PER S P E C TI V ES VOL 1 ISSUE 1 IN THIS ISSUE Welcome The College is pleased to introduce you to our new registrant communications initiative, Perspectives. You can look forward to six editions annually, delivered in the format of your choice, reflecting on issues of thought leadership, applied practice and data exchange. What to Expect from the College The College’s mandate is to protect the public interest, however we also work in collaboration with physiotherapists. Discover how you can expect to be supported by the College and what the College expects of you. Communications After a year-long odyssey, a communications plan is in place and in implementation. Learn what we have in store and how it will help to achieve the goals of the College’s strategic framework, increasing registrant engagement and public confidence. Patient Health Literacy There are over 145 spoken languages in use in Canada, so it’s not surprising that patient health literacy needs attention. However, language barriers are not the only obstacles. Think you’re fully communicating with your patients? Think again. Celebrating Quality Care The College celebrates the profession and quality care with its 2009 annual awards, but there’s something new on the horizon; a significant investment in the form of the Award for Research and Advancing Quality Care. Find out how you can apply or nominate someone for these awards. 2 College of Physiotherapists of Ontario WELCOME Welcome to our first edition of Perspectives, our new-style communications vehicle, bringing you information and education related to the practice of physiotherapy in Ontario! We are so pleased to introduce you to this new communications piece, as well as to give you a sneak-peak at the direction and look we’re taking with our communications in general. In an effort to present issues that affect you in a concise, easy-to-read style, you will receive each four-page issue in the format that works best for you; electronic or print, based on your choice as indicated in your registrant profile (to change your preference go to https:// epartner.collegept.org). Produced six times annually, articles and features will fall into three main categories: Thought Leadership; Applied Practice; and Data Exchange. Future Lori Neill Jan Robinson stories by College staff and guest writers may include such topics as privacy, patient President Registrar safety, human rights, mandatory reporting, cultural competence, liability insurance and others. As always, we welcome your ideas and suggestions for meaningful articles that you feel will benefit your colleagues. In order to receive your comments and to enhance the value of Perspectives to all readers, a survey will be accessible via our website at http://www.collegept.org and you will have the opportunity to submit ideas for future editions through this forum. We hope you will enjoy Perspectives and we look forward to your feedback. This is just one of the many tools being implemented from our new communications plan which will be unveiled later in this edition. Read on for the complete scoop! What to Expect “High achievement always takes place in the framework of high expectations”. - Charles Kettering The profession, through its steward – the College of Physiotherapists of Ontario – has set a high performance bar for itself and for the benefit of its consumers. The profession holds itself to excellence and high ideals. Its standards reflect ethics in practice, quality care and competence. The “expectation” level set for physiotherapists in the province is to be celebrated. While sometimes daunting to registrants, the message the profession gives is one of commitment, patients-first, and trust related to outcomes. This is an engaging and important message. Physiotherapists however, often view themselves in a oneway conversation. While contributing to standards developed with the College, the appearance on the ground is of College dominance; an organization, while important to the profession, engaged in setting rules, not in partnership. C OLLEGE OF PH YS I O TH ER AP I STS O F O N TA R I O 3 7 5 UNIVERSITY AV E N UE SUI TE 90 1 T OR ONTO, ONTARI O M5 G 2 J 5 The College, in its rightful place, represents the public interest side of the profession; it is but one element in professionbased leadership. The College’s interests focus on safe, quality physiotherapy care for Ontarians. Dialogue on this important topic is actually not one-way – in fact it has three sides and it is about expectation: • • • Expectations of the physiotherapist by the College Expectations of the public from physiotherapists, and Expectations of the College both by physiotherapists and the public From the vantage point of the physiotherapist, expecting something from the College may be new, but expect the following credo: You can expect to be: • • • • Informed Resourced Heard Represented With an emphasis on the public view, each of these expectations has a vision. TE L 4 1 6 .5 9 1 .3 82 8 1 .80 0 .5 83 .5 885 F A X 4 1 6 .5 9 1 .3 83 4 W E B S I TE w w w .c o l l eg ep t.org E M A I L p er s p ec ti v es @ c ollegept. org College of Physiotherapists of Ontario Expect to be informed – The College provides up to date information and data to permit physiotherapists to work to their fullest potential related to safe, quality care. The College measures the performance of its regulatory role and reports regularly on its outcomes and strategies. Expect to be resourced – The College strives to provide resource materials in various formats that support registrant understanding and learning which facilitates integration in practice. Expect to be heard – The College engages registrants in ongoing dialogue as it sets policy and standards. All College processes endeavour to ensure fairness, whether the issue involves an investigation, a hearing or an application. Expect to be represented – The College is not a professionbased advocate. However, as a leader in professional issues that matter to the delivery of safe, quality physiotherapy care, the College is committed to visibility, strategic discussions and collaborative initiatives within the profession and beyond. So what do “expectations” of the College really look like? • • • • • Accountability – hold us accountable to what Council intends Ask questions Respond to requests for input Read the varied correspondence Challenge the annual report As Charles Dickens said in Great Expectations, “Take nothing on its looks; take everything on evidence. There’s no better rule.” Together, in the public interest, we’re better. Communications Johann Wolfgang Von Goethe once said that thinking is easy, acting is difficult and to put one’s thoughts into action is the most difficult thing in the world. We know. We just spent the better part of the last year discovering that for ourselves, so you can imagine what a relief it is to have finally settled upon a communications plan that clearly maps out how to bring life, in a communications sense, to our strategic framework. It all started about this time last year. We acknowledged a lot of really good work had gone into the last several years of creating awareness for the College, especially for our registrants in 3 developing a strong “brand”, if you will, in marketing jargon. However, the time was upon us to take things to the next level, extending our reach to educate and enlighten the public (patients) and partnering more with our stakeholders. Working with notable communications gurus at Manifest Communications, an overall strategic direction, including the hiring of a communications team, was put forward. With the hiring of Karin Micheelsen, Director of Communications and Katherine Gaskin, Communications Associate, we now have a strong, in-house team of professionals working to develop the high-level strategies and execute deliverables that enable us to put our thoughts into action. One of Karin’s first and most important tasks was to structure a three-year communications plan which will permit the College to realize the goals of its strategic framework. Dividing our audience base into three distinct sections; patients, physiotherapists and stakeholders, a plan to engage and educate each, through the promotion of “quality care” has been developed in support of our organizational vision. For patients this is verbalized as “Expect Quality Care”; for physiotherapists, it’s “Partners in Quality Care”, an extension of the messaging developed in our Quality Management Program; and for stakeholders, it is a combination of the previous message “Leading in Regulation” and “Partners in Quality Care”. Our foundation is now in place to move forward – we know what we want to do and why we want to do it. Now, the question is “How?”. First, you are going to see some changes in how we look and how we present information. These changes will be most noticeable in our website which we expect to re-launch in January, 2009. Our goal is to create a site that is more intuitive and user friendly, one that embodies a common navigation principle throughout and is searchable. Next, you’ll start to see our “refreshed look” applied to our materials including the 2009 Registrants’ Guide, Perspectives, updated standards and guides and all new documentation. In time, the College will begin to move into the realm of trade show and conference participation as well as education campaigns and events. How will we know if it’s working? - We constantly seek feedback on our initiatives and will solicit this important information from both our physiotherapists and their patients in order to measure the effectiveness of our efforts. This is but a mere “taste” of what’s to come. We are extremely excited about the future and look forward to positioning the College for greater public awareness and professional engagement. 4 College of Physiotherapists of Ontario Patient Health Literacy The cultural mix of Canada is vast and according to the websites Languages of the World and Enthnologue, there are 145 languages spoken in Canada. Next, consider this, of a population of just over 32 million, there are over 27,000 blind and almost 2 million deaf citizens. Think you’re fully communicating with your patients? Think again. With health-literacy skills that are considered to be at Level 2 and below (IALSS definition), 60% of adult Canadians lack the capacity to obtain, understand and act upon health information and services and to make appropriate health decisions on their own. With language needs almost as vast as the land itself, it’s not surprising that patient health literacy needs attention, but language barriers are not the only obstacles. The higher a person’s education status and ability to learn about health, the better that person’s health. Health literacy is the degree to which patients have the ability to understand and process health information in order to make informed health care decisions. This also includes numeracy skills, essential for such tasks as calculating dosages, understanding insurance coverage, etc. Studies have shown that this ability can vary depending on age, culture, education level, income and language skills. Poor health literacy can affect a patient’s ability to seek treatment, communicate issues and information, complete paperwork and to appreciate, promote and maintain optimum health. Improving Patient Health Literacy 1. Is the information appropriate to the patient? a. Who are your patients? b. Consider and respect the demographics, cultures, languages of your patients c. Are there any other communication barriers? 2. Is the information accessible? a. Keep information simple – use plain language in short sentences and use a larger font for written instructions b. Use diagrams and graphics to illustrate concepts 3. Information on the web a. Keep navigation simple and intuitive – less is more – Flash animations and fancy graphics will make your site more difficult to navigate b. Make your site searchable and include a site map c. Make your contact info easy to find 4. Conversing with patients a. Listen and ask open ended questions b. Check for patient understanding – ask them to repeat instructions in their own words c. Participate in cultural competency training This topic will be further examined in future editions of Perspectives. If you would like to learn more about patient health literacy, please visit: • • • http://www.iom.edu/report.asp?id=19723 http://www.ahrq.gov/clinic/epcsums/litsum.htm http://search.ccl-cca.ca/NR/rdonlyres/CB3135D3-549345FA B870-1A3D3ABD6EC4/0/HealthLiteracyinCanada.pdf Celebrating Quality Care Recently, you will have received a postcard announcing the calling for nominations/applications for the 2009 Quality Care Awards. Hopefully, from the celebratory feel of the cards and the associated web pages, you have noticed that there have been a few changes… The Dianne Millette Fellowship Award has been renamed The Award for Research Advancing Quality Care and now carries a prize value of $5,000. This award recognizes clinically based physiotherapists who are involved in research focussed on improving the quality and safety at point of care within various models of delivery. This prize is intended to assist the recipient with the associated costs involved in the dissemination of the research to a larger audience, i.e. conference registration fees and transportation costs, publication costs, etc. “This award recognizes the immense value of this type of research to the health system and to the public and seeks to invest in a physiotherapist’s pursuit and presentation of this research”, said Jan Robinson, Registrar. The second award, The Award of Distinction, celebrates a physiotherapist’s outstanding contributions to both the profession and the broader community in Ontario through accomplishment in health related volunteerism and professional activities. For complete information regarding the application/nomination process and to download the applicable forms, please visit http://www.collegept.org/2009awards. Applications/nominations must be received no later than 4:30pm on January 31, 2009. The winners will be announced at the Awards Reception on June 22, 2009.
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