Transformational Roadmap - Summary 2019-2022 Emergency Strategic Clinical Network - Alberta ...
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Emergency Strategic Clinical Network Transformational Roadmap Summary 2019-2022
TRANSFORMATIONAL ROADMAP SUMMARY 2022-2019
A message from Brian Holroyd
& Scott Fielding
Our vision
Build an inclusive network that
Over the next three years, the focus of the Emergency Strategic
Clinical Network (ESCN™) will be evolving to address challenges
supports the advancement of
within the Alberta environment. evidence informed emergency
care for all Albertans.
This Transformational Roadmap outlines the strategic directions for
our network that will serve to support Alberta Health Services (AHS) in
providing a patient focused, quality health system that is accessible
Our mission
and sustainable for all Albertans. It is built on the successes achieved
by the considerable efforts of emergency care staff; the input from
patients and families; and AHS support teams. The ESCN partners Support quality patient and
with 103 Emergency Departments and 6 Urgent Care Centres.
family centered emergency
Over the last 2 years, 2.1 million patients visited our emergency
care driven by education,
departments with a variety of presentations and acuity. Ongoing
health system demands continue to influence bed capacity and flow
innovation and practice-
through issues impacting the emergency departments. changing research through
collaboration.
Over the past several years, the ESCN has shown leadership
in the development of provincial clinical knowledge topics, the
harmonization of provincial policies related to emergency care, as
well as ensuring that staff and physicians have access to consistent
training and standardizing measurement and outcomes. The ESCN Our values
has also lead innovations in research and stakeholder collaboration. The Emergency SCN is
committed to AHS Core
Values and their integration
into its strategic plan. Guiding
Dr. Brian Holroyd, MD, MBA, FACEP, FRCPC
Senior Medical Director
Scott Fielding, RN, MBA
Senior Provincial Director the Emergency SCN’s goals,
Emergency Strategic Clinical Network Emergency Strategic Clinical Network
Alberta Health Services Alberta Health Services everyday work and actions.2 TRANSFORMATIONAL ROADMAP SUMMARY 2022-2019 TRANSFORMATIONAL ROADMAP SUMMARY 2022-2019 3
Alignment with AHS goals Our guiding principles Patient engagement
The ESCN is a group of healthcare The ESCN recognize patients, family and public
Goal 1: professionals, patient and family advisors engagement as the foundation for improving John Brick
Improve patient experience
Improve Patients’ & Families’ in emergency
working together across the province health care quality and how we deliver emergency
Patient & Family Advisor
Experiences to improve emergency services using care. The ESCN believes patient engagement Emergency Strategic
evidence informed care in Alberta. means patients, families and health providers Clinical Network
Goal 2: Implement an ED initiative to actively collaborating to improve care of Albertans
Improve Patient & Population address care of patients in the Our work is guided by the following in the emergency department (ED). This includes As a patient advisor I have the
Health Outcomes opioid crisis principles: the many ways that health providers work with opportunity to share patient
patients and families to understand their needs, experiences, insights and make
Ensure providers deliver current, recommendations across a
evidence-based care
and respond to them.
broad range of care areas with
Implement, standardize and The ESCN in partnership with our patient advisors experienced frontline staff. Our
continuously improve Connect and PACER will continue to engage in a variety of mutual goal is to collaboratively
Goal 3: Care content Patient-centred
care
Innovation Communication
different ways including: create recommendations for staff
Improve the Experience & and patient-care improvements that
Safety of Our People Address timely EMS offload and • Continuation of focus groups with patients
transfer of patient care to the ED are effective and efficient to support
living with addictions and patients with mental
a sustainable and accountable
Improve and ensure staff safety health conditions
healthcare system for Albertans.
when working with patients and Accountability Responsibility
family members • Collaboration of focus groups with individuals
where English is not the primary Language
Goal 4: Support clinical research projects
and implementation of Choosing
Our strategic enablers • Develop educational materials with the “voice
Improve Financial Health
Wisely™ guideline of the patient” front and centre will assist in
& Value for Money
improving communications
Gloria Wilkinson
• Utilize social media strategies and conducting Patient & Family Advisor
surveys to reach the younger generation, these Emergency Strategic
Patient Research Established methods provide a powerful tool to partner Clinical Network
engagement relationships
Patient reported
Access to
national and Internal and
with a variety of age groups I am excited to have recently joined
outcomes, international external the ESCN. I plan to bring a number
measures and
experience
research stakeholders • Test and evaluate the use of Information of perspectives to the table which I
Data Analytics
Design to improve communications will demonstrate through my years of
• Research in partnership with First Nations experiences e.g. Registered Nurse in
organizations to improve their experience ED or post-op surgery and in various
in the ED roles as a patient advisor. And of
Technology Resources course both my husband and I have
Provincial Centralized
Information System,
Finances
The many volunteer hours dedicated by our both been patients.
Connect Care People
Patient and Family Advisors, in addition to the
contributions of our many subject matter experts, My varied background leads me to
have influenced our decisions and contributed believe that the experienced advisors
greatly to the success of our network. are the lynch-pin to bring the patient-
first philosophy to full fruition. This
update to the ESCN TRM is the
perfect place to provide that input.4 TRANSFORMATIONAL ROADMAP SUMMARY 2022-2019 TRANSFORMATIONAL ROADMAP SUMMARY 2022-2019 5
Alignment with AHS goals
ESCN strategic direction: Actions: Expected outcomes Expected outcomes ESCN strategic direction: • Reduce stigma associated with
addictions and opioid use by
Respond to the needs of our • Ensure the voice of the patient • Decrease stigma around Develop OAT program in Partner as problem solvers using the voice of patients with
patient population is heard addiction and mental health ED/UCC including: and innovators lived experience
• Use HQCA patient experience • Improve communication
ESCN priority: data as a baseline in ED using information
• Contribute to CKCM pathway ESCN priority: • Take a lead role in provincially
development for acute/chronic coordinated harm reduction
Patient experience in • Partner with U of A Information design strategies Opioid crisis
pain management education efforts for all who work
Emergency Departments (ED) Design, Human Factors and • Develop pathways related to and practice in EDs/UCCs and
• Develop education materials Objective
Urgent Care Centres (UCC) Operations to develop a roadmap admitting criteria with Addiction for both patient and healthcare the public visiting ED
to improve communications with & Mental Health population To support a culture of harm
providersr • Work with Clinical Knowledge &
Objective various social media venues (AMH/ED SCN) reduction and to help Opioid Use
• Implement and sustain an Content Management (CKCM)
To improve patients’ and families • Engage with frontline staff • Improve patient experience Disorder (OUD) patients by reducing
approved model to disseminate and implement
experiences in ED/UCC by in ED/UCC deaths, overdoses and other health
• Use CIHR funded peer reviewed provincially standardized
improving patient communication, • Integrate with other opioid crisis and social challenges that arise from
grant to guide ESCN actions • Support ED/UCC staff in guidelines for ED/UCC patients
timely patient access and quality response initiatives provincially substance use and addictions.
communication techniques that that present with OUDs and
patient care. facilitate care of patients and • Facilitate Transitions into require interventions to the ED
community services Actions:
their family members • Partner with ED/UCC operations
Focus areas AH
AHSS GO AL
GOAL AH
AHSS GO AL
GOAL • Establish a provincially
• Inform implementations of to meet Alberta health provincial
• All Albertans presenting to the ED
• Spread awareness of the
acknowledgment of land for 1 2 program with evidence based
research from systematic
coordinated buprenorphine/
raloxone (Suboxone®) Opioid
reporting requirements
• Seniors indigenous communities Improve patients’ Improve patient literature review Agonist Treatment (OAT) strategy • Integrate all ESCN opioid crisis
response initiatives with the
• Indigenous populations & families
familys’ & population • Utilize program and patient
for patients presenting to EDs
larger context of the opioid crisis
• Addiction and mental health experiences health & UCCs with OUDs in Alberta.
level measures on successful across Alberta
pediatric and youth population This will include patient pathways
&
outcomes implementation of OAT
and sustainable transitions • Align with the reccommendations
In
ch from Opioid Wisely, Choose
no
to community and primary
ar
va
se healthcare providers and services Wisely™ Canada
ti
Re
on
ch
In
ESCN strategic direction: Advance and disseminate Expected outcomes Expected outcomes ESCN strategic direction: work/pathway development that
ar
no
research knowledge: e will drive clinical decision support
va
Health system research & • Research projects completed, AH S GO AL s AH S GO AL • Participate in the review of EPIC Optimized people and
AHS GOAL Re
ti
AHS GOAL integrated into Connect Care
on
innovation • Engage in high quality both ESCN and Pan-SCN
4 3 content to ensure evidence resources
&
research studies based, best practice provincial • Represent ED/UCCs in the
• Students and mentees trained
ESCN priority: • Obtain research funding in Emergency Medicine Improve financial Improve the alignment across 103 EDs and ESCN priority: design and development stages
of the EPIC build standardized
Integrate research for better • Publications, conference research skills health & value experience & safety UCCs Improved educational
clinical knowledge and practice
implementation/improvement • Improve and standardize opportunities
presentations, journal article • Rigorous projects financially for money of our people workflows with a focus on
in ED/UCCs
dissemination supported Connect care • Ensure standardized/harmonized
Objective • Scholarly manuscripts
patient care
EMS offload
Engage and build • Engagement in the design,
policy, clinical guiding documents
Build emergency research capacity. published Staff safety
partnerships for research build, testing, training • Influence clinical documentation
Advance and disseminate research and innovation: • Researchers engaged in and implementation of to standardize e-documentations
knowledge. Emergency Medicine research Objective for EPIC
• Engage Research Advisory Connect Care as ED/UCC
Engage and build partnerships representation The ESCN will maintain a strong • Work with WHS to improve staff
Board (RAB)
for research, quality improvement working relationship with Connect safety in the workplace
• Build ESCN research community • Ensure staff and physicians feel
and innovation. Care to ensure an appropriate
safe when coming to work • Continue partnership with HPSP
• Cross-SCN collaboration design, build and roll implementation
• Provincial support, build and to standardize nursing education
Actions: • Collaboration with national and of Connect Care to all EDs/UCC.
commit to CKCM development The ESCN will partner with EMS to • Coordinate with Connect Care
international Emergency Medicine
Build capacity: for future EPIC buildf create standardized definitions and to access and utilize nursing
research programs
• Detailed process map linkage between EMS and AHS references and procedures for
• Develop emergency medicine
developed between EMS and emergency/UCC NACRS data set. competency development
research skills through mentorship
ED/UCC with standardized • Work in partnership with EMS and
• Provision of research resources
provincial definitions to assist Actions: operations to develop a process
• Fostering a research culture with EMS offload reporting map that will improve mutual
• Participate as active members of
the Emergency and EMS Area reporting and data collection
Council for Connect Care CKCMWe would like to thank all of the members of the ESCN
Core Committee, our Working Groups, and our Community
Practice members. It is through the commitment and effort of
these individuals that the ESCN has been, and will continue
to be, able to improve emergency care for Albertans. Many
physicians, nurses, and other care providers as well as our
patient advisors, have contributed greatly to ensure that the
ESCN remains focused on the needs of Albertans, and that
we can continue to strive for a goal of “Healthy Albertans.
Healthy Communities. Together.”
— The ESCN leadership team
For more information contact us:
emergency.scn@ahs.ca
ahs.ca/escn
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