1. Speaking the Same Language Creating a User Guide to Streamline Knowledge Mobilization Reinhart-McMillan W 1, Koning C 2, Mumme L 2 and The SCI KMN 1 Ontario Neurotrauma Foundation, 2 Glenrose Rehabilitation Hospital

2. SectionSection NameSlide No. 1. Background of the Project & Adapted Implementation Processes 3 2. Need for an Adapted Implementation Guide 7 3.Present and Future Content12 4.System-Level Outcomes15 Talk Contents

3. Working together to uniformly adopt best practices to improve secondary outcomes of SCI.

4. SCI KMN Members Funders:

5. The SCI KMN consists of a central backbone to oversee the coordinated activities of participating Rehabilitation Centres.

6. Adopted the Science of Implementation Implementation Takes: 2-4 years The 4 Stages of Implementation as Developed by the National Implementation Research Network

7. 1. Site and Stakeholder Selection Process SCI KMN Adaptations ( ) to Account for:

8. 2. Formative Evaluation for Ongoing Quality Improvement 2) Site Self-Assessment Not In Place Fully In Place Quantitative Behavior Change Measures 5-Point Likert Scale 3) Data Collection and Analysis 4) Quality Improvement 1) Stage-Based Best Practice Implementation

9. You May Remember… IMPLEMENTATION SCIENCE RESEARCH, DEVELOPMENT & OPERATIONS UNIT ISRD&OU R. J. Riopelle Chief Science Officer PM Presentation, June 3, Theme 1 The Neurotrauma Knowledge Mobilization Network

10. You May Remember…

11. Adapted Implementation Guide To provide new members and other interested parties with guidance and instruction … Adapted Implementation Guide Personalized Mentorship from Peers with BPI Experience Structured Education and Training Curriculum Training Tools

12. So… Why a Guide? The most valuable training will be first-hand mentorship from ‘groomed’ SCI KMN members with implementation science at their site. However a guide will provide additional benefits…

13. Why a Guide? SCI KMN New Sites New Members Other Partners (e.g. acute care) 1) Address scale-up potential

14. Why a Guide? 2) Tremendous cost-savings

15. Why a Guide? 3) Accelerated best practice implementation First-hand experiences Comprehensive and Systematized Learning Resource Efficient Best Practice Implementation

16. Adapted Implementation Frameworks and Tools SCI KMN Adapted Implementation Process A Need to Adapt These Frameworks, Tools and Approaches Implementation Science Frameworks & Approaches Adopted by the SCI KMN Implementation Science Overview Overview of Implementation Science Frameworks & Approaches Utilized by the SCI KMN NIRN Implementation Science Framework Utilizing Implementation Science Frameworks – Walkthrough Building an Implementation Team Section Overview

17. Our Journey Detailed overview of SCI KMN journey across each stage of implementation. ‘Call Out’s’ from clinical leaders compliment this content and provide practical solutions for first time implementers “ SCI KMN Pre- Exploration Stage - Network Activities SCI KMN Exploration Stage - Network Activities SCI KMN Installation Stage - Network Activities SCI KMN Initial Implementation Stage - Network Activities SCI KMN Full Implementation Stage - Network Activities Section Overview

18. Glossary of Terms Both the NIRN and SCI KMN utilize terms that may seem foreign to the unfamiliar user. Descriptions and acronyms for all relevant terminology. Section Overview Glossary of Terms - SCI KMN Glossary of Terms - NIRN Frameworks, Tools and Terminology

19. Appendix Section Overview Appendix 1 – Site - Specific Examples Appendix 2 – NIRN - Developed Tools Appendix 3 - SCI KMN Adapted or Designed Tools A catalogue of documents that accompanies the content of the guide. It informs and guides the reader through the following: NIRN/Lean implementation processes SCI KMN adapted Implementation Process – based on first-hand experiences and relevant information Formation of a Community of Practice

20. On the Horizon Further integrate clinical examples with theory Color themes and ‘quick links’ for fast access ‘Key Learnings’ for each section Vetting through the SCI KMN implementation teams

21. System-Level Outcomes AND… Standardization – growing, geographically disparate network still ‘Speaking the Same Language’ Continue sustainable best practice implementation with high fidelity.

22. System-Level Outcomes Working towards… More Well-informed Practitioners + Efficient Systems + Relevant Policies to achieve Optimal Patient Outcomes for Less $ A.K.A MORE BANG FOR YOUR BUCK

23. Stay Tuned…. For More Information : Westley Reinhart-McMillan SCI KMN Project Coordinator and Adapted Implementation Guide Developer westley@onf.org When will the first release become available? Fall 2013 How will it be disseminated? Initially hard and electronic copies will be distributed but web-based format accessible across all platforms.

24. Foothills Medical Centre: SCI Rehabilitation Clinic SPINAL CORD INJURY KNOWLEDGE MOBILIZATION NETWORK a Learning & Innovation Collaborative Glenrose Rehabilitation Hospital