2. Welcome to The Need To Know Team Meeting #14: October 17, 2005 Director of Project: Patricia J. Martens PhD The Need To Know: collaborative research by MCHP, rural and northern RHAs, and Manitoba Health funded through CIHR’s Community Alliances for Health Research Program

3. Timeline of activities LOI ProposalFundingMajor RHA needs assessmentFunding ends |______|______|______|______|______|______| 20002001 2002 2003 2004 2005 2006 Project 1 COMPLETE Project 2 COMPLETE Project 3 COMPLETE Set up laptop computers for each RHA Team member (CAHR funded) Support for interaction between RHA Team members and academic researchers (CAHR funds 3 meetings per year in Winnipeg) for collaborative research and ongoing educational opportunities Develop web site (CAHR funded) Develop and test interactive web site content (CAHR funded) Opportunities for training and interaction with MCHP technical and academic support staff (CAHR supports 2 trips to each RHA per year by 2 MCHP personnel) Support for ongoing training and dissemination of knowledge products (CAHR funding supports 4 conferences for the MCHP directors, 2 conferences or workshops for each of the 11 RHA Team members, over the five years of funding) The clock is ticking new computers (CAHR funded) Project 4 STARTING

4. Conceptual model of the MCHP/RHA/MH collaboration: the “need to know” knowledge transfer model

5. Agenda October 17, 2005 Introduction, State of the Union What Works deliverable Coffee break Evidence to Action N/S/MH meetings LUNCH Rob Robson WRHA Needs-based funding deliverable Coffee break Homework Facilitator Training Advisory Board 4-5 pm October 18, 2005 RURAL DAY Registration 8 am Caboto Centre Introduction and welcome The Need To Know Team: stories Intro to Sex Differences report Coffee Break Facilitated round table discussions LUNCH Patient Safety Report PCH Quality of Care Indicators Coffee Break Panel discussion on quality of care and patient safety for rural and remote areas Closing remarks and evaluation DINNER: 6:00 pm Mirlycourtois, 188 Princess Avenue: with CEOs!

6. Some observations PEOPLE and PLACES and TIMES – Farewell to Darlene Harder (MCHP) and to Marie Cendou (WRHA) – Welcome to Janet Bjornson (WRHA) and Kristin Backhouse (MCHP) – Conferences/workshops and speaking engagements: Newfoundland CIHR Summer Institute for grad students WRHA workshop day to talk about MCHP Edmonton: SEARCH conference (Pat) North Eastman RHA – 2 AGMs Toronto for Public Health Network thnktank (Pat and Lorraine) Eilish Cleary’s Masters defence!!!! Met with David Butler-Jones (Eilish and Pat) Provincial Mental Health Management Network (Pat and Tannis) Montreal CAHSPR conference and International Conference (Pat, Randy, Doreen, Shahin, Nancy) Ottawa CPHA conference (Pat, Tannis, Catherine, Elaine, Heather) Banff SSHRC think tank on Knowledge Mobilization – Tannis Erickson is part-time seconded to MCHP to work on the “From Evidence to Action” research project

7. Some observations The Rural & Northern Health Care Day (October 18 th, 2005) – Caboto Centre – Directions to get there – avoid Kenaston!

8. Site visits April 2005 – Central RHA (Portage La Prairie) – many reports (Mental Illness, RHA Indicators, Child Health, First Nations reports) – Brandon RHA (Brandon) – Mental Illness report – Parkland RHA (Dauphin) – Mental Illness report June 2005 – Assiniboine (Souris) – many reports – North Eastman (Oakbank) – many reports October 2005 – Nor-Man (The Pas) – Mental Illness report

9. Site visits 2005 Coming up in November 2005 – Burntwood – Churchill – Interlake – focus on seniors and on primary care Still to come – South Eastman Note: Winnipeg RHA is having a Dec. 2005 workshop day, focusing on several deliverables

10. SUCCESSES! WINNERS of the CIHR KT award for 2005 (regional impact) … nominated by the university, with letters of support from the CEOs and the Deputy Minister – Bev, Sarah and I are going to Ottawa in November Our CIHR KT Casebook submission was accepted, and it is in the final revision stage as a booklet of KT success stories to be released in December 2005 Several people are going to Quebec City for the October conference

11. Some observations SUSTAINABILITY – Our idea for a #4 deliverable.. “What Works” project is defined as a Manitoba Health deliverable for 2006/07, so we can start working on it! – Pushing ahead money from years 1-5 to year 6 – DONE (plus we won some $$$ from CIHR) – CIHR Team Grant to replace CAHR – up to 5 years of funding … another competition due Nov 15! Question – can I do it?? HELP – I think separate letters from each CEO are better Involvement of Nova Scotia people from Dalhousie?

12. Do not go where the path may lead, go instead where there is no path and leave a trail. Ralph W. Emerson

13. Our next Team meetings, and a crazy idea! January 30-31, 2005 June … – Would you be interested in being part of the CIHR Summer Institute of Graduate Students in later June? How could we combine the meetings so they could “taste” what it’s like to co-create research with users of the research?

14. Some observations: evidence-based story telling, and looking for gold nuggets WE ALWAYS NEED STORIES from the RHAs as to how this is being used, or how you feel it is putting evidence to bear in decisions/planning Keep those coming! Will use in future articles and submissions A “thrust” of the evaluation in the coming months, and in Stephanie Harvard’s work on the effects of our deliverables Tannis will also be collecting “stories” as part of her qualitative interviews

15. Some observations MISCELLANEOUS TIDBITS NEWSLETTERS … thanks to Elaine Burland!! – article on Rural/Northern Indicator differences (is Romanow Right?) sent to the Healthcare Policy journal, and under review – Article in first edition of the Healthcare Policy Journal (tales from the tectonic plates) – One article on the evaluation (Bowen et al.) in press for the Health Services Research and Evaluation Journal. – Will be working on some mental illness report submissions now

16. North/South/Manitoba Health meetings

17. Subject:FW: Finally the truth on Food/Fat and Heart Attacks For those of you who watch what you eat...Here's the final word on nutrition and health, and it's a relief to know the truth after all those conflicting medical studies: 1. The Japanese eat very little fat and suffer fewer heart attacks than the Canadians, British or Americans. 2. The Mexicans eat a lot of fat and also suffer fewer heart attacks than the Canadians, British or Americans. 3. The Japanese drink very little red wine and suffer fewer heart attacks than the Canadians, British or Americans. 4. The Italians drink excessive amounts of red wine and also suffer fewer heart attacks than the Canadians, British or Americans. 5. The Germans drink a lot of beer and eat lots of sausages and fats and suffer fewer heart attacks than the Canadians, British or Americans. 6. Ukrainians drink a lot of vodka, eat a lot of perogies, cabbage rolls and suffer fewer heart attacks than the Canadians, British or Americans. CONCLUSION: Eat and drink what you like. Speaking English is apparently what kills you. Thanks to Heather Sparling

18. Four stages of facing reality (Bisognano 2003) The data are wrong. The data are right, but it’s not a problem. The data are right, it is a problem, but not my problem. I accept the burden of responsibility.

19. Homework: October 17, 2005 IMMEDIATELY – write a letter of support for The Need To Know Team proposal to extend our funding – The CIHR Team Grant – for use by your CEO if s(he) wants help to compose a letter Sex differences report: dissemination plan for your RHA Mental Illness Report and other reports keep track of what you do and what works! We will be collecting information by interviews. Quasi-experimental program or policy evaluation Start thinking about who will be interviewed in your region when we contact you Other deliverable ideas “From Evidence to Action” proposal – Tannis will be visiting your region