CSPCP WORK PLAN 2016-2017 STRATEGIC PRIORITY 1: EDUCATION Ensure all physicians have access to quality education in palliative and end of life care at all stage of medical training Vision: The Society will promote access to high quality palliative care for all Canadians through advocacy, partnerships, research, and physician education Mission: Advance the quality of life of patients and families living with life-limiting conditions from time of diagnosis through death and bereavement by advancing the field of palliative medicine (M1) Mission: Support all physicians in providing quality end-of-life care/palliative care through promotion of education and advocacy (M2) Mission: Promote and implement certification of physicians with special competence in palliative medicine (M4) Goals: G1, G2, G3, G4 ACTIONS UNDERGRADUATE MEDICAL EDUCATION (Goal G1) Promote incorporation of the EFFPEC curriculum into the undergraduate curriculum at all medical schools. Responsible: Undergraduate Committee and CSPCP Board Started officially tracking electives requested vs. granted, using tracking sheet developed in early 2015 UG committee members and contracted project manager. Subject to funding. Promoted the new undergraduate narrative award Start including palliative physicians on MCC exam writing committees: first one started in 2016. Additional goals are subject to funding and may include: A methodology for a qualitative exploration of the 17 medical schools to determine how the EFPPEC competencies are being taught; a written report that identifies successful models and strategies as well as challenge; a Palliative Care Undergraduate Medical Education Forum; knowledge translation activities to support all of the above. Continue to evaluate the demand and capacity for undergraduate electives at all 17 Canadian medical schools using a standardized electives tracking sheet. Continue to engage partner organizations to help influence and champion curriculum change AFMC, MCC, Royal College, CFPC, Pallium Canada, Virtual Hospice Continue to analyze the extent to which EFPPEC competencies are incorporated into current medical school curricula. Funds permitting: initiate a refresh process for the EFFPEC competencies Support educators and students in their ability to address suffering and how to respond to patients in need Ongoing support and promotion of the undergraduate Narrative Award (See also: Awards section under Priority 2) Continue to advocate for improved funding and support for PEOLC education Continue to look at training and staffing requirements for improving palliative care in Canada; including implications for educational capacity at the undergraduate level. 1
POSTGRADUATE EDUCATION Continue to oversee the Year of Added Competency Continue to lead in the development and uptake of the Royal College Subspecialty of Palliative Medicine (Goal G2) Work with the College of Family Physicians to develop certification for Family Physicians with Added Competency in Palliative Care (Goal G3) Responsible: Postgraduate Education Committee; CSPCP reps on College committees EDUCATION, Continued Sent recommendations to CAC cttee re the practical configuration of CAC Began official tracking the # of palliative care residency applications vs. acceptances, using tracking sheet developed in early 2015 Began tracking capacity to accommodate requests for palliative care elective experiences Continue having representatives on committees for a) development of the subspecialty, b) implementation and oversight of the subspecialty, and c) the CAC in palliative care Agreed to new format for National Academic Half Days. Quarterly interactive online sessions; with other presentations/topics available online to be accessed at any time Developed infographic for Family Physicians (in conjunction with ACP task force) on Advance Care Planning included in FMF 2016 kit Implement new format for National Academic Half Days. Quarterly interactive online sessions; with other presentations/topics available online to be accessed at any time Lead interactive session at the Royal College National Specialty Societies Summit regarding palliative care being everyone s responsibility. Participate on Royal College Palliative Medicine Subspecialty Committee Participate on CFPC Palliative Care Committee Participate on Conjoint Advisory Committee (ending in June 2017) With ACP task force: Develop a short info video for patient and staff education around ACP CONTINUING MEDICAL EDUCATION Continue to hold Annual Conference and to co-host the Master Class at the Montreal International Congress every second year (Goal G4) Responsible: CPD Chair, conference planning committee Planned and delivered the 2016 ALPM conference in Ottawa, May 12-14 2016; near-record attendance Developed a conference planning checklist Hired a new conference planning company Prepare & deliver Montreal bi-annual Master Class on October 18, 2016 (completed) Plan a special 3-hour session at the 2017 ALPM conference re education Plan and deliver the 2017 ALPM conference in Edmonton June 1-3 2017 Plan host city and venue for 2018 ALPM conference Start planning to develop and offer a subspecialty exam preparation course. Board to determine plan and budget. 2
STRATEGIC PRIORITY 2: MEMBER ENGAGEMENT & COMMUNICATION Mission: Create opportunities for palliative medicine physicians to network and connect (M3) Mission: Be the national voice for issues of concern for physicians providing palliative care in Canada (M5) Improve member experiences and interaction (M3, M5) Responsible: Communications/Member Engagement Committee, Board, Staff Member numbers at year end: 2013 306 (292 full, 0 associate, 14 residents) 2014 353 (318 full, 3 associate, 32 residents) 2015 424 (364 full, 16 associate, 2 lifetime, 42 residents) Offer at least one opportunity for Members to volunteer on a CSPCP Offer at least one opportunity for Members to volunteer project on a CSPCP project Working group on Access to Develop and post a palliative care lexicon Palliative care Ensure all documents produced by the CSPCP are consistent with the Obtained member input on priorities for the CSPCP terminology and definitions in the lexicon prior to 2016 AGM; confirmed our direction Encourage members to do the same ONGOING Continue ongoing communications Quarterly ebriefs Other timely/topical messages by email Facebook and Twitter Local Heroes SEE ALSO: Web site (under Priority 4) AWARDS Responsible: Awards Committee Chair, CSPCP Board Formed an Awards committee to help with planning, funding, calls for nominations, set-up of selection committees, and notifications to nominees of their status Implemented the new undergraduate Narrative Award (announced in Sept 2015, first winner selected and announced in Sept 2016) Honoured Lifetime Achievement award winner Ina Cummings, Eduardo Bruera award winner Robin Fainsinger and Resident Research award winner Cara Bablitz at the 2016 ALPM conference in Ottawa Try to have winning narratives for the Undergrad Narrative Award published in CMAJ; share links with Members and partners Find a sponsor for the Humanitarian Award Promote the Humanitarian Award / encourage nominations Clarify criteria for the Eduardo Bruera Award Honour award winners at the 2017 ALPM conference STILL TO DO Find a sponsor(s) for the Humanitarian award MEDIA STRATEGY Responsible: CSPCP Board Developed key messages (talking points) re Physician- Hastened Death Media training for the Board (Done Sept 2016) Significantly increased media coverage for the CSPCP See also: Advocacy and Public Policy Develop a standardized release plan for CSPCP documents and messages (Done Oct 2016) Identify potential contractors with expertise in media strategy, document writing and layout, survey development, government relations. Obtain help from partners when possible. 3
STRATEGIC PRIORITY 3: ADVOCACY AND PARTNERSHIPS * Vision: The Society will promote access to high quality palliative care for all Canadians through advocacy, partnerships, research, and physician education * Mission: Support all physicians in providing quality end-of-life care/palliative care through promotion of education and advocacy (M2) * Mission: Be the national voice for issues of concern for physicians providing palliative care in Canada (M5) * Mission: Partner with other organizations that share the Society s vision, mission and goals (M7) Goals: G11 ADVOCACY & PUBLIC POLICY (Goal G11) Attend national meetings where CSPCP needs a voice: Palliative Care Matters, Participated in the Federal panel and Senate Panel re Bill Opioid Conference, Reporting requirements for MAiD (completed) Responsible: CSPCP Board, Executive Director C-14 written submission and in-person submissions Develop and release report on How to Improve Palliative Care in Canada Delivered a special session and workshop at the (completed) conference 2016 conference regarding physician-hastened Develop and release report on the Economics of Palliative Care (Jan 2017) death Continue promoting adoption of Bill C-277 Developed and disseminated a CSPCP position statement Continue advocating for funding for palliative care in the new health accord on Opioids Form a working group on palliative sedation to develop a national consensus Ottawa Blitz met with key politicians from all parties re approach investment in palliative care. Meeting reports are posted in Members area. Develop and release messaging to clarify the indication for a palliative care consultation and the indication of assessments for MAiD Formed Access Working group to guide the Board re recommendations for the Health Accord Continue to promote our position statement on the use of opioids for palliative patients; participate in developing recommendations to reduce opioid misuse Attended CMA training session on media relations and and diversion for palliative patients and families. government relations training (CSPCP Board and ED). Sept 2016 Continue influencing the development of public policy through relevant channels as opportunities become available HUMAN RESOURCE PLANNING FOR PALLATIVE MEDICINE (Goal G5, G6) Collect baseline data on the palliative medicine workforce in Canada Develop a Palliative Medicine Workforce Plan for Canada Responsible: CSPCP Human Resources Committee, Executive Director Attended National Physician Employment Summit Initiated discussions with CSPCP members regarding national standards for palliative care consultants Submitted a detailed proposal and funding application to work with our partners to develop and test model for accurately quantifying the palliative medicine workforce in Canada, including generalist and specialist palliative care. The application was put on hold. Priorities may be different going forward so will revisit in 2016-2017. Develop a recommended staffing model for palliative care, building on work done in Nova Scotia. Start the process and identify partners to assist in this work. Seek input from additional stakeholders in human resource planning for palliative care such as nursing and social work (likely through CHPCA) Ensure we are aware of, and involved in, other national HR planning initiatives so we can build on/learn from/support those initiatives and avoid duplication Once priorities are determined, identify a new Chair for the Human Resources Committee and refresh the committee 4
PARTNERSHIPS Responsible: CSPCP Board, Executive Director ADVOCACY & PARTNERSHIPS, CONTINUED Strengthened relationship with partners including: Continue working with partners on projects of mutual interest Association of the Faculties of Medicine of Canada, College of Family Physicians of Canada, Canadian Cancer Society, Canadian Foundation for Healthcare Improvement, Canadian Hospice Palliative Care Association, Canadian Medical Association, Health Canada, HealthCare CAN, Innovative Medicines Canada, Medical Council of Canada, Palliative Advocacy Many partners contributed time and expertise to help CSPCP achieve is goals. Similarly, we contributed to achievement of theirs. STRATEGIC PRIORITY 4: INFRASTRUCTURE AND OPERATIONS Develop structures, processes and capacity to carry out the action plan, in support of the Vision, Mission and Goals of the Society OFFICE STRUCTURE & PROCESS Responsible: Executive Director, Administrative Assistant STRATEGIC PLAN & WORK PLAN Increased professionalism of the CSPCP office Follow established processes Formalized consulting contracts for ED and Admin Assistant Modify or add to formalized processes if required Documented all major office processes Updated and post work plan for Oct 2015 Sept 2016 Update and post work plan for Oct 2016 Sept 2017 Responsible: Executive Director and CSPCP Board POLICIES & GOVERNANCE Responsible: Executive Director and CSPCP Board BUDGET & FINANCIAL PROCESSES Responsible: Executive Director, Treasurer Created role descriptions for Board and Executive Members Established standard procedures for a) communication with members including surveys; b) providing letters for support; c) endorsing messages from others; d) approving messages issues by CSPCP Grew revenue from 300k in 2014 to 321k in 2015 Controlled expenses to achieved a surplus of 11k in fiscal 2015 (vs. loss of 1.4k in 2014) Documented CSPCP financial processes Received one donation (Teva Canada Innovation; $15k) and three grants: (Purdue Pharma: $3k toward resident research; $13k toward Educational Capacity Project; Innovative Medicines Canada ($5k towards Educational Capacity Project) Follow established policies Modify or add to policies if required Continue building CSPCP s rainy day fund by posting a budget surplus for fiscal 2016 5
WEB SITE COMMITTEE SUPPORT (Goal G8) Responsible: CSPCP Staff Created a 3-person vetting committee to vet content of website postings, emails, and newsletters Created and launched a members area Refined web site content and features based on member feedback and web site analytics Increased frequency of posts under Latest News Increased social media presence ONGOING ACTIONS Provided general administrative support to committees including meeting set up, minutes, correspondence Applied for funding to support committees action plans (support received for Educational Capacity project see Budget and Financial Processes) Keep public web site and Members Area current Add new sections to Members area: meeting reports, research opportunities Ongoing as per past year. RESEARCH * Mission: Advance the quality of life of patients and families living with life-limiting conditions from time of diagnosis until death by advancing the field of palliative medicine (M1) Goal: G10 RESEARCH (Goal G10) Showcased palliative medicine research through oral Create a research opportunities page in the Members Area presentations and poster presentations at ALPM 2016 Continue encouraging research through ALPM presentation opportunities Refined the process for submitting and selecting abstracts Continue showcasing residents research through the Palliative Medicine Showcased 3 resident research presentations at ALPM Research Award 2016 as part of the Palliative Medicine Resident Research Award selection process Take a more rigorous approach to data collection done by the CSPCP (e.g., the Educational Capacity Project) Established a research lead on the Board to guide research-related policies and processes 6