Health Care Consent Advance Care Planning CoP

Background

The Health Care Consent Advance Care Planning Community of Practice (HCC ACP CoP) was created to respond to the need for a provincial resource for Health Care Consent and Advance Care Planning practice utilizing an Ontario legal framework. Both national and provincial initiatives related to Advance Care Planning have contributed to help drive the work and activities by this group.  Goals are reflective of an Ontario legal framework and reinforce the link between HCC & ACP to the public and health care providers.

A key link to the HCC ACP CoP is Speak-Up Ontario, which is a partnership between HPCO and the Canadian Hospice Palliative Care Association (CHPCA) which began in February 2012.  This is the Ontario version of the National Speak-Up Campaign, which provides education and Ontario based tools and resources across the province.

This Community of Practice has been in existence since 2010 in various forms.  The Alzheimer Knowledge Exchange initially supported it until the spring of 2013.  It continued its work after the funding from Seniors Health Research Transfer Network (SHRTN) ended, and later officially transitioned to Hospice Palliative Care Ontario (HPCO) where it has been principally led by a dedicated group of HCC ACP expert leaders.

Structure

The HPCO HCC ACP CoP is responsive to its membership and has evolved to meet the growing interest and demand for leadership and resources throughout Ontario. As such the current structure includes:

 

Leadership Advisory Team

• Appointed by HPCO, as recommended by the members of the Leadership Advisory Team, or others as appropriate, to advise HPCO and the HCC ACP CoP on opportunities, issues and solutions, as well as recommended Ontario tools, resources, promotion, awareness, etc. The Leadership Team also leads material reviews.
• The Leadership Advisory Team consists of between 10 – 12 members
• The Leadership Advisory Team are volunteer members that are committed to advancing awareness, knowledge and skills related to HCC ACP in Ontario and is comprised of a diverse group of experts in the legal, policy, clinical, operational, knowledge translation and implementation domains of HCC ACP.
• Meets a minimum of 10 times a year with additional meetings as required.
• HPCO and Leadership Team to review membership annually to:
• Assess current members’ level of engagement and participation and make suggestions for membership team adjustments as needed.
• Ensure current membership reflects and aligns with the current CoP’s priorities, activities and evolvement.
• Ensure that members are not in a conflict of interest.

Clinical Advisory Team
    • Appointed by HPCO, as recognized clinical leads in HCC ACP GoC in Ontario.
    • Advises HPCO and the Leadership Team on opportunities, issues and solutions for enhancing system wide awareness, skills and capacity building across interdisciplinary clinicians.
    • Develops and recommends appropriate Ontario-based tools and resources etc.
    • Meets a minimum of 10 times a year with additional meetings as required.
Regional Champions

• Appointed by HPCO, as recommended by the members of the Leadership Advisory Team, or others as appropriate, as recognized champions in HCC ACP in Ontario who have a lead role for promoting and implementing HCC ACP ideally at a regional level.
• Required to successfully complete a 3-month orientation and mentorship training.
• Meets a minimum of quarterly to provide a forum for information exchange, knowledge transfer and share information about HCC ACP initiatives within the Ontario framework; and to promote the recommended Ontario tools and resources and build awareness.
• Members must be vigilant and exemplary in sharing resources, to ensure consistency with Ontario legal framework.
• HPCO and Leadership Team to review Regional Champion membership annually to:
• Assess current members’ level of engagement and participation and make suggestions for membership team adjustments as needed.
• Ensure current membership reflects and aligns with the current CoP’s priorities, activities and evolvement.
• Ensure that members are not in a conflict of interest.
To register, click here.

Organizational Champions 

•Representatives from across organizations (e.g., hospitals, LTC, community, social services, etc.,) that have a lead role for promoting and implementing HCC ACP within their organization, sector or community. Required to successfully complete the HPCO on-line HCC ACP learning program.
• Meet a minimum of quarterly to provide a forum for information exchange, knowledge transfer and share information about HCC ACP initiatives within the Ontario framework; and to promote the recommended Ontario tools and resources and build awareness.
• Members must be vigilant and exemplary in sharing resources, to ensure consistency with Ontario legal framework.
• Endorsed by their organization to take this lead role for promoting HCC ACP education and to facilitate knowledge translation within the organization or community.

To register click here.

 

General Membership

This membership is open to everyone and does not require endorsement from anyone. We welcome you to join the CoP if you are interested in expanding your knowledge of Health Care Consent and Advance Care Planning and want to share this knowledge with others. The General Membership group meets quarterly.

To register click here.

 

Lead Trainer Program

Across the province there is a need for education and awareness on Health Care Consent and Advance Care Planning for the public. HPCO receives a high volume of requests for presentations to various organizations and at a variety of events. With the intent to ensure that the information and materials shared are compliant within the Ontario framework, HPCO created the Health Care Consent Advance Care Planning Lead Trainer Program.

  • Lead Trainers: A health service provider that is connected to an organization who can support the Lead Trainer to build and sustain a team of volunteer Facilitators. Must complete HPCO’s Advance Care Planning E-Learning Modules and other appropriate training sessions.
    • Required to successfully complete the appropriate orientation and training, including the Advance Care Planning E-Learning Modules.
    • Meet a minimum of two times a year to provide a forum for information exchange, knowledge transfer and share information.
    • Members must be vigilant and exemplary in seeking facilitators to participate in presentations, as well as seek opportunities to provide presentations in the community.
  • Facilitator: The Facilitator is a volunteer who is interested in facilitating community Advance Care Planning workshops to the general public and interested in growing Advance Care Planning Conversations in the community. The Facilitator is responsible for conducting presentations on the topic of Health Care Consent and Advance Care Planning in Ontario. Presentations are to be given to a variety of audiences in a friendly and courteous manner.
    • Required to successfully complete the appropriate orientation and training, including the Advance Care Planning E-Learning Modules.
    • Meet a minimum of two times a year to provide a forum for information exchange, knowledge transfer and share information.
    • Members must be vigilant and exemplary in seeking opportunities to provide presentations in the community.

To express your interest in receiving information on the next training opportunity, click here.

 

Additional Working Groups may be identified by HPCO, the Leadership Advisory Committee, Regional Champions or Broad-based membership.  These groups are approved by HPCO depending on resources available to support the work.  The following Working and Interest Groups currently exist within the CoP:

 

Cross Sector Working Group
  • Comprised of a variety of Provincial Associations interested in Advance Care Planning including OLTCA, OMA, OHA, OLTCC, RNAO, HSSO and more.  Members act as the liaison to their membership for communication, promotion and often co-hosting of webinars.
  • Members meet quarterly.
  • Members work to build strong Health Care Consent Advance Care Planning provincial leadership and awareness across all disciplines, and throughout all care settings to:
  • Support positive change and advancement with HCC ACP GoC practices across all Sectors in Ontario, including but not limited to LTC, Hospital, Community Primary Care etc.,
  • Be vigilant and exemplary in ensuring that all HCC ACP GoC resources used are consistent with Ontario legal framework.
  • Incorporate a knowledge translation approach in all of our activities to ensure that best practice theory is translated to practice and is sustainable.

 

Research Working Group
  • Membership consists of researchers who align their work with the Ontario Legal Framework and current available tools and resources with the goals of:
  • Clarifying confusions and dispelling misconceptions to increase compliance in Ontario.
  • Discovering and utilize Ontario specific tools, resources & supports.
  • Partnering with the CoP to find leverage opportunities and align strategies to work together.
  • Supporting and sharing with one another to enhance knowledge and advance common HCC ACP GoC practices in Ontario.
  • Members meet a minimum of annually
 
Pediatric Advance Care Planning Working Group
    • Through an environmental scan and literature review a gap was identified within Health Care Consent and Advance Care Planning in Ontario for the Pediatric population. Special consideration needs to be applied as it relates to the Ontario legal framework for Pediatric Advance Care Planning and Health Care Consent.
  • The Pediatric ACP Working Group is comprised of Pediatric and legal experts across the province
  • The members work towards creating opportunities to influence policy and system issues related to Pediatric Advance Care Planning and Health Care Consent using an Ontario legal framework to:
  • Support positive change and advancement with HCC ACP pediatric practices
  • Be vigilant and exemplary in ensuring that all HCC ACP resources used are consistent with Ontario legal framework.
  • Incorporate a knowledge translation approach in all of activities to ensure that best practice theory is translated to practice and is sustainable.
  • The members aim at creating awareness and educational materials and opportunities about Pediatric Advance Care Planning and Health Care Consent within the Ontario legal framework.
  • The members engage with organizations who serve the pediatric community within Ontario to ensure consistent resources and information are aligned and utilized.
  • Members meet quarterly.

Please email Nav Dhillon, the Communities of Practice Coordinator, at nav.dhillon@hpco.ca if you are interested in joining.