sustainability in at services€¦ · the science, practice, and policy of getting science into...
TRANSCRIPT
Major topics for discussion Reviewing efficacy of professional development models Using the Quality Indicators for Assistive Technology to
identify change that is desired Exploring use of the five stages of implementation science
to build sustainability Identifying strategies that would assist your team in
moving towards greater change
MN’s historical model for professional development
Conferences Targeted workshops Interest driven professional development State directed protocols for processes PD directed to administrators
How this played out…
Minimal impetus for growth at the local level Professional development continued at the local level to
focus on Tools Apps Often “one stop” trainings with little to no follow through
Thinking about AT services in a new way Know what an excellent system of AT looks like for your
program Begin with the end in mind- what will success look like? Map a course to get you there Establish benchmarks and timelines to evaluate progress Be willing to learn from experience and make changes
along the way
Some foundational beliefs
Provision of AT in a school system is most effective through a systems approach vs. an expert model Critical AT system skills and competencies are defined in
Quality Indicators in Assistive Technology (http://qiat.org) Implementation science is a structured framework to plan
for systems change (AI Hub http://implementation.fpg.unc.edu/)
Quality Indicators for Assistive Technology
Developed by practitioners over multiple years
Includes 8 specific indicator areas
Includes indicators, intent statements, common errors and innovation configuration matrices
Consideration AssessmentDocumentation in the IEP ImplementationEvaluation of Effectiveness TransitionAdministrative Support Professional Development
Innovation Configuration Matrices (ICMs)
Learn more about QIAT QIAT website http://qiat.org QIAT electronic mailing list QIAT: A Comprehensive Guide to
AT Services http://castpublishing.org/quality-indicators/
Science of Implementation includes A specified set of activities designed to put into practice an
activity or program of known dimensions (Fixsen et. al. 2005) The science, practice, and policy of getting science into practice
and policy In short…◦ Beginning with the end in mind◦ Knowing what the change is that you want to see◦ Developing a plan of action to create that change
Why use Implementation Science?
Traditional PD models 14% change in practice over 17 years Systemic change, with fidelity 80% change in practice over 3 years
An AT specific plan Are you ready to move forward?◦ Fit, resources, drivers
Determine strengths and needs in services in your program - QIAT matrices Decide what data shows you and what you will track ◦ Determine how data will be developed using matrices
Determine, as a team, what actions will have most systemic impact
Five Stages of Implementation
1. Exploration2. Installation3. Initial Implementation4. Full Implementation5. Sustainability
Each stage has components that require planning for effectiveness.
1. Exploration
◦ Get key stakeholders involved, including appropriate and engaged leadership
◦ Form an implementation team◦ Identify solutions◦Assess needs◦ Identifying possible solutions (programs and practices) to address
needs◦Assessing whether there is a fit between the need and solution.
Action Steps for Exploration Get key stakeholders involved Form an implementation team Identify solutions◦ Assess needs◦ Identify possible solutions (programs and practices) to address
needs◦ Determine if there is a fit between the need and solution.
Implementation Teams Formed at the level where change needs to happen (state,
region, district, school, classroom) Has the right players at the right time to build change◦ Administrator/manager◦ Knowledgeable stakeholders◦ With time/capacity/assignment to make the change happen
2. Installation
Develop communication pathways Ensure financial and human resources are in place Find physical space Purchase equipment and technology Develop practitioner competency Take time for this step- don’t just dive into the deep end!
Action Steps for Installation Training, coaching and data systems are put in place Training and supports are put into place for those who
need to be involved in implementation
Well-prepared educators will feel more confident and more able to implement programs and practices with fidelity.
3. Initial Implementation
Begins when the new program or system is put into place. Often a time for failure
◦ Everyone is learning◦ Status quo is challenged
Key to have intensive coaching to support the team Need to address barriers as they emerge Develop systemic solutions rather than allowing problems
to re-emerge and re-occur
Action Steps for Initial Implementation Ensure support from the practice level (coaches) Ensure support from the organizational level Ensure support from the implementation team
4. Full Implementation
Teachers skillfully employ new skills Infrastructure is in place to support teachers Integrating new learning at all levels Change is evident through observing student outcomes Timeframes will vary across systems in moving from initial
to full implementation
Action Steps for Full Implementation Verify that changes in practice are happening (fidelity
checks) Keep gathering data to ensure change is monitored Analyze data to confirm if anticipated results are achieved Ensure that new team members have high level skills
5. Sustainability Plan for sustainability at every stage Financial sustainability (established, adequate, sustainable) Programmatic sustainability (established, reliable,
effective, sustainable)
Action Steps for Sustainability
Celebrate successReplicate what workedDon’t rest on your laurels!Continue to move forward with new initiatives to
continue growth
It is anticipated that … the phases overlap there are activities that may fall into more than one phase each phase is critical and must be supported at multiple
levels of the organization
Improvement Cycles Used by Implementation teams to make change happen One method of improvement cycle is Plan/Do/Study/Act
(PDSA) PDSA has 4 phases
PLAN Identify barriers or challenges Use data whenever possible Specify the plan to move programs forward Specify the outcomes that will be monitored QIAT indicators help determine areas of need
Specifically…
DO Carry out the strategies or plan to address the challenges
already identified Gather data on what is happening The AT Implementation Team chose to focus on
professional development and "just in time" coaching to IEP teams to support measurable outcomes
STUDY Use the measures identified during the planning phase to
assess and track progress
A review of professional development activities after careful implementation over time showed
ACTMake any needed changes to the next iteration of the plan
to improve implementation This team learned that "just in time" might not meet time
demands of their work
Minn Model- How Do We Look Now? Statewide AT Leadership Team Regional CoPsMN AT Teams project◦ Focus on system and system improvement◦ Focus on change as measured by indicators◦ Building local capacity to improve systems and services◦ Multi-year participation, to engage in progressive stages of
implementation
Your turn…
Turn to your elbow partner Identify how AT Teams Projects showed
implementation science at work, as demonstrated in poster sessions
Change in district practice will include a focus on professional development
Through an implementation lens, training is◦ Purposeful◦ Skill based◦ Rooted in adult learning strategies◦ Critical to support change BUT is not the only factor that
promotes change
Functions of training Bolster buy in of new way Introduction of concepts and strategies Introduction of rationale for new way Safe place to “try out” new skills
Coaching Regular, embedded professional development Designed to help educators use the new strategies as
intended Coaching WITH training can result in more effective
implementation
Sustainable Practices in AT Require: A sustained leadership model with informed and
supportive administrators A clear vision of what effective practice will look like when
sustainability is achieved A skilled and knowledgeable implementation team that
follows a path to create meaningful change
Resources QIAT: (www.qiat.org) National Implementation Research Network:
http://NIRN.fpg.unc.edu National Implementation Research Network Active
Implementation Hub: http://implementation.fpg.unc.edu/ Texas Assistive Technology Network: http://www.texasat.net MN AT Teams Project application
Questions??