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Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization Reinhart-McMillan W 1 , Koning C 2 , Mumme L 2 and The SCI KMN 1 Ontario Neurotrauma Foundation, 2 Glenrose Rehabilitation Hospital

Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization

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Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization. Reinhart-McMillan W 1 , Koning C 2 , Mumme L 2 and The SCI KMN 1 Ontario Neurotrauma Foundation, 2 Glenrose Rehabilitation Hospital. Talk Contents. - PowerPoint PPT Presentation

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Page 1: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization

Reinhart-McMillan W1, Koning C2, Mumme L2 and The SCI KMN1Ontario Neurotrauma Foundation, 2Glenrose Rehabilitation Hospital

Page 2: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Section Section Name Slide No.

1.Background of the Project & Adapted Implementation Processes

3

2. Need for an Adapted Implementation Guide 7

3. Present and Future Content 12

4. System-Level Outcomes 15

Talk Contents

Page 3: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Working together to uniformly adopt best practices to improve secondary outcomes of SCI.

Current Domain of Interest: Pressure Ulcers Best Practices: Risk Assessment & Patient Education

Page 4: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

• Adopted the Science of Implementation

Exploration InstallationInitial

Implementation

Full Implementatio

n

Implementation Takes: 2-4 years

The 4 Stages of Implementation as Developed by the National Implementation Research Network

Page 5: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

1. Site and Stakeholder Selection Process

SCI KMN Adaptations ( ) to Account for:

Pre-exploration Exploration InstallationInitial

Implementation

Full Implementatio

n

Page 6: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

2. Formative Evaluation for Ongoing Quality Improvement

2) Site Self-Assessment

Not In Place Fully In Place

• Quantitative Behavior Change Measures• 5-Point Likert Scale

3) Data Collection and Analysis

4) Quality Improvement

1) Stage-Based Best Practice Implementation

Pre-exploration Exploration InstallationInitial

Implementation

Full Implementatio

n

Page 7: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Adapted Implementation

Guide

To provide new members and other interested parties with guidance and instruction …

The ‘know-how’

Adapted Implementation

Guide

Personalized Mentorship

from Peers with BPI Experience

Structured Education and

Training Curriculum

Training Tools

Page 8: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

So… Why a Guide? The most valuable training will be first-hand mentorship from ‘groomed’ SCI KMN members with implementation science at their site.

However a guide will provide additional benefits…

Page 9: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Why a Guide?

SCI KMN

New Sites

New Members

Other Partners (e.g. acute care)

1) Address scale-up potential

Page 10: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Why a Guide? 2) Tremendous cost-savings

Page 11: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Why a Guide? 3) Accelerated best practice implementation

First-hand experiences

Comprehensive and Systematized Learning Resource

Efficient Best Practice Implementation

Page 12: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Adapted Implementation Frameworks and Tools

SCI KMN Adapted

Implementation Process

A Need to Adapt These Frameworks,

Tools and Approaches

• Implementation Science Overview

• Overview of Implementation Science Frameworks & Approaches Utilized by the SCI KMN

• NIRN Implementation Science Framework

• Utilizing Implementation Science Frameworks – Walkthrough

• Building an Implementation Team

Section Overview

Page 13: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Our Journey

• Detailed overview of SCI KMN journey across each stage of implementation.

‘Call Out’s’ from clinical leaders compliment

this content and provide practical solutions for first time implementers

Pre-exploration Exploration InstallationInitial

Implementation

Full Implementatio

n

• SCI KMN Pre-Exploration Stage - Network Activities

• SCI KMN Exploration Stage - Network Activities

• SCI KMN Installation Stage - Network Activities

• SCI KMN Initial Implementation Stage - Network Activities

• SCI KMN Full Implementation Stage - Network Activities

Section Overview

Page 14: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

On the Horizon• Further integrate

clinical examples with theory

• Color themes and ‘quick links’ for fast access

• ‘Key Learnings’ for each section

• Vetting through the SCI KMN implementation teams

Page 15: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

System-Level Outcomes

AND…

• Standardization – growing, geographically disparate network still ‘Speaking the Same Language’

• Continue sustainable best practice implementation with high fidelity.

Page 16: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

System-Level Outcomes

Working towards…

More Well-informed Practitioners + Efficient Systems + Relevant Policies

to achieve Optimal Patient Outcomes for Less $

A.K.A MORE BANG FOR YOUR BUCK

Page 17: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Stay Tuned….For More Information:

Westley Reinhart-McMillan SCI KMN Project Coordinator and Adapted Implementation Guide Developer

[email protected]

When will the first release become available?• Fall 2013How will it be disseminated?• Initially hard and electronic copies will be

distributed but web-based format accessible across all platforms .

Page 18: Speaking the Same Language  Creating  a User Guide to Streamline Knowledge  Mobilization

Foothills Medical Centre: SCI

Rehabilitation Clinic

SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative

Glenrose Rehabilitation Hospital