Women's College Hospital - Health Care for Women, Revolutionized

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Programme Agenda Day 2

Symposium Agenda
Wednesday, February 22, 2012

** Uninsured Children, Youth and Pregnant Women **

8 a.m.

Complimentary Networking Breakfast; Registration Sign-In and Display Tables

9 a.m.

 Listening to the Voices of Uninsured Youth and Uninsured Pregnant Women
 Learning from Health Care Provider Perspectives  
  • Joanna Anneke Rummens, Ph.D, Symposium Co-Chair

Collecting Information and Sharing Knowledge

9:05 a.m.  The International Context
 "Access to Health Care for Undocumented Children, Youth and Pregnant Women in Europe"
  • Lilana Keith, MA, PICUM
9:30 a.m.

 The Canadian Context
 Keynote Address   

Migratory Status and Children's Access to Care: A Systemic Challenge"

  • Cecile Rousseau, MD

10 a.m.

  What Do We Know?

  • What are the health-care challenges experienced by uninsured children, youth and pregnant women?
  • What does research evidence reveal?

 Panel Presentation - Interdisciplinary Research Evidence
Moderator - Jim O'Neill

  • Health status, needs and outcomes
  • Access to care experiences
  • Health-care provider perspectives
  • Uninsured children and youth
  • Pregnant women and newborns


  • Joanna Anneke Rummens, Ph.D
  • Teresa Grimbos, Ph.D
  • Sharon Chakkalackal, MPH and Alexandra Ricard-Guay, Ph.D (cand.)
  • Karline Wilson-Mitchell, RM, RN, MSN

10:30 a.m.

Refreshment Break -  Networking, Display Tables

11 a.m.

 What Are We Doing?

  • How is our health-care system responding to the needs of uninsured children, youth and pregnant women?
  • What can practice knowledge contribute?

 Panel Presentations and Plenary Discussion
Moderator - Jan Lackstrom, MSW, RSW, Moderator

 Health Care Provision for Uninsured Children and Pregnant Women -

  • What are the challenges?
  • What are the possibilities?
  • Identification of barriers, obstacles, pathways, and solutions
  • Discussion and Synthesis regarding challenges and possibilities


  • Anna Banerji, MD
  • Cliff Ledwos, MA
  • Jennifer D'Andrade, RN
  • Manavi Handa, RM, RN, MSN

11:45 a.m.

 What Should We Do? What Can We Do?

  • What are our ethical/moral responsibilities and legal obligations?
  • What has been the experience in different jurisdictions?
  • What are some possible solutions for Ontario and for Canada?

 Panel Presentations and Plenary Discussion
Moderator - Sheila Braidek, MA

 Access to Health Care for Uninsured Children and Pregnant Women

  • What are the issues?  
  • What are our responsibilities?
 Ethical and Moral Considerations
  • Identification of key ethical and moral debates

 Legal Obligations, Responsibilities and Policy Contexts

  • Examination of professional, institutional, governmental and international obligations regarding the rights of the child
  • Discussion and Synthesis of challenges/constraints, possibilities/levers


  • Mojisola Adurogbanba, MPH, MA
  • Emily Chan, LLB
  • Lee Ann Chapman, JD

12:30 p.m.

Lunch - Networking, Display Tables

Developing Strategies for Uptake and Implementation

 1:30 p.m.



 What Do We Propose?

  • How can the health-care needs of uninsured children, youth and pregnant women best be addressed?
  • What are our key messages?
  • What practice guidelines would be helpful?
  • What policy changes are needed?
  • What will we do?

 ** Concurrent Workshop Sessions**

 Facilitating Relevant Policy and Practice Change
 Collective brainstorming regarding responsive solutions and desired actions

 A) Ethical/Moral Issues and Legal Considerations
Examining value choices and concrete possibilities
 Moderators - Randi Zlotnik-Shaul, Ph.D and Rebecca Bruni, RN, Ph.D

 B)  Raising Awareness  –  Communications and Social Media

 Sharing knowledge to inform decision making and public opinion
 Moderators - Nicole Bennett, RN and Michaela Beder, MD

 C)   Developing Practice Guidelines – Health Service Delivery
Concrete practice guidelines for health care and social service providers
 Moderators - Michael Stevenson, MD and Lynn Raski, RN

 D)   Identifying Policy Implications and Recommendations – System Change
 Policy directions for government ministries and  professional associations
 Moderators - Juana Berinstein, MA and Vivian Lee, Ph.D

 E)   Moving into Action – Designing Concrete Action Plans
 Development of action plans across sectors at the individual, institutional and governmental levels
 Moderators - Marcelo Castro, MA and Emily Chan, LLB

2:15 p.m.

Refreshment Break -  Networking, Display Tables

2:45 p.m.

 What Do We Need to Know to Make a Difference?

  • How do we change perceptions?
  • How are policies developed?
  • How is practice behaviour changed?
  • How can policy and practice best be influenced?
  • How do we ensure successful knowledge transfer?
  • How do we facilitate and support uptake?

 Panel and Plenary Discussion
Moderator - Patricia Landolt, Ph.D

 Using Research Evidence and Practice-Based Knowledge to Inform Policy and Practice regarding Access to Health Care

  • Reflection - how what we know about the systemic challenges surrounding access to care for uninsured children, youth and pregnant women might best be used to inform what we collectively do
 Strategizing Knowledge Uptake and Implementation
  • What concrete strategies facilitate knowledge uptake/implementation at the provincial, national and international levels?
    • Melanie Barwick, Ph.D CPsych

 Informing Policy

  • What are some of the most effective ways to inform the policy making process?  Who are the key opinion and decision makers?
    • John Campey, MPA

 Changing Practice 

  • What are the key challenges to modifying individual and institutional behaviour? What mechanisms support actual practice change?
    • Bruce Ferguson, Ph.D, CPsych

 3:25 p.m.

 Closing Reflections - Key Learning, Proposed Solutions, Next Steps

  • Joanna Anneke Rummens, Ph.D
  • Karline Wilson-Mitchell, RM, RN, MSN
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