October 3, 2017
Le Learnin arning g Se Sessio ssion
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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
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
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
Open Opening R ing Remarks emarks fr from HRSA
Bethany Miller Director of Injury and Violence Prevention Programs HRSA
Pr Progre
ss To Dat
Jen Leonardo, Improvement Advisor
Wher Where we e we are on the are on the eng engine ine
You Are Here
(possibly for the second time)
Progre Progress ss Scal Scale Ratin e Rating f g for
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 ImprovementMas 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
rateMas 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-18TEXTLINE
Text Conversations Unique Indv Served Goal = 334/monthLessons 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
Cr Cross
eam m Sh Sharing: aring: Child P Child Passenger assenger Saf Safety ty
Indi dian ana, Ver ermont mont, Ken entuc tucky, and Fl Flori
da working to identify and improve
master CPST trainers
each county
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
ermont mont is planning booster bash events
xas has identified an electronic inspection form app and is looking to expand its use statewide
e Nor
thern ern Mar aria iana na Isl Islan ands ds is considering a different approach to increasing submissions
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
In Indi dian ana
Cr Cross
eam m Sh Sharing: aring: Falls alls Pre Preventi ention
assachus sachusetts tts shared their model sport concussion policy with Ten ennessee essee, helping them get further down the road faster
assachuse sachusetts tts and Ten ennessee nessee are sharing lessons learned on return to learn policies
Sharing Model Policies
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
Cr Cross
eam m Sh Sharing: aring: Int Inter erper person sonal al Violenc Violence e Pre Preventi ention
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
ebras raska shared their innovative Crying Plan materials
Abusive Head Trauma Prevention
Indi dian ana is developing and will share an app with resources and information for hospital- based violence intervention and prevention programs
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
Cr Cross
eam m Sh Sharing: aring: Sui Suicide cide and Self and Self-Har Harm m Pre Preventi ention
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
Miss ssou
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
Miss ssou
ri, Flor
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
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
rginia inia reviewed data to identify a gap in mental health professionals’ knowledge of BPs in suicide prevention
Cr Cross
eam m Sh Sharing aring: Tee een n Driv Driver er Saf Safety ty
Wisc scon
sin has developed and shared literature reviews about drivers education and health care provider education for TDS
Sharing Evidence
xas, Ten enne nessee ssee, Neb ebra rask ska, and Fl Flori
da are sharing notes on their different approaches that are resulting in more signed parent teen driver agreements
Increasing Parent Teen Driver Agreements
w Ha Hampshi shire e launched and shared an on-line toolkit for parents and peer-to-peer education
th Da Dakota ta, , Ten enne nessee, ssee, Texa xas, s, Ken entuc tucky, , Wi Wisc scon
sin, and New w Ha Hampshi shire re are sharing lessons learned from approaching schools, evaluating programs, and emerging challenges they see
enne nessee ssee is providing technical assistance to Texa xas
Expanding and Evaluating School-Based Programs
Cr Cross
eam Sha m Sharin ring
policies), IPVP, and TDS teams are discussing
programs
Working with schools
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
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
In Y In Your W
“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
“it is really valuable to have in person meeting time to dedicate to the project. Reinvigorating!”- Anonymous “Start with a question and move
“Very helpful to hear what
regarding evaluation and fidelity.” -Anonymous “We need to address health disparities as a core objective in planning our work.”
“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.”
“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
Tell Us A ell Us About bout Your Pr
ress
Develop
Test
Implement
Spread
Since the May Learning Session have you:
Overall, in what phase is your CS CoIIN project?
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?
Sh Sharing aring Progres Progress s Th Through Ex
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
Best Best Plan Plan Do S Do Stud tudy y Act ct Cy Cycle cle
Presented by Jen Leonardo
Bre Break Y ak Your W
Manageable Pieces eable Pieces
Top
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%
Award ard Crit Criteria eria
driver diagrams
“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
Hon Honorable Mentio
ns
Virginia, Suicide and Self-Harm Prevention:
identifying training needs and gaps for FAPT team members to recognize and connect at-risk youth to resources Massachusetts, Falls Prevention
schools to learn the type of information teachers need to manage returning to the classroom after a concussion Wisconsin, Teen Driver Safety
LHDs and CHWs to build training capacity, ensure fidelity, and pilot TDP parent sessions in new venues, such as the workplace
ear PDS DSA A objectiv jectives es wi with th que uestions stions, , pr pred edictions, ictions, and me measur asures es
king ng wi with th pr primar mary y st stakehold eholder ers
Build lding ing on lea earning ning
The Award Goes To. . . .
Nebra Nebrask ska T a Teen Driv een Driver er Saf Safety ty
Educa Educating ting and W and Working wit
h Par artne tners and P s and Policymak
ers f s for
Imp Improving ving Gra Graduat duated Driv ed Driver er Licens Licensing ing
Research Foundation’s GDL framework and how do they compare to Nebraska’s GDL?
current GDL requirements?
upgrading Nebraska’s GDL?
Key R y Reas easons Wh
y This Work Is
Receiv eceiving an A ing an Award ard
Potential to revolutionize how states engage policymakers to take action
Develop
Test
Implement
Spread
people, units,
Lear Learning ning and Ne and Next xt St Steps eps!
TIRF and NE GDL components
GDL based on this research
from provisions in NE law
Adapt, Adopt, or Abandon
Adopt? Abandon? Adapt?
“Policy Change, Please!” Neb Nebrask raska Tee een Driv n Driver Saf er Safety ty
Best est Pla lan n Do Study
ct Cy Cycl cle
Top 3 R
easons s for Success
knowledge
Adv Advancing ancing Stat State Inj e Injur ury and Viole y and Violence nce Pre Prevention ention Ef Effor
ts
the torch too
country
Adv Advancing ancing the the Fi Field eld of
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?
vehicle crashes for Nebraska teens through policy
strategy for change and putting it into motion
injury prevention messages
Mos Most t Cons Consist istent and ent and High Highest Quality est Quality Monthly Monthly Repo eport
Presented by Maria Katradis
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
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
three components!
Award ard Crit Criteria eria
analyze real-time data to inform and guide your next steps in improving and protecting the lives of children and adolescents in your state.
demonstrate your progress to date in the CS CoIIN and the progress of the CoIIN overall to HRSA MCHB.
Hon Honorable Mentio
ns
Florida All Teams
submitted progress reports for all 5 teams in C2! Wisconsin TDS
process measures and progress reports each month in C2! Virginia SSHP
submitted progress reports and outcome measures in C2!
Massachusetts SSHP, Tennessee IPV, Connecticut SSHP, & Vermont CPS
components in C2!
Caretak Caretaker ers Lear s Learning ning t to Imp
e Car Seat Car Seat Kno Knowledge wledge (CLICK) (CLICK)
visits resulting from child passenger safety by 2% respectively, Missouri CPS is working on their CLICK project (Caretakers Learning to Improve Car Seat Knowledge).
distribution, Missouri is requiring them to become CPS inspection stations.
state through their partnership with Safe Kids coalitions.
reporting across all inspection sites.
counties now have a CPST, 170 car seat events were held, and over 4,000 car seats were checked.
Con Consist sistent ent & Quality & Quality Mon Monthly thly Repo eports ts
and process measures in each of the 4 months.
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
Top 3 R
easons s for Success
the Missouri Department of Health and Senior Services (DHSS), Missouri Department of Transportation (MoDOT), and Safe Kids coalitions.
and to create obtainable goals and objectives.
MoDOT and the Safe Kids coalitions.
Adv dvancin ancing S g Stat tate Injur e Injury and y and Viole Violence Pre nce Prevent ention ion Ef Effor
ts
has made a positive difference in the state’s work in injury and violence prevention.
resources.
to this project?
partners and sending out announcements of car seat events to bring awareness of the need.
Adv dvancin ancing the Fi g the Field eld of Injur
y and Violen and Violence ce Pre Preventi ention
What suggestions do you have for other teams on building their own processes for data collection and submission?
partners provide and collect. Talk through the need to find the best sources.
Your
Favori
e Stor
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
Wh Why St y Stor
yboards?
voice
donors/funders, and other interested parties
Num umbe ber of r of St Stor
yboa
ds Col
lected: ed: 22! 22!
Award ard Crit Criteria eria
Voting by YOU the participants, staff, and advisors to the CS CoIIN
The A The Awards ards Go Go To. . . .
CPS FP IPVP SSHP TDS
Gre Great atest Syst est Systems ems Chang Change e
Presented by Bekah Thomas
Multiple Actors Diversity geographic settings and sitesSy Syst stems ems Chan Change ge Is Nece Is Necess ssar ary, , but but Dif Difficult icult
Award ard Crit Criteria eria
The key is to embrace disruption and change early. Don’t react to it decades
Ryan Kavanaugh
Hon Honorable Mentio
ns
Nebraska, Teen Driver Safety:
thinking in requiring driving logs to pass drivers education courses Kentucky, Teen Driver Safety:
system so MCH Title V funds can be spent
activities in local health departments
Vermont, Suicide and Self-Harm Prevention:
change to provide universal screening in Emergency Departments Tennessee, Falls Prevention
Program, a program honoring sports programs that have high safety standards Nebraska, Interpersonal Violence Prevention
the Cry Plan Tool that can help caregivers plan for and cope with stressful infant crying
The Award Goes to
Elect Electroni
c chec heck-up f up forms f
hild pass passeng enger saf er safety inspe ty inspectio ctions ns
Development of an App that:
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 MedianIntroduction of the App
Key R y Reas easons Wh
y This Work Is
Receiv eceiving an A ing an Award ard
Develop
Test
Implement
Spread
Potential to revolutionize the way car seat inspection information is collected and analyzed nationally
Elect Electronic
heck-up f up forms
for c
hild passenge enger r saf safety ty insp inspections ections Indiana Indiana, CPS , CPS
Greatest Systems Change
Top 3 R
easons s for Success
app prior to going live.
the push of a button.
launch of app.
Adv dvancin ancing S g Stat tate Injur e Injury and y and Viole Violence Pre nce Prevent ention ion Ef Effor
ts
up-to-date data on a regular basis.
future is to start an evaluation program for the inspection sites.
database.
data.
Adv dvancin ancing the Fi g the Field eld of Injur
y and Violen and Violence ce Pre Preventi ention
inspection intake form in the state.
programs.
able to provide feedback to technicians:
across multiple agencies.
0 t 0 to 60
Accel ccelera erating ting Chan Change ge
Presented by Jennifer Allison
Award ard Crit Criteria eria
Cohort 2
change in record time
their work
getting their change to spread
Hon Honorable Mentio
ns
Massachusetts, Suicide and Self- Harm Prevention:
implementing, and spreading a learning collaborative on Zero Suicide Tennessee, Falls Prevention
implementing, and spreading their SAFE STARS Initiative, a program honoring sports programs that have high safety standards Wisconsin, Teen Driver Safety
collaboratively designing their approach and kicking off a state GDL campaign
The Award Goes to
An ed An educati ucational
card on th
e state’s Graduated Driver Licen Licensin sing la g law
small-scale tests of it through a series of parent focus groups.
incorporated into a second version of the card, which was then disseminated in five Nebraska schools for feedback from teens and parents.
Department of Motor Vehicles distributed the card at 98 sites.
Key R y Reas easons Wh
y This Work Is
Receiv eceiving an A ing an Award ard
communicated key GDL requirements
the card to produce the best product
enforcement, pediatricians, drivers education instructors, schools and insurance companies
Department of Motor Vehicles to spread the card
GDL GDL Education Education Nebr Nebrask aska, a, Teen een Dri Driver er Saf Safety ty
0 to 60: Accelerating Change
Top 3 R
easons s for Success
approach
yelling
Adv dvancin ancing S g Stat tate Injur e Injury and y and Violen Violence ce Pre Preventi ention Ef
ts
Nebraska’s GDL driving restrictions that was not previously present.
to parents and teens is vital.
physicians, insurance agents and driver education instructors provides a broader, hands-on reach.
change.
assess stakeholders and the importance of their
guidance.
Adv dvancin ancing the Fi g the Field eld of Injur
y and Violen and Violence ce Pre Preventi ention
safety for one common cause.
channels for distributing injury prevention messages
Mos Most Lik t Likely ely t to
Have e Sign Signif ificant icant Imp Impact act
Presented by Jenny Stern-Carusone
Source: The Improvement Guide, pg. 196
Striv Strive t e to mak
e a differen erence ce
Award ard Crit Criteria eria
accomplishments
evidence-based programs
Hon Honorable Mentio
ns
Virginia SSHP
strategy that spans all three levels of the Change Package Massachusetts SSHP
collaborative to implement the Zero Suicide strategy Minnesota IPVP
under the Comprehensive Services Act on recognizing and assessing suicide risk
Florida ALL TEAMS
with an integrated statewide strategy
Wisconsin Wisconsin Teen Driv een Driver er Saf Safety ty
The Award Goes To. . . .
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
measures to the programs, agencies/partners and policies in their state.
stakeholders from the individual to the state level to champion a GDL campaign
improve outreach and interaction with youth and GDL enforcement.
hour education opportunities to reach parents of teen drivers.
Key R y Reas easons Wh
y This Work Is
Receiv eceiving an A ing an Award ard
The comprehensive approach spanning the entire change package establishes a strong foundation for success.
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
Top 3 R
easons s for Success
Across all of our programs the components that contribute most significantly to success are:
Clear vision of how the campaign contributes to
improvement
based strategy
activities across all the Primary Driver areas
informed by national and state data/surveys
GDL Example GDL Example
GDL Example GDL Example
Support for the campaign from key stakeholders and financial resources
Prevention Program goals (DHS)
funds in the future (DOT)
scope of work, key messages
multiple times
GDL Example GDL Example
Engaged partners who will help share the message
leadership, blog)
activities
enforcement, driver education)
advocacy efforts
Adv dvancin ancing S g Stat tate Injur e Injury and y and Violen Violence ce Pre Preventi ention Ef
ts
campaign reach and effectiveness
has led to discussion about additional projects
Adv dvancin ancing the Fi g the Field eld of Injur
y and Violen and Violence ce Pre Preventi ention
Using the CoIIN resources to inform the development of our efforts has allowed us to:
disciplines
Sh Sharing aring Progres Progress s Th Through Ex
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
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
ary y impro improver ers The in inju jury y pr prevent enter ers THANK YOU FOR EVERYTHING!
The Power of Small Tests of Change A Story
Fina Final Thoughts and l Thoughts and Ne Next S xt Steps eps
Jennifer Allison
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
NEW Director of Injury Prevention and Control Massachusetts Department of Public Health
Upcom Upcoming ing Topic
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
tions an and S d Setti ettings ngs
Thank Thank y you f
particip ticipating! ating!
Please complete this brief evaluation:
https://www.surveymonkey.com/r/7SGLRRJ
Qu Ques estions tions or Commen mments? ts? Contact
CSNinfo@edc.org For mo more e infor
mation, tion, visi sit:
https://www.childrenssafetynetwork.org/cscoiin