QI Innovations Conference 2022

Better Data – Better Decisions – Better Outcomes

April 12, 2022

9:00am – 9:30am (EST)

Opening Ceremonies

Welcome Remarks

Land Acknowledgement

Maria Papadimitriou, Director, Quality and System Transformation

Addictions and Mental Health Ontario (AMHO)

Opening Remarks from a Special Guest

Special Guest Speaker: The Hon. Michael A. Tibollo

Prior to taking office, the Hon. Michael A. Tibollo volunteered as a certified addictions counsellor and advocated for a bed-based therapeutic community in the City of Vaughan, seeking to support those struggling with mental health and addictions challenges.

Passionate about helping those faced with mental health and addictions challenges, Minister Tibollo is currently pursuing his PhD in Clinical Psychology with a focus on Addictions and Concurrent Disorders through the University of Southern California.

Minister Tibollo holds several Canadian Addiction Counsellors Certification Federation (CACCF) certifications, including:

  • Canadian Certified Addiction Counsellor (C.C.A.C.)
  • Canadian Certified Recovery Coach (C.C.R.C.)
  • Canadian Indigenous Addiction Counsellor (C.I.A.C.)
  • Canadian Certified Telemedicine Addiction Counselling Professional (C.C.T.A.C.P.)

Minister Tibollo proudly serves the people of Ontario as the province’s very first Associate Minister of Mental Health and Addictions, and has made it his mission to create a connected system of care with comprehensive wrap-around services, so that every Ontarian can be fully supported in their journey towards mental wellness.

9:30am – 10:30am (EST)

Keynote Address: Dr. Laura Rosella, PhD, MHSc

From Data To Impact: How Do We Get There?

Laura Rosella, PhD, MHSc, is the Principal Investigator and Scientific Director of the Population Health Analytics Lab. She is an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto, where she holds Canada Research Chair in Population Health Analytics. She is a member of the Royal Society of Canada’s (RSC) College of New Scholars, the Stephen Family Research Chair in Community Health at the Institute for Better Health, Trillium Health Partners, the Education Lead for the Temerty Centre for Artificial Intelligence Research and Education in Medicine (T-CAIREM), and the Associate Director of Education and Training at the University of Toronto’s Data Science Initiative (DSI). Her additional scientific appointments include Faculty Affiliate at the Vector Institute and the Schwartz Reisman Institute, and Site Director for ICES UofT. Her research interests include population health and health equity, data science, predictive models to support public health planning, knowledge translation and evaluation, and population health management. She has authored over 200 peer-reviewed publications in the areas of epidemiology, population health and health services research. She has been awarded several national grants, including a CIHR Foundation grant to support her population health analytics research program. Notably, Dr. Rosella was awarded the Brian MacMahon Early Career Epidemiology Award by the Society for Epidemiologic Research and was named one of Canada’s Top 40 Under 40. Her research has been featured by several media outlets, including Forbes, Newsweek, Reuters, CBC, CTV, The National Post, The Globe and Mail, and The Toronto Star.

Description:This talk will unpack the latest opportunities in using data for health decision-making and cover how we can refine the concept of data to action to one of data for impact. This includes thinking critically about the quality of the data, novel metrics to measure performance and ways to produce outputs that are actionable by the health system. In addition, the talk will cover the ways to approach data and measurement to better address local community needs and reduce health inequities.

Moderator: Naushaba Degani, Canadian Mental Health Association (CMHA) Ontario Division

Naushaba Degani is the Director of Quality Improvement and System Performance and co-lead of the Excellence through Quality Improvement Project (E-QIP) at CMHA Ontario. Naushaba Degani joined CMHA Ontario on November 18th, 2019. She has worked in health system performance and evaluation for more than 20 years and has a PhD and an MHSc from the Dalla Lana School of Public Health, University of Toronto as well as a BScH from Queen’s University (Cha Gheill!).  She comes to us from Health Quality Ontario (now part of Ontario Health) where she worked as the Manager, Performance Measurement supporting public reporting, quality standards and measurement for quality improvement.  In addition to strong skills in data and measurement, Naushaba has a background in harm reduction, evaluation and equity assessment.

30 MINUTE HEALTH BREAK – Yoga and Meditation sessions, visit Exhibitor Booths and QI Poster Presentations, Network with conference participants

11:00am – 12:30pm (EST)

Concurrent Sessions (A1-A4)

Presenters share expertise and participants will gain new knowledge and/or a new skill. The presentation will take an interactive approach and explore one of the following four streams; (1) Use of data at the client/tenant level (2) Use of data at the organization/program level (3) Use of data at the system level and (4) Special Topic: Child and Youth.

A1: Client/Tenant: How Standardized Tools are Being Used to Guide and Improve Client Care

A1: Client/Tenant: How Standardized Tools are Being Used to Guide and Improve Client Care

A1-1: Evaluation-Informed Treatment For Youths At Pine River Institute

Description: The Global Assessment of Individual Need tools provide insight into key areas of individual functioning but are not well attuned to the unique needs of youths and their families. Pine River Institute (PRI) provides live-in therapy for youths who experience challenges across mental, relationship, and behavioural health. At PRI, several standardized tools supplement dialogue as part of the assessment and admission process. We will discuss how these standardized tools enhance treatment planning for youths and their caregivers. We will also dialogue about how these tools foster evaluation-informed therapeutic decisions and allow us to monitor immediate and sustained treatment impact.

Presenter: Laura Mills, Pine River Institute

Laura Mills (Ph.D., QM, Psych) is the Director of Research & Evaluation at Pine River Institute in Ontario Canada. She is dedicated to advancing knowledge in the field of youth addiction and mental health through collaborative evaluation, research, and knowledge exchange.

A1-2: Improving The Client Discharge Experience

Description: Discharge can be a challenging time for our clients. The separation from support can lead to a sense of instability and without a plan to navigate this phase, we sometimes see clients who we believed were ready to shift away from our services struggling during this transition.

In October of 2020, AMHS-KFLA decided to do a deep dive into how they could improve the client discharge experience. They focused their efforts on engaging end users and using data to uncover root causes. A year and a half later, they revisit their project, reflect on lessons learned, and look towards building out their next PDSA cycle.

Presenter: Nora Lobb, Addictions and Mental Health Services- KFLA

Nora Lobb is a Quality Improvement Lead who is driven by her passion for user centred design. She uses her analytical skills to lead QI projects with the goal of enhancing organizational performance and supporting the delivery of excellent client care. She demonstrates success in leading projects and driving performance outcomes through skillful planning, and stakeholder engagement.

A1-3: Using OCAN Information In Practice To Support Client Recovery

Description: Are you putting time and effort into completing assessments with your clients, but not always using the information you’re collecting in a meaningful way? CMHA Cochrane Timiskaming will describe their QI project, resulting in a process they developed for using client information called The Domain Oriented Recovery Record (DORR). The process embeds the use of evidenced-based content from the Ontario Common Assessment of Need (OCAN) in recovery plans and day-to-day practice with clients. The session will cover how documentation was changed to create a consistent flow of information from the assessment, recovery plan and progress notes that can became useful in practice. A client’s story will be shared to illustrate how OCAN information was collected and used in a purposeful way to support their recovery journey.

Presenters: Deb MacDougall-Pultz and Krista Green, CMHA Cochrane Timiskaming (CMHA CT)

Deb MacDougall-Pultz is the Special Projects Manager for CMHA Cochrane Timiskaming (CT). Deb has been with CMHA-CT for 36 years working in different capacities, including the OCAN and IAR Lead, as well as Lead and Co-leads to 3 QIPs.

Krista Green is a Communications Specialist and former Mental health and Addictions Worker with the Case Management Program at CMHA CT. Previous to joining the CMHA-CT team, Krista was employed with Behavioural Supports Ontario via North Bay Regional Health Centre providing staff and caregiver education, and then a Mental Health and Addictions Worker with the Case Management program at CMHA-CT.  Krista is currently the Communications Specialist with the Canadian Mental Health Association Cochrane-Timiskaming branch covering the Timmins, Kirkland Lake, and New Liskeard branch locations.  Krista has a passion for documentation and ensuring the delivery of quality, client-centered services within our communities.

A2: Organization/Program: Using Data to Assess Equitable Delivery of Care and Improve Service Delivery

A2: Organization/Program: Using Data to Assess Equitable Delivery of Care and Improve Service Delivery

A2-1: Using Demographic Data For Programming Planning And Quality Improvement In Community Health Care

Description: Reconnect Community Health Services is a large, community-based health service provider in Toronto serving youth, adults, and seniors with Mental Health, Addictions, and Physical Health Issues. This presentation will focus on Reconnect’s approach to collecting and using health equity data for program planning and quality improvement. The discussion will focus on Reconnect’s experience implementing a standardized demographic survey, the organization’s approach to analyzing the resulting data, and application of findings to improve front line services. Considerations for health service providers looking to implement similar initiatives will be discussed.

PresenterFrancesco Sijinardo, Reconnect Community Health Services

Francesco Sijinardo is the Director, Services for Seniors and Performance Improvement at Reconnect Community Health Services. He holds a Master’s degree in Health Evaluation from the University of Waterloo, is a credentialed evaluator with the Canadian Evaluation Society, and is trained and certified in Lean and Six Sigma. Francesco has led the design and implementation of multiple program evaluations for mental health, addictions, seniors’ services, and digital health initiatives in the community sector.

A2-2: Target To Improve Mental Health Care For South Asian Canadians

Description: This presentation will focus on the Health Canada funded research project entitled “Development and Evaluation of Culturally Adapted CBT to Improve Community Mental Health Services for Canadians of South Asian Origin”. South Asian Canadians are disproportionately affected by high rates of anxiety and mood disorders, and reported the highest proportion of unmet mental health care needs among other ethnocultural groups. Thus, Along with 3 other partner agencies, CAMH is conducting this research aiming to develop and evaluate a culturally adapted CBT intervention for South Asian populations in Canada who are experiencing depression and anxiety.

Presenter: Farhana Safa, Punjabi Community Health Services (PCHS)

A2-3: Continuous Quality Improvement Collaborative-Using OPOC Data for Regional Quality Improvement

Description: This presentation will describe a tested model of system-level quality improvement (QI). Specifically, the Continuous Quality Improvement Collaborative (CQIC) model brings together regional MHA stakeholders to use data from the standardized Ontario Perception of Care Tool for Mental Health and Addictions (OPOC), along with other sources of evidence, to identify and address system improvement opportunities. CQIC partners shared and reviewed their OPOC results and chose to implement the Partner Oriented Discharge Summary (PODS). This workshop will discuss the results and lessons learned of PODS implementation in one agency of the SW CQIC.

Presenters: Chris Babcock, CMHA Thames Valley Addiction and Mental Health Services (CMHA TVAMHS), Beth Powell, Provincial System Support Program (PSSP) at the Centre for Addiction and Mental Health (CAMH) and Dan Bolton, CQIP Partner

Chris Babcock is the Director of Quality, Performance and Risk and Privacy Officer at CMHA TVAMHS. Chris has worked in the mental health sector for 30 years predominantly in supportive housing.  She began with quality on the side of her desk for 12 years beginning with successfully leading the accreditation process.  Chris has completed EQIP and IDEAS training as well as IHI training.  For the past 4 years Chris has been in a role fully dedicated to quality improvement and performance measurement developing the position and growing a quality culture in CMHA TVAMHS and the MH&A sector.

Beth Powell is an Implementation Specialist at CAMH. Beth has over 40 years’ experience in the addiction and mental health sector from prevention to treatment, child and youth to adult services. Beth’s current interest is in system level quality opportunities, standardized tools and using data for system improvement.

Dan Bolton is a partner with lived experience. For the past 5 years Dan has been doing peer support on the frontlines of St. Thomas. Dan currently participates in projects and activities that support people living with mental health and addiction issues and include: 1) The Homeless Coalition of St. Thomas (THC of ST T) (THC), secretary, co-founder, 2 years, 2) PEERS of Elgin, secretary, co-founder, 2 years, 3) Central Community Health Center/ Primary Care Outreach: create, implement, facilitate, 1.5 years, 4) Elgin Community Drug and Alcohol Strategy (ECDAS), 3 years.

 

A3: System: Using Standardized Data to Measure Impact Across the Province

A3: System: Using Standardized Data to Measure Impact Across the Province

A3-1: Provincial Expansion Of The Ontario Structured Psychotherapy Program

Description: In March 2020, Ontario began the expansion of the Ontario Structured Psychotherapy Program (OSP) which provides access to publicly funded, evidence-based, short-term, cognitive behavioural therapy (CBT) to people with depression, anxiety, and anxiety-related conditions. The Mental Health and Addictions Centre of Excellence (MHA CoE) at Ontario Health used data to recommend service providers to serve as new OSP Network Lead Organizations (NLOs) joining four existing NLOs to work alongside community-based providers to deliver services. This session will talk about approaches to using data for planning, funding and monitoring this new provincial program.

Presenter: Amanda Wong, Centre of Excellence, Ontario Health

Amanda Wong is a Manager of Clinical Programs with the Mental Health and Addictions Centre of Excellence at Ontario Health, responsible for developing and implementing provincial oversight programs which address access, quality and funding needs for services. She brings her experience organizing specialized cancer programs from legacy agency Cancer Care Ontario to this work. She holds a Project Management Professional designation, an undergraduate degree in Science and certificate in lean six sigma from the University of Toronto.

A3-2: Piloting The Met Need Index As An Outcome Measure For Ontario’s Community Mental Health Sector

Description: Quality indicators to measure outcomes of community mental health (CMH) services across providers are infrequently used because most jurisdictions lack standardized clinical data sources which are necessary to develop shared indicators. Consequently, the effectiveness and impact of these mental health services often remain unknown. However, the implementation of the Ontario Common Assessment of Need (OCAN) affords an opportunity to leverage standardized data to develop and pilot quality indicators within the CMH sector in order to support planning and improvement efforts. CMHA Toronto and CMHA Ontario are undertaking a study to examine the utility of a new metric adapted from the research literature, the Met Need Index, to assess the responsiveness of services in meeting the needs of people experiencing mental health challenges. Using provincial OCAN data, our presentation will describe this new metric and its application to measure the effectiveness of CMH services at the provincial, regional and organizational levels.

Presenters: Frank Sirotich, CMHA Toronto and Ravi Menezes, CMHA Ontario 

Frank Sirotich is the Director of Data Analytics, Research and Evaluation at the Canadian Mental Health Association Toronto Branch and an Assistant Professor (Status Appointment) at the Factor-Inwentash Faculty of Social Work at the University of Toronto. He has over 20 years of experience working within the community mental health sector in clinical, research and senior leadership roles.

Ravi Menezes, PhD, is the Manager of Community Mental Health and Addiction Health Data for the Ontario division of the Canadian Mental Health Association.  He has over 15 years of experience working with hospital and community-based health service providers to develop evidence-based tools for tracking service utilization, measuring client outcomes, and promoting equitable and appropriate access to care.

A3-3: Fidelity As Part Of A Learning Health Care System: What Can We Learn From Ontario And International Examples?

Description: Implementing evidence-based practices with quality is a goal of healthcare systems in Ontario and beyond. Fidelity reviews, which assess whether a practice is being delivered as intended, are foundational to this work. However, implementation can be challenging. Moreover, for full benefit, they need to be routine and embedded in a broader program of continuous improvement. Our team reviewed how fidelity monitoring was implemented and used to build high quality evidence-based system of care in four intermediary organizations outside of Ontario. The review complemented our ongoing efforts in Ontario to support quality improvement in Early Psychosis Intervention programs through fidelity monitoring. This presentation will describe how fidelity reviews can support a learning health care system, drawing on results of the intermediary organization review and our four years of experience conducting fidelity assessments in Ontario EPI programs.

Presenters: Janet Durbin and Avra Selick, Provincial System Support Program (PSSP) at CAMH

Janet Durbin is an Independent Scientist in the Provincial System Support Program (PSSP) at the Centre for Addiction and Mental Health (CAMH), with expertise in implementation science, performance monitoring and evaluation. She is Scientific Lead of the Standards Implementation Committee of the Early Psychosis Intervention Ontario Network (EPION) and she recently led a review of the role of intermediary organizations in disseminating EBPs.

Avra Selick is a Research Methods Specialist in the PSSP at the CAMH and a PhD Candidate at the University of Toronto. Avra has been working with EPION for the past eight years supporting quality monitoring efforts, including developing and coordinating the fidelity assessment project.

 

A4: Child and Youth: CYMHA: Using Data for QI

A4: Child and Youth: CYMHA: Using Data for QI

A4-1: Maximizing Data To Support Both Clinical And Organizational Decision-Making

Description: In the current mental healthcare environment characterized by long waitlists, there is a rising importance for accurate assessments and regular outcome measurement to help clinicians understand and appropriately treat mental health concerns in an effective and efficient manner. Kinark Child and Family Services uses the interRAI Screener and the interRAI ChYMH as comprehensive assessment measures that facilitate reliable and valid case conceptualization and treatment planning. Regular outcome measurement, in the form of session-by-session target tracking, is used to monitor treatment progress, allowing clinicians to alter the course of treatment if progress is not being made and move towards discharge when progress is being made. The use of the interRAI ChYMH, in conjunction with session-by-session target tracking, supports clinical decision-making and improved outcomes for children and youth. This presentation will also describe how Kinark uses these sources of data to inform service planning decisions at the organizational level.

Presenters: Dr. Laurel Johnson and Dr. Kelli Phythian, Kinark Child and Family Services

Dr. Laurel Johnson is a child and adolescent clinical psychologist and the Clinical Director and Chief of Psychology at Kinark Child and Family Services. Dr. Johnson is responsible for the clinical quality of programs and services within Kinark’s Child and Youth Mental Health service stream. Prior to Kinark, Dr. Johnson was a staff psychologist at the Centre for Addiction and Mental Health. She completed her Ph.D. at the University of Guelph.

Dr. Kelli Phythian is the Manager of Research and Evaluation at Kinark Child and Family Services. Kelli is responsible for overseeing research and evaluation activities that support strategic planning, quality improvement initiatives, and clinical decision-making. She oversees the evaluation of programs, services, and change initiatives across the organization, as well as knowledge translation activities associated with this work. Kelli completed a Ph.D. in sociology at Western University.

A4-2: Information Is A Catalyst For Change; Using Data To Better Understand, Scope And Guide Service Improvement

Description: Quality improvement methodology provides the structure, tools and activities to support data-driven decision-making throughout each phase of an improvement initiative. However, what is taught in theory can often face its challenges when put into practice. In this session, you will hear how one organization used their service data to deepen their understanding a problem impacting their clients. They will demonstrate how this information directed the team towards critical root causes and led to targeted solutions during a one-day Kaizen blitz. They will describe how they are engaging their clinical team to making real-time use of meaningful data by ensuring its accessibility, reliability and relevance.

Session attendees will be moved to investigate how they can enhance data utilization throughout similar quality improvement efforts within their own scope of work.

Presenters: Karina Santiago and Josie Szatmari, Reach Out Centre for Kids (ROCK)

Karina Santiago, B.Sc., PMP, LEAN/Six Sigma, is the Manager, Quality at ROCK (Reach out for Kids). She is a leader in the areas of Quality Improvement, Client Safety, Risk Management and Project Management with experience in for profit and non-for-profit organizations in various industries including over 18 years in healthcare. She is passionate about driving change, building quality of care practices and creating sustainable results.  She has led numerous initiatives to enhance quality, client/patient experience and client safety, leading ROCK to exemplary standing accreditation with Accreditation Canada.

Josie Szatmari, MSc., OT Reg. (Ont.) is the Clinical Project Supervisor at ROCK. She has a clinical background as an Occupational Therapist working in Children’s Mental Health in community and hospital settings over the past ten years. She is a certified Project Management Professional with a passion for quality improvement, innovation in healthcare and evidence-based mental health care.

A4-3: Streamlining Intake Processes Using Evidence And Data Informed Decision-Making

Description: Youthdale is planning to streamline 6 different access points to our services and to standardize intake processes. The process will include removing unnecessary data collection and storage and improving the quality of data collected. The agency is looking to improve access to our programs to ensure we are providing appropriate services to clients, families and referring organizations in a timely, efficient, effective, safe, client-centred and equitable manner. A key strategic objective of Youthdale is the enhanced use of evidence-informed practices including the introduction of screening, assessment and outcome measurement tools to help guide decision making at a program and agency level.

Presenters: Jason Langer and Teresa Ricciuto, Youthdale

Jason Langer started at Youthdale in 2004 and has worked in many programs and departments over the years including Live-In Treatment, Day Treatment, Inpatient Services and Quality as well as overseeing Records and serving as Youthdale’s Privacy Officer. Jason is Youthdale’s Senior Director of Quality and Evaluation.

Teresa Ricciuto started at Youthdale in 2015 and is Youthdale’s Systems Analyst & Administration Manager. She is the lead on data, systems, key performance indicators and many quality improvement initiatives.

1 HOUR LUNCH- Yoga and Meditation sessions, visit Exhibitor Booths and QI Poster Presentations, Network with conference participants 

1:30pm – 3:00pm (EST)

Concurrent Sessions (B1-B4)

Presenters share expertise and participants will gain new knowledge and/or a new skill. The presentation will take an interactive approach and explore one of the following four streams; (1) Use of data at the client/tenant level (2) Use of data at the organization/program level (3) Use of data at the system level and (4) Special Topic: Child and Youth.

B1: Client/Tenant: How Standardized Tools are Being Used to Guide and Improve Client Care

B1: Client/Tenant: How Standardized Tools are being used to Guide and Improve Client Care

B1-1: BounceBack And Ontario Structured Psychotherapy: Free Measurement-Based Care For Clients Experiencing Anxiety, Depression And Anxiety-Related Conditions

Description: Learn about the BounceBack program and the broader provincial Ontario Structured Psychotherapy (OSP) program, which provides evidence- and measurement-based client care. Also, gain firsthand knowledge on the Excellence Through Quality Improvement Project (E-QIP) with BounceBack, focused on improving client retention.

Presenters: Anna Piszckiewicz, CMHA Ontario and Mimi Wang, CMHA York South Simcoe

Anna Piszckiewicz is a Stakeholder Engagement & Communications Specialist at the Canadian Mental Health Association (CMHA) Ontario. Anna is a former journalist working in the field of communications and knowledge transfer. Currently, she’s working on the province-wide implementation of BounceBack, a publicly funded mental health program, at the Canadian Mental Health Association’s Ontario Division. In her role, Anna helps connect primary care providers, health care organizations and consumers with the mental health resources they need. She was previously with the Alliance for Healthier Communities (formerly Association of Ontario Health Centres). Anna holds a bachelor’s degree from the University of Toronto and a master’s degree in journalism from Ryerson University.

Mimi Wang is a Registered Psychotherapist. She currently works as a Clinician Lead for the Ontario Structured Psychotherapy (OSP) program at the Canadian Mental Health Association (CMHA), York and South Simcoe branch. Prior to her work on the clinician’s team, Mimi was a BounceBack coach for three years. She was also the team lead that initiated the quality improvement efforts for the BounceBack program in 2018.

B1-2: Using The Level Of Care Utilization System (LOCUS) As A Standardized Tool To Understand Mental health And Addiction Client Populations And Plan For Client Care: Client Level Stream

Description: The LOCUS is a standardized evaluation tool developed by the America Academy of Community Psychiatry (AACP) developed to evaluate adults with mental health and addiction concerns on an ongoing basis. It  matches clients with the level of care indicated, identifies gaps in care and provides data to advocate for levels of client care gaps in community. Implementation of the LOCUS at the beginning of the pandemic allowed CMHA-WECB to pivot and make program and organizational level decisions to maximize services to all clients while prioritizing the most high risk clients. Use of the LOCUS inadvertently provided the tool for the complete elimination of the case management waitlist which facilitated the complete re-design of CMHA-WECB case management services. Discussion will include the process for acquiring the LOCUS software and how to integrate it with existing charting platforms and EMR’s.

Presenters: Margo Cameron and Ben Fowler, CMHA Windsor Essex

Margo Cameron is the first Clinical Practice Specialist for CMHA-Windsor Essex County Branch(WECB). CMHA-WECB is the lead provider and advocate of specialized community mental health and addiction services integrated with comprehensive primary health care services in Windsor-Essex. Margo’s role is to enhance all clinical practice roles across the agency from an evidence based best practice lens. Margo is a Registered Nurse with a Bachelor of Science in Nursing and a Masters of Nursing with a focus on community mental health, leadership and quality improvement (QI). Margo has a Green Belt in Six Sigma and is fascinated with the application of QI to health systems. Margo has worked with high risk and marginalized populations of adults and children in Detroit, Edmonton and the GTA prior to returning to Windsor Essex in 2010. She has had teaching and administrative roles with the Faculty of Nursing at the University of Windsor and is a consultant for Veterans Affairs Canada. Margo is married with four daughters, a Golden Retriever/Bernese Mountain dog that does not act like either breed and two grand cats. With her husband Bob, she co-founded the Downtown Windsor Community Collaborative, an asset based community development non-profit. She loves reading, gardening, puzzles, swimming and traveling. She is ever curious and never bored.

Ben Fowler is the Manager of Quality & Performance at CMHA Windsor-Essex County Branch, and has worked within the Mental Health industry for over 13 years.  He transferred his skills in the private industry as a Headhunter for the Engineering and IT world to become an Employment Support Specialist executing case management services specializing in helping those effected by Mental Health issues transition into competitive employment.  After 7yrs of direct front line service with our client’s, Ben transitioned into the data realm as a Decision Support Analyst creating business intelligence, quantitative and qualitative measures of performance, and executing information service migration projects.  He was also responsible for administering both Client Management Systems (Community Mental Health side / CRMS), and Electronic Medical Records (Primary Care side / PS Suites).  After winning Quality Awards in both roles while with CMHA-WECB he was promoted to the newly created Quality & Performance portfolio.  His current focuses include: the quality improvement program, business intelligence, standardization of workflows, agency / program scorecards, Accreditation, and addressing all client feedback (including Ontario Perception of Care Surveying).

B1-3: How The Use Of interRAI Tools By Service Providers Throughout Sarnia Lambton Has Improved Client Care

Description: CMHA Lambton Kent will describe the importance of laying a foundation with a standardized assessment suite internally, and with community mental health and addiction partners. This foundation has created a common language within the MH&A sector in Sarnia Lambton that has improved client care. The interRAI suite of tools supports improved communication at transitions of care, clinical supervision, measurement based care and opportunities for caseload management.

Presenters: Tim Heath, CMHA Lambton Kent and Paula Reaume-Zimmer, Bluewater Health

Tim Heath is employed at the Canadian Mental Health Association where he holds the position of Manager of Integrated Client Services and is a Certified Clinical Supervisor with the Canadian Addiction Counsellors Certification Federation.  Previous to this he worked as a Case Manager in the Early Intervention program at CMHA.

Dr. Paula Reaume-Zimmer is the Vice President of Integrated Services at Bluewater Health and the Canadian Mental Health Association Lambton-Kent. Paula earned her Doctorate in Health Administration (DHA) from Central Michigan University with her research focus on Transitional Age Youth. Paula has also taken on the leadership role as CEO at Lambton Elderly Outreach, with a continued commitment to streamlining acute and community care, by improving transitions of care, integrating teams and removing barriers, for both mental health care, and care for the older adults. She is an Adjunct Assistant Professor in the School of Public Health Sciences, University of Waterloo, and is an alumni of the University of Toronto Rotman, Advanced Health Leadership Program.

B2: Organization/Program: A Focus on Data Quality and Implementation Strategies

B2: Organization/Program: A Focus on Data Quality and Implementation Strategies

B2-1: The Community Business Intelligence (CBI) Project: How A New Decision-Support Tool Can be Used By Community Mental Health Agencies To Drive Data Quality And Decision-Making

Description: The Ontario community mental health and addictions sector currently lacks common standards for measurement and reporting.  This makes it difficult for organizations to understand how well they serve their communities, plan quality improvement initiatives, and make external comparisons.

The Community Business Intelligence (CBI) Project is a decision-support tool that collects a small number of anonymized client-level data elements common to most providers. CBI is integrated into client management software with nightly data updates, allowing providers to understand service utilization, capacity and wait times.  Since it is based on common definitions, it has the potential to improve data quality and benchmarking with comparable organizations.

CBI has recently been implemented in Canadian Mental Health Association branches in Ontario, representing an effort to drive data standards while enhancing analytics capacity.  This presentation will address (i) how data is pushed to CBI, (ii) common indicator development, and (iii) how CBI can be used by agencies to drive data quality and supplement reporting.

Presenters: Ravi Menezes, CMHA Ontario and Stephen Mitchell, CMHA Lambton Kent

Ravi Menezes, PhD, is the Manager of Community Mental Health and Addiction Health Data for the Ontario division of the Canadian Mental Health Association.  He has over 15 years of experience working with hospital and community-based health service providers to develop evidence-based tools for tracking service utilization, measuring client outcomes, and promoting equitable and appropriate access to care.

Stephen Mitchell, PhD, is the Decision Support Lead & Chief Privacy Officer at CMHA Lambton Kent.

B2-2: Building Capacity For The Successful Implementation Of Standardized Tools

Description: In Ontario, several standardized tools have been implemented to enhance the precision and consistency of the information that is collected throughout a client’s service experience. Tools such as a the interRAI (RAI-MH, interRAI ChYMH, InterRAI CMH), the Ontario Common Assessment of Need (OCAN), and the Global Appraisal of Individual Need (GAIN Q3 MI ONT) have been implemented within various service sectors, agencies, and individual programs over the past several years and cover the entire lifespan of the client population.  This workshop will provide an overview of some of the common barriers to prepare for that can confound the successful implementation of a standardized tool, along with a suggested description of enablers that can be put in place to mitigate some of these challenges.

Presenter: Alan Cudmore, Provincial System Support Program (PSSP) at the Centre for Addiction and Mental Health (CAMH)

Alan Cudmore is an Implementation Specialist with the Centre for Addiction and Mental Health’s Provincial System Support Program.  Alan has been with CAMH since 2001, and over the years has worked on community development, education, and evaluation projects within the mental health and addiction sector. Prior to joining CAMH, Alan worked as a therapist in an addiction treatment program and started out his career as a child and youth worker.  Alan holds a BA in Sociology and Anthropology and an MA in Adult Education.

B2-3: When The Carpenter Should Blame Their Tools: Improving Data Quality Of The Ontario Common Assessment Of Need

Description: There is an adage that it is a poor carpenter who blames their tools. Within the community mental health (CMH) sector, however, an exception to this maxim may be having poor quality data.  If data is your main tool for making decisions, then having poor quality data means your insights will not be of much use. The Ontario Common Assessment of Need (OCAN) is a well-established standardized tool used for mental health care, program planning, and quality improvement in the CMH sector. However, the quality of OCAN data has been identified as an area of concern. Using a provincial dataset, CMHA Toronto and CMHA Ontario are undertaking a study to examine the completeness and consistency of OCAN data and to explore their application for quality improvement initiatives. We will share preliminary findings from our study, identifying common data quality issues, and discuss strategies that organizations may consider to improve the quality of their OCAN data.

Presenters: Frank Sirotich and Kamalpreet Rakhra, CMHA Toronto

Frank Sirotich is the Director of Data Analytics, Research and Evaluation at the Canadian Mental Health Association Toronto Branch and an Assistant Professor (Status Appointment) at the Factor-Inwentash Faculty of Social Work at the University of Toronto. He has over 20 years of experience working within the community mental health sector in clinical, research and senior leadership roles.

Kamalpreet Rakhra is the Epidemiologist at the Canadian Mental Health Association, Toronto Branch. She has more than 15 years of experience in the field of Public Health Research, Education and administration and strong knowledge base in epidemiological and statistical methods, and health services and policy research.

B3: System: Data for System Planning and Performance Monitoring

B3: System: Data for System Planning and Performance Monitoring

B3-1: Collect Once And Re-Use: The mental Health And Addictions Provincial Data Set (MHA-PDS)

Description: The Mental Health and Addictions Centre of Excellence at Ontario Health has been tasked with driving improved service quality and accountability. A key enabler of this is access to high quality, standardized data to make it easier to deliver better care, report on performance, and track the value of investments. To deliver on this objective, the Centre has been working with sector stakeholders to develop a provincial MHA data set that will facilitate the automated collection of standardized data from clinical information systems across the sector. This session will provide an overview of the development of the data set, what organizations can expect, and how it can be used to support local, regional and provincial information needs.

Presenter: Tony Schieman, Centre of Excellence, Ontario Health

Tony Schieman is the Program Manager, Data and Digital Initiative at Mental Health and Addictions Centre of Excellence at Ontario Health. Tony has been involved in digital health initiatives in Ontario for the past 18 years, through leadership roles spanning public health, community health, and the past five years in mental health and addictions.  He is well-versed in the integration of digital health solutions with provincial assets using established interoperability standards.  Tony has a Bachelor of Commerce (Honours) degree from Queen’s University.

B3-2: Improvement Indicators For OHT’s Attributable Populations And Mental Health And Addictions

Description: This presentation will provide a brief overview of the Health System Performance Network’s OHT evaluation framework and identify the system-level and mental health and addiction population improvement indicators derived from routinely collected health administrative databases for OHTs to identify where there are improvement opportunities.

Presenter: Dr. Ruth Hall, Health System Performance Network (HSPN)

Dr. Ruth Hall Co-Leads the Health System Performance Network’s (HSPN) central evaluation of the Ontario Health Team initiative with Dr. Walter Wodchis. She is also a scientist at the Institute for Better Health and an Adjunct Scientist at ICES. Prior to joining the HSPN, Ruth was the Evaluation Lead for the Ontario Stroke Network for 10 years. She received PhD from the Institute for Health Management, Policy and Evaluation at the University of Toronto in 2001. Her PhD dissertation examined the inclusion of a diagnostic-based measure of health status to predict home care expenditures. She has extensive experience using administrative databases and the Ontario Stroke Registry to evaluate the of quality stroke care. She has also worked with the Rehab Care Alliance and Neurotrauma Foundation in the development of their system evaluation frameworks and scorecards.

B3-3: How The National Core Services framework And Needs-Based Planning Methodology Can Serve As An Organizing Framework For The MHA System

Description: In this presentation, participants will learn about the how the new National Core Services Framework and Needs-Based Planning methodology currently being piloted across Canada can be used to organize the system and improve system performance. An example will be shared from work completed in Northern Ontario, where the preceding National Core Service Framework and Needs Based Planning methodology for Substance Use Services was used to help organize and plan for the require services.

Presenters: Stephanie Paquette and Brian Rush, VIRGO Consulting

Stephanie Paquette has worked in Mental Health and Substance Use for 26 years, working as a Clinician, a Clinical Leader in a variety of Hospital-based Community Mental Health and Addiction Programs, and most recently as the Mental Health and Addiction Clinical Lead for Ontario Health North.  She has been responsible for executing a strategic regional approach to Mental Health and Addiction Services across Northeastern Ontario; leading numerous projects related to program development; involved in system planning on National, Provincial, and Regional level, including the development of best practice standards in Ontario.

Ms. Paquette has significant experience working with clients & families impacted by mental health and addictions issues and is passionate about implementing change to transform mental health and addictions services at a community and system level. As a consultant, she is now involved in several National and Provincial projects helping to improve and shape the delivery of Mental Health and Substance Use Services. Ms. Paquette has a Master of Social Work and is a member of the Canadian College of Health Leaders.

Dr. Brian Rush worked for over 38 years as a substance use/mental health researcher with the Centre for Addiction and Mental Health (CAMH). Since retiring from his CAMH position, Brian continues to be an active researcher and mentor through his ongoing appointment as Scientist Emeritus at CAMH; an appointment as Senior Scientist at the Homewood Research Institute]; and a private consulting practice (VIRGO Consulting). He is also a Full Professor at the University of Toronto in both the Departments of Public Health Sciences and Psychiatry where he is still very active in teaching and graduate student supervision. His work spans population health, needs-based planning, and evaluations of mental health and addictions treatment programs and treatment systems. He has been involved in several major syntheses of evidence-based practice. He has also conducted major system reviews in many regions across Canada – work which keeps him firmly grounded in the issues of the day and people’s lived experience with mental health and addiction challenges, including their experience accessing services and supports.

B4: Child and Youth: Engagement of Children, Youth and Families for QI

B4: Child and Youth: Engagement of Children, Youth and Families for QI

B4-1: Quality Standard For Youth Engagement: Using Data To Support And Guide Engagement At An Organizational And System Level

Description: The quality standard for youth engagement describes elements of high-quality youth engagement at the organizational and system level, in order to enable youth-adult partnerships in meaningful ways​.  The quality standard provides evidence informed best-practices and quality indicators, including a survey to measure an organization or community’s perception of the current state of engagement.  This survey is one of the tools to supports agencies who are committed to improving meaningful engagement at an organizational or system level.

Presenters: Patricia Silva-Roy and Kathryn Matsushita, Knowledge Institute on Child and Youth Mental Health and Addictions

Patricia Silva-Roy is a youth advisor at the Knowledge Institute on Child and Youth Mental Health and Addictions. Patricia coordinates the Knowledge Institute’s youth advisory council and also supports Youth Wellness Hubs Ontario youth engagement initiatives. Outside of the Knowledge Institute, Patricia has experience engaging with youth in a variety of recreational and professional environments.

Kathryn Matsushita holds a Master of Public Health from Queen’s University with a focus on taking evidence-informed action. She is currently a knowledge broker at the Knowledge Institute on Child and Youth Mental Health and Addictions, where she supports child and youth mental health agencies across the province on implementation science, evaluation, and youth and family engagement practices.

B4-2: Reconceptualizing Client Voice In Quality Improvement: Engaging Youth For Meaningful Outcomes

Description: The concept of “nothing about me without me” in human services is well-understood and widely supported, and yet when it comes to system-level initiatives, often we hear of obstacles more than facilitators to meaningfully engage young people. Join us as we explore how quality improvement methodology and meaningful youth engagement come together to enhance service improvement work in the child and youth mental health sector. We will discuss the importance and impact of client voice in QI and hear how one organization is working alongside young people to make meaningful improvements to their programs and services.

Session attendees will walk away with practical strategies and hopefully boundless inspiration to identify opportunities to engage young people in quality improvement initiatives in their region.

Presenters: Kelsey Binkley, Knowledge Institute on Child and Youth Mental Health and Addictions and Cailin Scott, The Maltby Centre

Kelsey Binkley is a Quality Improvement Specialist at the Knowledge Institute on Child and Youth Mental Health and Addictions. Kelsey is a right-brain thinker working in a left-brain environment; she considers it a perfect fit. She has a Master of Education, is a Lean Six Sigma Black Belt and has over 15 years of experience working directly with young people, their families and service providers. A role in quality improvement was a natural outcome and working in the child and youth mental health and addictions sector has allowed her to turn this vocation into a true passion. She balances her time between helping organizations find meaningful improvements to their care pathways and coaching others to realize their innate problem-solving abilities.

Cailin Scott is the Manager of Quality, Accreditation and Privacy at The Maltby Centre. Cailin completed her undergraduate in Health Sciences at the University of Ottawa, followed by a Masters in Public Health at Queen’s University. Cailin worked in data analysis at the Maltby Centre for 5 years before moving to her current role as Manager of Quality Improvement, Accreditation, and Privacy. Cailin has her white and yellow Lean belts and is currently working toward her green belt.

B4-3: Our First OPOC Blizzard (oops, Blitz!) In Algoma

Description: Implementing the OPOC in Algoma for the first time was a challenge, especially in the middle of a pandemic. We were challenged to stretch ourselves and try new methods to reach out to clients. In the process, we made mistakes, got messy and learned a lot along the way. Now we can’t wait until next time!

Presenters: Brenda Clarke and Emily Tremblay, Algoma Family Services

Brenda Clarke is the Manager, Community Services and Strategic Initiatives at Algoma Family Services. Brenda has more than 25 years working in a children’s mental health agency in various roles including project development and proposal writing, project management and evaluation.

Emily Tremblay is the Supervisor, Community Services at Algoma Family Services. Emily has a degree in business and brings an entrepreneurial mind to all the projects she has undertaken in her 5 years at AFS.

30 MINUTE HEALTH BREAK – Yoga and Meditation sessions, visit Exhibitor Booths and QI Poster Presentations, Network with conference participants

3:30pm – 4:30pm (EST)

Panel- What Makes for Good Transitions?

What Makes for Good Transitions?

Imagine: Ontarians transitioning seamlessly through a spectrum of health care services as their needs change across the lifespan. Join our QI Innovations Panel as we explore the evidence for successful transitions using the quality standards developed by Ontario Health. Engage in immersive discussions on the challenges of truly integrated, person-centered care for people experiencing mental illness and/or substance use problems. Discover the lessons learned from a team’s experience of supporting transitions in care for children and youth as they move to adult services. Learn about a team’s endeavours to successfully transition people across hospital, community and primary care settings. Hear innovative ways information sharing and integrated data can facilitate smooth transitions.  

Moderator: Melissa Jennings, Knowledge Institute on Child and Youth Mental Health and Addictions

Panelists: David Kaplan, Ontario Health, Deb Chiodo, Youth Wellness Hubs Ontario and Dania Versailles, Ottawa East Ontario Health Team

Melissa Jennings is the Director of Special projects and Operations at the Knowledge Institute on Child and Youth Mental Health and Addictions (the Knowledge Institute). Melissa holds a master’s degree in child studies and a bachelor’s degree in psychology. Early in her career, she was involved in a range of program evaluation and community-based research initiatives in the areas of school-age childcare, early years, social-emotional learning, violence against women and programming for seniors. Melissa joined the Knowledge Institute’s leadership team in 2012 and has led the evaluation support program, the knowledge broker team and most recently key internal planning- and performance-related activities.

David Kaplan MD, MSc, CCFP, FCFP is the Vice President, Quality at Ontario Health (Clinical Institutes and Quality Programs). Previously, he was the Chief, Clinical Quality and Primary Care Quality Lead at Health Quality Ontario.

Dr. Kaplan is an academic family physician at North York General Hospital, where he serves as the Deputy Chair of the Medical Advisory Committee. He is an associate professor in the Department of Family & Community Medicine and Joint Centre for Bioethics at the University of Toronto. He completed his graduate training in Health Policy and Bioethics in the Institute of Health Policy, Management and Evaluation at the University of Toronto. He is a fellow of the College of Family Physicians of Canada.

Deb Chiodo, Ph.D., is the Director of Data Management and Evaluation for Youth Wellness Hubs Ontario at the Centre for Addiction and Mental Health and Assistant Professor at Western University. Her research interests focuses on understanding the implementation, evaluation, and sustainability of evidence-based mental health and addiction interventions in real-world settings.

Dania Versailles is a director of Clinical services at the Canadian Mental Health Association (CMHA) in Ottawa and works with outreach teams who support individuals living with severe mental illness with or without addiction issues who are homeless or vulnerably housed; some also have dual diagnosis. These individuals are referred from in-hospital units and emergency departments, the Court and justice system and the various levels of government. Dania is an accomplished bilingual Registered Nurse leader who brings almost 27 years of experience into this panel discussion with lenses from specialty clinical areas from hospital settings, homecare, as well as management, education, and research perspectives.

Her experience afforded her opportunities to work with a diversity of frontline workers, executives, policy makers, regional and provincial networks, and the media. In 2020, Dania became the representative of the mental health and addictions sector within the Ontario Health Team of Ottawa-East and the Prescott-Russell areas and is sitting at the inter-OHT strategic table in that region. These connections give her a first-seat view of the renovations and innovations that are occurring in healthcare today. Dania will share key lessons learned from the School of OHT based on her observations and reflections on what lies ahead from a quality improvement perspective.

4:30pm – 5:00pm (EST)

Closing Remarks

Closing Remarks

Graham Woodward, Vice President, Mental Health and Addictions Centre of Excellence

Graham Woodward is the Vice-President of Mental Health and Addictions Centre of Excellence. Over the past 25 years Graham has focused his career on improving health care policy and planning through better use of evidence, data and collaboration. During his time at CorHealth,he provided executive strategic leadership in the merger of the Cardiac Care Network and the Ontario Stroke Network and in the development of the organization’s first strategic plan.

Sandra Huang Del Frari, Manager, Quality, Knowledge Institute on Child and Youth Mental Health and Addictions

A skilled leader, facilitator and a problem solver at heart — Sandra Huang Del Frari is the Quality Manager for the Knowledge Institute on Child and Youth Mental Health and Addictions. With over 15 years of experience, Sandra blends her knowledge of implementation science and quality improvement to solve complex pathway issues within the sector, alongside her QI coaching team. Sandra is a tenacious collaborator who gets energized by facilitating workshops and training or finding innovative ways to create an inspiring workplace.