Le Learnin arning g Se Sessio ssion October 3, 2017 Ca Call (8 ll (866) 66) 835-79 7973 73 to join us 1
Tips Tips We want to hear you! Call (866) 835-7973 Find resources in Mute yourself when the link pod you’re not talking This webinar is being recorded Ask questions in the chat at any time 2
Welco elcome! me! Agenda Jennifer Allison, Director, Children’s Safety Welcome Network Bethany Miller, Health Resources and Services Administration Progress to Date Jen Leonardo, CS CoIIN Improvement Advisor Best PDSA Most Consistent and Highest Quality Monthly Report Awards Ceremony: Favorite Storyboards Recognizing Greatest Systems Change/Innovation Achievement in the 0 to 60 Accelerating Change CS CoIIN Most Likely to Have Significant Impact Jane Taylor, CS CoIIN Improvement Advisor Back to the Essentials: Testing Small Conclusions Jennifer Allison, Director, Children’s Safety Network 3
Open Opening R ing Remarks emarks fr from HRSA om HRSA Bethany Miller Director of Injury and Violence Prevention Programs HRSA 4
Pr Progre ogress T ss To Dat o Date Jen Leonardo, Improvement Advisor 5
Wher Where we e we are on the are on the eng engine ine You Are Here (possibly for the second time) 6
Progre Progress ss Scal Scale Ratin e Rating f g for or S Str trat ateg egy y Tea eams ms 100% 3% 3% 9% 9% 3% 3% 14% 14% 90% 6% 6% 6% 6% 20% 20% 80% 11% 17% 70% 14% 60% 14% 17% 50% 46% 46% 40% 54% 54% 30% 46% 46% 20% 63% 63% 10% 37% 6% 6% 0% May-17 Jun-17 Jul-17 Aug-17 1: Forming 1.5: Focusing 2: Partnering 2.5: Testing 3: Submitting 3.5: Progress 4: Improvement 4.5: Increasing Improvement 5: Significant Improvement 7
Mas Massac sachuse husetts SSHP tts SSHP % health care sites implementing universal screening for suicide risk 80 70 60 50 40 rate 30 20 10 0 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 8
100 200 300 400 500 600 0 Massac Mas Feb-16 Mar-16 Apr-16 sachuse May-16 Jun-16 husetts SSHP Jul-16 Aug-16 Sep-16 Oct-16 tts SSHP Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 TEXTLINE Goal = 334/month Unique Indv Served Text Conversations 9
Lessons We’ve Learned In-person learning 90-Aim statements sessions accelerate are useful, and we project planning and need a place to learning house them The QI Corner and One-on-one TA for Populations and measurement is Settings calls are helpful, especially in great places for the first quarter cross topic sharing 10
Cross Cr oss Tea eam m Sh Sharing: aring: Child Passenger Child P assenger Saf Safety ty • In Indi dian ana, Ver ermont mont, Ken entuc tucky, and Fl Flori orida da Opti Op timi mizi zing ng and and working to identify and improve • The number of CPSTs in each county str streng engthenin thening g • The number and geographic distribution of car se ca r seat at master CPST trainers • The number of Mobile Fitting Stations for in insp spection ection each county sys systems ems • Which counties are “high risk” or higher risk than others • Ver ermont mont is planning booster bash events • Texa xas has identified an electronic inspection form app and is looking to expand its use Tak akin ing g statewide insp in spir irat atio ion fr n from om • The e Nor orth thern ern Mar aria iana na Isl Islan ands ds is considering a different approach to increasing submissions In Indi dian ana of inspection forms, potentially avoiding costly and ineffective events (Indiana’s data pointed to this, and Ken entuc tucky confirmed it anecdotally) 11
Cr Cross oss Tea eam m Sh Sharing: aring: Falls alls Pre Preventi ention on • Mas assachus sachusetts tts shared their model sport Sharing Model concussion policy with Ten ennessee essee, helping them get further down the road faster Policies • Mas assachuse sachusetts tts and Ten ennessee nessee are sharing lessons learned on return to learn policies Reaching out • Ten enness nessee ee and Penn ennsylv sylvania ania are testing approaches to work with non-school sports. to Non- Ne Nebr brask aska is providing input (despite not Schools Sports being a member of the falls team) 12
Cr Cross oss Tea eam m Sh Sharing: aring: Int Inter erper person sonal al Violenc Violence e Pre Preventi ention on Abusive • Min inne neso sota ta, Pen enns nsyl ylvan ania ia, Neb ebras raska, and Ten enne nessee ssee are sharing notes on Head approached and best practices for AHT Trauma prevention in hospitals • Neb ebras raska shared their innovative Crying Prevention Plan materials • In Indi dian ana is developing and will share an app with resources and information for hospital- based violence intervention and prevention programs E-Learning • New w Ha Hampshi shire e shared their free, on-line module for child maltreatment prevention (despite not being an active member of the team) 13
Cr Cross oss Tea eam m Sh Sharing: aring: Suicide Sui cide and Self and Self-Har Harm m Pre Preventi ention on Evaluating and • Ma Mass ssachu chuse setts tts, Ver ermo mont nt, and Texas are sharing lessons learned about expanding Zero Suicide, and implementing and Implementing evaluating it’s components Zero Suicide • Mi Miss ssou ouri ri, Flo lori rida da, and Texas are sharing ideas and Expanding experiences to expand in-school programs, track mandatory training, and improve screening and referral processes Programs in • Mi Miss ssou ouri ri, Flor orida da and Ma Mass ssachu chuse setts tts shared resources lists Schools and information provided to schools who want to set up and implement suicide prevention programs • Con onne necti ticut ut is reviewing call center data from January through Focusing March 2017 to identify tests of change to reduce the number of dropped calls the work • Virg rginia inia reviewed data to identify a gap in mental health professionals’ knowledge of BPs in suicide prevention 14
Cross Cr oss Tea eam m Sh Sharing aring: Tee een n Driv Driver er Saf Safety ty • Wi Wisc scon onsi sin has developed and shared literature Sharing reviews about drivers education and health care Evidence provider education for TDS Increasing • Texa xas, Ten enne nessee ssee, Neb ebra rask ska, and Fl Flori orida da are sharing Parent Teen notes on their different approaches that are Driver resulting in more signed parent teen driver agreements Agreements • New w Ha Hampshi shire e launched and shared an on-line Expanding toolkit for parents and peer-to-peer education and • Nor orth th Da Dakota ta, , Ten enne nessee, ssee, Texa xas, s, Ken entuc tucky, , Wisc Wi scon onsi sin, and New w Ha Hampshi shire re are sharing lessons Evaluating learned from approaching schools, evaluating School-Based programs, and emerging challenges they see Programs • Ten enne nessee ssee is providing technical assistance to Texa xas on their implementation of CheckPoints 15
Cr Cross oss Topic T opic Tea eam Sha m Sharin ring • FP (sport concussion policies), SSHP (training policies), IPVP, and TDS teams are discussing Working with • Gathering information from schools • Tracking mandated trainings schools • Implementing and changing school-based programs • Getting buy-in from schools Improving CFR • SSHP (Texa xas and Ken entuc tucky) and CPS (Ver ermont mont processes and and In Indi dian ana) are discussing ways to expand CFR membership, and improve the review composition process • Falls (FL FL and PA PA), IPVP (MN MN and NH NH), and CPS Working with (CNMI CNMI) are working with home visitors to increase their ability to identify and mitigate Home Visitors risks in and around the home 16
In Y In Your W our Word ords “Hearing how other states are approaching cycles and collecting “collecting some data is data/which data they are collecting “Focus on the better than not collecting is very helpful. No matter what importance of data any data in the hope of topic you are focused on, the collection for its use, collecting perfect data.” - process is the same (just like many not just to collect Anonymous of the stakeholders !).” -Anonymous data” - Anonymous “We need to address “ it is really valuable to health disparities as “ Very helpful to hear what have in person meeting a core objective in other states are doing time to dedicate to the planning our work .” regarding evaluation and project. -Anonymous fidelity .” -Anonymous Reinvigorating !” - Anonymous “ The rapid cycle nature of “Start with a “We need to use this project is a shift from question and move data to promote the way we often do work. on from there.” work (funding The more I hear about this -Anonymous justification, approach, the more I can spread to other “ All of the materials and the apply it to our work .” locations, etc.)” CoIIN theory of change are a -Anonymous Anonymous great framework” -Anonymous 17
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