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John H.V. Gilbert, Ph.D., FCAHS Project Lead and Chair, Canadian Interprofessional Collaborative

“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

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John H.V. Gilbert, Ph.D., FCAHS Project Lead and Chair, Canadian Interprofessional Collaborative

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  1. “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

  2. Four MessagesWhy Collaboration is Tough • Communicating the “interprofesssional” word • Being interprofessional is being collaborative • Impediments to IP collaboration for HHR change • Collaboration IS communication: walking the walk, talking the talk

  3. 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

  4. II. Being Interprofessional is Being CollaborativeA way of learning, practicing and caring • Not the same old 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

  5. '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”)

  6. 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.

  7. “You Just Don't Understand: Women and Men in Conversation”(Deborah Tannen, 1990)

  8. Caught in a Web of WordsJones D, Mitchell A (2006). Lean thinking for the NHS. London: NHS Confederation.

  9. "I hear you, but I do not listen.”(Wim Duisenberg, President European Central Bank 1998-2003)

  10. 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)

  11. 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)

  12. 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 • Acute

  13. Collaborative Learning EnvironmentsJust don’t confuse the snake

  14. “Communication”? & “Collaboration”? 26 essential letters for HHR evolution “Mr. Godot won’t come this evening, but surely tomorrow” “Waiting for GodotSamuel Beckett)

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