Getting Knowledge into Action for Healthcare Quality The improvement journey continues Knowledge Services Workshop 23rd May 2013

Overview Implementation programme: Vision Work strands: Knowledge broker service Technology-enabled learning National priority projects Outcomes and deliverables 2. Impact and evaluation framework. 3. Group discussion: defining national priority projects.

Combines health and social services vision statements: “A national network, combining learning technology, content and people, which will help practitioners, planners and policymakers to access, share and apply knowledge in frontline practice and service improvement. “This collaborative network will provide a portfolio of services which deploy knowledge to inspire and spread innovation and improvement for better outcomes. “It will support transformation of care in line with the changing models of public services and the changing landscape of public needs and expectations.”

National Implementation Approach Health and Social Services Knowledge Advisory Board – chaired by Director of Health and Social Care Integration, Scottish Government. National Strategic Priorities for Health and Social Care: 20:20 Vision and Quality Outcomes Health and Social Services Knowledge Implementation Plan 2013-2016 Knowledge Broker Service National Priority Projects Technology-Enabled Learning Infrastructure Change Team Implementation Workstrands Knowledge Services Infrastructure – Knowledge Network, NHSS Knowledge Services Maintenance, Training, Outreach

Timeline Activities and deliverables for 2013-16 largely defined for Knowledge Broker Service and Technology-Enabled Learning. National priority projects to be defined by September 2013. Full 3-year implementation plan to Knowledge Advisory Board by end of September 2013.

Strand 1: Knowledge Broker Service Outcomes: A coordinated national network of facilitators (knowledge brokers) which delivers a portfolio of services to: a) Source and combine knowledge from research, practice and experience, to respond to questions in frontline practice, policy and planning. b) Package and communicate knowledge in a format that makes it easy for practitioners and service users to apply in practice (“actionable knowledge”). E.g. mobile apps, pathways, care bundles, decision support and decision aids. c) Facilitate sharing and spreading knowledge through networks of people – e.g. communities of practice, social networking. d) Build workforce capabilities in finding, sharing and using knowledge, to support role development and service improvement.

Strand 2: Technology-enabled learning Partnership with Scottish Centre for Telehealth and Telecare and Scottish Social Services Council. Outcomes: Health and social care workforce widely enabled at all levels to use technology to support transformation of health and social care. A single integrated learning technology platform delivering knowledge and learning through multiple channels to support frontline practice and learning for the health and social care workforce, bringing together: Knowledge in actionable formats Tools for sharing and spreading knowledge among people. Knowledge from research, practice and experience.

Strand 3: National knowledge implementation projects. “As a practising clinician, I need to see the difference Knowledge into Action makes to me and my patients.” Research, consultation and decision conferencing to define projects that will deploy the national knowledge broker service and learning technology to contribute to health and social care priorities in: Implementing learning from adverse events Early years Supporting people with multiple conditions. Person-centred care

1) Implementing learning from adverse events. Summarising evidence from research and experience to prevent future adverse events. (Evidence search and synthesis, actionable knowledge). Sharing knowledge (Social use of knowledge) To spread prevention and implementation approaches To build stakeholder engagement in change.

2) Implementing knowledge to support people with multiple conditions. Co-producing briefings or learning resources about supporting people with multiple conditions and medications. (Evidence search and synthesis) Deliver this knowledge at point of care, e.g. through mobile devices. (Actionable knowledge). Then support active sharing of knowledge, e.g. through communities of practice and multi-agency community information networks, to help implement these resources. (Social knowledge).

3) Applying knowledge across boundaries in Early Years. Co-producing “evidence in context” briefings for topics such as attachment and domestic abuse in Early Years. (evidence search and synthesis, actionable knowledge). Use social knowledge exchange methods to create a “network of networks” to transfer knowledge across community planning partnerships, involving health, social services and education. (social knowledge).

4) Embedding knowledge in person-centred care. Working with the health literacy action group and co-production network to define and implement KM methods for co-production – e.g. storytelling, social networking. Develop multi-agency community information support networks – NHS, local authority, voluntary sector services) to signpost and support people to gain personal meaning from information for health and wellbeing.

Next steps Complete consultation with sponsors from Knowledge Advisory Board (1-2 per national project) and national leads in each area to identify key areas of focus. Knowledge broker-stakeholder workshops during August to define specific projects, outcomes and measures. Proposals to Knowledge Advisory Board at end of September.

Measuring impact: Evaluation approach Outcomes Chain

ENGAGEMENT/INVOLVEMENT …we reach…clients in these ways.. FINAL IMPACT OR CONTRIBUTION: the result of our work is …impact on ….people or groups CHANGES IN BEHAVIOUR OR PRACTICE: these things are done differently or these behaviours are affected CAPACITY/KNOWLEDGE/SKILLS: We address these abilities, skills, gaps in services AWARENESS/REACTION: we raise awareness of these issues…clients react in these ways…. ENGAGEMENT/INVOLVEMENT …we reach…clients in these ways.. ACTIVITIES/OUTPUTS: We deliver ..… activities/projects… in these ways… What assumptions do you make, what risks are there? INPUTS: We have these resources (financial, human, technical) …

Beginning to Define National Knowledge into Action Projects Group discussion Beginning to Define National Knowledge into Action Projects

Format 4 groups; each choosing 1 national priority project. Imagine that your group is asked to form a Knowledge into Action team to design and implement this national project. What Knowledge into Action activities would you offer? What skills and experience would you bring to the table? What challenges would you anticipate, and what support to address those challenges? What is the overall impact you aim to achieve through this Knowledge into Action support? (practitioner knowledge and skills, practice and decisions, healthcare outcomes.)

[Title] Activities you will support Strengths you will bring Knowledge into Action National Projects 23rd May 2013 (Brief description of your national Knowledge into Action project) Activities you will support Strengths you will bring Actionable Knowledge Social Knowledge Text Challenges / Support you will need Benefits and Impact Practitioner knowledge and skills Decisions and practice Service user outcomes Text 18

Getting Knowledge into Action for Healthcare Quality The improvement journey continues Knowledge Services Workshop 23rd May 2013