Date post: | 07-May-2015 |
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Education |
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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
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