I hope someone can help me. I heard that there was the proceedings or
papers from this conference were available now ... does anyone know where?
thanks!


At 10:59 PM 30/05/97 -0400, you wrote:
>        The following summary of an article written by Irv Rootman in
>April 1997, was posted today in the Ontario Health Promotion E-mail
>Bulletin.  The longer paper was included in a package distributed to
>participants in a follow-up meeting to the Symposium on Effectiveness of
>Health Promotion, that was held on Monday May 26th.  For further
>information please contact Irv Rootman directly.
>
>Alison Stirling
>[log in to unmask]
>
>        Summary of Continuous Quality Improvement in Health Promotion
>
>                A Symposium on the Effectiveness of Health Promotion
>took place from June 17-19 1996 at the University of Toronto to
>celebrate the designation of the Centre for Health Promotion as a WHO
>Collaborating Centre in Health Promotion. It was designed as an
>opportunity to synthesize and critically examine Canadian and
>International literature and experience on the effectiveness of health
>promotion in relation to the five Action Areas of the Ottawa Charter for
>Health Promotion.
>
>                During the Symposium audience members raised their
>concerns about the effectiveness of health promotion.  As a result a
>workshop was organized in October (1996), to follow-up their concerns.
>During this Follow-up Workshop, the participants identified key needs
>and issues and grouped them into seven theme areas.  One theme
>identified was Evaluation/Best Practices.
>
>                The Evaluation/Best Practices Work Group was given the
>responsibility of: (1) Developing an evaluation framework for health
>promotion in Ontario; (2) Studying training needs, developing resources
>and carrying out training in evaluation of health promotion activities
>in Ontario; and (3) Identifying best practices, developing guidelines,
>disseminating findings and conducting training in best practices. In
>their first meeting, the group was reminded that the term "best
>practices" was suggested as a more acceptable, less threatening term to
>replace "Quality Assurance". However, in discussion, after reviewing the
>work of the WHO-EURO Quality Task Force 2 the Work Group agreed that
>"best practices" might not capture what we would like to get at either.
>The Working Group decided the term "Continuous Quality Improvement"
>(CQI) required more attention thus, a sub-group called the Continuous
>Quality Improvement Work Group was formed.
>
>                Various materials pertaining to CQI were distributed and
>read by group members. These included: Standards for Community Health
>Services developed by the Canadian Council of Accreditation; an article
>on "The Art of Health Promotion" published in a supplement to the
>American Journal of Health Promotion, March/April, 1997; An annotated
>bibliography on CQI and related topics assembled by a student in the
>Health Promotion Program at the University of Toronto (Barbara Kahan);
>an article by John Ovretveit which appeared in Health Promotion
>International, Volume 11, No.1; Proceedings of a conference on Quality
>in Health Promotion hosted by the London Borough of Thames in February,
>1994; An article by Viv Speller published by the Wessex Institute for
>Health Research and Development; and a publication on The Development of
>        a Quality Assurance Programme for Health Promotion produced by
>the Institute of Health and Community Studies at Bournmouth University.
>
>                In discussing these materials, some reservations were
>raised about CQI in practice. For example, CQI has been found to be
>labour-intensive, with staff uncertain about its helpfulness. The
>applicability to health services of the "manufacturing model' underlying
>much CQI was questioned.  The distributed articles were generally
>well-received however. The rhetoric is empowering, the procedures are
>not necessarily 'top-down' , and the concept of CQI invokes and image of
>an informed,
>        reflective loop of ongoing involvement, in contrast to the
>notion of enforced standards implied by Quality Assurance. It
>potentially complements the notion of the 'learning organization'  from
>the organizational development literature.
>
>                It was agreed at the meeting that given the volume of
>the material and Barbara Kahan's familiarity with it, she would develop
>a CQI framework for health promotion, to be reviewed by the Group. It
>was also agreed that the Group needed to continue to push on the
>relationship between health promotion and CQI concepts, to gather
>negative as well as positive case studies, to pay attention to
>organizational culture and not just to individuals, and to consider the
>pace and depth of change as factors in (or compromising) CQI. The Group
>also needed to consider developing a dissemination strategy.
>
>                A draft background paper entitled "Continuous Quality
>Improvement and Health Promotion" written by Barbara Kahan  forms the
>basis for a framework.  The paper discusses terminology, history,
>components, implementation and issues related to CQI and ends with
>recommendations. Although the paper is currently being revised, the
>issues discussed included the nature of health promotion outputs,
>customer satisfaction, structure, data, evaluation and other agendas or
>influences.  The conclusion of this paper attempts to answer the
>following questions relevant to CQI and Health Promotion:
>
>        (1) Is the philosophy of CQI compatible with health promotion
>principles and values?;
>
>        (2) Is CQI methodology adaptable to health promotion?;
>
>        (3) If there are no irresolvable conflicts between CQI and
>health promotion, will implementing CQI processes improve health
>promotion practice and help achieve goals?;
>
>        (4) If CQI is adaptable to health promotion, what would a CQI
>model look like?;
>
>        (5) Are there options that would be better for health promotion
>than CQI (both in terms of improving practice and achieving goals)?;
>
>        (6) Are there reasons not to implement CQI?; and
>
>        (7) What, if any, are the consequences of not implementing CQI?
>
>                The Working Group still has some reservations about
>moving too quickly in adopting a CQI approach. The questions raised by
>Barbara Kahan deserve a through discussion, first.  It has been
>extremely interesting and valuable to walk down the CQI trail to this
>point and we all look forward to our next steps.
>
>        Taken from "Continuous Quality Improvement in Health Promotion:
>Some Preliminary Thoughts from Canada", written by Irving Rootman,
>Ph.D.,
>        Director, Centre for Health Promotion, University of Toronto,
>        100 College Street, Suite 207, Toronto M5G 1L5.
>E-mail: [log in to unmask]
>
>
Madeline Boscoe,
Women's Health Clinic
3rd floor, 419 Graham Ave
Winnipeg, Manitoba, R3C 0M3
phone: 204-947-2422 ext 122 fax 204-943-3844