Spreading Successful Changes. CDI Prevention Collaborative Audio Conference Call September 21, 2011 www.macoalition.org. C. Difficile Prevention Collaborative Agenda. Susanne Salem-Schatz, Sc.D. Collaborative Director Deb Hylander, MSN, RN, CIC, COHN-S Director of Infection Prevention
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CDI Prevention Collaborative
Audio Conference Call
September 21, 2011
Susanne Salem-Schatz, Sc.D.
Deb Hylander, MSN, RN, CIC, COHN-S
Director of Infection Prevention
Southcoast Hospitals Group
Jane Taylor, D.Ed.
St. Paul, Minnesota
Introductions & Upcoming events
Spreading changes: Tales from the trenches
Spreading Change: principles and process
Adapted from IHI’s IMPACT Collaborative Spread Presentation
Jane Taylor, Ed.D.
What is Spread?
Cycles for testing and implementation
The Total Health Care System
Better IdeasA Framework for Spread
Measurement and Feedback
It takes a village to prevent HAI
Experience with Changes
What are your best ideas, ready for spread?
What has already spread?Spread
Choose one specific change (not just a vague concept) from your improvement work.
Evaluate this change on the five attributes. Rate the change from a “spread target” point of view (not your point of view!). Use a 1- 5 scale:
1 - change is very weak relative to this attribute
3 - change is okay relative to this attribute
5 - change is very strong relative to this attribute
Total the evaluations for each of the attributes
25 = it will spread like wild fire
5 = no chance of spreading in present form
Do you need to tailor your message to specific adopter groups: patients, families, clinicians, providers, community, cross continuum partners, others?
Does health literacy play a role or influence your communication strategy?
“The name given to that one dramatic moment in an epidemic when everything can change all at once.”
- M. Gladwell
“The part of the diffusion curve from about 10 percent to 20 percent adoption is the heart of the diffusion process. After that point, it is often impossible to stop the further diffusion of a new idea, even if one wished to do so.”
- E. Rogers
(C) 2001, Sarah W. Fraser
Adapted from Ashkenas, 1995
A= Isolation technique B=Hand cleaning C= xzy. D=abc
A Framework for Spread
Attewell, P. Technology Diffusion and Organizational Learning, Organizational Science, February, 1992
Bandura A. Social Foundations of Thought and Action. Englewood Cliffs, N.J.: Prentice Hall, Inc. 1986.
Brown J., Duguid P. The Social Life of Information. Boston: Harvard Business School Press, 2000.
Cool et al. Diffusion of Information Within Organizations: Electronic Switching in the Bell System, 1971 –1982, Organization Science, Vol.8, No. 5, September - October 1997.
Dixon, N. Common Knowledge. Boston: Harvard Business School Press, 2000.
Fraser S. Spreading good practice; how to prepare the ground, Health Management, June 2000.
Gladwell, M. The Tipping Point. Boston: Little, Brown and Company, 2000.
Kreitner, R. and Kinicki, A. Organizational Behavior (2nd ed.) Homewood, Il:Irwin ,1978.