How to Do It Evidence-Based Strategies for Building and

Sustaining Momentum

W. Oscar Fleming

Colleen Marie Smith

Learning Objectives

• Understand implementation supports

• Apply the Implementation Support Checklist to advance team planning

Miracles Required?

Do you have a role here?

2-4 Years

Exploration InstallationInitial

ImplementationFull

Implementation

MI

TX

NCAL

IN

VA

WI

• Engage community • Identify innovations• Examine innovation

components• Assess need & fit • Consider

implementation supports

• Choose innovation(s)

• Develop Implementation Team

• Engage community• Acquire resources• Equip staff• Prepare organization• Build implementation

supports• Enhance data systems

• Measure performance• Initiate improvement

cycles• Strengthen

supports• Support staff making the

change • Communicate progress

• Sustain supports and performance assessment

• Continuous improvement

• Manage turnover & drift• Scale up• Document & share

What Does It Take?

It Takes Teams

It Takes Time

It Takes Support

It Takes Intentional

Learning

It Takes Support

Teams Build the Supports

Please say hello to Asha.

Who is Asha in your context?

What does Asha need to support her practice?

]

•Competency Supports

•Organizational Supports

•Leadership Supports

Supports for Asha

]

Selection

Training

Coaching Fidelity/Performance Assessment

Competency Supports

]

Decision SupportData Systems

FacilitativeAdministration

SystemsIntervention

Organizational Supports

]

Enabling Context

Continuous Communication

Multilevel Engagement

Leadership Supports

Implementation Supports Checklist

Training – How does training build staff competency to implement the practice? Program leaders and managers… Rating Action Notes

1. Skill-based training is secured for relevant staff (e.g., training integrate opportunities for practice and feedback)

2. Training data are used to develop competency and improve training

Activity: Implementation Supports Checklist

• Each team should choose a specific support (e.g. coaching; 1 min.).

• Individually answer the checklist questions for the selected support in the context of your project. (2 min)

• As a group, discuss your answers & capture ideas for action. (7 min.)

Action PlanActivity

(What is the activity you are doing?)

Product(What is being

produced?)

Indicator/Measure(How will you measure this

activity?)

Responsible(Who is

responsible for this

activity?)

Frequency/Deadline(What is the deadline

of this activity?)

Action Planning