1. Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

2. © 2010 American Public Human Services Association. All rights reserved. 2  Agenda and Goals  Understanding the Need for a Framework for CQI  DAPIM TM : A Framework for CQI  Reflecting Thinking – Identifying Your Approach to Implementing Change  Assessing Readiness for Change  Reflecting Thinking – Identifying Your Readiness for Implementing Change Agenda

3. © 2010 American Public Human Services Association. All rights reserved. 3 Continuous Quality Improvement Defined  CQI is not a time-limited initiative or project. It is the ongoing process by which an agency makes decisions and evaluates progress.” Casey Family Programs & National Resource Center (NRC)

4. © 2010 American Public Human Services Association. All rights reserved. 4 Implementation Defined  Implementation is a specific set of activities designed to put into practice an activity or program of know dimension. From the National Implementation Research Network

5. © 2010 American Public Human Services Association. All rights reserved. 5 Organizational Effectiveness Defined  OE is a systemic and systematic approach to continuously improving an organization’s performance, performance capacity and client outcomes. “Systemic” refers to taking into account an entire system or in the case of OE an entire organization; “systematic” refers to taking a step-by-step approach. In simple terms, therefore, OE is a step-by-step approach to continuously improving an entire organization.

6. © 2010 American Public Human Services Association. All rights reserved. 6 Organizational Systems Model

7. © 2010 American Public Human Services Association. All rights reserved. DAPIM TM and “Learning by Doing” Implement Work products – team activities, action plans, charters for working teams, communication efforts Plan Work products- quick wins, mid- and long- term improvement plans, communication and capacity plans Define Work products – baseline surveys, alignment notes, initial feelings, ground rules, defined areas for improvements, desired future state Performance & Capacity Monitor Work products – monitoring quick wins and other changes, evaluations and measures of progress and impact Assess Work products – findings: strengths and gaps, root causes and general remedies

8. © 2010 American Public Human Services Association. All rights reserved. 8 Learning by Doing How It Works  A real-world team meets periodically  In a facilitated peer group  To troubleshoot “real life” challenges  Over 4 – 6 months  Peers and facilitators help learners examine their challenges in new ways  Experience with similar situations  New models and targeted “training”  Tangible continuous improvement activities

9. © 2010 American Public Human Services Association. All rights reserved. 9 OE Approach to CQI

10. © 2010 American Public Human Services Association. All rights reserved. 10 DAPIM TM Work Products to Support CQI  Continuous Improvement Plans  Chartered Work Teams  Communication Plans  Team Activities

11. © 2010 American Public Human Services Association. All rights reserved. 11 Reflective Thinking  Think about current change efforts in your agency… where are they in the stages of implementation…. Have you been systematic in defining, assessing, planning, implementation and monitoring the change effort?

12. © 2010 American Public Human Services Association. All rights reserved. 12 Readiness for Change  Three Levels of Readiness  Priority gap area for continuous improvement  Moving from a gap to an area of strength to support continuous improvement  An area of strength that is supporting continuous improvement as “a way of doing business”

13. © 2010 American Public Human Services Association. All rights reserved. 13 Readiness for Change  Elements to Consider  Organizational Readiness  Leadership Readiness  Staff Readiness  General Capacity to Improve and Innovate

14. © 2010 American Public Human Services Association. All rights reserved. 14 Reflective Thinking  Returning to the change effort you are implementing…. which elements of readiness are priority areas for continuous improvement work, where are you moving from a gap area to an area of strength, and which elements are strengths for you and will be and asset in making continuous improvement a way of doing business?

15. © 2010 American Public Human Services Association. All rights reserved. 15  Contact Information  Kathy Jones Kelley  APHSA, OE Consultant  Kathy.kelley@aphsa.org Kathy.kelley@aphsa.org  Resources  www.aphsa.org www.aphsa.org  www.ppcwg.org www.ppcwg.org  www.fpg.unc.edu/~nirn www.fpg.unc.edu/~nirn  www.casey.org www.casey.org  www.muskie.usm.maine.edu www.muskie.usm.maine.edu