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This paper discusses the importance of adopting a collaborative culture for knowledge management in the Canadian healthcare system. It highlights the complex adaptive systems' nature of health information and the need for innovative solutions to improve knowledge translation. By embracing complexity, leveraging social technologies, and fostering relationships among health professionals, the healthcare landscape can become more efficient, interconnected, and responsive. The work emphasizes the critical role of shared knowledge, adaptability, and feedback in promoting a culture of trust and collaboration across various jurisdictions in Canada.
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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. “ 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
Manitoba Infoway HC CIHI CanadianForces Health Canada CIC Saskatchewan PHAC RCMP CIHR Federal Influence VAC PHAC Corrections Federal Healthcare Partnership Less than 1% pop Nova Scotia Yukon New Brunswick Nunavut British Columbia Ontario Quebec PEI NWT Alberta Newfoundland and Labrador 10-15 % pop Canadian Health system overview Jurisdictions Less than 1% pop 23-40% pop 1-5 % pop
Knowledge Creation Funnel Bottle Neck
Complex adaptive system Individuals using simple rules, acting for their own reasonscreate an adaptive system. Components • Self organization • Emergence • Relationships • Feedback • Adaptability • Non-Linearity 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.
Shared platform Shared Benefits Efficiency and focus Interoperability Connectedness Shared knowledge Access Agility Shared Technology Common profile Standard xml Open development Governance – basic enablement and standards. National scope with connections