Le Learnin arning g Se Sessio ssion October 3, 2017 Ca Call - - PowerPoint PPT Presentation

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Le Learnin arning g Se Sessio ssion October 3, 2017 Ca Call - - PowerPoint PPT Presentation

Le Learnin arning g Se Sessio ssion October 3, 2017 Ca Call (8 ll (866) 66) 835-79 7973 73 to join us 1 Tips Tips We want to hear you! Call (866) 835-7973 Find resources in Mute yourself when the link pod youre not talking


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October 3, 2017

Le Learnin arning g Se Sessio ssion

Ca Call (8 ll (866) 66) 835-79 7973 73 to join us

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Tips Tips

Mute yourself when you’re not talking This webinar is being recorded We want to hear you! Call (866) 835-7973 Ask questions in the chat at any time Find resources in the link pod

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Welco elcome! me!

Agenda

Welcome Progress to Date

Jen Leonardo, CS CoIIN Improvement Advisor

Awards Ceremony: Recognizing Achievement in the CS CoIIN Back to the Essentials: Testing Small

Jane Taylor, CS CoIIN Improvement Advisor

Conclusions

Jennifer Allison, Director, Children’s Safety Network Best PDSA Most Consistent and Highest Quality Monthly Report Favorite Storyboards Greatest Systems Change/Innovation Most Likely to Have Significant Impact 0 to 60 Accelerating Change Jennifer Allison, Director, Children’s Safety Network Bethany Miller, Health Resources and Services Administration

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Open Opening R ing Remarks emarks fr from HRSA

  • m HRSA

Bethany Miller Director of Injury and Violence Prevention Programs HRSA

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Pr Progre

  • gress T

ss To Dat

  • Date

Jen Leonardo, Improvement Advisor

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Wher Where we e we are on the are on the eng engine ine

You Are Here

(possibly for the second time)

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Progre Progress ss Scal Scale Ratin e Rating f g for

  • r S

Str trat ateg egy y Tea eams ms

37% 6% 6% 46% 46% 63% 63% 54% 54% 46% 46% 6% 6% 11% 14% 17% 3% 3% 6% 6% 17% 14% 9% 9% 14% 14% 20% 20% 3% 3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% May-17 Jun-17 Jul-17 Aug-17 1: Forming 1.5: Focusing 2: Partnering 2.5: Testing 3: Submitting 3.5: Progress 4: Improvement 4.5: Increasing Improvement 5: Significant Improvement
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Mas Massac sachuse husetts SSHP tts SSHP

10 20 30 40 50 60 70 80 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17

% health care sites implementing universal screening for suicide risk

rate
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Mas Massac sachuse husetts SSHP tts SSHP

100 200 300 400 500 600 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18

TEXTLINE

Text Conversations Unique Indv Served Goal = 334/month
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Lessons We’ve Learned

In-person learning sessions accelerate project planning and learning 90-Aim statements are useful, and we need a place to house them One-on-one TA for measurement is helpful, especially in the first quarter The QI Corner and Populations and Settings calls are great places for cross topic sharing

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Cr Cross

  • ss Tea

eam m Sh Sharing: aring: Child P Child Passenger assenger Saf Safety ty

  • In

Indi dian ana, Ver ermont mont, Ken entuc tucky, and Fl Flori

  • rida

da working to identify and improve

  • The number of CPSTs in each county
  • The number and geographic distribution of

master CPST trainers

  • The number of Mobile Fitting Stations for

each county

  • Which counties are “high risk” or higher risk

than others

Op Opti timi mizi zing ng and and str streng engthenin thening g ca car se r seat at in insp spection ection sys systems ems

  • Ver

ermont mont is planning booster bash events

  • Texa

xas has identified an electronic inspection form app and is looking to expand its use statewide

  • The

e Nor

  • rth

thern ern Mar aria iana na Isl Islan ands ds is considering a different approach to increasing submissions

  • f inspection forms, potentially avoiding costly

and ineffective events (Indiana’s data pointed to this, and Ken entuc tucky confirmed it anecdotally)

Tak akin ing g in insp spir irat atio ion fr n from

  • m

In Indi dian ana

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Cr Cross

  • ss Tea

eam m Sh Sharing: aring: Falls alls Pre Preventi ention

  • n
  • Mas

assachus sachusetts tts shared their model sport concussion policy with Ten ennessee essee, helping them get further down the road faster

  • Mas

assachuse sachusetts tts and Ten ennessee nessee are sharing lessons learned on return to learn policies

Sharing Model Policies

  • Ten

enness nessee ee and Penn ennsylv sylvania ania are testing approaches to work with non-school sports. Ne Nebr brask aska is providing input (despite not being a member of the falls team)

Reaching out to Non- Schools Sports

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Cr Cross

  • ss Tea

eam m Sh Sharing: aring: Int Inter erper person sonal al Violenc Violence e Pre Preventi ention

  • n
  • Min

inne neso sota ta, Pen enns nsyl ylvan ania ia, Neb ebras raska, and Ten enne nessee ssee are sharing notes on approached and best practices for AHT prevention in hospitals

  • Neb

ebras raska shared their innovative Crying Plan materials

Abusive Head Trauma Prevention

  • In

Indi dian ana is developing and will share an app with resources and information for hospital- based violence intervention and prevention programs

  • New

w Ha Hampshi shire e shared their free, on-line module for child maltreatment prevention (despite not being an active member of the team)

E-Learning

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Cr Cross

  • ss Tea

eam m Sh Sharing: aring: Sui Suicide cide and Self and Self-Har Harm m Pre Preventi ention

  • n
  • Ma

Mass ssachu chuse setts tts, Ver ermo mont nt, and Texas are sharing lessons learned about expanding Zero Suicide, and implementing and evaluating it’s components

Evaluating and Implementing Zero Suicide

  • Mi

Miss ssou

  • uri

ri, Flo lori rida da, and Texas are sharing ideas and experiences to expand in-school programs, track mandatory training, and improve screening and referral processes

  • Mi

Miss ssou

  • uri

ri, Flor

  • rida

da and Ma Mass ssachu chuse setts tts shared resources lists and information provided to schools who want to set up and implement suicide prevention programs

Expanding Programs in Schools Focusing the work

  • Con
  • nne

necti ticut ut is reviewing call center data from January through March 2017 to identify tests of change to reduce the number of dropped calls

  • Virg

rginia inia reviewed data to identify a gap in mental health professionals’ knowledge of BPs in suicide prevention

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Cr Cross

  • ss Tea

eam m Sh Sharing aring: Tee een n Driv Driver er Saf Safety ty

  • Wi

Wisc scon

  • nsi

sin has developed and shared literature reviews about drivers education and health care provider education for TDS

Sharing Evidence

  • Texa

xas, Ten enne nessee ssee, Neb ebra rask ska, and Fl Flori

  • rida

da are sharing notes on their different approaches that are resulting in more signed parent teen driver agreements

Increasing Parent Teen Driver Agreements

  • New

w Ha Hampshi shire e launched and shared an on-line toolkit for parents and peer-to-peer education

  • Nor
  • rth

th Da Dakota ta, , Ten enne nessee, ssee, Texa xas, s, Ken entuc tucky, , Wi Wisc scon

  • nsi

sin, and New w Ha Hampshi shire re are sharing lessons learned from approaching schools, evaluating programs, and emerging challenges they see

  • Ten

enne nessee ssee is providing technical assistance to Texa xas

  • n their implementation of CheckPoints

Expanding and Evaluating School-Based Programs

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Cr Cross

  • ss Topic T
  • pic Tea

eam Sha m Sharin ring

  • FP (sport concussion policies), SSHP (training

policies), IPVP, and TDS teams are discussing

  • Gathering information from schools
  • Tracking mandated trainings
  • Implementing and changing school-based

programs

  • Getting buy-in from schools

Working with schools

  • SSHP (Texa

xas and Ken entuc tucky) and CPS (Ver ermont mont and In Indi dian ana) are discussing ways to expand CFR membership, and improve the review process

Improving CFR processes and composition

  • Falls (FL

FL and PA PA), IPVP (MN MN and NH NH), and CPS (CNMI CNMI) are working with home visitors to increase their ability to identify and mitigate risks in and around the home

Working with Home Visitors

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In Y In Your W

  • ur Word
  • rds

“Focus on the importance of data collection for its use, not just to collect data” - Anonymous “Hearing how other states are approaching cycles and collecting data/which data they are collecting is very helpful. No matter what topic you are focused on, the process is the same (just like many

  • f the stakeholders!).” -Anonymous

“it is really valuable to have in person meeting time to dedicate to the project. Reinvigorating!”- Anonymous “Start with a question and move

  • n from there.”
  • Anonymous

“Very helpful to hear what

  • ther states are doing

regarding evaluation and fidelity.” -Anonymous “We need to address health disparities as a core objective in planning our work.”

  • Anonymous

“We need to use data to promote work (funding justification, spread to other locations, etc.)” Anonymous “The rapid cycle nature of this project is a shift from the way we often do work. The more I hear about this approach, the more I can apply it to our work.”

  • Anonymous

“collecting some data is better than not collecting any data in the hope of collecting perfect data.” - Anonymous “All of the materials and the CoIIN theory of change are a great framework” -Anonymous

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Tell Us A ell Us About bout Your Pr

  • ur Prog
  • gres

ress

Develop

  • Preparation for
changing how work or activity gets accomplished

Test

  • A small-scale trial
  • f a new
approach or a new process (change)

Implement

  • Making a change
a permanent part
  • f your system

Spread

  • Intentional and
systematic expansion of the number and type
  • f people, units,
  • r organizations
implementing the change

Since the May Learning Session have you:

  • Developed, tested, implemented, or spread anything?
  • Moved from one phase to another?

Overall, in what phase is your CS CoIIN project?

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Use Use the the Chat Chat

Be as specific as possible

What one thing have you learned from another strategy team through the CS CoIIN?

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Sh Sharing aring Progres Progress s Th Through Ex

  • ugh Examp

amples les

Award Categories

Best PDSA Most Consistent & Highest Quality Monthly Report Best Storyboard Most Likely to have Significant Impact Greatest Systems Change 0 to 60

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Best Best Plan Plan Do S Do Stud tudy y Act ct Cy Cycle cle

Presented by Jen Leonardo

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Bre Break Y ak Your W

  • ur Work Int
  • rk Into
  • Manag

Manageable Pieces eable Pieces

Top

  • pic

ic Tea eam # PD PDSA A Sub ubmi miss ssion ions s (May y 20 2017 7 – Sep eptember ember 20 2017) 7) % Str trat ateg egy y Tea eams ms Sub ubmi mitt ttin ing PD PDSAs As Child Passenger Safety (7) 5 29% Falls Prevention (4) 3 75% Interpersonal Violence Prevention (8) 4 13% Suicide and Self-Harm Prevention (8) 4 25% Teen Driver Safety (8) 13 75% Tota tal 29 29 49% 49%

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Award ard Crit Criteria eria

  • Considered Cohort 2 work
  • Looked for PDSA submissions demonstrating:
  • Clear relationship between PDSA objectives, tasks and

driver diagrams

  • Clearly stated objectives, predictions, and measures
  • Consecutive cycles that build on learning
  • Scale of the change idea is appropriate
  • Learning and next steps

“In public health you don’t see the reward of your work for years – sometimes 10. it’s nice to have the gratification of the work you are doing now and see ‘man, parents really need this information’” Jeanne Bietz, MA, NE DDHS Injury Prevention Program

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Hon Honorable Mentio

  • rable Mentions

ns

Virginia, Suicide and Self-Harm Prevention:

  • For their work

identifying training needs and gaps for FAPT team members to recognize and connect at-risk youth to resources Massachusetts, Falls Prevention

  • For partnering with

schools to learn the type of information teachers need to manage returning to the classroom after a concussion Wisconsin, Teen Driver Safety

  • For partnering with

LHDs and CHWs to build training capacity, ensure fidelity, and pilot TDP parent sessions in new venues, such as the workplace

  • Clea

ear PDS DSA A objectiv jectives es wi with th que uestions stions, , pr pred edictions, ictions, and me measur asures es

  • Worki

king ng wi with th pr primar mary y st stakehold eholder ers

  • Bu

Build lding ing on lea earning ning

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The Award Goes To. . . .

Nebra Nebrask ska T a Teen Driv een Driver er Saf Safety ty

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Educa Educating ting and W and Working wit

  • rking with

h Par artne tners and P s and Policymak

  • licymaker

ers f s for

  • r

Imp Improving ving Gra Graduat duated Driv ed Driver er Licens Licensing ing

  • What are the components of the Traffic Injury

Research Foundation’s GDL framework and how do they compare to Nebraska’s GDL?

  • Does Nebraska lose federal funding due to

current GDL requirements?

  • What is the impact that can be made by

upgrading Nebraska’s GDL?

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Key R y Reas easons Wh

  • ns Why This

y This Work Is

  • rk Is

Receiv eceiving an A ing an Award ard

  • Clear PDSA objective with key questions
  • Leveraged previous CoIIN work and evidence
  • Demonstrated learning
  • Identified key partners and next steps to advance the work

Potential to revolutionize how states engage policymakers to take action

Develop

  • Preparation for
changing how work or activity gets accomplished

Test

  • A small-scale
trial of a new approach or a new process (change)

Implement

  • Making a
change a permanent part
  • f your system

Spread

  • Intentional and
systematic expansion of the number and type of

people, units,

  • r
  • rganizations
implementing the change
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Lear Learning ning and Ne and Next xt St Steps eps!

  • Set up a comparison worksheet to understand

TIRF and NE GDL components

  • Work with the team to understand how to improve

GDL based on this research

  • Understand loss of resources that may result

from provisions in NE law

Adapt, Adopt, or Abandon

Adopt? Abandon? Adapt?

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“Policy Change, Please!” Neb Nebrask raska Tee een Driv n Driver Saf er Safety ty

Best est Pla lan n Do Study

  • Study Act

ct Cy Cycl cle

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Top 3 R

  • p 3 Reason

easons s for Success

  • r Success
  • Curiosity, fact finding, passion
  • Turns to amazement and what?! Really!
  • NE TDS Team input and expert

knowledge

  • CoIIN guidance of best practice!!!
  • Don’t reinvent the wheel
  • Ask for help and input
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Adv Advancing ancing Stat State Inj e Injur ury and Viole y and Violence nce Pre Prevention ention Ef Effor

  • rts

ts

  • Positive movement toward policy change
  • Concrete steps
  • Increased awareness to bring about change
  • Traffic safety partners being educated and carrying

the torch too

  • Reaching out and utilizing experts such as CDC
  • Insight on research and what is going on across the

country

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Adv Advancing ancing the the Fi Field eld of

  • f Inj

Injur ury and y and Viol Violence ence Pre Prevention ention

How has this project contributed to the advancement of the field of injury and violence prevention?

  • Increased knowledge of how to reduce motor

vehicle crashes for Nebraska teens through policy

  • Utilization of an evidence-based, researched

strategy for change and putting it into motion

  • New messaging and channels for distributing

injury prevention messages

  • Higher level of work with policy partners and makers
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Mos Most t Cons Consist istent and ent and High Highest Quality est Quality Monthly Monthly Repo eport

Presented by Maria Katradis

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Mos Most Cons t Consist istent ent and Hig and Highes hest t Qualit Quality Monthl y Monthly R y Repo eport

46% 46% ha have subm e submitt itted ed all all 4 monthly 4 monthly rep repor

  • rts

ts th that at ha have com e come e du due! e!

91% of the strategy teams have submitted at least one monthly report 31% have submitted Progress Reports only 20% have submitted Progress Reports and Outcome Measures 29% have submitted Progress Reports and Process Measures 11% have submitted at least

  • ne report with all

three components!

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Award ard Crit Criteria eria

  • Considered Cohort 2 monthly reports
  • One of the goals of the CS CoIIN is to report and

analyze real-time data to inform and guide your next steps in improving and protecting the lives of children and adolescents in your state.

  • Submitting monthly reports is a vital component
  • f this work.
  • Through your monthly reports, we are able to

demonstrate your progress to date in the CS CoIIN and the progress of the CoIIN overall to HRSA MCHB.

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Hon Honorable Mentio

  • rable Mentions

ns

Florida All Teams

  • Have consistently

submitted progress reports for all 5 teams in C2! Wisconsin TDS

  • Has submitted

process measures and progress reports each month in C2! Virginia SSHP

  • Has consistently

submitted progress reports and outcome measures in C2!

Massachusetts SSHP, Tennessee IPV, Connecticut SSHP, & Vermont CPS

  • First three teams to submit all three report

components in C2!

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Caretak Caretaker ers Lear s Learning ning t to Imp

  • Improve

e Car Seat Car Seat Kno Knowledge wledge (CLICK) (CLICK)

  • In an effort to reduce deaths, hospitalizations, and ED

visits resulting from child passenger safety by 2% respectively, Missouri CPS is working on their CLICK project (Caretakers Learning to Improve Car Seat Knowledge).

  • In order for organizations to receive car seats for

distribution, Missouri is requiring them to become CPS inspection stations.

  • The goal is to create 180 inspection stations across the

state through their partnership with Safe Kids coalitions.

  • A component of this project is also creating uniform

reporting across all inspection sites.

  • Resulting from Missouri CPS’s work so far, 6 new

counties now have a CPST, 170 car seat events were held, and over 4,000 car seats were checked.

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Con Consist sistent ent & Quality & Quality Mon Monthly thly Repo eports ts

  • Missouri CPS consistently reported their progress
  • n all five of their chosen process measures.
  • In Cohort 2, they have submitted progress reports

and process measures in each of the 4 months.

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Repor eporting Consist ting Consistently ently Mis Missouri souri Chil Child P d Passe assenger Saf nger Safety ty

Most Consistent and Highest Quality Monthly Report

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Top 3 R

  • p 3 Reason

easons s for Success

  • r Success
  • Coordination of the work between partners within

the Missouri Department of Health and Senior Services (DHSS), Missouri Department of Transportation (MoDOT), and Safe Kids coalitions.

  • Working with partners to recognize our needs,

and to create obtainable goals and objectives.

  • Collecting monthly and quarterly data from

MoDOT and the Safe Kids coalitions.

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Adv dvancin ancing S g Stat tate Injur e Injury and y and Viole Violence Pre nce Prevent ention ion Ef Effor

  • rts

ts

  • What is the value added in your project/work?
  • Strengthening partnerships with MoDOT.
  • Describe the specific ways in which this project

has made a positive difference in the state’s work in injury and violence prevention.

  • Identified gaps in services, so we can better direct our

resources.

  • Do you do anything now that you did not do prior

to this project?

  • Monthly meetings with partners, coordination between

partners and sending out announcements of car seat events to bring awareness of the need.

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Adv dvancin ancing the Fi g the Field eld of Injur

  • f Injury

y and Violen and Violence ce Pre Preventi ention

  • n

What suggestions do you have for other teams on building their own processes for data collection and submission?

  • Take advantage of services and data that your

partners provide and collect. Talk through the need to find the best sources.

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Your

  • ur F

Favori

  • rite

e Stor

  • ryboard

yboard

Votes from the CS CoIIN Participants and Staff Presented by Bekah Thomas

Strategic Initiatives Portfolio of Improvement Projects

What you are doing Issues you must address to achieve more faster

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Wh Why St y Stor

  • ryboards?

yboards?

  • Lessons learned, theories, and actions in your

voice

  • Shows progress over the course of the CS CoIIN
  • Keeps teams grounded
  • Useful in explaining your work to partners,

donors/funders, and other interested parties

Num umbe ber of r of St Stor

  • ryb

yboa

  • ards

ds Col

  • llect

lected: ed: 22! 22!

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Award ard Crit Criteria eria

Voting by YOU the participants, staff, and advisors to the CS CoIIN

  • Clear and focused purpose/problem
  • Well-designed action plan
  • Supported with data
  • Creative
  • Logical and clear organization of materials
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The A The Awards ards Go Go To. . . .

  • . . . .

CPS FP IPVP SSHP TDS

FL FLORID ORIDA! A!

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Gre Great atest Syst est Systems ems Chang Change e

Presented by Bekah Thomas

Multiple Actors Diversity geographic settings and sites
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Sy Syst stems ems Chan Change ge Is Nece Is Necess ssar ary, , but but Dif Difficult icult

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Award ard Crit Criteria eria

  • Considered both Cohort 1 and Cohort 2 work
  • Looked for teams who:
  • Identified a problem or glitch in their system
  • Developed a solution to that problem
  • Worked to implement that solution, despite push back
  • Is experiencing gains because of that disruption

The key is to embrace disruption and change early. Don’t react to it decades

  • later. You Can’t Fight Innovation

Ryan Kavanaugh

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Hon Honorable Mentio

  • rable Mentions

ns

Nebraska, Teen Driver Safety:

  • For their innovative

thinking in requiring driving logs to pass drivers education courses Kentucky, Teen Driver Safety:

  • For changing the

system so MCH Title V funds can be spent

  • n Teen Driver Safety

activities in local health departments

Vermont, Suicide and Self-Harm Prevention:

  • For their tests of

change to provide universal screening in Emergency Departments Tennessee, Falls Prevention

  • For their SAFE STARS

Program, a program honoring sports programs that have high safety standards Nebraska, Interpersonal Violence Prevention

  • For their invention of

the Cry Plan Tool that can help caregivers plan for and cope with stressful infant crying

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The Award Goes to

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Elect Electroni

  • nic

c chec heck-up f up forms f

  • rms for c
  • r child

hild pass passeng enger saf er safety inspe ty inspectio ctions ns

Development of an App that:

  • Reduces Human Error
  • Reduces data entry burden
  • Provides more real-time information
  • Has increased in the number of CPS inspection forms

submitted

200 400 600 800 1000 1200 Indiana CPS, Submission of Inspection Forms Number of Universal Safe Seat Inspection Forms Completed and Submitted by CPSTs Median

Introduction of the App

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Key R y Reas easons Wh

  • ns Why This

y This Work Is

  • rk Is

Receiv eceiving an A ing an Award ard

  • Identification of a problem
  • Development and testing of a solution
  • Recognition that the solution worked
  • Additional work to further spread the solution

Develop

  • Preparation for
changing how work or activity gets accomplished

Test

  • A small-scale trial
  • f a new
approach or a new process (change)

Implement

  • Making a change
a permanent part
  • f your system

Spread

  • Intentional and
systematic expansion of the number and type
  • f people, units,
  • r organizations
implementing the change

Potential to revolutionize the way car seat inspection information is collected and analyzed nationally

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SLIDE 55 55

Elect Electronic

  • nic chec

heck-up f up forms

  • rms

for c

  • r child pass

hild passenge enger r saf safety ty insp inspections ections Indiana Indiana, CPS , CPS

Greatest Systems Change

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Top 3 R

  • p 3 Reason

easons s for Success

  • r Success
  • 1. Accessibility:
  • Tablets given to fitting stations for use.
  • Kaci Wray (ICJI) trained each coordinator on using the

app prior to going live.

  • 2. Ease of use:
  • Automatic skip patterns.
  • Requirement of completion prior to moving forward.
  • Able to submit all inspection forms to database with

the push of a button.

  • 3. Participation:
  • Agencies have been very willing to participate in

launch of app.

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Adv dvancin ancing S g Stat tate Injur e Injury and y and Viole Violence Pre nce Prevent ention ion Ef Effor

  • rts

ts

  • Eventually, the app will:
  • Allow more accuracy for data reporting.
  • Target specific populations\regions (based on data).
  • In the future:
  • One thing we do now that we did not do prior was analyze

up-to-date data on a regular basis.

  • One thing that we don’t do know that we plan to do in the

future is to start an evaluation program for the inspection sites.

  • We will be able to stop manually entering forms into the

database.

  • Positive differences:
  • Standardizing the way we gather, collect, and measure

data.

  • Elimination of most human error.
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Adv dvancin ancing the Fi g the Field eld of Injur

  • f Injury

y and Violen and Violence ce Pre Preventi ention

  • n
  • This project was the first electronic version of the

inspection intake form in the state.

  • Increasing data to support our projects and

programs.

  • When evaluation tool goes into effect, we will be

able to provide feedback to technicians:

  • Knowledge retention; satisfaction with interaction; etc.
  • This has helped in strengthening partnerships

across multiple agencies.

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SLIDE 59 59

0 t 0 to 60

  • 60

Accel ccelera erating ting Chan Change ge

Presented by Jennifer Allison

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SLIDE 60 60

Award ard Crit Criteria eria

  • Considered work done in both Cohort 1 and

Cohort 2

  • Looked for teams who:
  • Have developed, tested, implemented, and spread a

change in record time

  • Had learning and improvement occur in each phase of

their work

  • Showed focus, ingenuity, agility, and persistence in

getting their change to spread

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Hon Honorable Mentio

  • rable Mentions

ns

Massachusetts, Suicide and Self- Harm Prevention:

  • For developing,

implementing, and spreading a learning collaborative on Zero Suicide Tennessee, Falls Prevention

  • For developing,

implementing, and spreading their SAFE STARS Initiative, a program honoring sports programs that have high safety standards Wisconsin, Teen Driver Safety

  • For rapidly and

collaboratively designing their approach and kicking off a state GDL campaign

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SLIDE 62 62

The Award Goes to

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SLIDE 63 63

An ed An educati ucational

  • nal card

card on th

  • n the

e state’s Graduated Driver Licen Licensin sing la g law

  • After designing the card, the team performed

small-scale tests of it through a series of parent focus groups.

  • Feedback from these focus groups was

incorporated into a second version of the card, which was then disseminated in five Nebraska schools for feedback from teens and parents.

  • With a final version of the card, the state’s

Department of Motor Vehicles distributed the card at 98 sites.

  • Tested for use as a handout.
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SLIDE 64 64

Key R y Reas easons Wh

  • ns Why This

y This Work Is

  • rk Is

Receiv eceiving an A ing an Award ard

  • Innovation and creativity in developing a card that

communicated key GDL requirements

  • Commitment to thoroughly testing and refining

the card to produce the best product

  • Ingenuity in doing outreach to state and local law

enforcement, pediatricians, drivers education instructors, schools and insurance companies

  • Strategic thinking in working through the state’s

Department of Motor Vehicles to spread the card

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SLIDE 65 65

GDL GDL Education Education Nebr Nebrask aska, a, Teen een Dri Driver er Saf Safety ty

0 to 60: Accelerating Change

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SLIDE 66 66

Top 3 R

  • p 3 Reason

easons s for Success

  • r Success
  • Diligence, persistence, coordination by staff
  • Survey, survey, survey: now get surveys back!
  • Critical role of partners and stakeholders
  • Ability to reach certain stakeholders
  • Role of PDSA’s in helping the team to refine its

approach

  • PDSA is like having a coach guiding you without the

yelling

  • Mistakes are where you learn the most
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SLIDE 67 67

Adv dvancin ancing S g Stat tate Injur e Injury and y and Violen Violence ce Pre Preventi ention Ef

  • n Effor
  • rts

ts

  • This project has brought about more awareness to

Nebraska’s GDL driving restrictions that was not previously present.

  • Learned that education of the GDL driving restrictions

to parents and teens is vital.

  • Recruitment of law enforcement, DMV, schools,

physicians, insurance agents and driver education instructors provides a broader, hands-on reach.

  • The impact of the GDL card will lead to work in policy

change.

  • The PDSA process makes a program step back and

assess stakeholders and the importance of their

  • feedback. Previously had not used this method for

guidance.

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SLIDE 68 68

Adv dvancin ancing the Fi g the Field eld of Injur

  • f Injury

y and Violen and Violence ce Pre Preventi ention

  • n
  • Developed a new educational product
  • Translated research into practice
  • Brought together entities working on teen driver

safety for one common cause.

  • Create cohesiveness
  • Created new messaging and utilized new

channels for distributing injury prevention messages

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SLIDE 69 69

Mos Most Lik t Likely ely t to

  • Ha

Have e Sign Signif ificant icant Imp Impact act

Presented by Jenny Stern-Carusone

Source: The Improvement Guide, pg. 196

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SLIDE 70 70

Striv Strive t e to mak

  • make a dif

e a differen erence ce

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SLIDE 71 71

Award ard Crit Criteria eria

  • Considered both Cohort 1 and Cohort 2 work and

accomplishments

  • Looked for teams who:
  • Included necessary/high leverage change(s) or

evidence-based programs

  • Are working across the change package
  • Are reaching the right audience
  • Are working across the state
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SLIDE 72 72

Hon Honorable Mentio

  • rable Mentions

ns

Virginia SSHP

  • For creating a statewide

strategy that spans all three levels of the Change Package Massachusetts SSHP

  • For their learning

collaborative to implement the Zero Suicide strategy Minnesota IPVP

  • For targeting youth

under the Comprehensive Services Act on recognizing and assessing suicide risk

Florida ALL TEAMS

  • For holistically tackling all 5 CoIIN topics

with an integrated statewide strategy

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SLIDE 73 73

Wisconsin Wisconsin Teen Driv een Driver er Saf Safety ty

The Award Goes To. . . .

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SLIDE 74 74

Int Integr egratio ation of n of the the TDS TDS chang hange e pac package age in th in their s eir stat tatewide wide str strat ateg egy

  • Mapped the drivers, change ideas and process

measures to the programs, agencies/partners and policies in their state.

  • Societal Level: Initiated a coalition involving

stakeholders from the individual to the state level to champion a GDL campaign

  • Organizational Level: Engaging law enforcement to

improve outreach and interaction with youth and GDL enforcement.

  • Relational/Individual Level: Testing workplace lunch

hour education opportunities to reach parents of teen drivers.

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SLIDE 75 75

Key R y Reas easons Wh

  • ns Why This

y This Work Is

  • rk Is

Receiv eceiving an A ing an Award ard

The comprehensive approach spanning the entire change package establishes a strong foundation for success.

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SLIDE 76 76

Teen een Drivin Driving Plan g Plan Wis Wisconsi consin n Teen een Drivi Driving ng Saf Safety ty

Most Likely to Have Significant Impact Award

slide-77
SLIDE 77 77

Top 3 R

  • p 3 Reason

easons s for Success

  • r Success

Across all of our programs the components that contribute most significantly to success are:

  • Clear strategy for our system of improvement
  • Supportive stakeholders and funders
  • Engaged partners
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SLIDE 78 78

Clear vision of how the campaign contributes to

  • ur system of

improvement

  • GDL is an evidence-

based strategy

  • Opportunities exist for

activities across all the Primary Driver areas

  • Campaign goals were

informed by national and state data/surveys

GDL Example GDL Example

slide-79
SLIDE 79 79

GDL Example GDL Example

Support for the campaign from key stakeholders and financial resources

  • Aligned it with the Wisconsin Injury and Violence

Prevention Program goals (DHS)

  • Identified how this may increase access to federal

funds in the future (DOT)

  • Hosted discussions about stakeholder roles,

scope of work, key messages

  • Routed content through stakeholder SME’s

multiple times

  • Leveraged multiple funding sources for support
  • Co-branded campaign materials
slide-80
SLIDE 80 80

GDL Example GDL Example

Engaged partners who will help share the message

  • Distributed materials to stakeholders and funders first
  • Sent materials to “second wave” of stakeholders
  • Shared resources with internal partners (clinics,

leadership, blog)

  • Reached out to local TV, radio, print, social media
  • Created new website page and Constant Contact
  • Distributing materials as part of the NTDSW school

activities

  • Piloting resources with specific partners (law

enforcement, driver education)

  • Creating additional video materials for recruitment and

advocacy efforts

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SLIDE 81 81

Adv dvancin ancing S g Stat tate Injur e Injury and y and Violen Violence ce Pre Preventi ention Ef

  • n Effor
  • rts

ts

  • Common messaging and tools across entities
  • Evaluation plans are in place to measure

campaign reach and effectiveness

  • Increased collaboration between state agencies

has led to discussion about additional projects

  • Exploring new ways to measure partnerships
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SLIDE 82 82

Adv dvancin ancing the Fi g the Field eld of Injur

  • f Injury

y and Violen and Violence ce Pre Preventi ention

  • n

Using the CoIIN resources to inform the development of our efforts has allowed us to:

  • Create a framework for state level efforts
  • Organize our work into manageable segments
  • Discuss it more effectively across agencies and

disciplines

slide-83
SLIDE 83 83

Sh Sharing aring Progres Progress s Th Through Ex

  • ugh Examp

amples les

Award Categories

Best PDSA Most Consistent & Highest Quality Monthly Report Best Storyboard Most Likely to have Significant Impact Greatest Systems Change 0 to 60

slide-84
SLIDE 84 84

Th The R e Real Winner eal Winners

AL ALL OF Y L OF YOU: OU: The ear early ly adopt adopter ers The sys systems ems di disrupt srupter ers The vi visi sion

  • nar

ary y impro improver ers The in inju jury y pr prevent enter ers THANK YOU FOR EVERYTHING!

slide-85
SLIDE 85

The Power of Small Tests of Change A Story

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SLIDE 86
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SLIDE 87
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SLIDE 88
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SLIDE 89
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SLIDE 90
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SLIDE 91
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SLIDE 92 92

Fina Final Thoughts and l Thoughts and Ne Next S xt Steps eps

Jennifer Allison

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SLIDE 93 93

Welcome!

Chang Changes at th es at the CS e CS CoIIN CoIIN

Mel el Miller ller

Research Associate Run charts and participation tracking mmiller@edc.org

Ji Jim Vett tter er

CS CoIIN Co-manager Topic Lead for SSHP Topic Call Moderator for FP, IPVP, and SSHP jvetter@edc.org

See You Soon!

Be Bekah ah Th Thomas

  • mas

NEW Director of Injury Prevention and Control Massachusetts Department of Public Health

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SLIDE 94 94

Upcom Upcoming ing Topic

  • pic Calls

Calls & De & Deliv liverables erables

October 10th: Monthly Reports about September due No November ember 21st

st 1-2pm

2pm ET ET: : QI QI Co Corn rner er No November ember 28 28th

th 1-2pm

2pm ET ET: : Popula

  • pulations

tions an and S d Setti ettings ngs

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SLIDE 95 95

Thank Thank y you f

  • u for
  • r par

particip ticipating! ating!

Please complete this brief evaluation:

https://www.surveymonkey.com/r/7SGLRRJ

Qu Ques estions tions or Commen mments? ts? Contact

  • ntact:

CSNinfo@edc.org For mo more e infor

  • rma

mation, tion, visi sit:

https://www.childrenssafetynetwork.org/cscoiin