Pennsylvania Leadership Academy September 29 th 2010

1. Pennsylvania Leadership AcademySeptember 29th 2010 DAPIMTM: A Framework for Continuous Quality Improvement

2. Agenda • Agenda and Goals • Understanding the Need for a Framework for CQI • DAPIMTM: A Framework for CQI • Reflecting Thinking – Identifying Your Approach to Implementing Change • Assessing Readiness for Change • Reflecting Thinking – Identifying Your Readiness for Implementing Change

3. Continuous Quality Improvement Defined • CQI is not a time-limited initiative or project. It is the ongoing process by which an agency makes decisions and evaluates progress.” Casey Family Programs & National Resource Center (NRC)

4. Implementation Defined • Implementation is a specific set of activities designed to put into practice an activity or program of know dimension. From the National Implementation Research Network

5. Organizational Effectiveness Defined • OE is a systemic and systematic approach to continuously improving an organization’s performance, performance capacity and client outcomes. “Systemic” refers to taking into account an entire system or in the case of OE an entire organization; “systematic” refers to taking a step-by-step approach. In simple terms, therefore, OE is a step-by-step approach to continuously improving an entire organization.

6. Organizational Systems Model

7. DAPIMTM and “Learning by Doing” Define Work products – baseline surveys, alignment notes, initial feelings, ground rules, defined areas for improvements, desired future state Assess Work products – findings: strengths and gaps, root causes and general remedies Monitor Work products – monitoring quick wins and other changes, evaluations and measures of progress and impact Performance & Capacity Implement Work products – team activities, action plans, charters for working teams, communication efforts Plan Work products- quick wins, mid- and long-term improvement plans, communication and capacity plans

8. Learning by DoingHow It Works • A real-world team meets periodically • In a facilitated peer group • To troubleshoot “real life” challenges • Over 4 – 6 months • Peers and facilitators help learners examine their challenges in new ways • Experience with similar situations • New models and targeted “training” • Tangible continuous improvement activities

9. OE Approach to CQI

10. DAPIMTMWork Products to Support CQI • Continuous Improvement Plans • Chartered Work Teams • Communication Plans • Team Activities

11. Reflective Thinking • Think about current change efforts in your agency… where are they in the stages of implementation…. Have you been systematic in defining, assessing, planning, implementation and monitoring the change effort?

12. Readiness for Change • Three Levels of Readiness • Priority gap area for continuous improvement • Moving from a gap to an area of strength to support continuous improvement • An area of strength that is supporting continuous improvement as “a way of doing business”

13. Readiness for Change • Elements to Consider • Organizational Readiness • Leadership Readiness • Staff Readiness • General Capacity to Improve and Innovate

14. Reflective Thinking • Returning to the change effort you are implementing…. which elements of readiness are priority areas for continuous improvement work, where are you moving from a gap area to an area of strength, and which elements are strengths for you and will be and asset in making continuous improvement a way of doing business?

15. Contact Information • Kathy Jones Kelley • APHSA, OE Consultant • Kathy.kelley@aphsa.org • Resources • www.aphsa.org • www.ppcwg.org • www.fpg.unc.edu/~nirn • www.casey.org • www.muskie.usm.maine.edu