Workstream breakouts City of Edinburgh
Workstream breakouts City of Edinburgh. Format for Workstreams sessions Introductions at your table Improvement Bootcamp overview and other improvement.
Dec 18, 2015
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Workstream breakouts
City of Edinburgh
Format for Workstreams sessions• Introductions at your table• Improvement Bootcamp overview and other
improvement journeys• Components of a learning system – how does our
work stack up?• Workstream presentations – 30 mins each including
Q&A• Table top reflection on own learning and application
of improvement methodology
The Bootcamp Experience : from this…..
The Bootcamp Experience : to this……
Components of a Learning System
1. System level measures
2. Explicit theory or rationale for system changes
3. Segmentation of the population
4. Learn by testing changes sequentially
5. Use informative cases: “Act for the individual learn for the population”
6. Learning during scale-up and spread with a production plan to go to scale
7. Periodic review
8. People to manage and oversee the learning system
From Tom Nolan PhD, IHI
Promoting Bedtime Reading
Donna MurrayHead Teacher
Lochrin and Grassmarket Nursery SchoolsEdinburgh
Why Bedtime Reading
Importance of bedtime routines.
Impact on attachment
Literacy
My Role
Head Teacher – 2 Nursery Schools
Programme Manager – Early Years Collaborative
Lending LibraryOnce a week
Record what book the child took.
Record the book returned.
Ask parents to record what they thought of the book.
Try to get parent helpers!
Observations and Parent Survey
Library book returned following day.
Library book often forgotten on the day.
60% stated they had read the book with their child (one whilst driving!)
40% at bedtime
20% more than once.
Reasons for not reading the book
A week’s too long
It’s his book
No time
It’s not my kind of book.
So what did we do about it?
PDSA - Plan, Do, Study, Act
“What will happen if we try something different?”
“Let’s try it!”
“What’s next? ”
“Did it work?”
How?
Think big, test small and scale up!Plan, Do, Study, Act
What are we trying to accomplish?
What change can we make that will result in improvements?
How will we know that a change is an improvement?
By the end of June 90% of children at Grassmarket Nursery will receive a bedtime story at least 3 times a week.
June 2013 Tests of change
Baseline
1 - Change the name and provide a leaflet.
2 - Move the bookstand to the entrance.
3 - Choose more than one book.
90% of children at Grassmarket nursery school will receive a bedtime story at least 3 times a week.
Children receiving a bedtime story
Median
Goal
0
10
20
30
40
50
60
70
80
90
100
M T W TH F M T W TH F M T W TH F M T W TH FDay of the week
Perc
en
tag
e
of
ch
ild
ren
Family garden partyA very hot
weekend
Children receiving a bedtime story
Median
Goal
0
10
20
30
40
50
60
70
80
90
100
Before change 1st change 2nd change 3rd changeWeekly change
Perc
en
tag
e
of
ch
ild
ren
Children receiving a bedtime story
Median
Goal
0
10
20
30
40
50
60
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GM before GM 1stchange
GM 2ndchange
GM 3rdchange
L before L 1stchange
L 2ndchange
L 3rdchange
Weekly change
Per
cen
tag
e o
f ch
ildre
n
Scaled up to Lochrin
Lochrin Nursery
Children receiving a bedtime story
MedianGoal
0
20
40
60
80
100
120
M T W TH F M T W TH F M T W TH F M T W TH FDay of the week
Perc
en
tag
e
of
ch
ild
ren
.
Parents survey
Grassmarket changes
introduced.
Books available at collection time.
Research information handed to
parents.
weekly average displayed for parents
Last week
84% of our children said they had a bedtime story.
THAT’S FANTASTIC!
87% of parents prefer to choose a book with their child
100% of parents prefer to choose a book any day of the week and as often as they like.
53% of parents said the new Bedtime Story system has led to them reading to their child more often.
40% of parents said the bedtime story has improved their child’s bedtime routine.
He used to have DVD’s and be really late going to bed and now we use the bedtime story and he gets into bed and is sleeping longer… I’m hoping this will help with his behaviour.
100% of parents said both they and their child enjoyed the bedtime stories.
It’s a brilliant idea!
If it’s a first child and you don’t have children at school you don’t realise how important bedtime reading is. I wish I’d realised this when his sister was younger.
I read the leaflet and it said how they settle down better with the comfort of your voice. I asked Theresa if she liked my voice and she said yes. I asked what about daddy and she said “he reads like a robot”
Biggest Impacts on Improvement
Changing the name!Lending Library to Bedtime Stories.
Why bedtime reading is important.
Taking the hassle out of choosing a book!
Bedtime Stories HighlightsNo longer record who, what, when.
Choose a book any day and more often.
All parents involved
More children are receiving a bedtime story.
More children have a better bedtime routine.
Next Steps
Introduce to afternoon children.
Scale up within the cluster
Alfie
I like my bedtime story because it helps me to dream.
The
Improvement Model
Works!
TABLE DISCUSSION• Who are individuals and/or teams currently
working on in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning?
• Reflecting on the emerging knowledge within this area, what are some potential tests of change you could run that might accelerate your work?
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