Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization

1. Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization Reinhart-McMillan W1, Koning C2, Mumme L2 and The SCI KMN 1Ontario Neurotrauma Foundation, 2Glenrose Rehabilitation Hospital

2. Talk Contents

3. Workingtogetherto uniformlyadopt best practices to improvesecondaryoutcomes of SCI. Current Domain of Interest:Pressure Ulcers Best Practices: Risk Assessment & Patient Education

4. Implementation Takes: 2-4 years The4 Stages of Implementation as Developed by the National Implementation Research Network Adopted the Science of Implementation

5. SCI KMN Adaptations ( ) to Account for: 1. Site and Stakeholder Selection Process

6. 2. Formative Evaluation for Ongoing Quality Improvement 3) Data Collection and Analysis 2) Site Self-Assessment • Quantitative Behavior Change Measures • 5-Point Likert Scale 4) Quality Improvement Not In Place Fully In Place 1) Stage-Based Best Practice Implementation

7. Training Tools Adapted Implementation Guide To provide new members and other interested parties with guidance and instruction … The ‘know-how’

8. So… Why a Guide? The most valuable training will be first-hand mentorship from ‘groomed’ SCI KMN members with implementation science at their site. However a guide will provide additional benefits…

9. Why a Guide? 1) Address scale-up potential

10. Why a Guide? 2) Tremendous cost-savings

11. Why a Guide? 3) Accelerated best practice implementation

12. Adapted Implementation Frameworks and Tools Section Overview • Implementation Science Overview • Overview of Implementation Science Frameworks & Approaches Utilized by the SCI KMN • NIRN Implementation Science Framework • Utilizing Implementation Science Frameworks – Walkthrough • Building an Implementation Team

13. Our Journey Section Overview • SCI KMN Pre-Exploration Stage - Network Activities • SCI KMN Exploration Stage - Network Activities • SCI KMN Installation Stage - Network Activities • SCI KMN Initial Implementation Stage - Network Activities • SCI KMN Full Implementation Stage - Network Activities “ Detailed overview of SCI KMN journey across each stage of implementation. ‘Call Out’s’ from clinical leaders compliment this content and provide practical solutions for first time implementers

14. On the Horizon • Further integrate clinical examples with theory • ‘Key Learnings’ for each section • Vetting through the SCI KMN implementation teams • Color themes and ‘quick links’ for fast access

15. System-Level Outcomes • Standardization – growing, geographically disparate network still ‘Speaking the Same Language’ • Continue sustainable best practice implementation with high fidelity. AND…

16. System-Level Outcomes Working towards… More Well-informed Practitioners + Efficient Systems + Relevant Policies to achieveOptimal Patient Outcomes for Less $ A.K.A MORE BANG FOR YOUR BUCK

17. For More Information: • Westley Reinhart-McMillan SCI KMN Project Coordinator and Adapted Implementation Guide Developer • westley@onf.org Stay Tuned…. • When will the first release become available? • Fall 2013 • How will it be disseminated? • Initially hard and electronic copieswill be distributedbut web-based format accessible across all platforms .

18. SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Foothills Medical Centre: SCI Rehabilitation Clinic Glenrose Rehabilitation Hospital