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Evaluating knowledge development processes. Scott Schaffer, PhD schaffer3999@gmail.com. www.purdue.edu/rche. Scott Schaffer, Ph.D. Associate Professor, Purdue University, Education Workplace learning, performance, and knowledge development systems
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Evaluating knowledge development processes Scott Schaffer, PhD schaffer3999@gmail.com 1 www.purdue.edu/rche
Scott Schaffer, Ph.D. • Associate Professor, Purdue University, Education • Workplace learning, performance, and knowledge development systems • Co-director, Health Informatics & Learning Technologies -Regenstrief Center for Healthcare Engineering • Research Interests • Patient self-management • Cross-disciplinary team learning • Communities of practice • Innovation Spread and Adaptation
Web-based Portal Features Do features of the knowledge management system align with how knowledge is developed on the floor? Performance Metrics (SCIP) Leading Practices Gap Analysis Interventions Big Question
Next Questions:What does knowledge development look like?How do we observe it? Short-term Outcomes Long-term Outcomes Activities Inputs • Best Practices ID • Workshops • Education • Networks • Tools • Resources • History • Culture • System openness • Levels of: • Adoption/Adaptation • Engagement • Participation • Better Patient Outcomes • Increased QOC • Foster Improvement Culture “By the way, you can have 8 weeks to do this – we want you to present findings to the COO just after Christmas”.
Basic knowledge development process Creation • Natural knowledge processes • Knowledge "Containers" • Rules (Declarative-Procedural) • Knowledge Claims-Evaluation Integration • Storing • Dissemination • Sharing • Coaching – Teaching - Mentoring • Searching
Knowledge DevelopmentSystem Culture Strategy Business Processes = critical tasks relative to organizational mission Planning = identification of gap or opportunity Building = new idea, process, adaptation Evaluating = validation of idea or process Storing = repository or other dB Sharing = meetings, conferences, forums, publications, coaching ExternalForces Resources
Is knowledge development supported on the nursing floor? Knowledge & Skills Performance Capacity Motivation & Self Concept Tools, Environment & Processes Rewards, Recognition & Incentives Organizational Culture Expectation & Feedback Performance Support Elements
Ochsner Clinic FoundationNew Orleans, Louisiana • A “best practice” organization based on SCIP indicators • 9 Interviews: nursing, performance improvement, quality, administration • Reviewed performance and quality processes • Observed meetings; workshops
“We know that performance indicators and outcomes are better when nurses and doctors spend more time with patients”. Vice-President, Customer Care, Ochsner
Socio-cultural Context Knowledge Development • Culture of Discovery. Capacity-building is a priority and incentives follow. • Culture of Engagement. Work across-disciplinary and boundaries. • Culture of Improvement. Use of language of quality and other disciplines. • Best practices are business processes. • Systematic data collection and analysis. • Face time. Strong preference for dialogue. • Strong desire to produce evidence of success. Observations
Implications for Design • Identify successful local and regional efforts to blend online and on-site support of change leadership and process ownership. • Focus online support on 2 major activities: social networking, storytelling, and other collaborative activities; and performance support for adaptation of “best” practices. • Provide scaffolding so foundational problem solving skills can be learned while solving problems. 12 www.purdue.edu/rche