Speaking the Same Language Creating a User Guide

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

Talk Contents Section 1. 2. Section Name Background of the Project & Adapted Implementation Processes Need for an Adapted Implementation Guide Slide No. 3 7 3. Present and Future Content 12 4. System-Level Outcomes 15

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

• Adopted the Science of Implementation es: 2 -4 k a T n o i t ta Implemen Exploration Installation years Initial Implementation Full Implementatio The 4 Stages of Implementation as Developed by the National Implementation Research Network

SCI KMN Adaptations ( Account for: ) to 1. Site and Stakeholder Selection Process Pre-exploration Exploration Installation Initial Implementation Full Implementatio

2. Formative Evaluation for Ongoing Quality Improvement 3) Data Collection and Analysis 2) Site Self-Assessment • • Quantitative Behavior Change Measures 5 -Point Likert Scale Not In Place 4) Quality Improvement Fully In Place 1) Stage-Based Best Practice Implementation Pre-exploration Exploration Installation Initial Implementation Full Implementation

Adapted Implementation Guide To provide new members and other interested parties with guidance and instruction … The ‘know-how’ Training Tools Adapted Implementation Guide Structured Education and Training Curriculum Personalized Mentorship from Peers with BPI Experience

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…

Why a Guide? 1) Address scale-up potential SCI KMN Other Partners (e. g. acute care) New Sites New Members

Why a Guide? 2) Tremendous cost-savings

Why a Guide? 3) Accelerated best practice implementation Comprehensive and Systematized Learning Resource First-hand experiences Efficient Best Practice Implementation

Section Overview Adapted Implementation Frameworks and Tools • Implementation Science Overview Implementation Science Frameworks & Approaches Adopted by the SCI KMN • Overview of Implementation Science Frameworks & Approaches Utilized by the SCI KMN • NIRN Implementation Science Framework • Utilizing Implementation Science Frameworks – Walkthrough • Building an Implementation Team A Need to Adapt These Frameworks, Tools and Approaches SCI KMN Adapted Implementation Process

Our Journey Section Overview • SCI KMN Pre. Exploration Stage Network Activities • Detailed overview of SCI KMN journey across each stage of implementation. • 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 Pre-exploration “ Exploration Installation Initial Implementation Full Implementation ‘Call Out’s’ from clinical leaders compliment this content and provide practical solutions for first time implementers

On the Horizon • Further integrate • ‘Key Learnings’ for each section clinical examples with theory • Vetting through the • Color themes SCI KMN and ‘quick links’ implementation teams for fast access

System-Level Outcomes • Standardization – growing, geographically disparate network still ‘Speaking the Same Language’ • Continue sustainable best practice implementation with high fidelity. AND…

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

Stay Tuned…. When will the first release become available? • Fall 2013 How will it be disseminated? • Initially hard and electronic copies will be distributed but web-based format accessible across all platforms. For More Information: Westley Reinhart-Mc. Millan SCI KMN Project Coordinator and Adapted Implementation Guide Developer westley@onf. org

SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Foothills Medical Centre: SCI Rehabilitation Clinic Glenrose Rehabilitation Hospital