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#ARCLeads19

May 16, 2019 American Reading Company

High Reliability OrganizationsAlicia Grunow

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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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_________ _________ _________ _________

_________ _________ _________ _________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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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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DISTRICT

SCHOOL

CLASSROOM

Nested Systems

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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

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How to achieve high reliability?① Take a systems thinking approach.

② Identify the key processes that impact your outcome.

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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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PROCESS B

PROCESS

PROCESS

PROCESS A

PROCESS C

PROCESS

OutcomeZERO

FAILURES

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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

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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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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

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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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How Failures Occur

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(1) IDENTIFY KEY PROCESSES

(2) MEASURE RELIABILITY

(3) IMPROVE RELIABILITY

(1b) MAP THE PROCESSES

Step Step Step Step Step

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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

100%

100%

100%

How many? What else? What else?

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1. Preoccupation with failure2. Sensitivity to operations3. Reluctance to simplify4. Commitment to resilience5. Deference to expertise

High Reliability Organizations

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(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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