FACING REALITY: WHAT IT TAKES TO IMPLEMENT SYSTEMS CHANGENational Webinar May 16, 2011

Overview of Webinar

Marketa Garner GautreauWestern and Pacific Child Welfare Implementation Center

Webinar Overview

Webinar goals Plans for webinar series Introduction to Implementation Centers Basic understanding of Implementation

Science Reflections on lessons learned in systems

change and implications for states Your participation is critical! Send us your

questions and answer polling questions

Introduction to the Implementation CentersMichelle GraefMidwest Child Welfare Implementation Center

Implementation Centers and National Resource Centers

Improve child welfare administration and practice Meet Federal performance standards and

implement effective programs Pursue sustainable and positive systems change Improve outcomes for children, youth & families

Funded by the Children’s Bureau to provide States and Territories, Tribes, and Tribal Consortia individualized training and technical assistance (T/TA) to:

States and Tribes are sometimes without the resources necessary to implement comprehensive strategic plans

National Resource Centers have limited resources to provide intensive, long-term TA

Implementation Centers provide in-depth and long-term consultation and peer networking opportunities to States and Tribes

Implementation Centers: Filling the Gap

Project Partner RolesBuilding Capacity to Implement Sustainable Systems

Change

Implementation Center Child Welfare AgencyConduct organizational and readiness assessment to identify potential barriers to implementation

Develop and implement strategies to address organizational barriers and improve readiness for implementation

Guide planning process Develop project plan

Provide and coordinate technical assistance resources to support organizational change and facilitate implementation

Provide and coordinate organizational/ human resources to manage change and support implementation

Provide technical assistance to promote best practices in organizational and child welfare systems change

Utilize best practices to align people, process, structure, measurement/rewards, and technology around the desired systems change

Facilitate implementation Implement plan

Develop methodology (e.g. benchmarks, tools) to monitor implementation progress

Collect project data; use data reports to monitor implementation and inform /refine implementation strategies

Evaluate project outcomes Use findings and lessons learned to inform future implementation efforts

Geographic Assignments

Who are the Implementation Centers?

Implementation Center Organization

Northeast & Caribbean Implementation Center (NCIC)

University of Southern Maine, Muskie School of Public Service

Atlantic Coast Child Welfare Implementation Center (ACCWIC)

University of Maryland School of Social Work

Midwest Child Welfare Implementation Center (MCWIC)

University of Nebraska-Lincoln, Center on Children, Families & the Law

Mountains & Plains Child Welfare Implementation Center (MPCWIC)

University of Texas at Arlington, Center for Child Welfare partnering with the University of Denver, Butler Institute and The Native American Training Institute (NATI)

Western & Pacific Child Welfare Implementation Center (WPIC)

American Institutes for Research, partnering with National Indian Child Welfare Association, Center for the Study of Social Policy, National Technical Assistance Center for Children’s Mental Health at Georgetown University, and the Florida Mental Health Institute at the University of South Florida

Learn More

Implementation Centers Website

Northeast & Caribbean Implementation Center (NCIC)

http://ncic.muskie.usm.maine.edu

Atlantic Coast Child Welfare Implementation Center (ACCWIC)

www.accwic.org

Midwest Child Welfare Implementation Center (MCWIC)

www.mcwic.org

Mountains & Plains Child Welfare Implementation Center (MPCWIC)

www.mpcwic.org

Western & Pacific Child Welfare Implementation Center (WPIC)

www.wpicenter.org

Understanding Implementation Science

Cathy FisherAtlantic Coast Child Welfare Implementation Center

Implementation is Complex

THERE IS SCIENCE TO GUIDE US

There is a body of research on effective implementation

Most has focused on research/evidenced based practices

Child welfare systems have been slow to explore the science

Well-defined and developed child welfare models are foundational to sound implementation

Application of implementation science may improve child welfare outcomes

Implementation is both an art and a science.

THERE IS SCIENCE TO GUIDE US

There is a body of research on effective implementation

Most has focused on research/evidenced based practices

Child welfare systems have been slow to explore the science

Well-defined and developed child welfare models are foundational to sound implementation

Application of implementation science may improve child welfare outcomes

Implementation is both an art and a science.

Models to support Implementation

Implementation Science National Implementation Research

Network (NIRN) Phases of Change

John Kotter, Harvard Business School Managing Change

ADKAR Model – Prosci (Awareness, Desire, Knowledge, Ability and Reinforcement)

Key Elements of Systems Change

Getting from here to there…

Stages of Implementation

Stages of Implementation

Stages of ImplementationCore Activities

Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

Stages/Activities

Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

Selection

Training

Coaching

Performance Assessment

(Fidelity)

Systems Intervention

LEADERSHIP

Decision Support Data

System

Integrated &

Compensatory

CO

MPE

TEN

CY

ORG

AN

IZATI

ON

Facilitative Administration

© Fixsen & Blase, 2008

National Implementation Research Network: Implementation Drivers

Project Manageme

nt

Change Manageme

ntA structured approach to managing tasks, resources and budget to achieve a desired outcome

A set of processes and tools to manage the people engaged in the project to achieve the desired outcome

Project vs. Change Management

* Implementation requires managing the project and managing the change

Process for Implementing Change

Leaders: Make the case for change Guide the organization through changeKeep the focus, stay engaged and reinforce

change Perception of change based on position in

the organization Individuals change at different rates All change is individual- It’s all about me!

Changing the Organization

ADKAR - Change Management Model

Awareness of the need for change Desire to participate and support the

change Knowledge of how to change Ability to implement the

required skills/behaviors Reinforcement to sustain the

changeHiatt, J. (2006) ADKAR: a Model for Change in Business, Government and our Community : How to

Implement Successful Change in our Personal Lives and Professional Careers.  Change Management Learning Center, Prosci, CO.

Engaging in Change

Establish readiness for change Build trusting relationships Develop champions Balance flexibility vs. staying the course Allocate time and resources Take regular organization temperature Communicate , before , during and after Clarify the impact of the change at the

individual level

Maria ScannapiecoMountains and Plains Child Welfare Implementation Center

Lessons Learned

Successful, sustained implementation isn’t easy!

Implementation Science teaches the need for a purposeful, somewhat resource heavy approach to change

Burdened child welfare systems may struggle with this level of infrastructure commitment

Implementation Centers have found the following to be key:

Leadership Trusting relationships Clarifying who owns the plan Flexibility versus staying the

course

Lessons Learned

Time and resources Communication, communication,

communication Defining roles and responsibilities Readiness and reality

Lessons Learned

Champions Measures of success Capacity building

Lessons Learned with Tribes

Different issues of trust Understanding of implementation science Building capacity and access to technology Each Tribe has unique identity with

different languages, customs and traditions Layers of complexity Rural insular communities Tribal politics

What are your experiences around implementation of systems change? What strategies have been most

successful as your organization prepared for child welfare reform?

How were staff prepared to take on a new systems change effort in the organization?

What role have staff and stakeholders played in leading change efforts?

Topics for Future Implementation Center Webinars What is your preference?

Developing, implementing, and enhancing practice models

Increasing engagement/collaboration with stakeholders

Using data for effective program management

For Further Reading

National Implementation Research Network - www.fpg.unc.edu/~nirn

ADKAR - www.change-management.com

John Kotter - www.kotterinternational.com

We want to hear from you….

Send us your questions and comments:

Marketa Gautreau - mgautreau@air.org Michelle Graef –

mgraef@unlnotes.unl.edu Cathy Fisher – cfisher@umaryland.edu Maria Scannapieco -

mscannapieco@uta.edu