A Quick Look at A Quick Look at Implementation ScienceImplementation Science

Mary Louise Peters Technical Assistance Specialist

National Early Childhood Technical Assistance Centerwww.nectac.org

Preserving Early Childhood Leadership Forum Madison, Wisconsin -- February 2012

EFFECTIVE INNOVATION IS IMPLELMENTED WITH FIDELITY

EXISTING SYSTEM WILL CHANGE TO SUPPORT

THE EFFECTIVENESS OF THE INNOVATION

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Implementation Science PerspectiveImplementation Science Perspective

““It” = the evidence-based or It” = the evidence-based or best practice initiativebest practice initiative

Focuses on “It”

Operationalizes “It”

…and remember ‘It takes time!’

– Regardless, the “It” must be operationalized

Implementation Science

• Importance of leadership• Engagement of stakeholders• Attention to all system levels• Ability to adapt to context, flexibility• Feedback loops/evaluation

Passing laws and mandates and regulations + Providing funding and incentives + Organization

change and reorganization + Training and

coaching and mentoring + Diffusion and Dissemination of information

= Implementation as Intended and Sustainability

Doing just one of these is Necessary But Not Sufficient

Business as Usual ≠ ImpactBusiness as Usual ≠ Impact 5

Implementation MathImplementation Math

Effective InterventionsThe “WHAT”

Effective Implementation

The “HOW”

Positive Outcomes for

Children

Remember that any number times 0 is 0

© Fixsen & Blase, 2008

Performance Assessment Co

mpe

tenc

y Driv

ers

Com

pete

ncy D

river

s

Increased Opportunities for Children to be Included

Evidence-Based and Evidence-InformedPrograms and Practices

How:

What:

Why:

Organization Drivers

LeadershipLeadership

Core Implementation

Components

Conceptual Framework for Implementation ScienceConceptual Framework for Implementation Science

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Implementation DriversState Leadership

to provide policy/guidance and quality assurance, data, finance systems to support the vision and meet the challenge Local Leadership

to create and sustain hospitable organizational and administrative environments for effective implementation of services

Professional Development Capacity

to develop, improve, and sustain competent & confident use of innovations.

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State Infrastructure

ProfessionalDevelopment System

Local Infrastructure

Implementation Level

Evidence-Based Practices

Evidence-Informed Practices- Clinical experience- Professional wisdom

Implementation-Informed Practices

Ineffective practices

Inappropriate practices

SUPPORTS FOR IMPLEMENTATIONPRACTICES

There are “good” practices for supports at all levels

Thinking About the System Thinking About the System Implementation Stages

• Current state of implementation• Barriers to moving forward• Facilitators of change• Earlier stage-based work that were

skipped• Who are our stakeholders and how do we

engage them?

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Reflect and Revise to Reflect and Revise to Get To ImpactsGet To ImpactsImprovement Cycles

• Fidelity

• PDSA Cycles: Plan Do Study Act

• Policy-Practice Feedback Loops

• Rapid Cycle Improvement Teams

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WHO WHO has good outcomes and who doesn’t?

WHAT WHAT is going well and what isn’t?

HOW HOW is it working (process)?

What are the What are the Program Improvement Program Improvement

Questions?Questions?

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RESOURCES:Wisconsin Early Childhood Collaborating Partners http://www.collaboratingpartners.com/professional-development-resources.php

NECTAC National Early Childhood Technical Assistance Centerwww.nectac.org

2010 Inclusion Institute presentation by Karen Blase http://www.nectac.org/~pdfs/Meetings/InclusionMtg2010/Final_HO.pdf

NIRN National Implementation Research Network http://www.fpg.unc.edu/~nirn/