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Workstream breakouts

Workstream breakouts. Dundee City. Format for Workstreams sessions. Introductions at your table Improvement Bootcamp overview and other improvement journeys Components of a learning system – how does our work stack up? Workstream presentations – 30 mins each including Q&A

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Workstream breakouts

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  1. Workstream breakouts Dundee City

  2. Format for Workstreams sessions Introductions at your table Improvement Bootcamp overview and other improvement journeys Components of a learning system – how does our work stack up? Workstreampresentations – 30 mins each including Q&A Table top reflection on own learning and application of improvement methodology

  3. The Bootcamp Experience : from this…..

  4. The Bootcamp Experience : to this……

  5. Components of a Learning System • System level measures • Explicit theory or rationale for system changes • Segmentation of the population • Learn by testing changes sequentially • Use informative cases: “Act for the individual learn for the population” • Learning during scale-up and spread with a production plan to go to scale • Periodic review • People to manage and oversee the learning system From Tom Nolan PhD, IHI

  6. Dundee: How to engage with a growing and changing population Kerstin Jorna & Marie Dailly

  7. Dundee Growing Population of over 147,000 Over 9,000 children aged 0-5 Sunniest City in Scotland but …

  8. Dundee – Changing for the Future EYC logo

  9. But how??? EYC? Workstreams? Tests of change? Driver diagrams?

  10. Dundee adult literacy – Hotspot areas

  11. Dundee adult literacy – Hotspot areas

  12. Testing a new way of working To test out a new way of working, taking data which indicated the likelihood of potential literacies needs down to a street level and offering everyone in those areas, with a child aged 0-3 years old, the chance to take part

  13. What did we want to achieve? Whole family approach to learning Putting the parents/carers at the heart of early literacy development Increasing confidence in their abilities as the primary educator Children developing the early foundation of literacies.

  14. What do we know? • 198 children 0-4 in identified streets • Limited engagement with speech and language therapists and Health Visitors • Lack of facilities for families pre nursery

  15. Engaging with Families Addressing barriers Building on assets Getting to people “hard to reach” Testing a strategy for engagement.

  16. Key Wins – Engagement by many methods Initial contact with community Follow ups face to face and telephone Getting people to sign up for the “real” learning afterwards Facebook Texting www.facebook.com/yourchildisamazing

  17. Key Wins – from outreach to outcomes Increased participation Community building (bring a friend) From introductory fun sessions to “serious” learning Observing improvement/parents feed back

  18. Video playing here….

  19. Key Lessons Learned • Time has to be invested in engaging with parents and the community they live in • The same approach may not work in all communities • The effort is really worth it when target families enjoy and learn • The whole family benefits, not just the children in target age group

  20. Key Wins in the Area of Measurement Data collection by “experts” was excellent anyway (pre EYC) • Allowed easy mapping to EYC format • This could be fed back to staff • measurement now done by “non experts”

  21. Texting will improve attendance 1st Attempt Theory detail: 7pm on the previous night Prediction: 8 families will attend

  22. Texting will improve attendance 1stAttempt Theory detail: 7pm on the previous night Prediction: 8 families will attend Result: 10 families attended

  23. Texting will improve attendance 2nd Attempt Theory detail: 3pm previous afternoon Prediction: 8 families will attend

  24. Texting will improve attendance 2nd Attempt Theory detail: 3pm previous afternoon Prediction: 8 families will attend Result: 7 families attended

  25. Texting will improve attendance 3rd Attempt Theory detail: 1 hour before start of group Prediction: 8 families will attend

  26. Texting will improve attendance 3rdAttempt Theory detail: 1 hour before group Prediction: 8 families will attend Result: 3 families attended

  27. Texting will improve attendance 4th Attempt Theory detail: 7pm on the previous night Prediction: 8 families will attend

  28. Texting will improve attendance 3rdAttempt Theory detail: 7pm on the previous night Prediction: 8 families will attend Result: 8 families attended

  29. Lessons Learned in the Area of Measurement Acknowledgement of existing measures Simple Paperwork Linking measures to outcomes Dialogue between subject expert and data expert

  30. Key Wins in the Area of Testing and so forth…. and so on…. different times for texting different media for reminders different titles of activities different methods of initial engagement

  31. Lessons Learned regarding testing Method works well once format simplified Need several tests for each PDSA Many tests are transferable to other projects Each test has to be tried again in new environments/ communities/ context

  32. Plans for next 3-6 months • Continue to engage with further families • Progress from initial to intensive stage • Continue to encourage families to then take part in intensive literacy support work • Develop parent volunteer • Test outcomes linked to stretch aims

  33. TABLE DISCUSSION • Who are individuals and/or teams currently working on/in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning? • Reflecting on the emerging knowledge within this area, and today’s plenary session on scaling up your work, what are some considerations you need to plan for to get to scale for your project?

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