“Communication” & “Collaboration”: Just a couple of 13 letter words? (With apologies to Bob Dylan) John H. V. Gilbert, Ph. D. , FCAHS Project Lead and Chair, Canadian Interprofessional Collaborative Principal & Professor Emeritus, College of Health Disciplines, UBC Canadian Partnerships for Progress in Health Human Resources Ottawa October 9 2009 www. cihc. ca
Four Messages Why Collaboration is Tough I. Communicating the “interprofesssional” word II. Being interprofessional is being collaborative III. Impediments to IP collaboration for HHR change IV. Collaboration IS communication: walking the walk, talking the talk www. cihc. ca
I. Communicating the “interprofesssional” word It’s a definition not a sound bite • Learning With, From and About • For the purposes of collaboration. • To improve the quality of care – Structure – Process – Outcome -> impact www. cihc. ca
II. Being Interprofessional is Being Collaborative A way of learning, practicing and caring • Not the same old – me in my small corner and you in yours. • Not 1: 30 on alternate Fridays when it’s raining • About understanding the richness of interactions. – Is your sentence the same as my sentence? – I suspect your tone of voice, – You’re moving body parts – I don’t believe you www. cihc. ca
'You might very well think that; I couldn't possibly comment'. Used by Francis Urquhart (Conservative Chief Whip) whenever he could not be seen to agree with a question, with the emphasis on either the 'I’, or the 'possibly’, depending on the situation. (From the 1990 BBC series “House of Cards”) www. cihc. ca
III. Impediments to IP collaboration for HHR change • The unreality of ratios vs. the reality of population health • The confusion between health vs. education policies • The iron hand of accreditation • The ring-fence of Legislation and Regulation • The problem of too many languages. www. cihc. ca
“You Just Don't Understand: Women and Men in Conversation” (Deborah Tannen, 1990) www. cihc. ca
Caught in a Web of Words Jones D, Mitchell A (2006). Lean thinking for the NHS. London: NHS Confederation www. cihc. ca .
"I hear you, but I do not listen. ” (Wim Duisenberg, President European Central Bank 19982003) www. cihc. ca
IV. Collaboration IS communication: Walking the walk, talking the talk For the things we have to learn before we can do them, we learn by doing them. (Aristotle: Nicomachean Ethics) www. cihc. ca
Collaboration in Practice & Collaborative Practice: A Testable Description An interprofessional process for: • communication and decision making that: • enables the separate and shared knowledge and skills of different care providers to: • synergistically influence the care provided through changed attitudes and behaviours. (after Daniel Way, Linda Jones & Nick Busing, (May 18, 2000) “Family Doctors & Nurse Practitioners Delivering Shared Care” written for the Ontario College of Family Physicians) www. cihc. ca
Collaborative Learning Environments “How They Brought the Good News from Ghent to Aix” • Service organizations are learning organizations • The existing disciplinary protocols for practice learning • The tools that have been developed • The existing collaborative environments – Mental health – Primary health care – Chronic disease clinics www. cihc. ca – Acute
Collaborative Learning Environments Just don’t confuse the snake www. cihc. ca
“Communication”? & “Collaboration”? 26 essential letters for HHR evolution “Mr. Godot won’t come this evening, but surely tomorrow” “Waiting for Godot. Samuel Beckett) www. cihc. ca
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