Facing reality: What it Takes to implement systems change

1. Facing reality: What it Takes to implement systems change National Webinar May 16, 2011

2. Overview of Webinar Marketa Garner Gautreau Western and Pacific Child Welfare Implementation Center

3. 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

4. Introduction to the Implementation Centers Michelle Graef Midwest Child Welfare Implementation Center

5. Implementation Centers and National Resource Centers Funded by the Children’s Bureau to provide States and Territories, Tribes, and Tribal Consortia individualized training and technical assistance (T/TA) to: • 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

6. Implementation Centers: Filling the Gap • 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

9. Who are the Implementation Centers?

10. Learn More

11. Understanding Implementation Science • Cathy Fisher • Atlantic Coast Child Welfare Implementation Center

12. Implementation is Complex I

13. 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.

14. 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.

15. 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)

16. Key Elements of Systems Change

17. Stages of Implementation Getting from here to there…

18. Stages of Implementation

19. Stages of ImplementationCore Activities Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

20. Stages/Activities Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

21. National Implementation Research Network: Implementation Drivers Performance Assessment (Fidelity) Systems Intervention Coaching Facilitative Administration Training COMPETENCY ORGANIZATION Integrated & Compensatory Decision Support Data System Selection LEADERSHIP © Fixsen & Blase, 2008

22. Project vs. Change Management * Implementation requires managing the project and managing the change

23. Process for Implementing Change

24. Changing the Organization • Leaders: • Make the case for change • Guide the organization through change • Keep 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!

25. 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 change Hiatt, 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.

26. 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

27. Lessons Learned Maria Scannapieco Mountains and Plains Child Welfare Implementation Center

28. 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

29. Implementation Centers have found the following to be key: Leadership Trusting relationships Clarifying who owns the plan Flexibility versus staying the course

30. Lessons Learned Time and resources Communication, communication, communication Defining roles and responsibilities Readiness and reality

31. Lessons Learned Champions Measures of success Capacity building

32. 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

33. 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?

34. 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

35. For Further Reading • National Implementation Research Network - www.fpg.unc.edu/~nirn • ADKAR - www.change-management.com • John Kotter - www.kotterinternational.com

36. 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