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Collaborative Culture?. Knowledge Management in Canadian Health: Improving knowledge translation by embracing complexity. Thom Kearney MGMT5001. "Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it. “ - PowerPoint PPT Presentation
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Knowledge Management in Canadian Health:
Improving knowledge translation by embracing complexity.
Thom KearneyMGMT5001
"Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it. “
Samuel Johnson (Boswell's Life of Johnson)
Agenda
• Health information in Canada• Key concepts: – Knowledge creations funnel– Complex adaptive systems
• Opportunities for solutions (problems)• Embracing the complexity• A personal example
Canadian Health system overview
NWTYukonNunavut PEILess than 1% pop
Quebec
Ontario23-40% popSaskatchewan Newfoundland
and Labrador
ManitobaNova Scotia
New Brunswick
1-5 % pop
British Columbia Alberta
10-15 % pop
Federal Healthcare Partnership
Less than 1% pop
Health Canada
PHAC
CanadianForces CIC
RCMP
Corrections
VAC
Federal Influence
Infoway
CIHI
CIHR
HC
PHAC
Jurisdictions
Complex adaptive systemComponents
• Self organization• Emergence• Relationships• Feedback• Adaptability• Non-Linearity
Individuals using simple rules, acting for their own reasons create an adaptive system.
Interactions, relationships within the context of the network result in dynamic knowledge sharing. (Robeson, 2009)
Opportunities for solutions
• Knowledge translation takes too long. Especially creating knowledge tools
• Resources are limited and jurisdictions tend to do the same sorts of things (duplication is bad)
• Knowledge is leaving for the golf course
Embrace the complexity
Employ social technologies:• Connect all health professionals in Canada• No personal health data• Open and closed groups of all types• Multiple layers of security and veracity• Make it easy to join, easy to share
Design for the six components of a complex adaptive system: Self organization Emergence Relationships
Feedback Adaptability Non-Linearity
Conclusion
• Social technologies can help with knowledge translation in health.
• Culture will take time to change, social technologies encourage sharing and trust
• Critical mass matters, go big or go home.