Parallel Session: Collaborating to Give Every Child the Best Start
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The document outlines a session focused on improvement frameworks for early years within NHS Fife, led by CEO John Wilson. It discusses the objectives of ensuring developmental milestones are met for children and reducing stillbirth and infant mortality rates through community engagement and quality improvement methods. Key activities include breakout sessions, discussions on the current state of work, and developing actionable tests of change for participants to implement.
Parallel Session: Collaborating to Give Every Child the Best Start
- 1. Chair - John Wilson – CEO NHS Fife
- 3. Session outline • Knowledge and understanding of Framework for Improvement Dependent on your role: • To consider what are the ingredients for success in implementing this improvement approach for early years • To consider the challenges to the service in taking this approach • To identify community assets in your context that can contribute to improvement, and how you might personally engage
- 4. •Using a World Café approach • Present emerging learning in key topic areas, including the policy line, evidence base, and emerging testing in each work stream area • Discuss work at the CPP level in each work stream area • Contribute and leave your footprint on this important work • Have fun! 4 Breakout Objectives
- 5. Setting the scene • Ros Gray – Head of the Early Years Collaborative, Scottish Government • 5 minute video http://developingchild.harvard.edu/resources/multimedia/videos/theo ry_of_change/
- 6. 6 What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement? Model for Improvement Act Plan Study Do Langley, et al.
- 7. The fundamental improvement questions •What are we trying to achieve? • Know exactly what you are trying to do – have clear aims and objectives •How will we know that change is an improvement? • Measuring processes and outcomes •What changes can we make that will result in an improvement? • What have others done? What hunches do we have? What can we learn as we go along?
- 8. IHI Breakthrough Series Collaborative Select Topic (develop mission) Planning Group Develop Framework & Changes Participants (10-100 teams) Prework LS 1 P S A D P S A D LS 3LS 2 Supports Email (listserv) Phone Conferences Visits Assessments Monthly Team Reports A D P S Expert Meetings AP1 AP2 AP3 LS – Learning Session AP – Action Period Holding the Gains
- 9. To ensure that women experience positive pregnancies which result in the birth of more Healthy babies as evidenced by a reduction of 15% in the rates of stillbirths (from 4.9 per 1,000 births in 2010 to 4.3 per 1,000 births in 2015) and infant mortality (from 3.7 per 1,000 live births in 2010 to 3.1 per 1,000 live births in 2015). Aims – 1 – station 1
- 10. To ensure that 85% of all children within each Community Planning Partnership have reached all of the expected developmental milestones at the time of the child’s 27‐30 month child health review, by end‐2016. Aims - 2– station 2
- 11. To ensure that 90% of all children within each Community Planning Partnership have reached all of the expected developmental milestones at the time the child starts primary school, by end‐2017. Aims – 3 – station 3
- 12. Leadership - Station 4 • Leadership • Getting organised for quality improvement
- 13. •Choose 2 stations – 15 mins each •Each work stream - overview (5 Minutes) •Group discussion - current work in this work stream (10 Minutes) •Move on •Final 25 minutes report out to the room 13 How We’ll Spend Our Time…
- 14. Area Who are individuals and/or teams currently working on in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning? Reflecting on the emerging knowledge within this key area, what are some potential tests of change you are currently running or could run that might accelerate this work and/or make it more impactful? From this brainstorm, what is a test of change you can take home and test within the next two weeks? Describe your first test(s) of change: Person responsible When to be done Where to be done Test(s) of Change: Predict what will happen when the test is carried out: Measures to determine if prediction succeeds:
- 15. 15 Report Out to the Room (25 Mins) •Emerging learning from each station •6 minutes each
- 16. That’s it for now…but just the beginning! •Big thanks to all for your contribution •Leave you with the words of Sir Harry Burns…