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#ARCLeads19
#ARCLeads19
May 16, 2019 American Reading Company
High Reliability OrganizationsAlicia Grunow
#ARCLeads19
Failure-free operation over timeDEFINING SYSTEMS RELIABILITY
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_________ _________ _________ _________
_________ _________ _________ _________Enrollment in Early Education
?
?
?
?? ?
??
Rank order the pictures from least reliable = 8 to most reliable = 1.
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#ARCLeads19
_________ _________ _________ _________
_________ _________ _________ _________Enrollment in Early Education
1
2
3
45 6
78
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OutcomeZERO
FAILURES
HIGH RELIABILITY
What does this mean in education?
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Only English(2)
Only Spanish (4)
Both Spanish and English
(7)
Neither (11)
ON GRADE LEVEL READING2005-2006
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OutcomeZERO
FAILURESHow do you get here?
HIGH RELIABILITY
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#ARCLeads19
How do you achieve high reliability?
①Start with systems-thinking.
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“Every system is perfectly designed to get exactly the results that it gets.”
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PROCESS B
PROCESS
PROCESS
PROCESS A
PROCESS C
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
OutcomeZERO
FAILURES
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#ARCLeads19©API, Inc. 2002 All Rights Reserved
DISTRICT
SCHOOL
CLASSROOM
Nested Systems
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#ARCLeads19 14
CONFERENCING
PACING GUIDES
THRIVING READERS
LESSON PLANNINGTEACHERS
DISTRICT
ARC PD COACHING
MATERIALS GRADING PROCEDURES
ASSESSMENT
ASSESSMENT REQS
COLLABORATION TIME
COACHING & FEEDBACK
HOME READING
AVID READING CULTURE
SCHOOL INTERVENTION
SMALL-GROUP INSTRUCTION
POWER GOALS
GROUPING
SCHOOL SCHEDULES
SELECTING MATERIALS
NEW INITIATIVES
#ARCLeads19
How to achieve high reliability?① Take a systems thinking approach.
② Identify the key processes that impact your outcome.
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#ARCLeads19
PROCESS B
PROCESS
PROCESS
PROCESS A
PROCESS C
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
PROCESS
OutcomeZERO
FAILURES
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#ARCLeads19
PROCESS B
PROCESS
PROCESS
PROCESS A
PROCESS C
PROCESS
OutcomeZERO
FAILURES
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#ARCLeads19
ALL Children Learn to Read by
Third Grade
QUALITY CORE INSTRUCTION
ACCELERATING STRUGGLING
READERS
An Example…
Guided Reading
Intervention
Formative assessment & Grouping
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#ARCLeads19
How do you achieve high reliability?
①Start with systems-thinking.
②Identify the key processes that impact your outcome.
③Empower teams to discover improvements.
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#ARCLeads19
The Knowing-Doing Gap
Clinical Procedure Landmark Trial Current Rate of Use
Flu vaccination 1968 55%
Thrombolytic therapy 1971 20%
Pneumococcal therapy 1977 35.6%Diabetic eye exam 1981 38.4%
Beta blockers after MI 1982 61.9%
Cholesterol screening 1984 65%
Fecal occult blood 1986 17%
Diabetic foot care 1993 20%
Adapted from: Balas, E., & Boren, S. (Eds.). (2000). Managing clinical knowledge for health care improvement. Bethesda, MD: National Library of Medicine, pp. 65-70.
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ALL Children Learn to Read by
Third Grade
QUALITY CORE INSTRUCTION
ACCELERATING STRUGGLING
READERS
An example…
Guided Reading
Intervention
Formative Assessment & Grouping
#ARCLeads19
Identify struggling readers
Create an intervention
schedule
Pull small groups of students
Provide targeted
instruction
Reassess progress
90% 90% 90% 90% 90%
PROCESS: Intervention for struggling readers in 1st grade
OUTCOME: Delivering the right targeted instruction to the right kids
59% of intended dosage
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INTERVENTION
PROCESS
PROCESS
GUIDED READING
PROCESS C
MENTALHEALTH
SUPPORT
PROCESS
PROCESS
PROCESS
FA
PROCESS
PROCESS
OutcomeFAILURES
59%
59%
59%
59%
59%
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#ARCLeads19
How Failures Occur
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#ARCLeads19
(1) IDENTIFY KEY PROCESSES
(2) MEASURE RELIABILITY
(3) IMPROVE RELIABILITY
(1b) MAP THE PROCESSES
Step Step Step Step Step
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#ARCLeads19
ALL Children Learn to Read by
Third Grade
QUALITY CORE INSTRUCTION
ACCELERATING STRUGGLING
READERS
An example…
Guided Reading
Intervention
Formative assessment &
Grouping
100%
100%
100%
How many? What else? What else?
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#ARCLeads19
1. Preoccupation with failure2. Sensitivity to operations3. Reluctance to simplify4. Commitment to resilience5. Deference to expertise
High Reliability Organizations
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#ARCLeads19
(1) WHAT IS YOUR AIM?
(2) WHAT ARE THE KEY
PROCESSES?
(3) NEXT UP: GO LEARN ABOUT
THOSE PROCESSES IN YOUR ORGANIZATION
WHY
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