Change and Redesign Implementation: Making it More Successful

1. Change and Redesign Implementation: Making it More Successful October 8,2019

2. Why Use Implementation Science? Effective Implementation Hospitable Environment Effective Innovations Socially Significant Outcomes

3. Information and Change

4. 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 elements • Shared meaning of Adult Career Pathways • A practical assessment of practitioner performance • Assessment of core competencies across partner programs

5. Assemble the Go-Team • Implementation Team members have special expertise in the program being implemented and Implementation Science.

6. 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

7. Assess & Strengthen Implementation Drivers Weaknesses in one driver can be mitigated by strengths in other drivers

8. Assess & Strengthen Competency Drivers • Selection of: • Practitioners • Organization staff • Staff for Implementation Teams

9. Assess & Strengthen Competency Drivers • Training approaches: • Lecture & discussion • Modeling & demonstration • Behavior rehearsal • Feedback on performance

10. Assess & Strengthen Competency Drivers • Main roles of a coach: • Supervision • Teaching • Assessment • Emotional support • Newly-learned behavior is difficult and fragile

11. Assess & Strengthen Competency Drivers • Context measures: • Action Plan activities successfully implemented • Metrics demonstrate improvements • Availability of needed resources • Positive Impact on ‘dual’ customers

12. Assess & Strengthen Competency Drivers • Reliable data are needed to: • Assess progress • Support decision-making • Assure continuing implementation

13. 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

14. Assess & Strengthen Competency Drivers • Communication • Multi-level alignment • Leadership & focus • Nurturing champions • Intervention • Vigilance

15. Assess & Strengthen Competency Drivers • Less effective styles, according to Hall & Hord: • “responders” • “managers” • Most productive: Adaptive

16. 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?

17. 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

18. Where Are We Now

19. Questions?

20. 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

21. WINTAC Workforce Innovation Technical Assistance Center www.wintac.org Lou Adams, WINTAC ladams@ndi-inc.org (989) 329-0251