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A Tool for Assessing Readiness for New Data SystemsAMHO Conference
May 29, 2018
Copyright © 2017, CAMH2
Sera Weafer-SchiarizzaEvaluation Coordinator
Provincial System Support Program (PSSP), CAMH
Maja KovatsONHRDB System Administrator
Provincial System Support Program (PSSP), CAMH
Copyright © 2017, CAMH3
Why did you choose this session?
Welcome!
Copyright © 2017, CAMH4
Why we’re hosting this session!
Copyright © 2017, CAMH5
Ontario Harm
Reduction
Database
(ONHRDB)
• Project to provide a common data
collection and reporting tool to harm
reduction service providers in Ontario
• Initiated by the MOHLTC
• MOHLTC contracted CAMH to implement
and provide ongoing support for the tool
• Currently exiting the pilot phase
• Full provincial implementation planned to
begin in the Fall
Copyright © 2017, CAMH6
Does your agency distribute harm reduction supplies?
Are you funded by the MOHLTC for “IDU Outreach”?
Are you part of a Hepatitis C team?
By a show of hands…
Copyright © 2017, CAMH
Goals of today’s workshop:
7
Share potential implementation barriers and solutions
Present the value in performing a readiness assessment
Get your feedback on our drafted data system readiness assessment tool
Thanks for your help!
Copyright © 2017, CAMH
Reporting to funders on
program details; also
allows funders to
compare results from
across the jurisdiction.
Example: OHRS, Catalyst
8
Case
management
Planning
Advocacy
Accountability
Keeping track of
information about
individual clients to stay
organized, improve
service, and facilitate the
transferring of cases.
Example: electronic medical
records, OCAN
Tracking data around
service delivery to make
sure internal goals are
met, plan new goals for
the future, and identify
service gaps.
Example: OPOC,
accounting software, project
management software
Using statistics to
demonstrate the success
of a program or initiative
to the public or other
stakeholders with the
goal of fostering public
endorsement, more
funding, or scaling-up.
Example: measuring
program outcomes
Purpose of
data collection
Fidelity
Measuring the extent to
which the delivery of an
intervention adheres to a
particular protocol or
program model.
Copyright © 2017, CAMH9
What is your perspective on data systems?(be honest!)
Copyright © 2017, CAMH
Some definitionsto get on the same page…
10
Copyright © 2017, CAMH11
DATA IS NOT
NUMERICALSTATISTICALINFORMATIVEANALYTICAL(necessarily)
Copyright © 2017, CAMH12
height
addressoccupation
birthdayfavorite TV
show
namecilantro
preference
old
myspace
name
opinion on
BC-Alberta
relations
sunburns
easily
likes dogs
never
makes the
bed
afraid of
fish
current
medications
owns a yoga
ballDATADATA
DATA
DATA
DATA
DATA
DATA DATA DATA
DATADATA
DATADATA
DATA
DATA
DATA
DATADATA DATA
DATA DATADATA
Copyright © 2017, CAMH13
DATA IS
ANYTHING
(basically)
Copyright © 2017, CAMH14
What is a
“data system”?
Copyright © 2017, CAMH15
Data
system =
the data you
want
+the tools and
resources you need
to organize and
analyze it
data set
data collection &
reporting tool(s)
Copyright © 2017, CAMH16
Examples of
data systems
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What does it mean to
implement a data system?
Copyright © 2017, CAMH
Implementation: “A specified set of activities designed to put into practice an activity or program of known dimensions” National Implementation Research Network (NIRN)
18
Copyright © 2017, CAMH19
Drivers of Implementation (NIRN)
Competency
Drivers
Coaching
Training
Selection
Organization
Drivers
Systems Intervention
Facilitative
Administration
Decision Support
Data System
Leadership Drivers
Technical
Adaptive
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Implementing a Driver
NIRN; Flynn, McDonald, Weafer-Schiarizza (2016)
Copyright © 2017, CAMH21
Benefits of implementinga data system…
Copyright © 2017, CAMH22
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Let us know…
What were barriers you faced? What was most helpful in adopting change?
Have you ever been part of implementing something new at your agency?
Copyright © 2017, CAMH24
What if you could identify
potential issues before you
started to implement?
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What does it mean to be
“ready to implement”?
Copyright © 2017, CAMH26
Program
Readiness
Project
Readiness
HRSAOrganizational Culture for Change
Copyright © 2017, CAMH27
What is a readiness assessment?
Copyright © 2017, CAMH28
Readiness Assessment: “A systematic analysis of an organization’s ability to undertake a transformational process or change” U.S. Health Resources and Services Administration (HRSA)
Copyright © 2017, CAMH29
1. Split into groups of 5(ish)
What factors need to be in place before a team attempts to implement a new data system?
2. Discuss the question above
3. Write down a list of potential factors
Copyright © 2017, CAMH30
How did we develop our readiness assessment?
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Key learnings pilot of ONHRDB
Alignment with NIRN implementation framework & other readiness assessments
Review of literature
Refine and revise > Workshop it at AMHO conference
> Pilot with ONHRDB
31
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Overview of the
Data System
Implementation
Readiness Assessment
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Vision
The purpose of the data system
Vision Organizational
culture for change
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Staff perception of valueStaff buy-in to vision
Staff perception of value
Organizational
culture for change
Copyright © 2017, CAMH35
FeedbackFeedbackOrganizational
culture for change
Copyright © 2017, CAMH
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Staff timeStaff timeResources
Copyright © 2017, CAMH37
Fit between data set and program model
Fit between data set and
program model
Fit
Copyright © 2017, CAMH38
Would you find this readiness tool for data system implementation helpful?
1. Discuss and compare to previously listed factors
2. Is there anything about the tool you would change?
3. Are there any factors missing?
Copyright © 2017, CAMH
Contact:
Maja Kovats
ONHRDB System Administrator
DELTA (Data Evaluation Leadership
Transformative Analyses) (formerly DATIS),
Provincial System Support Program
(PSSP), CAMH
40
Sera Weafer-Schiarizza
Evaluation Coordinator
Provincial System Support Program
(PSSP), CAMH
Copyright © 2017, CAMH
Ali, Mohammad, et al. "Organizational aspects and implementation of data systems in large-scale epidemiological studies in less developed countries." BMC Public Health 6.1 (2006): 86.
Cho, Vincent, and Jeffrey C. Wayman. "Districts’ efforts for data use and computer data systems: The role of sensemaking in system use and implementation." Teachers College Record 116.2 (2014): 1-45.
Cho, Vincent, Jo Beth Jimerson, and Jeffrey C. Wayman. "Data system implementation: A leader navigates people problems around technology and data use." Journal of Cases in Educational Leadership 18.2 (2015): 134-143.
Snyder-Halpern, Rita. "Indicators of organizational readiness for clinical information technology/systems innovation: a Delphi study." International journal of medical informatics 63.3 (2001): 179-204.
World Health Organization. "Nine steps for developing a scaling-up strategy." (2010).
41
References