GKEN Conference

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GKEN Conference

• Antigua, Guatemala
• April 1-3, 2009

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GKEN Mission

• To identify and promote the awareness and
  adoption of existing and emerging better practice
  models and promising new health system models
  across industrialized nations.

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GKEN Guiding Principles

• GKEN is principally a communication initiative
  focused on promoting better healthcare practices
  among developed and developing nations.
• We will focus on emerging, better, and best
  practices with measurable outcomes.
• We will have a patient/consumer focus.
• We will help enable health organizations to
  promote wellness.         
• We will favor private policy/action (that which
  can be taken by organizations without
  governmental action) over direct influence of
  public policy. 

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Proposed Criteria for GKEN Activities

• GKEN activities and research should follow
  SMART objective criteria to identify relevant
  and meaningful material for wider dissemination
• Specific
• Measurable
• Appropriate
• Realistic
• Timely

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SMART Criteria Specific

• Focused and relevant to the topic
• Target-group oriented

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SMART CriteriaMeasurable

• Sufficient size and scope/scale
• Evidence-based (scientific and other reliable
  evidence)
• Quantifiable and qualifiable outcomes

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SMART CriteriaAppropriate

• A need for action exists
• Goal/action is attainable
• Solution oriented
• Evidence to support it (scientific and other
  reliable evidence)
• The right thing to do

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SMART CriteriaRealistic

• Resources are available
• Leadership / community support
• Broad cross-sectoral approach
• Ownership / Identification
• Incentives

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SMART CriteriaTimely

• A sense of urgency
• A window of opportunity
• Sustainability / longevity
• Rapid dissemination of knowledge

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Continuum of Healthcare Practices and Process
Improvement

• GKEN framework suggests a continuum of
  healthcare practice with 4 major categories
• Anecdotal information
• Emerging Better Practice
• Better Practice
• Best Practice
• All are valid forms of improving healthcare
  practice, with differences in level of
  organization, quality/quantity of information,
  and timeliness in reaching a broad audience.

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Continuum of Healthcare Practices and Process
Improvement
Emerging Better Practice
Anecdotal (Good) Practice
Better Practice
Best Practice

• Information or technique shared between two or
  more practitioners
• Real-time communication
• Unorganized
• Not clinically proven or measurable (unfiltered,
  not validated)
• Believed to produce good results (i.e. opinion)
• SMART criteria do not apply
• No GKEN involvement

• Information or technique put into practice, with
  early signs of success
• Semi-real time communication (e.g. internet
  publication)
• Organized information
• Interest in/commitment to continuing support of
  the practice (i.e. momentum)
• Low filtering/validation
• Few measurable outcomes (too early to tell)
• SMART criteria apply
• GKEN involvement (website, synopses of better
  practices, direct idea exchange)

• Technique put into broader practice over a period
  of time (i.e. longevity)
• Semi-real time communication
• Organized information
• Clear, measurable outcomes
• Moderate filtering/validation (some scientific
  research to support it)
• Believed to be replicable
• SMART criteria apply
• GKEN involvement

• Technique with proven, measurable results
• Semi-real time communication
• Highly organized
• Research and knowledge-based (high
  filtering/validation)
• Highly replicable and transferable
• Long lag time to formal acceptance
• SMART criteria apply
• GKEN involvement

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GKEN Role

• GKEN aims to decrease the18-year lag time between
  conception and common (best) practice.
• GKEN will promote the exchange of knowledge and
  ideas to help bring emerging and better practices
  more quickly into common practice.
• Anecdotal information provides instant
  communication between practitioners, but little
  opportunity for GKEN involvement.
• Emerging and better practice are knowledge areas
  with the most potential for GKEN involvement -
  through dissemination of GKEN web content,
  synopses of better practice, and direct personal
  exchange at GKEN conferences and events.

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