Abstract WP358: The Toronto Stroke Networks Virtual Community of Practice: Collaborative Change Leadership to create enhanced purpose for best practice implementation

Abstract

Background/Issues Systems changes within the Toronto Stroke Networks (TSNs) prompted the development of a virtual community of practice to connect administrators, academics, and clinicians, enhance professional and organizational expertise, foster implementation of best practices, and improve patient outcomes in stroke care. Purpose To use a collaborative approach to develop and implement an innovative method of supporting knowledge translation of stroke best practices, the TSNs Virtual Community of Practice (TSNs VCoP). Methods Four 90 minute focus groups were held using an appreciative inquiry methodology to identify desired outcomes of the TSNs VCoP its features, structure, and components. An iterative process, using beta testers, generated stakeholder stories, and integrating the TSNs VCoP into systems change and knowledge translation initiatives were used to inform the ongoing development of the initiative to enhance utility and knowledge exchange. Results Focus Group Results Four desired outcomes for use of the TSNs VCoP: Better knowledge exchange via peer-to-peer support Improved dissemination and adoption of stroke best practices. More efficient ways to find relevant people or material resources Collaboration between stakeholders across the TSNs Three key features of the TSNs VCoP were identified to support these desired outcomes: A searchable membership directory A resource repository Discussion forums Generative Results A fourth key feature (4. Groups Section) was identified by beta testers and key stakeholders as a need to support additional program implementation. This was built into the site to allow for public, private, or hidden communications among groups of healthcare providers working with the same interests on a particular topic. Conclusions Using a generative and collaborative approach has enhanced the utility and integration of the TSNs VCoP as a knowledge exchange tool. It has ensured a responsive and adaptive approach that supports the changing needs of its stakeholders. The themes from the focus groups reinforce the identified need and benefits of the TSNs VCoP.