Fostering Change Indicators

Steps

Indicators

Preliminary Phase: Form the Change Coordination Team
  The change coordination team has been formed.
  Evidence that the change coordination team has the available resources (e.g. data, training, finances) to support the change process.
Phase I: Defining the Need for Change
1. Identify the problem The problem has been identified.
2. Identify and agree on the desired change, its purpose, the anticipated results, and the potential obstacles. As agreed upon by all stakeholders the desired change, purpose, and expected results have been stated.
Phase II: Planning for Demonstration and Scale-Up
1. Identify a dedicated change agent (if one has not already been appointed) and an implementing team. A dedicated change agent and implementing team with a clear vision for leading the change have been identified.
Identified change agent communicates effectively with team and with senior management/ decision-makers.
2. With the change agent, identify and analyze relevant effective practices from this or other settings. Practices that will address the problem have been identified and communicated to implementers.
Identify where desired change has already started and develop a plan to build on that.
3. Select and plan to adapt a proven practice. A practice has been chosen.
The implementing team has stated how their work practices will be modified as a result of the change.
4. Plan to implement and monitor the pilot of the practice at test sites. Influential stakeholders support and have demonstrated commitment to the change.
A work plan has been developed for the pilot with listed objectives, activities, indicators, timeline, budget, and persons responsible.
Terms of reference are in place for the change agent.
5. Take actions and make choices in implementation that will enhance sustainability and future scaling up. Stakeholders are continuously engaged in and consulted with on the change process.
Recognition is regularly provided to the implementing team staff.
A clear process has been developed for identifying additional change agents for upcoming expansion and continuity of leadership.
Phase III: Supporting the Demonstration
1. Help create and maintain an environment that will support the change agent and the implementing team throughout the change process. A functional system is in place for how to share information on how the demonstration is progressing.
Supportive supervision is in place and is being followed on a regular basis.
Staff have been provided with the necessary training and resources to implement and maintain the change.
2. Implement the change effort at test sites. Indicators for this step should be specific to the implemented change (e.g., percent of beneficiaries reporting they are receiving services in line with the expected change; number of sites implementing the change; percent of audience with a favorable attitude toward the change).
Phase IV: Going to Scale with Successful Change Efforts
1. Evaluate, consolidate, and disseminate lessons learned from the pilot, and decide whether the practice warrants scale up. The pilot has been analyzed and lessons learned have been documented and disseminated.
2. If the pilot succeeded, use a systematic approach and participatory process involving key stakeholders to develop a scaling-up strategy and secure resources to support implementation of the strategy. A scale-up strategy has been developed with listed objectives, activities, indicators, timeline, budget, and persons responsible.
Evidence that resources (e.g. human, financial, and capital) are available to support the scale up.
Stakeholders are continuously engaged in and consulted with during the scale up.
3. Implement the scaling-up strategy. Indicators for this step should be specific to the implemented change (e.g., percent of beneficiaries reporting they are receiving services in line with the expected change; number of sites implementing the change; percent of audience with a favorable attitude toward the change).
Extent to which essential features of the innovation are being implemented.
4. Monitor the process of scaling up to ensure sustainability and provide evidence-based decision making. The indicators for this step can come from the “guide to monitoring scale up”.
5. Evaluate and communicate the progress of the scale-up to key stakeholders. Regular meetings are conducted with the implementers and key stakeholders to review progress and identify where mid-course corrections need to be made to ensure success and sustainability.