Workstream 5 Breakout Session

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Workstream 5 Breakout Session. Understanding your Workstream and Priority Tests of Change Early Years Collaborative Learning Session Three Day 2. Weve been building will & generating ideas for a while. Dr Bruce Perry neuroscience and brain development EPPE Study - 2004 - PowerPoint PPT Presentation

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<p>Slide 1</p> <p>Workstream 5 Breakout SessionUnderstanding your Workstream and Priority Tests of Change</p> <p>Early Years Collaborative Learning Session Three Day 2Weve been building will &amp; generating ideas for a whileDr Bruce Perry neuroscience and brain developmentEPPE Study - 2004GIRFEC - 2004CMOs report - 2007 Early Years Framework - 2008The Foundation Years - Frank Field 2010Early Intervention - Graham Allen 2010Scottish Government economic modelling (Nov 2010)Joining the Dots Report from Professor Susan Deacon (March 2011)</p> <p>Components of a Learning System System level measuresExplicit theory or rationale for system changesSegmentation of the populationLearn by testing changes sequentiallyUse informative cases: Act for the individual learn for the population Learning during scale-up and spread with a production plan to go to scalePeriodic reviewPeople to manage and oversee the learning system</p> <p>From Tom Nolan PhD, IHI</p> <p>4This is a key component of a learning system, your particular role as leaders4Breakout ObjectivesBuild a common understanding of the current theory of what drives the overall aim for this Workstream;Identify where on the Driver Diagram your work is having an impact.Identify and prioritize drivers by areas of highest impact at a local levelReflect on the assets within your community that can help you achieve greater impact in prioritised areasDevelop a proposal for Tests of Change to be shared with your CPP.</p> <p>How we will spend our time Refresh on Driver Diagram theory and presentation of current theory for Workstream 5 Review and Reflect on Workstream 5 Driver DiagramIdentification of which Drivers you have the biggest impact onDevelopment of a proposed Test of Change to share with CPP. Conceptual Driver DiagramOutcome1 driver2 driverSpecific Change IdeasAim or Outcome1 driver 11 driver 22 driver 32 driver 22 driver 12 driver 42 driver 5Ideas:123456789......N</p> <p>Outcome Measure(s)Process Measure(s)Local Process Measure(s)IMPROVEMENT FACILITATORThings to emphasize:Theory is made of two parts key things that require improvement to impact/achieve the aim and our current ideas about what changes will have the impact of interestThere are no magic bullets our theory is multifactorial/multidimensional improvement will require change across many driversOur theory, like all good theories, is malleable that is to say it will change and should change as we learn iteratively about what works to move drivers and what doesnt workLastly, our theory acts as a starting place for understanding measurement and how applicable measurement can inform if we are moving toward the achievement of our aim.78Understanding Our Theory: Early Years Workstream Diagrams</p> <p>IMPROVEMENT FACILITATOR</p> <p>8Reduce infant mortalitySocial IssuesPost-birth actionsPre-birth maternal healthMaternal smokingImproved sharing of informationImproved management of careIncrease referralsImproved identificationAim12Theory of what actions will reduce infant mortalityDetailed Aim:To reduce by 15% the rates of stillbirth &amp; infant mortality by 2015Maternal drinkingMaternal misuse of drugsHealthIncrease rate of breastfed babiesQuicker diagnoses of Neonatal Abstinence SyndromePovertyHousingDomestic Abuse &amp; ViolenceMaternal ObesityMaternal mental healthAttachmentImproved stability / permanence for LACImproved uptake of benefitsImproved planningImproved family centred responseImproved leadership &amp; cultureImproved teamwork, communication and collaborationParenting skillsIdentification &amp; reasons for current resilienceWORKSTREAM 1 (conception to 1 year)Theory of what drivers infant mortalityIMPROVEMENT FACILITATOR</p> <p>9Children have all the developmental skills and abilities expected of a 27-30 month year oldSocial IssuesChilds physical and mental activityMaternal health and skillsMothers level of educationImproved sharing of informationImproved management of careIncrease referralsImproved identificationDetailed Aim:85% of all children within each CPP have reached all of the expected developmental milestones at the time of the childs 27-30 month child health review by end-2016Parental misuse of drugsHealthIncrease childs dental healthImproving child nutritionPovertyHousingDomestic Abuse &amp; ViolenceParental obesityMaternal mental healthAttachmentImproved stability / permanence for LACImproved uptake of benefitsImproved planningImproved family centred responseImproved leadership &amp; cultureImproved teamwork, communication and collaborationImproving brain stimulation and physical playParental misuse of drinkingParenting skillsWORKSTREAM 2 (1 year to 30 months)Identification &amp; reasons for current resilienceAim12Theory of what drivers developmental milestonesTheory of what actions will ensure developmental milestones are reachedIMPROVEMENT FACILITATOR</p> <p>10Children have all the developmental skills and abilities expected at the start of primary schoolSocial IssuesChilds physical and mental activityMaternal health and skillsMothers level of educationImproved sharing of informationImproved management of careIncrease referralsImproved identificationDetailed Aim:90% of all children within each CPP have reached all of the expected developmental milestones at the time the child starts primary school, by end-2017Parental misuse of drugsHealthIncrease childs dental healthImproving child nutritionPovertyHousingDomestic Abuse &amp; ViolenceParental obesityMaternal mental healthAttachmentImproved stability / permanence for LACImproved uptake of benefitsImproved planningImproved family centred responseImproved leadership &amp; cultureImproved teamwork, communication and collaborationImproving brain stimulation and physical playParental misuse of drinkingEarly LearningParenting skillsWORKSTREAM 3 (30 months to start of primary school)Identification &amp; reasons for current resilienceAim12Theory of what drivers developmental milestonesTheory of what actions will ensure developmental milestones are reached at the start of primary schoolIMPROVEMENT FACILITATOR</p> <p>11</p> <p>WORKSTREAM 5Review of DD and ReflectionStep One: Take a few minutes to review the driver diagram and discuss with the person next to you.Step Two: Discuss the driver diagram with your table mates using the following prompts:1. Yes, Im glad this was included 2. I would add.3. I dont understand .. If you have a question while at your tableRaise your GREEN CARD for Improvement Science-related questionsRaise your YELLOW CARD for Early Years Content-related questionsRaise your BLUE CARD for logistics questions (e.g., Can we have a few more marker pens, please?)All Worksheets will be collected after the session!Dont Forget!Report Out to the RoomWhat did you learn that came as a surprise to you?Prioritization and Inventory of Assets</p> <p>Prioritization and Inventory of AssetsStep One: Using the worksheet and driver diagram identify which of the drivers you are currently working on and identify the top 3 where you feel you can have the most impact. </p> <p>Step Two: For these areas of highest impact, reflect on the community assets that can help you have maximum impact.</p> <p>You can work alone or team up with others on this exercise, however everyone need to complete the worksheet.Creating a Test of ChangeUsing your number 1 area of highest impact, reflect on the tests you could run that could make that work even more impactful and record on the worksheet.</p> <p>You can use this to share your proposed test of change with your CPP.</p> <p>Report out to the RoomWhat intervention are your currently working on, and what is your test of change?Keep all report-outs to a twitter update (1-2 sentences!)</p> <p>Thanks for a great session!</p> <p>Transition to CPP Planning Session (Coffee available to take with you!)A NEW HEALTHIER ME!!CALORIESINCALORIES OUTLimit daily intakeSubstitute low calorieLimit alcoholExerciseFidgetingDriver diagram for a new healthier me!Tests of changeSecondary driversPrimary driversAimTrack caloriesPlan mealsDrink water not cokeGym 5 x per weekCycle to workChi balls</p> <p>21</p>