1. A Quick Look at Implementation Science Mary Louise Peters Technical Assistance Specialist National Early Childhood Technical Assistance Center www.nectac.org Preserving Early Childhood Leadership Forum Madison, Wisconsin -- February 2012

2. EFFECTIVE INNOVATION IS IMPLELMENTED WITH FIDELITY EXISTING SYSTEM WILL CHANGE TO SUPPORT THE EFFECTIVENESS OF THE INNOVATION 2 Implementation Science Perspective

3. “It” = the evidence-based or best practice initiative Focuses on “It” Operationalizes “It” …and remember ‘It takes time!’ – Regardless, the “It” must be operationalized

4. Implementation Science Importance of leadership Engagement of stakeholders Attention to all system levels Ability to adapt to context, flexibility Feedback loops/evaluation

5. Passing laws and mandates and regulations + Providing funding and incentives + Organization change and reorganization + Training and coaching and mentoring + Diffusion and Dissemination of information = Implementation as Intended and Sustainability Doing just one of these is Necessary But Not Sufficient Business as Usual ≠ Impact 5

6. Implementation Math Effective Interventions The “WHAT” Effective Implementation The “HOW” Positive Outcomes for Children Remember that any number times 0 is 0

7. © Fixsen & Blase, 2008 Performance Assessment Competency Drivers Increased Opportunities for Children to be Included Evidence-Based and Evidence-Informed Programs and Practices How: What: Why: Organization Drivers Leadership Core Implementation Components Conceptual Framework for Implementation Science 7

8. Implementation Drivers State Leadership to provide policy/guidance and quality assurance, data, finance systems to support the vision and meet the challenge Local Leadership to create and sustain hospitable organizational and administrative environments for effective implementation of services Professional Development Capacity to develop, improve, and sustain competent & confident use of innovations. 8

9. State Infrastructure Professional Development System Local Infrastructure Implementation Level Evidence-Based Practices Evidence-Informed Practices - Clinical experience - Professional wisdom Implementation-Informed Practices Ineffective practices Inappropriate practices SUPPORTS FOR IMPLEMENTATION PRACTICES There are “good” practices for supports at all levels

10. Thinking About the System Implementation Stages Current state of implementation Barriers to moving forward Facilitators of change Earlier stage-based work that were skipped Who are our stakeholders and how do we engage them? 10

11. Reflect and Revise to Get To Impacts Improvement Cycles Fidelity PDSA Cycles: Plan Do Study Act Policy-Practice Feedback Loops Rapid Cycle Improvement Teams 11

12. WHO WHO has good outcomes and who doesn’t? WHAT WHAT is going well and what isn’t? HOW HOW is it working (process)? What are the Program Improvement Questions? 12

13. RESOURCES: Wisconsin Early Childhood Collaborating Partners http://www.collaboratingpartners.com/professional-development-resources.php http://www.collaboratingpartners.com/professional-development-resources.php NECTAC National Early Childhood Technical Assistance Center www.nectac.org 2010 Inclusion Institute presentation by Karen Blase http://www.nectac.org/~pdfs/Meetings/InclusionMtg2010/Final_HO.pdf NIRN National Implementation Research Network http://www.fpg.unc.edu/~nirn/