Taking on Practice Model Implementation Challenges
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Taking on Practice Model Implementation Challenges The New Mexico Experience Practice Model Peer Network Webinar September 10, 2012
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Taking on Practice Model Implementation Challenges. The New Mexico Experience. Practice Model Peer Network Webinar September 10, 2012. New Mexico. Background Information. New Mexico. - PowerPoint PPT Presentation
Transcript of Taking on Practice Model Implementation Challenges
Taking on Practice Model Implementation Challenges
Taking on Practice Model Implementation ChallengesThe New Mexico ExperiencePractice Model Peer Network WebinarSeptember 10, 2012
1New MexicoBackground Information
New MexicoChildren, Youth & Families Department, Protective Services Division is the federally designated child welfare agency
Administration is centralized, with direct services offered through county offices located within five designated regions
New Mexico 854.8 PositionsCurrent vacancy rate approximately 17%Approximately 17,000 investigations annuallyAverage caseload 16.1 children per caseworker As of July 2012:1752 in out of home placement122 children on trial home visits51% have a reunification plan39% have a plan of adoptionApproximately 3% have PPLA plan
Prior Change InitiativesFederal Consent DegreeStructured Decision MakingConcurrent PlanningCFSR Round 1 Program Improvement PlanCFSR Round 2 Program Improvement PlanSafety Management Model
New Mexico, like many other states has over the years experienced a number of large system change initiatives.Here are examples of some of our larger efforts. Our most recent effort was the implementation of a new Safety Management Model. That experience coupled with our prior experiences showed us that we wanted new strategies for how to implement.5Previous Implementation StrategiesIdentify best practicesRevise agency policy and proceduresModify systems, e.g., SACWIS, forms, etc.Provide trainingConduct quality assuranceManagement Information reportsCase reviewProvide more trainingProvide additional training
New Mexico Practice ModelPion ProjectDefines how we engage and work with children, youth, families, and stakeholdersFocuses on the safety, permanency, and well-being of children and their familiesUnderway since November 2009Supported by the Mountains and Plains Child Welfare Implementation Center (MPCWIC).
Doing Things DifferentlyBottom Up rather than Top Down approach
Application of Implementation Research
8Application of Implementation Research
Practice, program and systems change through fully integrated use of:Implementation StagesImplementation DriversImplementation TeamsImprovement Cycles
Stages in Implementation Major Implementation Initiatives occur in stages:ExplorationInstallationInitial ImplementationFull ImplementationTwo to four years
Not all Implementation Challenges are Created Equally
Selecting the Correct StrategyDifferent strategies for different challengesTechnical LeadershipAdaptive Leadership
Change efforts get stuck because we are using technical approaches for adaptive issues
Technical ChallengesPerspectives are aligned (views, values)Definition of the problem is clearSolution and implementation of the solution is clearPrimary locus of responsibility for organizing the work is the leader
Adaptive ChallengesLegitimate, yet competing perspectives emergeDefinition of the problem is unclearSolution and implementation is unclear and requires learningPrimary locus of responsibility is not the leader
14Discovering the Adaptive Challenge
Your Current RealityYour AspirationADAPTIVE CHALLENGEAdaptive Leadership15New Mexicos ApproachContinued with necessary technical solutionsDevelop practice standardsRevise policies and proceduresModify quality assurance practicesCommunicate expectationsExpanded agency capacity to do adaptive workNational Resource Center for Organizational Improvement & Cambridge Leadership Associates
Tools for Practicing Adaptive LeadershipDiscovering the Adaptive ChallengePersonalizing the Adaptive challengeMapping the SystemCase ConsultationOffice Hours
New Mexicos ApproachSeries of planning sessions with NRCOI & CLATwo Day On-site training in January 2012Involved staff from implementation sitesImplement Office Hours in implementation sitesOngoing work by the staff on one of the four adaptive challengesMonthly meetings with office team and executive sponsorsDesign and implementation of a series of mini- experiments Scaling efforts
Lessons LearnedDiagnostic efforts are criticalExperiments dont always succeed but you learn from successes and failuresImportant to identify measurementsAnticipate and acknowledge loss and the various ways it may be expressedBe clear about why participants are being asked to change or experience the loss
19Questions?
Presenters:
Annamarie Luna Program Deputy DirectorProtective Services DivisionChildren, Youth & Families [email protected]
Brenda ManusPractice Improvement BureauProtective Services DivisionChildren, Youth & Families [email protected]
