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Appropriate Response
    Implementation
  Using National Implementation
Research Network (NIRN) to Define
    the Implementation of AR
AR Implementation
• 71% of reports are Neglect.
• Many unfounded reports needed services but
  did not rise to level of DSS intervention
• Communities have varied services
• Communities do not offer a structured case
  management system to connect and support
  families in need.
• Communities have gaps in service.
AR Implementation
• All information is from the National
  Implementation Research Network
• System changes are:
  – Professional attitudes and behavior
  – Organizational structure
  – Stakeholder relationships
AR Implementation
• Implementation Drivers are:
  – Leadership
  – Competency
  – Organizational
  – Today we will focus on Organizational Drivers
AR Implementation
• Organizational Drivers
• System Interventions-Multilevel alignment, maintaining
  communication at all levels
   – Internal and External collaboration/coordination
   – Perspectives of internal and external stakeholders
   – Internal and external stakeholders understand their role in
     change
• Facilitative Administrative- Reduce barriers, culture that is
  focused on what it takes to implement with fidelity
   – Organizational structure is aligned to support model
   – Policies and procedures are developed to support model
   – Feedback loops are defined and used.
AR Implementation
• Data Decision Systems- Data collection and reporting
   – Organization has automated data collection and
     reporting system
   – Practice documentation requirements are
     integrated into data system
   – Fidelity data are distributed via feedback loops
2010-11 CPS Intake Decisions

                                NOA, 36.6



   Investigated, 63.
           3




       Indication Rate: 38.5%
Regional CPS Intake Decisions 2012
• May 2012                   • October 2012

                                                            NOA, 15.4%
              NOA, 21%
                                                                                      CWS, 33.4%
                                    CWS, 38%


                                               FSS, 25.6%
   FSS, 20%

                                                                         VCM, 25.4%
                         VCM, 21%




                                                               Indication Rate 45.8%
AR Implementation
Greenville, Spartanburg, Anderson began
January 17, 2012.
Greenville accepted 2065 cases in 2011
Greenville accepted 2096 cases in 2012
CPS 36%      VCM 26% FSS 24% I&R 13%

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Appropriate Response Implementation

  • 1. Appropriate Response Implementation Using National Implementation Research Network (NIRN) to Define the Implementation of AR
  • 2. AR Implementation • 71% of reports are Neglect. • Many unfounded reports needed services but did not rise to level of DSS intervention • Communities have varied services • Communities do not offer a structured case management system to connect and support families in need. • Communities have gaps in service.
  • 3. AR Implementation • All information is from the National Implementation Research Network • System changes are: – Professional attitudes and behavior – Organizational structure – Stakeholder relationships
  • 4. AR Implementation • Implementation Drivers are: – Leadership – Competency – Organizational – Today we will focus on Organizational Drivers
  • 5. AR Implementation • Organizational Drivers • System Interventions-Multilevel alignment, maintaining communication at all levels – Internal and External collaboration/coordination – Perspectives of internal and external stakeholders – Internal and external stakeholders understand their role in change • Facilitative Administrative- Reduce barriers, culture that is focused on what it takes to implement with fidelity – Organizational structure is aligned to support model – Policies and procedures are developed to support model – Feedback loops are defined and used.
  • 6. AR Implementation • Data Decision Systems- Data collection and reporting – Organization has automated data collection and reporting system – Practice documentation requirements are integrated into data system – Fidelity data are distributed via feedback loops
  • 7. 2010-11 CPS Intake Decisions NOA, 36.6 Investigated, 63. 3 Indication Rate: 38.5%
  • 8. Regional CPS Intake Decisions 2012 • May 2012 • October 2012 NOA, 15.4% NOA, 21% CWS, 33.4% CWS, 38% FSS, 25.6% FSS, 20% VCM, 25.4% VCM, 21% Indication Rate 45.8%
  • 9. AR Implementation Greenville, Spartanburg, Anderson began January 17, 2012. Greenville accepted 2065 cases in 2011 Greenville accepted 2096 cases in 2012 CPS 36% VCM 26% FSS 24% I&R 13%