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P!PQ P!Pv P>Working Assumptions Requires tolerance for flexibility, multiplicity and less deterministic approaches Core roles of staff will be to dismantle barriers and act as facilitators of local health initiatives Initiatives have a future orientation to guide change in a purposeful direction. 6   (?4Evidence Supporting the Framework Business Research5#$Innovation is facilitated by: organic structure autonomy higher degree of informality intense information exchange participative decision making (Taggar, Collins& Amiable, Kanter)J|%z $@!Evidence Supporting the Framework""$Effective adaptive systems suitable for dynamic environments don t rely on: Bureaucratic structure Status orders Detached relationships between individuals and organization Hierarchical command ( Torpman) ^LvLu  Biomedical ModelRene Descarte - science of nature - Cartesian Model Body a Machine Can be understood completely in terms of arrangement and functioning of its parts Some utility but not effective for health promotion and prevention Still drives most health care systems  Systems Model"New world view emerged from modern (1900s) physics  eg. Einstein s relativity theory - an organic, holistic, ecological model Universe one indivisible, dynamic whole, parts are interrelated Continual activity and change reflects an organism s creative response to environmental challenges Influenced by multidimensional phenomenon involving interdependent physical, psychological and social aspects 5[& Systems ModelHCellular organizations are made up of cells (eg. teams) that can operate alone but can also interact with other cells to produce a more potent and organizational mechanism (Miles, et al 1997) Good fit with health promotion and disease prevention Issues are systemic and complex and need multiple strategies Present institutions organized in fragmented way, not effective  need to be responsive, well integrated systems -v;Constructive CultureEncourages employees to interact and approach tasks in positive ways, employees demonstrate the professional dimensions found in commitment autonomy enhanced decision making (Human Synergistics, 1989) A Principles Manageable Workload (priority based) Creating not Waiting Commitment to maintaining integrity of the Health Unit Surge Capacity8 PP  Determinants of Health Collaborative community models Client-centered Multi-disciplinary Organic, flexible, in/flux Continuous learning All members provide ideas, make decisions, respond to change, PP New StructureHuron County Health Unit  Prioritization/Tool QuestionsnIs there a community need? And how do we know? (may need to do a needs assessment) Is there an established strategy known to impact the issue? Is there someone else doing it? Do we have the resources to implement the strategy? Is it focused on the right group? Will communities accept the strategy? (councils?) What is the impact if the strategy is not implemented? omDeterminants of HealthIs the  need a determinant of health? If the program is prescriptive, how can we deliver the program to those most at risk or to whom the program is usually the least accessible? (reduce health inequalities Is the outcome a determinant of health?  EnvironmentWe must be aware of the environment in which we work: Community Partners Local (County/Municipal) Provincial (Including Public Health Capacity Review4>`>_% 2006 Pillars$Balanced Scorecard8Surge CapacityPStaff identify stresses during times of emergencies Identify individual stress coping mechanisms and communication styles through  colors framework Enhance knowledge, understanding and comfort level with outbreak response procedures including core skills and activities Identify the range and depth of existing skills and expertise among staff so that they can be more effectively mobilized during an emergency (data base) Z9Surge CapacityStaff develop a thorough understanding of the Integrated Management System (IMS) framework Integration of the IMS framework into the Huron County Contingency Plan for Pandemic Influenza Introduce the Huron County Contingency Plan for Pandemic Influenza so staff are familiar with the sequence of events and the roles of the Health Unit Identify where further updates are required in the Pandemic Plan and outline a work plan Z:Surge Capacity*Table top exercise testing the contingency plan and identifying plan deficiencies (evaluation) County Pandemic exercise Pandemic Planning Committee meets monthly to continue to write the plan,utilize feedback from exercise Monthly all staff meetings continue with surge capacity training component++CAccomplishments to DatebExternal funding for pillars Improved staff satisfaction External Pandemic exercise evaluation c`/l)+,./0123 4 5 6 B8 ` f33` 3f3` ___>?" dd@,|?" dd@   " @ `"  n?" dd@   @@``@n?" dd@  @@``PR    @ ` ` p>> %    (  F J  JZ  s *?PP fN +   + Z2  s *?+ U Z2  s *?  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