Post on 07-May-2015
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Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization
Reinhart-McMillan W1, Koning C2, Mumme L2 and The SCI KMN1Ontario Neurotrauma Foundation, 2Glenrose Rehabilitation Hospital
Section Section Name Slide No.
1.Background of the Project & Adapted Implementation Processes
3
2. Need for an Adapted Implementation Guide 7
3. Present and Future Content 12
4. System-Level Outcomes 15
Talk Contents
Working together to uniformly adopt best practices to improve secondary outcomes of SCI.
Current Domain of Interest: Pressure Ulcers Best Practices: Risk Assessment & Patient Education
• Adopted the Science of Implementation
Exploration Installation Initial Implementation
Full Implementation
Implementation Takes: 2-4 years
The 4 Stages of Implementation as Developed by the National Implementation Research Network
1. Site and Stakeholder Selection Process
SCI KMN Adaptations ( ) to Account for:
Pre-exploration Exploration Installation Initial Implementation
Full Implementation
2. Formative Evaluation for Ongoing Quality Improvement
2) Site Self-Assessment
Not In Place Fully In Place
• Quantitative Behavior Change Measures• 5-Point Likert Scale
3) Data Collection and Analysis
4) Quality Improvement
1) Stage-Based Best Practice Implementation
Pre-exploration Exploration Installation Initial Implementation
Full Implementation
Adapted Implementation
Guide
To provide new members and other interested parties with guidance and instruction …
The ‘know-how’
Adapted Implementation
Guide
Personalized Mentorship from Peers
with BPI Experience
Structured Education
and Training Curriculum
Training Tools
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…
Why a Guide?
SCI KMN
New Sites
New Members
Other Partners (e.g. acute care)
1) Address scale-up potential
Why a Guide? 2) Tremendous cost-savings
Why a Guide? 3) Accelerated best practice implementation
First-hand experiences
Comprehensive and Systematized Learning Resource
Efficient Best Practice Implementation
Adapted Implementation Frameworks and Tools
SCI KMN Adapted
Implementation Process
A Need to Adapt These Frameworks,
Tools and Approaches
Implementation Science
Frameworks & Approaches
Adopted by the SCI KMN
• 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
Section Overview
Our Journey
• 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
Pre-exploration Exploration InstallationInitial
ImplementationFull
Implementation
“
• 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
Section Overview
On the Horizon• Further integrate
clinical examples with theory
• Color themes and ‘quick links’ for fast access
• ‘Key Learnings’ for each section
• Vetting through the SCI KMN implementation teams
System-Level Outcomes
AND…
• Standardization – growing, geographically disparate network still ‘Speaking the Same Language’
• Continue sustainable best practice implementation with high fidelity.
System-Level Outcomes
Working towards…
More Well-informed Practitioners + Efficient Systems + Relevant Policies
to achieve Optimal Patient Outcomes for Less $
A.K.A MORE BANG FOR YOUR BUCK
Stay Tuned….For More Information:
Westley Reinhart-McMillan SCI KMN Project Coordinator and Adapted Implementation Guide Developer
westley@onf.org
When will the first release become available?• Fall 2013How will it be disseminated?• Initially hard and electronic copies will be
distributed but web-based format accessible across all platforms .
Foothills Medical Centre: SCI
Rehabilitation Clinic
SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative
Glenrose Rehabilitation Hospital