[homeles_ot-l] Fwd: [New post] Everyday health care practice in law, policy, research and governance: bridging to practice change

Sat Nov 21 10:09:40 EST 2020

Bill Dare posted: " The University of Ottawa Centre for Health Care Law,
Policy and Ethics is working to open the dialogue on health care and
practice change, which may well help us with system level change.  One
effort is to have open presentations that bridge and explain"
Respond to this post by replying above this line
New post on *Social & Health Practice Ottawa*
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Everyday
health care practice in law, policy, research and governance: bridging to
practice change
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by
Bill Dare
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The *University of Ottawa Centre for Health Care Law, Policy and Ethics* is
working to open the dialogue on health care and practice change, which may
well help us with system level change.  One effort is to have open
presentations that bridge and explain the dynamics between our laws, policy
and practice, shared and recorded via virtual presentations.

I think the law is a much more dynamic and evolving guide to practice than
most of us realize.  When I say realize, I know we know, about the rule of
law, but seldom do many of us on the frontlines, even directors and CEO’s
have a sense we are able to enter this level of our systems of society and
nudge or influence it.  The centre aims to demonstrate to us how evolving
court cases, research can be bridged to our regulatory colleges, policy
guidelines that land at our organizations.

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... Innovation in medicine offers tremendous hope. But it requires similar
innovation in governance—in law, policy, and ethics—for society to fully
realize the fruits and avoid the pitfalls. For example, how can we
incorporate tomorrow's AI technology into healthcare while avoiding
accidental bias and discrimination? Can we apply insights from neuroscience
to improve our criminal justice system for cases where mental illness is a
factor? And as long as the list of tomorrow's challenges is, there are as
many gaps and shortfalls in what we already have: Many Canadians die
waiting for organ transplants each year yet most people are not registered
donors. Pathogens will inevitably out-evolve our current antibiotics and we
aren't developing new ones fast enough. The list goes on...

Please check out some of their presentations here:
https://www.ottawahealthlaw.ca/pastevents
------------------------------
Bridging to on the ground care and organizational practice

I as many of you, struggle each day with how we communicate within and
between organizational systems.  These researchers take an important step
to address this in the context of homelessness services in this
article: *Legal,
geographic and organizational contexts that shape knowledge sharing in the
hospital discharge process for people experiencing homelessness in Toronto,
Canada *Jesse I. R. Jenkinson
<https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorStored=Jenkinson%2C+Jesse>
 Carol Strike
<https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorStored=Strike%2C+Carol>
 Stephen W. Hwang
<https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorStored=Hwang%2C+Stephen+W>
 Erica Di Ruggiero
<https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorStored=Di+Ruggiero%2C+Erica>
*https://doi.org/10.1111/hsc.13206* <https://doi.org/10.1111/hsc.13206>

...  We find that within the legal context of health information
protection, the concept of “circle of care” has created barriers to
knowledge sharing between hospitals and shelters by excluding shelter
workers from discharge planning. We note, however, that the degree to which
hospital workers have navigated these barriers and brought shelter workers
into the discharge process varies across hospitals. ...

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I’m going to pitch this to the Centre and the article researchers and see
what might evolve as it would be useful to bring in more of a law
interpretation and at least get a greater sense of the evolving law on
circle of care.  I say evolve because for sure law and care is an
“process.” I also realize I may well be simply wishing or dreaming that
this ongoing struggle of communications in health care can be effectively
addressed, given the… track record.
*Bill Dare
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| November 21, 2020 at 3:05 pm | Categories: Governance and Decision Making
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The law, rights and community practice
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