Transcript BP PVG Presentation

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.
2.
3.
4.
5.
6.
7.
8.
System level measures
Explicit theory or rationale for system changes
Segmentation of the population
Learn by testing changes sequentially
Use informative cases: “Act for the individual learn for
the population”
Learning during scale-up and spread with a production
plan to go to scale
Periodic review
People to manage and oversee the learning system
From Tom Nolan PhD, IHI
Promoting
Bedtime Reading
Donna Murray
Head Teacher
Lochrin and Grassmarket Nursery Schools
Edinburgh
[email protected]
Why Bedtime Reading
Importance of bedtime routines.
Impact on attachment
Literacy
My Role
Head Teacher – 2 Nursery Schools
Programme Manager – Early Years Collaborative
Lending Library
Once 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’s next? ”
“Did it
work?”
“What will
happen if we
try something
different?”
“Let’s try it!”
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
100
Goal
90
Percentage
of children
80
70
Median
60
50
Family garden
party
40
A very hot
weekend
30
20
10
0
M
T
W
TH
F
M
T
W
M
TH F
Day of the
w eek
T
W
TH
F
M
T
W
TH
F
Children receiving a bedtime story
100
90
Goal
Percentage
of children
80
70
60
Median
50
40
30
20
10
0
Before change
1st change
Weekly
change
2nd change
3rd change
Children receiving a bedtime story
100
90
Goal
Percentage
of children
80
70
Median
60
Scaled up
to Lochrin
50
40
30
20
10
0
GM before
GM 1st
change
GM 2nd
change
GM 3rd
change
Weekly
change
L before
L 1st
change
L 2nd
change
L 3rd
change
Lochrin Nursery
Children receiving a bedtime story
120
Parents
survey
Percentage
of children
100
Goal
Median
.
80
Books
available
at
collection
time.
60
Grassmarket
changes
40
introduced
20
.
weekly
average
displayed
for parents
Research
information
handed to
parents
.
0
M
T
W
TH
F
M
T
W
TH F
M
Day of the
w eek
T
W
TH
F
M
T
W
TH
F
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 Highlights
No 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?