Readiness for capacity building Ab ra ha m Wa nde rsma n, PhD Unive - - PowerPoint PPT Presentation

Readiness for capacity building

Ab ra ha m Wa nde rsma n, PhD Unive rsity o f So uth Ca ro lina

Great ideas…

… don’t always lead to outcomes

Innovation with the best of intentions

L a c k o f mo tiva tio n L

• w c a pa c ity to ma ke the inno va tio n ha ppe n

L

• w c a pa c ity in g e ne ra l

Why do innovations fail? … they weren’t ready

Readiness is like a recipe

…and recipes vary by what you’re trying to make

Amb itio us initia tive s c a n b e ne fit b y b e ing

• Willia m Sha ke spe a re , Ha mle t, Ac t 5

“Readiness is all”

Re a dy Stra te g ic Ac c o unta b le

What is readiness?

I nno va tio n: Any po lic y, pro g ra m, o r pro c e ss tha t is ne w to a se tting

General Capacity

Ready to Implement

Culture Climate Organizational Innovativeness Resource Utilization Leadership Structure Staff Capacity Process Capacity

What is readiness?

Intervention-specific Knowledge & Skills Program Champion Supportive Climate Inter-organizational Relationships

Innovation-Specific Capacity General Capacity

Ready to Implement

What is readiness?

Relative Advantage Complexity Ability to Pilot Observability Priority Compatibility

Motivation Innovation-Specific Capacity General Capacity

Ready to Implement

R = MC22

Readiness = Motivation x Capacity (general) Capacity (innovation-specific) x

What is readiness?

Settings where R=MC2 has been applied

Public schools Community colleges Cancer centers Behavioral health centers Community coalitions Juvenile detention centers Fatherhood Programs Rural clinics in India Teen pregnancy prevention centers Federally-subsidized healthcare clinics

How can we create healthy communities?

Wha t do the inha b ita nts o f so c ia l ho using ne e d? Write thre e po sitive c ha ng e s yo ur c o mmunity c o uld ma ke .

I ndividua l T e a m Org a niza tio n Co mmunity Sta te / Pro vinc e Na tio na l

Levels of readiness

A Readiness Story

L e a de rship Re so urc e s Pro g ra m Cha mpio n I n-te a m c o lla b o ra tio n

Readiness facilitators

“[Our] organizational readiness has stayed constant from a resources perspective”

Mental Health Providers

Readiness barriers

Physicians

“I don’t feel as connected to the practice as I do my department” “the behavioral health team is more ready than others - more cognizant of who we need assistance from”

Me a sure Build Hig hs & lo ws Diffe re nc e s b e twe e n te a ms I de ntify Sta ff Re tre a t

Building readiness

What innovations does social housing need?

A to o l to de sig n me a sure re fle c t

How is readiness used?

…to design

…to design

…to design

“Guide imple me nta tio n” “De sig n suppo rt” “De ve lo p c a pa c ity”

…to design

…to design (and measure)

Readiness Innovation Configuration Map (RICM)

Level 1 Level 2 Level 3 Level 4 In our

• rganization…

We do not have a cohesive mission at this time that helps us unify our activities. We are in the process of developing our vision and mission to help unify our activities. While we have a vision about where we want to go, we do not always agree about what is important to us. We have a clear vision statement. We share the same values and goals for our work.

…to measure

Re la tive Adva nta g e Mo tiva tio n

…to measure

Readiness Monitoring Tool (RMT)

…to measure

Re a dine ss va rie s b y c o nte xt

4,93 5,42 3,83 4,3 4,55 5,27 5,2 3,78 4,67 2,67 4,33 4,42 3,78 4,5 2 2,5 3 3,5 4 4,5 5 5,5 6 6,5 7

Relative Advantage Compatability Simplicity Ability to Pilot Observability Priority Joy

Motivation

AP2 AP3

…to measure

Re a dine ss c ha ng e s o ve r time

…to measure

Re a dine ss de pe nds o n po sitio n

Pla n Do Study Ac t

Asse ss Re a dine ss

…to measure

Activity-specific Readiness Tool (ART)

…to reflect

…to reflect

…to reflect

Targeted Readiness Interview Guide (TRIG)

Map of readiness tools Innovation

Readiness Monitoring Tool (RMT)

1. Motivation 2. Innovation-specific capacity 3. General capacity

Targeted Readiness Interview Guide (TRIG)

Activity Readiness Tools (ART)

1. Motivation 2. Innovation-specific capacity Readiness Innovation- Configuration Map (RICM) Innovation Components Innovation Components Innovation Components

These make up the innovation

Objective Indicators

(in development)

How can we create healthy communities?

Wha t a re 3 thing s tha t fa c ilita te c ha ng e in yo ur c o mmunity? Wha t a re 3 thing s tha t slo w do wn c ha ng e ? Ho w c a n yo u b e mo re re a dy?

Do we func tio n we ll o ve ra ll? Wha t a re the e xpe c ta tio ns fo r ho w we do thing s? Ho w do we fe e l a b o ut b e ing he re ? Ho w do we fe e l a b o ut c ha ng e ? Ho w c le a r is it whe re we g e t a nd use o ur re so urc e s? Ho w e ffe c tive a re o ur le a de rs? Ho w we ll do we func tio n da y-to - da y? Ho w e xpe rie nc e d a nd skillful a re we ? Do we ha ve wha t we ne e d to ma ke this ha ppe n? Do we ha ve the rig ht kno wle dg e a nd skills to ma ke this ha ppe n? Are the re impo rta nt pe o ple tha t wo uld suppo rt this? Do we ha ve the o ve ra ll suppo rt a nd struc ture to e na b le this? Do we ha ve c o nne c tio ns to

• the r pe o ple o r pla c e s to he lp us

do this? Do e s this se e m b e tte r tha n the a lte rna tive s? Ho w we ll wo uld this fit in o ur c o nte xt? Ho w c o mplic a te d wo uld this b e ? Ho w e a sy wo uld it b e to te st this

• ut?

Wo uld we b e a b le to se e the e ffe c t

• f this in “sma ll wins”?

Ho w impo rta nt is this c o mpa re d to

• the r prio ritie s?

Readiness thinking

Motivation General Capacity Innovation-Specific Capacity

A Readiness Story (revisited)

“It’s made us aware of where we stand" “[Readiness is] a mental state of where we are…of each provider to stretch beyond their comfort zone”

Takeaways

Re a dine ss is ke y to suc c e ssful c ha ng e Re a dine ss va rie s o ve r time Re a dine ss is a to o l fo r pla nning impro ve me nts, c ho o sing inno va tio ns, me a sure me nt, a nd c o a c hing

Motivation General Capacity Innovation-Specific Capacity

What resonated with you today?

Re le va nt pub lic a tio ns

Scott, V.C., Kenworthy, T., Godly-Reynolds, E., Bastien, G., Scaccia, J., Gadaire, A., …Wandersman, A. (2017). The Readiness for Integrated Care Questionnaire (RIC-Q): A new tool to assess readiness to integrate behavioral health and primary care. American Journal of Orthopsychiatry. Advance online publication. http://dx.doi.org/10.1037/ort0000270 Scaccia, J. P., Cook, B. S., Lamont, A., Wandersman, A., Castellow, J., Katz, J., & Beidas, R.

• S. (2015). A practical implementation science heuristic for organizational readiness: R=
• MC2. Journal of Community Psychology, 43(4), 484-501.

Co nta c t info rma tio n

Abraham Wandersman, PhD wandersman@sc.edu