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Mississippi Statewide Implementation of a Family Centered Practice Model: Increasing Readiness and Managing Change

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(1)

Mississippi

Statewide

Implementation of a Family

Centered

Practice Model:

Increasing

Readiness and Managing

Change

Presenters:

Mike Gallarno and

Lori Woodruff ACCWIC Forum 2010

(2)

Project Overview

The Mississippi Change Management

Implementation Project is a project geared

toward the full and ongoing institutionalization of a family-centered practice culture in the

Mississippi Department of Human Services,

Division of Family and Children’s Services, the

public child welfare organization in the State of

Mississippi.

(3)

MS Project Overview

Innovation Project Sites:

 Forrest and Harrison counties

 Historical and current

characteristics which

are extremely unique

and challenging

(4)

MS Project Innovation Sites

Forrest County is 60 miles due north of Harrison County with the county seat, Hattiesburg, the home of the University of Southern Mississippi. Forrest County was also significantly impacted by

Hurricane Katrina and is the eighth most populated county in the state.

Harrison County is on the Mississippi Gulf Coast, is the second most populated county in the State (out of 82 counties), and was devastated by

Hurricane Katrina. The major cities are Biloxi and

Gulfport, with Gulfport being the county seat.

(5)

MS Project Goals

 Assessing system readiness

 Developing a model

 Establishing a supportive organizational culture

 Building capacity

(6)

MS Project Partnership

Promote Effective Organizational and Community Based Practice

Support Implementati on of Family

Centered Practice

Implement Organizational and Child Welfare Practice

Change Promote

Child Welfare Best

Practices

(7)

Comprehensive Organizational Health Assessment

 Purpose of the COHA

 Provide information about

your organization’s workforce strengths and needs

 Guide areas of intervention focus

 Assist in organizational strategic planning

 Provide a way to look at

improvements over time

(8)

MS Project Activities

 Statewide Activities

 Develop peer to peer network and train regional administrators to conduct COHA.

 Conduct COHAs and aggregate findings

 Partner with Center for Support of Families to stage Family Centered Practice implementation timeline based on COHA results

 Regional Activities

 Partner with USM and utilize Learning Labs to build change management capacity.

 Pilot County Activities (Harrison and Forrest Counties)

 Implement Learning Circles with fidelity to Western Workforce Model

 Utilize Learning Circles to develop grassroots solutions to

organizational issues.

(9)

Individuals

•Increased:

•Job satisfaction

•Job efficacy

•Motivation

•Sense of belonging

•Decreased:

•Feelings of burnout

•Feelings of disengagement

Supervisors

• Supervisors have increased skills in:

•Providing support

•Facilitation of change

•Communication regarding mission and values

•Problem solving

•Resolving conflict

Teams

•Teams have increased skills in:

•Collaboration

•Resolving conflict

•Problem solving

•Providing support to each other

•Commitment to organizational mission and values

Agency

•Increased value and support for

•Inclusivity

•Organizational learning

•Training

•Ongoing professional development

•Concrete solutions

•Workforce support

•Cultural responsiveness

•Creating better outcomes for children and families Individual Staff and Teams understand

importance of:

•Detecting and openly critique problems

•Connecting practice to mission and values

•Organizational dynamics

•Applying best practices change

•Building on individual, team and agency strengths.

•Being self reflective

Supervisors, regional directors and leaders understand importance of:

•Supporting positive systems change

•Staff engagement in positive change

•Clearly articulated vision

•Commitment to agency mission &

values

•Using of best practices

•Maximizing the use of line

staff/teams and supervisors practice wisdom

•The development of a learning culture

Goal

• Improve organizational climate and culture

• Create/improve outcomes for children and families

• Create a learning organization

• Improve retention of quality child welfare staff

Outcomes

Change Drivers

MS COHA Project

Conceptual Model

(10)

COHA

Learning Lab

Learning Circles

Building Organizational Capacity

Assessing organizational culture, climate, health and readiness

Teaming to develop and implement change strategies

Promoting a learning

organization to support change

(11)

COHA Assessment Activities

 Pre-assessment

 Gather information to begin to understand

important organizational influences

 Review of important

documents like strategic plans, recruitment

policies/procedures and CFSR reports

COMPLETE!

(12)

COHA Assessment Activities

 On-site data collection

 Gather employee reports of organizational health in a variety of areas

 On-site data collection includes:

 A small team of assessment specialists will visit

 Directors/supervisor, staff, family consumer and community partner surveys and group interviews

 Key informant individual interviews

 Meetings with human resources re: recruitment and retention information

COMPLETE!

Forrest and Harrison County

(13)

COHA Assessment Activities

 Data analysis

 Information will be summarized and strengths and challenge areas will be examined.

 A “Results Overview” report created with visually

appealing, easy to understand graphics and tables to show results that will:

 Increase understanding of strengths, barriers, challenges and how they fit together/interact.

 Provide guidance in selecting organizational, learning circle and design team interventions.

IN PROGRESS

Forrest and Harrison County

(14)

Selection

Training

Coaching

Performance Assessment

Systems Intervention

LEADERSHIP

Decision Support Data System

Integrated

&

Compensatory

Facilitative Administration

© Fixsen & Blase, 2008

National Implementation Research Network:

Implementation Drivers

(15)

Mississippi System’s Application of NIRN Drivers:

Practitioner Selection

 Staff Recruitment, Selection, Allocation

 COHA feedback

 Start Teams

 Stakeholder Involvement

(16)

Mississippi System’s Application of NIRN Drivers:

Training

Information, instruction, skill development to obtain new knowledge, skills,

abilities

Training focused on building organizational readiness for Family Centered Practice.

The COHA model includes several

trainings and supports that will

help assist staff with the new

practice.

(17)

Mississippi System’s Application of NIRN Drivers:

Supervision and Coaching

Observation, Instruction, Feedback, Support

 Learning Circles

 Intervention at the unit level

 Focus on workforce and community best practice

 Improve organizational

climate

(18)

Mississippi System’s Application of NIRN Drivers:

Supervision and Coaching

Observation, Instruction, Feedback, Support

 ACCWIC and USM staff will serve as coaches to supervisors as they lead their Learning Circles.

 Coaching supervisors at this early stage is intended to provide assistance and feedback when needed.

 Development of leadership skills in supervisors

through ongoing coaching.

(19)

Mississippi System’s Application of NIRN Drivers:

Performance Assessment Appraisal of the Work Conducted by

Practitioners

 Stakeholders

 Teams

 Regional leaders

 COHA lessons learned

(20)

Mississippi System’s Application of NIRN Drivers:

System’s Intervention

 The COHA Process

 Web-based survey

 Qualitative interviews and focus groups with external stakeholders, staff, families and youth.

 Start Team - COHA model

 Learning Circles

(21)

Mississippi System’s Application of NIRN Drivers:

Facilitative Administration Organization’s Structure, Policies,

Procedures

 In early stages

 Anticipated changes

 Leadership support

(22)

Mississippi System’s Application of NIRN Drivers:

Data Decision Systems

 Data Collection and Reporting System

 COHA Data

 Organizational health data from staff, external

stakeholders, families and others that participate in the COHA survey/interview process.

 Data will support the necessary systems change initiatives.

 Current CQI Process

 Internal partners and others will review relevant data

and make decisions related the information we learn.

(23)

Mississippi System’s Application of NIRN Drivers:

Leadership

 Leadership involvement, change management, data use

 Ongoing communication with all front line workers.

 Moving from a more closed system to a learning culture.

 Reinforced need for all staff at all levels to be transparent.

 Transfer of trust – laying the groundwork at the county level for the ACCWIC project staff to work in counties.

 Reinforce importance of this project and its potential to

have a positive impact on the MS DHS system.

(24)

Communication Strategies

 A Communications Team has been established with a cross section of staff from both Harrison and Forrest Counties and representatives from our community stakeholders and parents.

 Monthly meetings

 Developed the mission, vision and goals for our work in the two

counties.

(25)

Communication Strategies

Vision Statement

 Communication within the agency, with community

partners and with the families that we serve will

be accessible, understandable, transparent and

consistent with Family Centered Practice

(26)

Communication Strategies

Mission Statement:

 To plan, coordinate and evaluate communication methods and strategies

 To support the implementation of Family Centered Practice

 Improving outcomes for children and families.

(27)

Integrating Research and Data

 Have you used data to determine your readiness for implementation?

 COHA project is about determining our readiness to implement Family Centered Practice

 All data gathered will be used for the purpose of creating readiness around

 Family Centered Practice activities.

(28)

Accomplishments

 Aligning of the project with:

 MDHS strategic plan

Terms of OLIVIA Y

Implementation of Family Centered Practice

USM practice work in Forrest and Harrison county

 Creating awareness through communication to build statewide support for improving the organization.

 Setting the stage to become a learning organization.

 Development of the capacity of Regional Leadership to

champion our statewide organizational improvement efforts.

(29)

Next Steps

 Keep Communications flowing

 Conduct Learning Circle training with supervisors and program managers in Forrest and Harrison counties.

 Share COHA survey results with Key state leadership and Start teams in Forrest and Harrison County

 Orient new leadership in pilot counties

 Finalize curriculum on interpretation and application of COHA data to for Learning Labs with supervisors and program managers .

 Reinforce our staff for the changes they are making in their

organization !

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