Fidelity and QI for CDSME Jeanne Harmon RD, MBA, CDE Washington State Department of Health

What is Fidelity for CDSME? Objectives for Washington State Fidelity Plan: 1. Provide guidance and tools to organizations offering CDSME to assist in delivering a quality program for participants. 2. Provide guidance to assist in allocating personnel and resources for fidelity. 3. Provide tools for choosing and training leaders and Master Trainers.

CDSME “Requirements” The program is standardized and MUST be led as written in the Leaders Manual. This means: Two trained leaders Follow the script No “guest” speakers or added material 2.5 hours once a week for 6 weeks Organizations offering CDSME must have a current Stanford license for the program(s).

Fidelity Practices Recommended opportunities for observation and coaching Adapted from Stanford Fidelity Manual delityManual2012.pdf delityManual2012.pdf Goals: – Ensure CDSME workshops are delivered as designed – Opportunity to improve the program and provide useful feedback

Your Source for Fidelity Tools! y-tools y-tools All tools are in WORD and PDF format You can add your logo, etc. All tools are translated into Spanish Tools have instructions to help in using the tool

Fidelity Practices Leader Training: – Led by experienced, certified Master Trainers – Observed by experienced, certified Master Trainers – Use Leader Training Fidelity Checklist – Ensure that essential CDSME skills are correctly taught and modeled – Provide feedback/coaching to Master Trainers

Leader Training Checklists INSTRUCTIONS: tools/cdsmp-fidelity- tools/leader%20training%20checklist%20%20inst ructions%205-% pdf/view tools/cdsmp-fidelity- tools/leader%20training%20checklist%20%20inst ructions%205-% pdf/view CHECKLISTS: tools/cdsmp-fidelity- tools/LW%20Leader%20Training%20Fidelity%20C hecklist.pdf/view tools/cdsmp-fidelity- tools/LW%20Leader%20Training%20Fidelity%20C hecklist.pdf/view

Fidelity Practices Workshop Fidelity – Master Trainer or experienced Leader observes during first workshop series – Ensure program is offered as designed – Use session-specific Workshop Fidelity Checklists – Provide feedback/coaching to the Leaders

Workshop Fidelity Tools INSTRUCTIONS: tools/cdsmp-fidelity- tools/Workshop%20Fidelity%20Checklist%20Instr uctions%20final.pdf/view tools/cdsmp-fidelity- tools/Workshop%20Fidelity%20Checklist%20Instr uctions%20final.pdf/view CHECKLIST: tools/cdsmp-fidelity- tools/Workshop%20Fidelity%20Checklist%20final %20-2.pdf/view tools/cdsmp-fidelity- tools/Workshop%20Fidelity%20Checklist%20final %20-2.pdf/view

Fidelity Practices Choosing Master Trainer and Leader candidates – Fully inform prospective candidates about the program and expectations – Use interview guides and other tools on the Stanford website in the Fidelity Toolkit

Leader /Master Trainer Selection Stanford Fidelity Manual g/FidelityManual2012.pdf g/FidelityManual2012.pdf Stanford Fidelity Tool Kit g/Fidelity_ToolKit2010.pdf g/Fidelity_ToolKit2010.pdf

Other Fidelity Recommendations Participant evaluations – Available in 8 languages plus English – Cambodian, Chinese, Korean, Laotian, Russian, Somali, Spanish, and Vietnamese – INSTRUCTIONS: tools/cdsmp-fidelity- tools/Recommended%20Use%20of%20Workshop%20Evals%20by%20 Participants% pdf/viewhttp://livingwell.doh.wa.gov/resources/fidelity- tools/cdsmp-fidelity- tools/Recommended%20Use%20of%20Workshop%20Evals%20by%20 Participants% pdf/view – EVALUATION FORM: tools/cdsmp-fidelity-tools/Workshop%20Evaluation%20final%20- 2.pdf/viewhttp://livingwell.doh.wa.gov/resources/fidelity- tools/cdsmp-fidelity-tools/Workshop%20Evaluation%20final%20- 2.pdf/view

Leader/Co-Leader Evaluation y-tools/cdsmp-fidelity- tools/Leader%20and%20Co- Leader%20Feedback%20form.pdf/view y-tools/cdsmp-fidelity- tools/Leader%20and%20Co- Leader%20Feedback%20form.pdf/view

NEW!! Wisdom Warrior Fidelity Tools y-tools/wisdom-warrior-fidelity-tools y-tools/wisdom-warrior-fidelity-tools Contact Shelly Zylstra for questions

So where does QI come in? Put each of the recommended Fidelity steps in place Create a system for assuring that the Fidelity steps are done Keep records! Periodically review the results of each Fidelity checkpoint and take action on adverse findings

Overwhelmed? Fidelity Steps in a nutshell: 1.Choose Leader and Master Trainer candidates thoughtfully 2.Support their training by coaching/mentoring via observations of the training and during their first workshop(s) 3.Get feedback from participants (and use it!) 4.Encourage self/peer evaluation

Need help? Questions? Contact me: Jeanne Harmon