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< Will It Work Here? A Decisionmaker's Guide to Adopting Innovations

Index of Tools

ActionTool/Reference
Innovation Description
View example innovation profiles.

Health Care Innovations Exchange

Agency for Healthcare Research and Quality

http://www.innovations.ahrq.gov

Develop a logic model.

Logic Model Development Guide

W.K. Kellogg Foundation

http://www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf

Understand types of organizational change.

Major Types of Organizational Change

Free Management Library

http://www.managementhelp.org/misc/types-of-orgl-change.pdf

Assess the accuracy, applicability, and actionability of available evidence.

The Informed Decisions Toolbox

The Center for Health Research, University of California, Berkeley

http://toolbox.berkeley.edu/tools/

View evidence that an innovation did not work.

Health Care Innovations Exchange

Agency for Healthcare Research and Quality

http://www.innovations.ahrq.gov/content.aspx?id=66

Goal Congruence
Develop specific, measurable, attainable, relevant, and timely objectives.

SMART Objectives

March of Dimes

http://www.marchofdimes.com/files/HI_SMART_objectives.pdf

Compatibility
Assess organizational culture.

Organizational Culture Assessment Instrument

Graduate School of Banking at Colorado (University of Colorado)

http://trak.gsbcolorado.org/student_tools/documents/OCAIbCulturalAssessment07b.doc

The Quantitative Measurement of Organizational Culture in Health Care: A Review of the Available Instruments

Health Services Research

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1360923

Adapt an innovation.

Criteria for Choosing Promising Practices and Community Interventions

Community Tool Box, Kansas University

http://ctb.ku.edu/tools/en/sub_section_main_1152.htm

Potential Benefits
Identify potential benefits associated with the innovation.

Quantify the Benefits of Six Sigma Projects

Six Sigma

http://www.isixsigma.com/library/content/c011112a.asp

Potential Costs
Assess organizational capacity.

McKinsey Capacity Assessment Grid

Venture Philanthropy Partners

http://www.vppartners.org/learning/reports/capacity/assessment.pdf

Conduct financial analysis.

How to Decide Whether to Buy New Medical Equipment

Financial Analysis Worksheet

American Academy of Family Physicians

http://www.aafp.org/fpm/20040300/53howt.html

Conduct a training needs analysis.

A Matrix for Training Needs Analysis

Change Management Toolbook, ChangeSource

http://www.change-management-toolbook.com/mod/book/view.php?id=74&chapterid=50

http://www.hr-guide.com/data/G510.htm

Business Case
Learn the eight phases to building a business case.

Business Case Primer

Impact Technical Publications

http://www.impactonthenet.com/bcprimer.pdf

Calculate return on investment (ROI).

Events Prevented Calculator

The Institute for Healthcare Improvement

http://www.ihi.org/NR/rdonlyres/F1E65627-881A-48B5-B975-808439BF9AAF/0/AdverseEventsPreventedCalculator.xls

Medicaid ROI Calculator

Center for Health Care Strategies

http://www.chcsroi.org

Potential Risks
Conduct an environmental scan.

Taking Stock

National School Boards Association

http://www.nsba.org/sbot/toolkit/ts.html

Conduct a risk assessment.

Risk Assessment for Projects Change Management Toolbook, ChangeSource

http://www.change-management-toolbook.com/mod/book/view.php?id=74

Identify, assess, and manage risks.

Risk Management Tools and Activities

Small Business Administration

http://www.smallbiz.nsw.gov.au/NR/rdonlyres/FAC1345B-F20C-42C3-9F86-A5413F97FBC4/0/RiskManagement6.pdf

Readiness for Change
Assess organizational climate and readiness for change.

Organizational Readiness for Change

Institute of Behavioral Research, Texas Christian University

http://www.ibr.tcu.edu/pubs/datacoll/Forms/orc-s.pdf

Needed Changes
Anticipate staff reactions to innovation.

Workplace Change in High Performance Toolkit

Industrial Relations Victoria (Australia)

http://www.business.vic.gov.au/busvicwr/_assets/main/lib60037/06_hpt2-1managingchangeintheworkplace.pdf

Ingredients for Success
Identify opinion leaders.

Local opinion leaders: Effects on professional practice and health care outcomes

Canadian Health Services Research Foundation

http://www.chsrf.ca/other_documents/insight_action/insight_and_action_e.php?intIssueID=35

Find, hire, and manage a consultant.

How to Hire a Consultant

Idaho Nonprofit Development Center

http://www.idahononprofits.org/Portals/1/documents/TA%20Resources/Guidlines%20Select%20Consultant.pdf

Use Gantt charts.

Gantt Charts

Mind Tools

http://www.mindtools.com/pages/article/newPPM_03.htm

Use critical path analysis and PERT charts.

Critical Path Analysis and PERT Charts

Mind Tools

http://www.mindtools.com/critpath.html

Measuring Impact
Plan evaluation.

Evaluation Plan Workbook

The Innovation Network Resource Exchange Center http://www.innonet.org/client_docs/File/evaluation_plan_workbook.pdf

Logic Model Development Guide

W.K. Kellogg Foundation

http://www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf

Select measures.

A SMART Fund Guide to Using Outcomes to Design & Manage Community Health Activities Sharon Martin Community Health Fund

http://www.smartfund.ca/docs/smart_outcomes_guide.pdf

National Quality Measures Clearinghouse

Agency for Healthcare Research and Quality

http://www.qualitymeasures.ahrq.gov/

Monitor the impact of an innovation.

Improvement Tracker

Institute for Healthcare Improvement

http://www.ihi.org/ihi/workspace/tracker/

Piloting
Carry out small tests of change.

Plan, Do, Study, Act (PDSA)

Institute for Healthcare Improvement

http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/testingchanges.htm

Implementation
Manage change.

Organizational Change and Development

Free Management Library

http://www.managementhelp.org/org_chng/org_chng.htm

Leading Change

George Mason University

http://gunston.gmu.edu/healthscience/708/LeadingChange.asp?E=0

Continuous Quality Improvement Guide

George Mason University

http://gunston.gmu.edu/healthscience/708/default.asp

Organizational Change Primer

Health Services Research and Development Service

Department of Veterans Affairs

http://www1.va.gov/hsrd/publications/internal/organizational_change_primer.pdf

5 Tips on Preparing for Change

The Score Association

http://www.score.org/5_tips_bp_8.html

Identify stakeholders and their interest in and influence over the innovation.

Project Stakeholder Analysis

Imperial College London

http://www3.imperial.ac.uk/pls/portallive/docs/1/7339774.DOC

Identify and overcome resistance.

Taking Advantage of Resistance to Change (and the TOC Thinking Processes) to Improve Improvements

Focused Performance

http://www.focusedperformance.com/articles/resistance.html

Monitor and evaluate implementation.

Implementation Guide

Department of Veterans Affairs

Quality Enhancement Research Initiative (QUERI)

http://www.queri.research.va.gov/implementation

Plan for maintenance and sustainability.

RE-AIM Planning Tool

Kaiser Permanente

http://www.re-aim.org/Documents/RE-AIM%20PLANNING%20TOOL.pdf

Monitor spread of innovation.

Rate of Spread

Institute for Healthcare Improvement

http://www.ihi.org/IHI/Topics/Improvement/SpreadingChanges/Measures/RateofSpread.htm

 
 
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