Elaine; I am responding to your request for information about Research Leaders Community Health and Systems Change.

This is a major focus of my work. For example, I will be giving a pre-conference Workshop " Creating Conditions for Health Promoting Organizations: A Five-Step Model" on October 21, 2001 at the Canadian Public Health Association annual conference, Saskatoon. Below is the abstract. Also, I have a new book out this October on this topic: Promoting Health Through Organizational Change published by Benjamin Cummings, San Francisco, fall 2001 (details below).

I hope that this helps.
Harvey

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CPHA pre-Conference Workshop, October 21, 2001

Creating Conditions for Health Promoting Organizations: A Five-Step Model
Harvey Skinner PhD And Pearl Bader  MSW, MHSc

Practitioners working in community health, primary care and hospitals are under increasing pressure to increase quality, put prevention into practice and deal more effectively with the behavioural aspects of chronic diseases such as diabetes. Yet, they often face organizational barriers and lack of support. Experience shows that if you put good practitioners into poorly organized settings, then the system will ‘win out’ over time. This Workshop presents a Five-Step Model for improving health organizations in prevention and behavioural health care. The model integrates improvement initiatives at both the individual (practitioner-client/patient) and organizational levels.

The Five-Step Model and tools are presented using active learning methods:
        Step 1. Build motivation for organizational change
        Step 2. Strengthen organizational capacity for improvement
        Step 3. Identify strategic directions in prevention and behavioural health care
        Step 4. Conduct a critical functions analysis
        Step 5. Improve performance using rapid cycle change and Quality Improvement tools.

The model provides direction and practical tools for reorienting health care services, one of the five coordinated action in the WHO Ottawa Charter for Health Promotion. The model and tools are described in a book by Harvey Skinner entitled Promoting Health Through Organizational Change published by Benjamin Cummings, San Francisco, fall 2001. This Workshop will be of interest to health practitioners, administrators and organizational consultants alike.

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Promoting Health through Organizational Change
Harvey Skinner, University of Toronto

Benjamin Cummings ©2002
400 pp;  ISBN: 0-205-34159-4

Contents

GUIDE.
1. About Promoting Health.

I.  RE-ORIENTING HEALTH CARE ORGANIZATIONS
2. Problems and Solutions.
3. Beyond Clinical Care.
4. Improving the Organization.
5. Putting Prevention into Practice.
6. Physicians Perspectives on Organizational Change.
7. What Motivates People to Change.

II. FIVE STEPS FOR IMPROVING ORGANIZATIONS
8. The Five Step Model.
9. Step 1: Developing Motivation for Change.
10. Step 2: Strengthening Capacities for Improvement.
11. Step 3: Identifying Strategic Directions in Behavior Change.
12. Step 4: Conducting a Critical Functions Analysis.
13. Step 5: Improvement Using Rapid Cycle Change.
14. Sustaining the Momentum for Positive Change.

III. E-HEALTH: THE NEW ROLE OF INFORMATION TECHNOLOGY
15. Information Technology to Support Practitioners and Patients.
16. Computer Systems that Motivate Behavior Change.
17. TeenNet: Using the Internet for e-Health.
18. Consumers Perspectives on e-Health.

AFTERWORD
19. Initiating Your Personal and Organizational Learning Plan.


Summary

Promoting Health though Organizational Change provides students, health practitioners and managers with a thorough understanding of the complexities of improving health care organizations in today's world.
Based on the strategies of Dr. Skinner's proven Five-Step Model, Promoting Health approaches health behavior change in a comprehensive way. By bridging the gap between individuals (practitioners, patients) and organizations, this text teaches students and health professionals how to productively focus their energies on improvement initiatives and how to develop the practical skills necessary for effecting change.

Appropriate Courses/Target Audiences
Health Care Organization, Health Behavior and Health Promotion Planning courses. Designed as a primary text for undergraduate health studies, and for graduate and post-graduate education of health professionals. Can be used effectively with medical, nursing and other health science students, as well as with practitioners and managers involved in continuing education and self-study. Covers core competencies in behavior change, quality improvement and system-based practice that are mandated for professional accreditation and maintenance of certification.

Features
· Technology Advantage - four chapters are dedicated entirely to the new role of information technology in health organization:  how it can support practitioners and patients, how it can motivate behavior change, how anyone can use the Internet for “e-Health,” and what consumers think of “e-Health.”
· Five-Step Model - provides both a process and tools for implementing organizational change that will positively effect health promotion, prevention and behavioral health care in chronic disease management and rehabilitation.
· Engaging Format - each chapter opens first with a quick overview of the contents and then a “study section” that begins with a question and discussion to evoke deep thought on the chapter contents before the reader has read the chapter.
· Case Studies - engage the reader in the subject matter discussed in each chapter.
· Practical Tools - provided throughout the book, allow readers to analyze, measure and test their performance on the chapter material.
· Companion Website  continue learning by interacting with the author and others on case studies using the website  www.HealthBehaviorChange.org


To Order Your Copy (available October 1, 2001):
Telephone customer service: USA 1- 800-824-7799;   Canada 1-800-567-3800       Europe/Middle East/Africa 31-20-575-5800
Go to the catalog web site: www.ablongman.com  or  Email: [log in to unmask]
Write to: Benjamin Cummings
        1301 Sansome Street
        San Francisco, CA
         USA  94111
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      Harvey A. Skinner   PhD, CPsych
          Professor and Chair
             Department of Public Health Sciences and
             Graduate Department of Community Health
          Faculty of Medicine, McMurrich Building
          University of Toronto
          Toronto,  Ontario,  Canada   M5S 1A8
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          Voice:  416-978-8989
          FAX:    416-978-8299
          Email:  [log in to unmask]
          Home:   416-488-6722
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         Making Health - Within Reach of Everyone
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