AlbertBoakyeAlbert has a Master’s in Public Administration and works as a CommunityAnimatorwiththeSocialPlanningCouncilofWinnipeg.

ChrisGreeneChris is a Senior Epidemiologistwith theWHRA, is an assistant professor at theUniversity of Manitoba, and has an interest in how to mobilize communityinformationforimpact.

Presentation:Promotingevidence-informeddiscussion,planning,andaction:theManitobaCollaborativeDataPortal

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TheManitobaCollaborativeDataPortal(MCDP)aspirestobeaplaceforManitobanstofindthedatatheyneedforcommunity-basedsolutions.Theportaloffersawiderangeofneighborhoodandlocal-levelinformationinmappingapplicationsandtopicspecificknowledgeportals.Theaimistopromoteevidence-informedcommunitydiscussion,planningandactionforhealthequity,socialjustice,publicaccountabilityandenvironmentalsustainability.

TheMCDPisbasedonprinciplesofopendata,makingdatafreelyavailableforeveryonetouseandrepublishastheywish,withoutrestrictionsfromcopyrightorpatents.Organizedasacollectiveimpactproject,theMCDPinitiatingpartnersincludetheSocialPlanningCouncilofWinnipeg,theManitobaCenterforHealthPolicy,theInstituteofUrbanStudies,PEGWinnipeg,andPopulationandPublicHealthSurveillance,WRHA.

ParticipantLearningObjectives:

• BecomefamiliarwiththeManitobaCollaborativeDataPortalmappingapplicationsandknowledgeportals

• Gaininsightintohowtoaccesslocaldataandmapsfromtheportal• Shareideasabouthowtheportalcouldpotentiallysupportevidence-informedcommunity

discussion,planningandaction,andhowtheportalcouldbeimprovedtosupportthiswork.Day2–ThirdPresentation

FlorenceOkwudiliFlorenceNgoziOkwudiliwasoriginallyfromNigeriaandmovetoCanadainFebruary2000.SheobtainedherPostGraduateDiplomainPublicPolicyandAdministrationandaBachelorofArtsinInternationalDevelopmentStudiesattheUniversityofWinnipeg.FlorenceisanactivememberoftheAfricacommunity.SheistheCoordinatorfortheFolkloramaAfricaPavilionforthepast7yrs.FlorenceistheCo-ChairoftheInstituteforInternationalWomen'sRight-ManitobaandChairoftheCoalitionforManitobaCulturalCommunities&Families,

ShorshKurdPalaniShorshisofKurdishheritageandholdsajointMastersdegreeinPeaceandConflictResolutionStudiesfromtheUniversityofManitobaandUniversityofWinnipeg.Shorshworksinthefieldofchildandyouthmentalhealthandhasmorethanfiveyearsofexperienceinthefield.ShorshcurrentlyistheViceChairofCoalitionofManitobaCulturalCommunitiesforFamiliesCMCCFandtheboardmemberoftheKurdishAssociationofManitoba.Heisdrivenbyapassionandcommitmentto

promoteself-care,mentalhealthsupport,collectiveempathy,andcross-culturalengagement.

Dr.StevenFeldgaierDr.StevenFeldgaierisaclinicalchildpsychologistandanAssistantProfessorintheDepartmentofClinicalHealthPsychologyattheUniversityofManitoba.HealsoservesastheDirectorofParentingandCommunityInitiativesatHealthyChildManitoba.Dr.FeldgaierhasalsoservedasanAdjunctProfessorbothintheDepartmentofPsychologyaswellasintheFacultyofEducation.Dr.FeldgaierisalsoaPastPresidentoftheManitobaPsychologicalSociety.

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PRESENTATION:

COALITIONOFMANITOBACULTURALCOMMUNITIESFORFAMILIESINC.(CMCCF):INCLUSIONISNOTENOUGH!CULTURALCOMMUNITIESENGAGINGSYSTEMSOur“InclusionisNotEnough”presentationhastwoobjectives:wewilldefinetheevolvingcontextofinclusionfromtheculturalcommunity“livedandfelt”experience.Also,wewillintroducetheCoalition’scontinuinginitiativesonchangingthewaysystemshaveinteractedandrelatedtoculturalcommunitiesinManitoba.InthispresentationwewillintroduceCMCCF,itspurposeandanticipatedoutcomes.Wewillassisttheaudiencetounderstandourperspectiveregardingourframeworkforinclusioncomplementedbyoureffortstoexpandthepracticewithserviceprovidersandpolicymakers.Wewillprovidethisbydiscerninginclusionanddefiningfivefactorstoincreasecommunityimpact.Wewillsharewithouraudienceourlessonslearnedoverthelasttenyearsofengagementwithgovernmentanditsagencies.Timewillbesetasidefortheaudiencetoaskquestionswhileweprovideanswersregardingourideasandexperiencesofinclusion,itssuccessesandfailures.Webelievethatouraudiencewillwalkawaywiththefollowing:newknowledgereferencingourexperiencesasaCoalitionanditsmembers,thewaywedesireinclusiontoberespectedwithinourrelationshipswithdiversefront-line,leadership,andpolicymakers,andmostimportantlywhatwewishforthefuturefromourcurrentandfutureworkingrelationshipssupportingculturalcommunitiestomeettheirneedsfortheirfamiliesandchildren.

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