FACING REALITY: WHAT IT
TAKES TO IMPLEMENT
SYSTEMS CHANGE
National Webinar May 16, 2011
Overview of Webinar
Marketa Garner Gautreau
Western and Pacific Child Welfare
Implementation Center
Webinar Overview
Webinar goals
 Plans for webinar series
 Introduction to Implementation Centers
 Basic understanding of Implementation Science
 Reflections on lessons learned in systems change
and implications for states
 Your participation is critical! Send us your
questions and answer polling questions

Introduction to the Implementation
Centers
Michelle Graef
Midwest Child Welfare Implementation
Center
Implementation Centers and
National Resource Centers
Funded by the Children’s Bureau to provide States and
Territories, Tribes, and Tribal Consortia individualized
training and technical assistance (T/TA) to:
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Improve child welfare administration and practice
Meet Federal performance standards and implement effective
programs
Pursue sustainable and positive systems change
Improve outcomes for children, youth & families
Implementation Centers: Filling the Gap
 States and Tribes are sometimes without the resources
necessary to implement comprehensive strategic plans
 National Resource Centers have limited resources to
provide intensive, long-term TA
 Implementation Centers provide in-depth and long-term
consultation and peer networking opportunities to States
and Tribes
Project Partner Roles
Building Capacity to Implement Sustainable Systems Change
Implementation Center
Child Welfare Agency
Conduct organizational and readiness
assessment to identify potential barriers to
implementation
Develop and implement strategies to address
organizational barriers and improve
readiness for implementation
Guide planning process
Develop project plan
Provide and coordinate technical assistance
resources to support organizational change
and facilitate implementation
Provide and coordinate organizational/
human resources to manage change and
support implementation
Provide technical assistance to promote best
practices in organizational and child welfare
systems change
Utilize best practices to align people,
process, structure, measurement/rewards,
and technology around the desired systems
change
Facilitate implementation
Implement plan
Develop methodology (e.g. benchmarks,
tools) to monitor implementation progress
Collect project data; use data reports to
monitor implementation and inform /refine
implementation strategies
Evaluate project outcomes
Use findings and lessons learned to inform
Geographic Assignments
Who are the Implementation Centers?
Implementation Center
Organization
Northeast & Caribbean
Implementation Center (NCIC)
University of Southern Maine, Muskie School of
Public Service
Atlantic Coast Child Welfare
Implementation Center (ACCWIC)
University of Maryland School of Social Work
Midwest Child Welfare
Implementation Center (MCWIC)
University of Nebraska-Lincoln, Center on
Children, Families & the Law
Mountains & Plains Child Welfare
Implementation Center (MPCWIC)
University of Texas at Arlington, Center for Child
Welfare partnering with the University of Denver,
Butler Institute and The Native American Training
Institute (NATI)
Western & Pacific Child Welfare
Implementation Center (WPIC)
American Institutes for Research, partnering with
National Indian Child Welfare Association, Center
for the Study of Social Policy, National Technical
Assistance Center for Children’s Mental Health at
Georgetown University, and the Florida Mental
Health Institute at the University of South Florida
Learn More
Implementation Centers
Northeast & Caribbean Implementation
Center (NCIC)
Website
http://ncic.muskie.usm.maine.edu
Atlantic Coast Child Welfare Implementation www.accwic.org
Center (ACCWIC)
Midwest Child Welfare Implementation
Center (MCWIC)
www.mcwic.org
Mountains & Plains Child Welfare
Implementation Center (MPCWIC)
www.mpcwic.org
Western & Pacific Child Welfare
Implementation Center (WPIC)
www.wpicenter.org
Understanding Implementation
Science
Cathy Fisher
Atlantic Coast Child Welfare
Implementation Center
Implementation is Complex
THERE IS SCIENCE TO GUIDE US
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There is a body of research on effective implementation
Most has focused on research/evidenced based
practices
Child welfare systems have been slow to explore the
science
Well-defined and developed child welfare models are
foundational to sound implementation
Application of implementation science may improve child
welfare outcomes
Implementation is both an art and a science.
THERE IS SCIENCE TO GUIDE US
There is a body of research on effective implementation
Most has focused on research/evidenced based practices
Child welfare systems have been slow to explore the science
Well-defined and developed child welfare models are
foundational to sound implementation
Application of implementation science may improve child
welfare outcomes
Implementation is both an art and a science.
Models to support Implementation

Implementation Science
 National
Implementation Research Network
(NIRN)

Phases of Change
 John

Kotter, Harvard Business School
Managing Change
 ADKAR
Model – Prosci (Awareness, Desire,
Knowledge, Ability and Reinforcement)
Key Elements of Systems Change
Stages of Implementation
Getting from here to there…
Stages of Implementation
Sustainability
Innovation
Full Operation
Initial Implementation
Installation
Exploration
Stages of Implementation
Core Activities
Exploration
• Conduct
organizational
assessment
• Garner leadership
and stakeholder
support
• Review literature
• Solicit multiple
perspectives on
needs and
opportunities
• Establish baseline
performance
• Develop
intervention model
Design/Installation
Initial Implementation
• Develop plans:
• Implementation
• Communication
• Change
management
• Define goals and
benchmarks
• Engage
stakeholders
• Conduct readiness
assessment
• Align organization
systems/supports
• Build staff
competency
• Communicate
project status
• Monitor fidelity of
implementation
• Monitor
implementation
climate
• Identify and
address barriers to
implementation
• Provide
performance
feedback to staff,
management, and
stakeholders
Adapted from Implementation Research: A Synthesis of the Literature (2008)
The National Implementation Research Network
Stages/Activities
Full
Implementation
•Apply lessons
learned from initial
implementation to
full operation
•Track fidelity
through quality
assurance and
performance
evaluation data
•Solicit feedback
from multiple
stakeholders and
consumers
•Evaluate impact on
child and family
outcomes
Innovation
Sustainability
• Adapt or adjust
intervention model
to reflect lessons
learned from
stakeholder
feedback, tracking,
evaluation
• Communicate
changes and
rationale
• Re-build
competency
around modified
model
• Establish long term
funding sources
• Align ongoing
quality assurance
and performance
measurement with
model
• Promote visibility
of new practice
and successful
outcomes
Adapted from Implementation Research: A Synthesis of the Literature (2008)
The National Implementation Research Network
National Implementation Research Network:
Implementation Drivers
Performance Assessment
(Fidelity)
Systems Intervention
Coaching
Facilitative Administration
Training
Selection
Integrated
&
Compensatory
Decision Support
Data System
LEADERSHIP
© Fixsen & Blase, 2008
Project vs. Change Management
Project
Change
Management Management
A structured approach to
managing tasks, resources
and budget to achieve a
desired outcome
A set of processes and tools
to manage the people
engaged in the project to
achieve the desired outcome
* Implementation requires managing the project and managing the
change
Process for Implementing Change
Changing the Organization
Leaders:
 Make the case for change
 Guide the organization through change
 Keep the focus, stay engaged and reinforce
change
 Perception of change based on position in the
organization
 Individuals change at different rates
 All change is individual- It’s all about me!

ADKAR - Change Management
Model
Awareness of the need for change
 Desire to participate and support the change
 Knowledge of how to change
 Ability to implement the
required skills/behaviors
 Reinforcement to sustain the
change

Hiatt, J. (2006) ADKAR: a Model for Change in Business, Government and our Community : How to Implement Successful
Change in our Personal Lives and Professional Careers. Change Management Learning Center, Prosci, CO.
Engaging in Change
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Establish readiness for change
Build trusting relationships
Develop champions
Balance flexibility vs. staying the course
Allocate time and resources
Take regular organization temperature
Communicate , before , during and after
Clarify the impact of the change at the individual level
Lessons Learned
Maria Scannapieco
Mountains and Plains Child Welfare
Implementation Center
Successful, sustained implementation
isn’t easy!
 Implementation
Science teaches the
need for a purposeful, somewhat
resource heavy approach to change
 Burdened child welfare systems may
struggle with this level of
infrastructure commitment
Implementation Centers have found the
following to be key:
Leadership
 Trusting relationships
 Clarifying who owns the plan
 Flexibility versus staying the course
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Lessons Learned
Time and resources
 Communication, communication, communication
 Defining roles and responsibilities
 Readiness and reality
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Lessons Learned
Champions
 Measures of success
 Capacity building
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Lessons Learned with Tribes
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Different issues of trust
Understanding of implementation science
Building capacity and access to technology
Each Tribe has unique identity with different
languages, customs and traditions
Layers of complexity
Rural insular communities
Tribal politics
What are your experiences around
implementation of systems change?
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What strategies have been most successful as your
organization prepared for child welfare reform?
How were staff prepared to take on a new
systems change effort in the organization?
What role have staff and stakeholders played in
leading change efforts?
Topics for Future Implementation Center
Webinars
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What is your preference?
 Developing,
implementing, and enhancing
practice models
 Increasing engagement/collaboration with
stakeholders
 Using data for effective program management
For Further Reading
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National Implementation Research Network www.fpg.unc.edu/~nirn
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ADKAR - www.change-management.com
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John Kotter - www.kotterinternational.com
We want to hear from you….
Send us your questions and comments:
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Marketa Gautreau - [email protected]
Michelle Graef – [email protected]
Cathy Fisher – [email protected]
Maria Scannapieco - [email protected]
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Facing reality: What it Takes to implement systems change