A Conference to Advance the State of the Science and Practice on Scale-up and Spread of Effective Health Programs Informational WebEx Session Joe McCannon, IHI, Chair Brian Mittman, PhD, VA/CIPRS, Co-chair Wynne Norton, PhD, UAB, Co-chair June 25, 2010 this conference was made possible in part by grant 1R13HS019422-01 from the Agency for Healthcare Research and Quality (AHRQ). The vi erence materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of H does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. The Commonwealth Fund, Health Administration, The Donaghue Foundation and The John A. Hartford Foundation also provided meeting support.
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Joe McCannon, IHI, Chair Brian Mittman, PhD, VA/CIPRS, Co-chair Wynne Norton, PhD, UAB, Co-chair
June 25, 2010. A Conference to Advance the State of the Science and Practice on Scale-up and Spread of Effective Health Programs Informational WebEx Session. Joe McCannon, IHI, Chair Brian Mittman, PhD, VA/CIPRS, Co-chair Wynne Norton, PhD, UAB, Co-chair. - PowerPoint PPT Presentation
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A Conference to Advance the State of the Science and Practice on
Scale-up and Spread of Effective Health Programs
Informational WebEx Session
Joe McCannon, IHI, ChairBrian Mittman, PhD, VA/CIPRS, Co-chair
Wynne Norton, PhD, UAB, Co-chair
June 25, 2010
Funding for this conference was made possible in part by grant 1R13HS019422-01 from the Agency for Healthcare Research and Quality (AHRQ). The views expressedin written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human
Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. The Commonwealth Fund, The Veteran’s Health Administration, The Donaghue Foundation and The John A. Hartford Foundation also provided meeting support.
Meeting Supporters
• The Commonwealth Fund
• Agency for Health Care Research and Quality
• US Department of Veterans Affairs
• Donaghue Foundation
• John A. Hartford Foundation
Planning Committee Members
• David Atkins, VA• Anne-Marie Audet, Commonwealth Fund• Chris Bailey, WHO• David Chambers, NIMH• Lindsay DeGennaro, IHI• Denise Dougherty, AHRQ• Don Goldmann, IHI• Chris Gordon, NIMH• Deborah Jenkins, VA• Paul McGann (and designee), CMS• Rashad Massoud, URC• Todd Molfenter, U Wisconsin• John Ovretveit, Karolinska Institute• Marie Schall, IHI• Mary Taylor, Gates Foundation
Today’s Agenda
• Meeting Background
• Meeting Objectives
• Desired Outputs
• Meeting Agenda
• Meeting Work Groups
• Attendee Role
• Non-attendee Role
• Questions and Discussion
Background - Why Are We Here?
• We possess an enormous amount of knowledge about effective practice that is not broadly applied.
• We need to create a system – consisting of diverse actors - to test, prioritize and spread effective practice much more quickly and broadly.
• We need to expand our thinking to include new incentives for change, new methods for spreading change, new mechanisms for measuring progress, etc.
Background - Why Are We Here? (cont.)
• To build on the momentum of our prior meeting and a number of other recent initiatives
• To respond to clear demand (urgent need, reform environment)
• To sharpen a vague research and practice agenda
• To create a community of peers
• To develop a blueprint for action
Why Aren’t We Here?
• To rehash what we know already
• To focus exclusively on theory
• To focus solely on the perspective of one stakeholder group
• To study scale up without attention to present context (e.g., recent reform)
Conference Aims
1. To review existing knowledge and current practices related to the scale-up and spread of effective practice in health care and public health;
2. To identify key challenges and gaps in current research, policy, and practice related to scale-up and spread in health care and public health;
3. To develop and disseminate a detailed agenda outlining critical research, policy, and practice initiatives on these topics for the next five to seven years; and
4. To launch specific activities to operationalize this agenda, creating a plan of action to prioritize research, policy, and practice activity and initiating powerful demonstrations of regional, national, and international scale-up in health care and public health.
Proposed Deliverables
• Detailed agenda for research and practice• Refined hypotheses about key factors in scale up• Refined framework for spreading better practice (and a
list of common barriers)• A durable learning network (before, during and after)• A set of “performance challenges” • Peer-reviewed publication• Conference presentations• Proceedings/report of conclusions
Conference Aims
1. To review existing knowledge and current practices related to the scale-up and spread of effective practice in health care and public health;
2. To identify key challenges and gaps in current research, policy, and practice related to scale-up and spread in health care and public health;
3. To develop and disseminate a detailed agenda outlining critical research, policy, and practice initiatives on these topics for the next five to seven years; and
4. To launch specific activities to operationalize this agenda, creating a plan of action to prioritize research, policy, and practice activity and initiating powerful demonstrations of regional, national, and international scale-up in health care and public health.
Conference Content
• General meeting overview, logistics, worksheet, attendee information
• Four commissioned papers (health care, public health, international, general framework)
• Five background papers
• Three case studies
• Bibliography
• Database of research and practice
Conference Aims
1. To review existing knowledge and current practices related to the scale-up and spread of effective practice in health care and public health;
2. To identify key challenges and gaps in current research, policy, and practice related to scale-up and spread in health care and public health;
3. To develop and disseminate a detailed agenda outlining critical research, policy, and practice initiatives on these topics for the next five to seven years; and
4. To launch specific activities to operationalize this agenda, creating a plan of action to prioritize research, policy, and practice activity and initiating powerful demonstrations of regional, national, and international scale-up in health care and public health.
Targeted Conference Attendees
• Donors
• Payers
• Practitioners
• Researchers
• Policymakers
• Media
• Industry
• Patients and families
Represented Organizations (Abbreviated)
• IHI• VA• AHRQ• UAB• Commonwealth Fund• Donaghue Foundation• John A Hartford Foundation• Gates Foundation• Robert Wood Johnson Foundation• Social Impact Exchange• Kaiser Permanente• Health Partners• Iowa Health• WHO• US Dept of Education• CDC• CMS• USAID/URC• NIH• NIMH• Canadian Institutes of Health• ABIM
• AHA (HRET)• Georgetown• Harvard• Yale• Johns Hopkins• Stanford• UNC• University of Texas• University of Washington• University of Wisconsin• UCSF• UCLA• Karolinska Institute• Penn State• Michigan Hospital Association (Keystone)• Blue Cross Blue Shield Association• Common Ground• Common Knowledge Associates• CFAR• Expandnet• McKinsey• Et al.
General Agenda
• Revisit core framework (lens)
• Envision the ideal system for scale-up and spread (identify new levers for change, untapped “abundance”)
• Identify gaps
• Make recommendations for action
• Make commitments to action
Core Framework (Drivers of Scale-up)
• The current environment for change in which scale up will occur
• The foundation (or pre-history) for the work in question • The framing (especially aims) for the work in question• The nature of the intervention to be spread• The structural context into which the intervention will be
spread• The method for spreading new knowledge and executing
change (including the method of evaluation).
General Agenda
• Revisit core framework (lens)
• Envision the ideal system for scale-up and spread (identify new levers for change, untapped “abundance”)