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Child Safety Learning Collaborative

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Charter October 2018

Child Safety Learning Collaborative 2018-2023


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Contents Introduction .................................................................................................................................................. 2

Purpose & Aim .............................................................................................................................................. 2

Methods ........................................................................................................................................................ 2

Change Packages ..................................................................................................................................... 3

Learning Sessions .................................................................................................................................... 4

Team Building ........................................................................................................................................... 4

State Strategy Teams ........................................................................................................................... 4

Topic Teams .......................................................................................................................................... 5

Action Periods ........................................................................................................................................... 5

Plan-Do-Study-Act Cycles ...................................................................................................................... 6

Monthly Reports .................................................................................................................................... 6

Activities of the CSLC ............................................................................................................................ 7

State and Jursidiction Roles & Expectations .............................................................................................. 8

Special Considerations for CS CoIIN Participants ............................................................................... 13

Timeline ..................................................................................................................................................... 15

Glossary of Terms ..................................................................................................................................... 16

The CSLC Launch and Learning Session I ............................................................................................... 20

Year 1 Call Schedule ................................................................................................................................. 21


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Introduction Building upon experience gained through the three-year Child Safety Collaborative Innovation and Improvement Network (CS CoIIN), that concluded in May 2018, the Children’s Safety Network (CSN) has launched the new Child Safety Learning Collaborative (CSLC) to support state Title V agencies to address the high rate of child and adolescent injuries. The CSLC will drive system changes to support the implementation and spread of evidence-informed child safety promotion strategies and programs.

Purpose & Aim The overarching aim of the CSLC is to reduce fatal and serious injuries among infants, children, and adolescents in participating states and jurisdictions by building and improving partnerships and implementing and spreading best practices, especially among the most vulnerable populations. The topic areas for the CSLC are:

1. Bullying Prevention (BP) 2. Motor Vehicle Traffic Safety (Child Passenger and Teen Driver/Passenger) (MVTS) 3. Poisoning Prevention (PP) 4. Sudden Unexpected Infant Death (SUID) Prevention (SUIDP) 5. Suicide & Self-Harm Prevention (SSHP)

CSLC states/jurisdictions will implement a coordinated, system-wide approach to injury and violence prevention by sharing the best available scientific knowledge

on the prevention of fatal and non-fatal injuries in these topics and applying quality improvement methods.

Methods Teams participating in the CSLC come together to use the CSN Framework for Quality Improvement and Innovation in Child Safety. The CSN Framework focuses on building public will and state/jurisdiction capacity in key areas essential to achieving sustainable and scalable child safety results. Cornerstones of our approach to capacity and coalition building include:

(1) Identification and use of data-driven, evidence-based strategies and programs, (2) Increased effectiveness of management and leadership, and (3) Ongoing commitment to shared learning and principles drawn from advances in

improvement and implementation sciences. Our Framework is based on evidence-based models and resources and EDC experience providing training and technical assistance to state and jurisdiction departments of public


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health, our overall expertise translating research to practice, and our work on the CS CoIIN. We draw on elements from CDC’s Social Ecological Model: A Framework for Prevention; the Prevention Institute’s The Spectrum of Prevention; FSG’s Collective Impact Approach; Associates in Process Improvement’s Model for Improvement and the Institute for Healthcare Improvement’s Breakthrough Series. The following information provides further details about the strategy, events and activities of the CSLC.

Change Packages The CSLC leveraged the knowledge and experiences of the states/jurisdictions from the CS CoIIN. The CSLC change packages are streamlined to include a shared aim statement across all states and jurisdictions working on that child safety topic, select evidence-based strategies and programs, and accompanying meausres. Evidence-based strategies and programs are selected on feasibility for states to implement, on potential for spread throughout a state/jurisdiction, and potential to demonstrate collective impact. Evidence from the CS CoIIN, child safety experts, and the Health Resources and Services Administration’s Maternal and Child Health Bureau (HRSA MCHB) informed the final selection of strategies included in the five change packages.

States/jurisdictions are asked to assess which evidence-based strategies are aligned with their performance measures, priorities, and the populations they need to reach to reduce child injuries. The change packages are informed by the Model for Improvement (MFI), which consists of three fundamental questions: • What are we trying to accomplish? • How will we know that a change is an

improvement? • What changes can we make that will

result in improvement? (Langley, et al., 2009).

These questions focus teams on their common aim statements, measures, and ‘changes’, referred to as evidence-based strategies and programs in the CSLC. The aims are achieved through successful implementation and

Attributable risk: understanding the leading

drivers of injury rates

Existence of evidence-based interventions and room for

improvement in spread

Access to measurable real-time data Political will

Decision-making

Framework

Figure 1. Decision Making Framework

Figure 2: The Model for Improvement

What are we trying to accomplish?

How will we know that a change is an improvement?

What change can we make that will result in improvement?

Act Plan

Study Do

Aim

Measures

Changes


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spread of evidence-based strategies and programs throughout a state/jurisdiction. The Plan-Do-Study-Act cycle, discussed further on in this document, is a framework for learning and action as states/jurisdictions implement and spread the strategies and programs (Langley et al., 2009).

Learning Sessions Learning sessions are opportunities for states and jurisdictions across all topic teams to come together to increase their knowledge and skills in child safety, management and leadership, and improvement science. Learning sessions may be virtual or in-person. A typical learning session includes:

• Development and sharing of a storyboard which describes state and jurisdiction progress on implementation and spread of strategies and programs, lessons learned, and next steps for continued improvement;

• Presentations from experts and exemplar state and jurisdiction teams; • A review of what the CSLC has achieved to date and where it is going.

Team Building

State Strategy Teams State strategy teams are composed of key staff and external partners who are working on a given topic area. Strategy team members are tasked with implementing and spreading evidence-based strategies and programs from the change packages, reporting monthly data, and participating in CSLC activities, including learning sessions, topic calls that foster cross-state and jurisdiction collaboration in a child safety topic area, technical assistance webinars that build capacity in cross-cutting child safety topics (e.g. populations and settings) and quality improvement. All state strategy team members must have an account on the CSLC web portal. State strategy teams are comprised of multiple partners that are considered integral to the successful implementation and spread of the evidence-based strategies and programs the team is working on. Recruitment to the state strategy seam depends largely on the selected strategies and programs. The nature of some strategies will involve recruitment of sub-teams consisting of front line

Figure 3: State Team Structure for the CSLC

State Team Structure

Leadership Team: MCH DirectorIVP Director

State Health Officer

State Strategy

Team

Member of the

Leadership Team

Recruited Staff and Partners

Pilot Sites

State Strategy

Team

Member of the Leadership

Team

Recruited Staff and Partners


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workers at pilot sites, such as schools, hospitals, community agencies, other state agencies. The full state strategy seam is also expected to participate on technical assistance webinars on child safety themes and quality improvement to build their capacity.

Topic Teams Topic teams bring together all state and jurisdiction strategy teams working on a select child safety topic (e.g. bullying prevention) .

CSLC topic team calls will occur every other month. During these calls, CSN topic leads will present state strategy team data that was submitted in monthly reports and facilitate a discussion to highlight common themes and work across state strategy teams. State/jurisdiction strategy teams will have the opportunity to hear about what other teams are working on and to learn from one another across state borders.

Action Periods Action periods are the time between learning sessions when strategy teams are asked to partner with pilot sites to implement and spread evidence-based strategies and programs. During the action periods, CSN staff provides support to strategy teams through technical assistance on the use of PDSAs, application of quality improvement methods and tools to support implementation and spread, and data collection and reporting. Training and technical assistance is provided through:

Figure 4: Structure of the Topic Teams and CSLC

CSLC Structure


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• CSLC topic calls; • State technical assistance webinars (open to all Title V agencies, not just CSLC); and, • technical assistance calls and e-mails with CSN staff and child safety topic experts on an as-

needed basis.

Plan-Do-Study-Act Cycles The PDSA cycle, a core component of the Model for Improvement, is a framework for learning and action as teams develop, test, implement, and spread evidence-based strategies and programs. Core components of a PDSA cycle are to identify questions the team wants to answer, make predictions, and then:

1. Develop a plan (Plan), 2. Carry out the plan (Do), 3. Observe and learn from the results (Study), 4. Determine next steps in the plan (Act).

It is often necessary to run several PDSA cycles to successfully test, implement, and spread strategies and programs under a wide number of conditions (e.g. different demographics, organizational settings, geographic regions, etc.)

Monthly Reports Strategy Teams are expected to report qualitative and quantitative data monthly. Each report will include:

• Measures that indicate what strategies and programs are being implemented and spread and how well they are being implemented and spread (found in the CSLC change packages)

• Strategy team notes on monthly activities, key successes, lessons learned, challenges, and next steps

The monthly reports help the strategy teams and the CSN topic facilitators assess progress towards achieving the topic teams’ common aims. The monthly reports also provide an opportunity for feedback from the CSN topic lead, who reviews each strategy team’s report each month. Monthly reports for should be uploaded on the CSLC web portal on or before the first Tuesday of every month (e.g. January’s monthly report is due on or before the first Tuesday of February).


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Activities of the CSLC

Figure 5: Activities of the CSLC

•Meeting of all topic teams. Up to one in-person and one to two virtual sessions per 18-month cohort.•Content includes action planning and accelerating learning•May include pre-work, such as storyboard development

Learning Sessions

•Virtual meeting of strategy teams working on a specific child safety topic•Takes place once every two months during the action periods, which occur between learning sessions•Topic calls take an all-teach/all-learn approach. Active paticipation is expected, and at least one presentation by each strategy team over the life of the CSLC is requested.

Topic Calls

•Webinars for all state/jurisdiction health departments to build child safety and improvement capacity•Opportunity for states/jurisdictions to build capacity necessary to join a future CSLC cohort•Delve into cross cutting themes on common populations, settings, and issues in child safety•CSLC participants are expected to attend

State Technical Assistance Webinars

•Periods between learning sessions, during which state strategy teams will participate in topic calls, technical assistance webinars, and submit monthly reports.

Action Periods

•PDSA Cycles•Occur continuously and are reported using the web form at least monthly•Management tool to build learning and identify specific tasks necessary to successfully implement and spread child safety strategies

•Reviewed monthly by CSN topic leads•Monthly Report•Measures to monitor progress of spreading child safety strategies

•Statements on lessons learned, barriers and success

Reporting


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State and Jursidiction Roles & Expectations States and jurisdictions will form a strategy team for each of the topic areas they select. Strategy teams are composed of state/jurisdiction staff and partners. The tables below outline the expectations of those participants. Individuals can participate on more than one strategy team and fill more than one role.

State/Jurisdiction Team Member Role Descriptions

Role Individual Responsibilities Team Responsibilities

Strategy Team Manager

Serve as the state/jurisidiction’s strategyteam manager by implementing and spreading strategies and programs throughout the state or jurisdiction to achieve the cross-state child safety aim(s).

• Provide intellectual leadership, strategic direction and oversight to strategy team members, key stakeholders, and partners.

• Participate in CSLC activities, including topic calls, webinars, and learning sessions.

• Conduct needs and landscape assessments, and piloting of strategies to inform selection of priority child safety strategies to implement and spread through the CSLC.

• Conduct stakeholder analyses and engage partners to commit to spreading evidence-based child safety strategies throughout the state or jurisdiction.

• Develop necessary educational materials and work with partners to secure resources (e.g. staff time) for the initiative.

• Motivate and influence team members and partners to promote implementation and spread of evidence-based child safety strategies through facilitated discussions and participation in CSLC webinars and activities.

• Work with the data manager to facilitate development of a real-time data collection system.

• Work with the data manager and CSLC team members to analyze and use real-time data to inform decision-making.

• Work with team members and leadership to spearhead system change and improvement.

• Complete pre-work activities to prepare for learning sessions;

• Share information with the CSLC, including details and measurements of changes made, both during and between learning sessions;

• Present the teams’ experiences and results at learning sessions to celebrate success and prepare for sustainability and/or spread of changes; and

• Use PDSA cycles to plan and learn during the implementation and spread process. For example, to: o Recruit pilot sites o Teach QI methods and

concepts to partners o Implement and spread

strategies under different conditions

• Collect and report PDSAs to collaborative web portal


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• Lead the development of a spread plan with a specified work plan and time frame.

• Work with team members to commit to continuous learning and dissemination of learning to partners throughout the spread phase through a systematic process.

• Co-author abstracts, posters, presentations, and reports describing project methods and results with the data manager.

• Collaborate and communicate with national, state, and local partners, stakeholders, and funders to discuss project progress and results.

Strategy Team Data Manager

Serve as the strategy team data manager by working with strategy team members to collect, analyze, and use real-time data to inform decision making that supports implementation and spread of child safety strategies throughout the state or jurisdiction.


• Work with the strategy team manager and state/jurisdiction epidemiologist, if available, to identify measures to monitor the progress of implementation and spread of child safety strategies.

• Work with the strategy team manager, state epidemiologist, and select partners to identify data sources.

• Design and implement data management systems in collaboration with program leadership, including creating and modifying data collection tools and managing project databases.

• Coordinate data collection and report progress to the CSLC web portal using quantitative and qualitative data.

• Lead the strategy team in reviewing summary data, analyzing the data and using the data to inform programmatic decision making.


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• Work with the strategy team manager to identify measures and a data collection process for any PDSDA cycles the team utilizes to cull learning for effective implementation and spread.

• Collaborate and communicate with national, state, and local partners, stakeholders, and funders to discuss project progress and results.

• Conduct descriptive analyses on new and existing datasets; create tables, figures and written explanations of findings; generate site-level and summary reports in an accurate and timely manner; identify data trends and communicate opportunities for further analyses.

• Co-author abstracts, posters, presentations, and reports describing project methods and results with the team manager.

Project Coordinator

Serve as the strategy team project coordinator by assisting with logistics, administration, and material development necessary for successful implementation and spread of child safety strategies throughout the state or jurisdiction.


• Communicate with team members and partner organizations on project aims, work plan, and logistics.

• Provide support to project team members for additional administrative and logistical activities.

Epidemiologist The epidemiologist will use relevant specific subject matter expertise (e.g., injury control, violence control, maternal and child health, behavioral health) to inform the design and implementation of CSLC activities to achieve the identified aims.

• Serve as a resource to the CSLC strategy teams in the state or jurisdiction regarding all outcome and process measures.


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• Participate in CSLC technical assistance calls and webinars related to evidence-based practice and measurement.

• Participate in select CSLC activities, including topic calls, webinars, and learning sessions.

• Recommend and review available measures and provide measurement assistance (e.g., identifying data sources and collecting, combining, and reporting data).

• Work with appropriate state and federal agencies (e.g., CDC and Medicaid) to identify specific data elements and sources (such as Vital Statistics, PRAMS, and YRBSS), and processes and timelines for learning collaborative data downloads.

• Provide coding and analytic support to the data manager and strategy team manager for the preparation, collection and reporting of measures.

• Work with the strategy team manager and data manager to address data challenges as needed.

Note: This role may vary depending upon state size/population and organization of related state agencies, such as the state department of health.

Member • As many

as necessary

• Front line workers at sites

• Test and report on strategies and programs in the change packages; • Report on progress to the data manager and strategy team manager; • Participate, as appropriate, in monthly calls convened by CSN; • Participate, as appropriate, in learning sessions; • Participate in regular meetings of the strategy team. • Engage in the CSLC web portal to access event archives and resources


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CSN Staff and Faculty


Co-Managers/ Topic Leads

• Organize and host monthly topic calls for state strategy teams; • Offer coaching and technical assistance to state strategy

teams; • Provide communication strategies to keep the state strategy

teams connected to one another and to the faculty; • Connect state strategy teams with experts; • Serve as sounding boards; • Review monthly reports.

• Organize and attend all monthly meetings; • Organize and attend all learning sessions; • Be readily available to state strategy teams; • Assist state strategy teams to identify barriers to

change and problem solve solutions.

Data Manager • Review monthly reports; • Collect, clean and compile monthly reports from all state

strategy teams; • Prepare data for monthly calls and learning sessions.

Coordinator • Provide technical, logistical, and administrative support to CSLC learning sessions,topic calls and state technical assistance webinars.

Faculty • Provide evidence-informed information on subject matter, application of that subject matter, and methods for process improvement, both during and between learning sessions;

• Offer coaching to the state strategy teams; • Serve as sounding boards.


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Special Considerations for CS CoIIN Participants State strategy teams that participated in the CS CoIIN may address similar topics in the CSLC. Team members may have the same roles and expectations as they did in CS CoIIN. Because these teams may have already been formed, have been trained in QI, and have started testing, implementing, and spreading their strategies and programs, they may be further along in the trajectory than new teams. All teams, regardless of any previous work in the CS CoIIN, are required to attend the orientation webinar, as the structure of the CSLC, expectations, and working periods are different.

CS CoIIN CSLC

Topic Teams • No limit on number of selected topics

• States are limited to two topics per cohort

Monthly Calls • Alternating months of topic calls and technical assistance calls that focused on cross cutting themes (e.g. populations and settings) and quality improvement

• Continues alternating topic calls and technical assistance calls (now called technical assistance webinars)

• Topic calls are for CSLC teams only • Technical assistance webinars are

for CSLC and non-CSLC states and jurisdictions

Monthly Reports

• Monthly submission of process measures, outcome measures, and progress report

• Outcome measures accepted for any time frame and frequency

• Monthly submission of change package measures and progress report

• Progress report section will include more detail

Strategies & Measures

• Each state could independently choose strategies and process measures to work on

• Topic teams will achieve agreement on select strategies and measures for all state/jurisdiction strategy teams to work on

PDSAs • Each strategy team submitted PDSA cycles and feedback was provided monthly

• Each strategy team submits PDSA cycles and feedback is provided monthly

Data Charts • Run charts or cumulative line graphs.

• Line graphs only


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CS CoIIN CSLC

Technical Assistance

• Feedback provided through topic calls, technical assistance calls, PDSAs, monthly reports

• Requests addressed as needed via email and phone and initiated by both states/jurisdictions and CSN staff

• Continues CoIIN TA process with the following enhancements:

• Topic calls and TA webinars will be followed with an evaluation that has a link for submitting TA requests

• Teams can submit TA requests via the CSLC web portal

State to State Mentoring

• States became mentors as they moved from the develop and test phases to implement and spread

• States become mentors to one another as they increase their capacity and progress in the Collaborative

• CSLC states will be asked on occasion to present at TA webinars in order to help mentor states/jurisdictions working to build capacity to join a future CSLC cohort


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Timeline

Figure 6. Timeline of the CSLC.

April 2020Virtual Learning Session

November 2019 - March 2020Action Period: PDSA Cycles; Monthly Reports; Topic Calls and Technical Assistance Webinars

October 2019Learning Session

March 2019 - September 2019Action Period: PDSA Cycles; Monthly Reports; Topic Calls and Technical Assistance Webinars

February 28 - March 1, 2019Learning Session: In-person, Waltham, MA

December 2018 - February 2019Pre-work: Team Building & Strategy Selection First Topic Calls; First Technical Assistance Webinar

November 2018Orientation Webinar

October 2018Pre-work

September 2018Acceptance Announcement

August 2018Applications Due

July 2018Applications Distributed

Cohort 1 CSLC Timeline: November 2018 - April 2020


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Glossary of Terms Action Period: The period of time between learning sessions when state strategy teams work on implementing evidence-based strategies and programs from the the Child Safety Learning Collaborative (CSLC) change packages . During the action periods, teams are supported by CSN staff and faculty, and they are connected to other CSLC state strategy teams through topic calls.

Aim Statement: A written, measurable, and time-sensitive statement of the expected results of an improvement process.

Change Package: The list of essential process, programmatic, or policy changes that will help lead to breakthrough improvement. Each topic area has a change package, which includes the CSLC topic strategies and measures. It is developed by CSN staff and faculty and based on data, literature, evidence-informed practice, and professional experience.

Charter: A document to describe and launch the CSLC, establishing a common vision and structure for the work.

Collaborative: A time-limited effort (usually 6 to 12-18 months) in which multiple organizations come together with faculty to learn about and to create improved processes in a specific topic area. The expectation is that the teams share expertise and data with each other, thus, “Everyone learns, everyone teaches.”

Develop a strategy: Developing a strategy involves preparation for altering how work or activity gets accomplished. Detail around who, what, when, where, and how is needed. A PDSA cycle for developing a strategy could focus on developing relationships among agencies and buy-in and commitment to the work, planning for data collection, and preparing activities prior to testing a strategy.

Implement a strategy: The goal of implementing a strategy is to make it a permanent part of your the organization. Only strategies tested under a wide variety of conditions, that demonstrate improvement, should be implemented. Implementing a strategy often requires creation of support systems, policies, procedures, trainings, and new job descriptions.

Leadership Team: The state/jurisdiction health officers, maternal and child health directors and injury and violence prevention directors who have committed to participate in the CSLC.

Learning Session: In-person or virtual meetings during which all members of the CSLC come together to learn about quality improvement methods, including how to implement and spread strategies, approaches for accelerating improvement, and methods for overcoming obstacles to change. State strategy teams leave these meetings with new knowledge, skills, and materials that prepare them to make immediate changes.

Measures: Included in the change packages and reported monthly using real-time data.


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Model for Improvement: This model consists of two parts: First, addressing the following three fundamental questions: 1) What are we trying to accomplish? 2) How will we know if a change is an improvement? And, 3) What changes can we make that will result in improvement? And second, engaging in tests of change through PDSA cycles (Langley et al., 2009).

Monthly Report: Data collection on the measures selected by a state strategy team, as well as a progress report consisting of open-ended questions. These data are entered directly into the CSLC web portal.

Organizations: In the change packages , “organizations” is sometimes used as a catch all term for agencies, departments, coalitions, systems, institutions etc.

PDSA Cycle: A framework to develop, test, implement, and spread a strategy through a planned learning process . For the CSLC, the PDSA cycle consists of the following questions and sections:

• Contextual information: o What strategy the cycle relates to o The objective of the cycle as a statement and a phase (develop, test, implement

spread; see glossary for further clarification) • Plan:

o Tasks, who is responsible, location where it occurs, due date o Prediction: What you believe the result of the PDSA cycle will be. o Measurement for determining whether or not the prediction made in the PDSA cycle

was a success • Do:

o What happened when the plan was carried out • Study:

o An analysis of the prediction made in the PDSA cycle that often includes quantitative and qualitiative data

• Act: o Make a decision to:

Adapt your approach: start the cycle over again with a slightly different plan that incorporates what you learned during this cycle

Adopt your approach: begin using your approach systematically, and in different conditions (e.g. with different populations, in different geographic settings, etc.), because your PDSA cycle demonstrated it was successful

Abandon your approach: a decision to stop doing the work the way you had planned, because learning through the PDSA cycle indicates it is ineffective

Pilot Sites: Local organizations (e.g. schools, hospitals, community agencies, home visiting programs, local health departments) where state strategy teams test, implement, and spread strategies through the use of PDSA cycles. Data is collected from the work taking place at pilot sites and submitted in monthly reports.


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Population of Interest: In the measurement guidance in the change packages, population of interest could refer to organizations, program sites, individuals you are educating, and/or training recipients you plan to work with .

Pre-work: A packet of materials distributed to CSLC state and jurisdiction strategy teams and CSLC faculty prior to learning collaborative meetings to prepare participants for the work of the learning collaborative. Materials may include pertinent readings, requests for state and jurisdiction level information (e.g., state/jurisdiction plans, baseline data, etc.), instructions to prepare state and jurisdiction level data presentations, etc.

Progress Scale: Informed by the Institute for Healthcare Improvement, Assessment Scale for BTS Collaboratives, 2004, the CSLC Progress Scale is a 5-point scale through which state strategy teasms and CSN topic leads and improvement advisors mark the progress a state strategy team has made in their work. It is used on a monthly basis and consists of the following points:

• 1.0: Forming a team and planning for the project: Team is formed and aim is determined. Scanning the environment and obtaining necessary data to focus the work is complete.

• 1.5: Focusing the work: Strategies and measures are selected. • 2.0: Partnerships formed: Partnerships across agencies and engagement with frontline

workers established. • 2.5: Testing changes: Components of the CSLC change packages are tested. • 3.0: Data submitted: One or more CSLC measures reported. • 3.5: Progress: One or more CSLC measures moving in the right direction. • 4.0: Improvement: Evidence of a shift or trend in at least one or more CSLC measures. • 4.5: Increasing improvement in process measures and planning for spread: Evidence of

spread in at least one or more CSLC measures. • 5.0: Significant improvement: Improvement toward the aim statement.

Spread a strategy: Spread is the intentional and systematic expansion of the number and type of people, units, or organizations using the strategy. Communication that the strategy addresses an existing problem and evidence of the advantage of use of the strategy over the status quo facilitates sustainable adoption of the strategy. (Source: Langley et al., 2009 & Rogers, 1995)

Spread: The intentional and systematic expansion of the number and type of people, units, or organizations using the strategies. More information on the theory and application of spread can be found in Diffusion of Innovation (Everett Rogers, 1995).

Staff and Partners: Members of a Strategy Team representing the pilot sites and partner organizations involved in strategy implementation.

Strategy: A specific, identifiable strategy or program, based on evidence that can lead to improvement.

Strategy Team: Strategy teams are composed of state/jurisdiction representatives and state/jurisdiction leadership team members. They focus on one of the topics of the CSLC. One


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strategy team will be formed for each of the topic areas on which the state/jurisdiction chooses to work. For example, if the state/jurisdiction participates on 2 topic teams, they will have 2 strategy teams, which may or may not overlap in membership. Each strategy team must have a point of contact, data manager and project coordinator (see the Roles section, pg 7). Generally, between 3 and 5 staff and partners from each state/jurisdiction will be on a strategy team, although there can be more. State/jurisdiction team members are recruited by the leadership team. These team members will come from relevant state/jurisdiction departments or programs (such as departments of transportation, school health programs, substance abuse treatment programs, etc.). Team members will work with colleagues in their state/jurisdiction to implement strategies from the change packages. Pre-existing work groups, coalitions, committees, or subcommittees are welcome join the strategy team.

Team Meetings: A meeting of all the individuals involved in the CSLC state strategy team for a particular state/jurisdiction. You can request to have CSN staff or faculty join this type of meeting.

Test a strategy: Once a strategy is developed, it should be tested and refined, with as few resources and as little risk as necessary to attain learning. Strategies are tested through small-scale trials of new approaches or processes. Strategies should be tested under a wide variety of conditions and refined to fit the organization and the people it serves. When an unpredicted result is obtained, this is not viewed as failure. The success of testing a strategy is to learn whether the strategy resulted in improvement.

Test: A small-scale trial of a new approach or a new process. A test is designed to learn if the strategy results in improvement and to fine-tune the change to fit the organization and the people it serves. Tests are carried out using one or more PDSA cycles.

Topic Area: The types of injuries and causes of injuries addressed through the CSLC: Bullying Prevention; Motor Vehicle Traffic Safety; Poisoning Prevention; Suicide and Self-Harm Prevention; and SUIDs Prevention.

Topic Team: Each CSLC topic area will be addressed through a cross-state/jurisdiction team. This team is called a topic team, and it will be composed of state strategy teams from each of the participating states/jurisdictions. Topic team members support one another in quality improvement learning and in the implementation of the topic change package. States/jurisdictions are expected to participate in a maximum of 2 new topic teams per cohort.

Topic Team Meetings: Virtual meetings of the CSLC state strategy teams that provide in-depth focus and support on CSLC topic areas as they relate to quality improvement and implementation of the change package. During these meetings, state strategy teams learn from one another about their PDSA cycles and how they have achieved improvement, and they work together to accelerate change.


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Appendix I: The CSLC Launch and Learning Session I

Orientation Webinar November 13th or 15th, 2018 This 90-minute webinar will:

• Establish an interstate and interdisciplinary injury prevention community • Provide an overview of the activities and expectations of the CSLC • Introduce the CSLC Web Portal and provide training on its basic use and functionality • Provide guidance on establishing state strategy teams • Introduce the CSLC Change Packages and alignment of goals and efforts within topic teams

Participating states and jurisdictions will have an opportunity to become familiar with the other participating states, and which topics states are working on. Participants will receive guidance and support on establishing their state strategy teams and preparing to launch their CSLC strategies. Teams will get an orientation to the new CSLC Web Portal, how to submit monthly data and update their team membership or other information. The webinar will also address the structure of the CSLC, the concept of ‘collective impact’ and prepare teams to begin selecting common strategies and measures.

Learning Session February 28 – March 1, 2019 in Waltham, Massachusetts During this interactive meeting, participants will:

• Delve deeper into seminal quality improvement concepts • Identify areas ripe for improvement and strategies to accelerate implementation and spread • Learn about systems thinking and building a portfolio of improvement • Explore new options for data and develop strategies for collecting real-time data

The Learning Session will bring states and jurisdictions together to examine their initial efforts in the Learning Collaborative and how to apply quality improvement and systems thinking to accelerate their efforts. Teams will receive guidance on identifying and utilizing new data sources, identifying areas ripe for improvement and applying systems thinking to enhance their collective impact. Note: States and jurisdictions that participated in the CS CoIIN may not need to recruit key participants for their state strategy team(s) and instead can leverage the team(s) they already built during the CS CoIIN.


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Appendix II: Year 1 Call Schedule All Topic Calls and Technical Assistance Webinars will take place at 1 PM ET, unless otherwise noted.

Month Monthly Report Due Date

State Strategy Team Meetings

November 2018 Orientation Webinar: Please attend only 1 day. November 13th November 15th

December 2018 December 4, 2018 PP December 11

BP December 20

SSHP December 14

MVT December 13

SUIDP December 20

January 2019 January 8, 2019 Technical Assistance Webinar January 17

February 2019 February 5, 2019 In-Person Learning Session, Waltham, MA February 28 & March 1

March 2019 March 5, 2019 PP March 12

BP March 14

SSHP March 8

MVT March 19

SUIDP March 21

April 2019 April 2, 2019 Technical Assistance Webinar April 18

May 2019 May 7, 2019 PP May 14

BP May 9

SSHP May 10

MVT May 21

SUIDP May 16

June 2019 June 4, 2019 Technical Assistance Webinar June 20

July 2019 July 2, 2019 PP July 9

BP July 11

SSHP July 19

MVT July 16

SUIDP July 18

August 2019 August 6, 2019 Technical Assistance Webinar August 15

September 2019 September 2, 2019 PP September 10

BP September 12

SSHP September 13

MVT September 17

SUIDP September 19

October 2019 October 1, 2019 Virtual Learning Session (TBD)


22

November 2019 November 5, 2019 PP November 12

BP November 14

SSHP November 8

MVT November 19

SUIDP November 21

December 2019 December 8, 2019 Technical Assistance Webinar December 19

January 2020 January 7, 2020 PP January 14

BP January 9

SSHP January 10

MVT January 21

SUIDP January 16

February 2020 February 4, 2020 Technical Assistance Webinar February 20

March 2020 March 3, 2020 PP March 19

BP March 21

SSHP March 15

MVT March 26

SUIDP March 28

April 2020 April 7, 2020 Virtual Learning Session (TBD)

Dates and times subject to change. Calendar invitations distributed to enrolled members beginning in November 2018.

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