Change and Redesign Implementation Making it More Successful October 82019 Why Use Implementation Science Effective Innovations Effective Implementation Hospitable Environment Socially Significant Outcomes ID: 773757
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Change and Redesign Implementation: Making it More Successful October 8,2019
Why Use Implementation Science? Effective Innovations Effective Implementation Hospitable Environment Socially Significant Outcomes 2
Information and Change 3
Select & Define the Change/Redesign Clear description of the program‘Why We Need This Priority’ Clear description of the essential practice elements What do staff need to do differently than they are now What elements are needed for data sharing Operational definitions of the essential practice elementsShared meaning of Adult Career PathwaysA practical assessment of practitioner performanceAssessment of core competencies across partner programs 4
Assemble the Go-Team Implementation Team members have special expertise in the program being implemented and Implementation Science. 5
Assess and Review Implementation Stages Determine your stage(s) of implementation – do all agree Matching activities to each stage Knowing what to expect Attending to each stage 6
Assess & Strengthen Implementation Drivers Weaknesses in one driver can be mitigated by strengths in other drivers 7
Assess & Strengthen Competency Drivers Selection of: Practitioners Organization staff Staff for Implementation Teams 8
Assess & Strengthen Competency Drivers Training approaches: Lecture & discussion Modeling & demonstration Behavior rehearsal Feedback on performance 9
Assess & Strengthen Competency Drivers Main roles of a coach: Supervision Teaching Assessment Emotional support Newly-learned behavior is difficult and fragile 10
Assess & Strengthen Competency Drivers Context measures: Action Plan activities successfully implemented Metrics demonstrate improvements Availability of needed resources Positive Impact on ‘dual’ customers 11
Assess & Strengthen Competency Drivers Reliable data are needed to: Assess progress Support decision-making Assure continuing implementation 12
Assess & Strengthen Competency Drivers Reducing barriers to implementation and creating a hospitable environment for practitioners through: Policies/procedures Funding allocations Work tools & technology Organizational culture 13
Assess & Strengthen Competency Drivers Communication Multi-level alignment Leadership & focus Nurturing champions Intervention Vigilance 14
Assess & Strengthen Competency Drivers 15 Less effective styles, according to Hall & Hord: “responders” “managers” Most productive: Adaptive
Successful Implementation How well did we strengthen the Implementation Drivers before starting implementation?How well did we follow the required set of core activities at each stage? Did we achieve the expected client outcomes within our acceptable range? If not what we expected, how much was due to implementation problems and how much was due to incorrect problem identification? 16
Assess and Review Implementation Stages Determine your stage(s) of implementation – do all agree Matching activities to each stage Knowing what to expect Attending to each stage 17
Where Are We Now 18
Questions? 19
Resources National Implementation Research Network http://nirn.fpg.unc.edu/resource-search Active Implementation Hub (education focus, but parallels to VR) http://implementation.fpg.unc.edu/ Workforce Innovation Technical Assistance Center (WINTAC) http://www.wintac.org 20
WINTAC Workforce Innovation Technical Assistance Center www.wintac.org 21 Lou Adams, WINTAC ladams@ndi-inc.org (989) 329-0251