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FIGURE 1<br />

CFHI Approach to Healthcare Improvement<br />

assess design implement spread<br />

Conduct needs<br />

assessments to identify<br />

and clarify opportunities<br />

for improvements<br />

• Find and interpret<br />

data and evidence<br />

• Assess the merit<br />

and viability of<br />

potential solutions<br />

• Develop<br />

implementation plans<br />

Support teams in leading<br />

improvement initiatives<br />

and mitigating barriers that<br />

threaten the progress<br />

Develop a variety of<br />

communication channels<br />

so that evidence, innovations<br />

and ideas can be<br />

exchanges within and<br />

among regions<br />

educate: Coaching and support for teams in carrying out change management.<br />

ANALYZE: Conduct policy and economic analysis to facilitate change and understand impact..<br />

EVALUATE: Provide hands-on guidance to teams in measuring health outcomes and system impacts.<br />

Tailored<br />

programming<br />

based on local<br />

needs<br />

Collaborative<br />

team-based<br />

problem solving<br />

approach<br />

Adult<br />

learning-style<br />

workshops<br />

+ + +<br />

Mentorship<br />

support from<br />

expert faculty<br />

CFHI developed a customized multi-phase approach to support the Department in achieving the objectives of the CDM project. In Phase I, problems with the<br />

delivery of care for people with chronic diseases were identified and three IPs were designed. In Phase II, the IP design was refined and IPs were implemented<br />

at pilot sites across NWT. The lessons learned in each of these phases will inform the development of an integrated CDM strategy for the territory.<br />

Social Networking<br />

Illustrating the wide range of involvement and interdisciplinary<br />

participants, social network mapping allows<br />

us to see connections between individuals within the<br />

collaboration. Figure 2 illustrates the spread of the<br />

project across the territory and is divided by IP team.<br />

Showing the ‘touch’ network that has formed in the<br />

NWT within the parameters of the CDM collaboration,<br />

this map has been drawn from attendance lists, team<br />

charters, email chains, CFHI workshop reports, and the<br />

NWT Collaboration Interim <strong>Report</strong>. Attributes were<br />

drawn from interview data, CFHI database searches,<br />

and Google keyword searches.<br />

Each node represents an individual who has had<br />

‘touch’ with the projects. This constitutes any form<br />

of direct contact with the project – involvement,<br />

adoption, or awareness. As the legend indicates,<br />

the large black central nodes indicate the steering<br />

committee and DHSS in addition to Renal, Diabetes,<br />

and Mental Health IPs. From these nodes, we see the<br />

originally indicated team members, project lead, and<br />

pilot site leads (based on team charters, an explicit<br />

email listing of the team members, and the steering<br />

committee listing in the interim report). This does<br />

not include individuals who joined the project teams<br />

in later stages of the collaboration. These individuals<br />

are captured in the ‘end user’ population.<br />

Making the Case for Change<br />

6

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