Building the Child Safety Collaborative Innovation and Improvement Network: How does it work and what is it achieving?

Abstract

ObjectiveThis study investigated whether the Child Safety Collaborative Innovation and Improvement Network (CS CoIIN) framework could be applied in the field of injury and violence prevention to reduce fatalities, hospitalizations and emergency department visits among 0–19 year olds.SampleTwenty-one states/jurisdictions were accepted into cohort 1 of the CS CoIIN, and 14 were engaged from March 2016 through April 2017. A quality improvement framework was used to test, implement and spread evidence-based change ideas (strategies and programs) in child passenger safety, falls prevention, interpersonal violence prevention, suicide and self-harm prevention and teen driver safety.ProceduresOutcome and process measure data were analyzed using run chart rules. Descriptive data were analyzed for participation measures and descriptive statistics were produced. Qualitative data were analyzed to identify key themes.ResultsSeventy-six percent of CS CoIIN states/jurisdictions were engaged in activities and used data to inform decision making. Within a year, states/jurisdictions were able to test and implement evidence-based change ideas in pilot sites. A small group showed improvement in process measures and were ready to spread change ideas. Improvement in outcome measures was not achieved; however, 25% of states/jurisdictions identified data sources and reported on real-time outcome measures.ConclusionsEvidence indicates the CS CoIIN framework can be applied to make progress on process measures, but more time is needed to determine if this will result in progress on long-term outcome measures of fatalities, hospitalizations and emergency department visits. Seventeen states/jurisdictions will participate in cohort 2.

Towards a servitization of innovation networks: a mapping

“…(1) Networks created for social innovation in public services. (Kallio and Lappalainen 2015;Rubalcaba et al 2013;Leonardo et al 2018;Voltan and De Fuentes 2016;Moore and Westley 2011). This is what we call PSINSIs (see Figures 2 and 4).…”

“…In typologies that reflect major social problems or needs, a distinction can be made, for example, between: health (Windrum 2014;Mandel and Keast 2013;Andersson et al 2012), ageing (Rvensivu et al 2012Pekkarinen and Harmaakorpi 2006;Sorensen and Torfing 2017;Grudinschi et al 2013); education (Kolleck 2014), transportation and mobility (Cahoon et al 2013), employment (Kallio and Lappalainen 2015; Rangel and Galende 2010), security (Mandel and Keast 2013), endangered childhood (Leonardo et al 2018;Mulroy and Shay 1997) and so on. All these major social problems or needs can be the subject of PSINs or PSINSIs.…”

Achieving gains in state and local child safety systems and workforce development: application of the framework for quality improvement and innovation in child safety

“…CSN developed the CSN Framework for Quality Improvement and Innovation in Child Safety (The CSN Framework)9 10 (figure 1), leveraging Foundation Strategy Group’s (FSG) collective impact approach, Institute for Healthcare Improvement’s (IHI) breakthrough series (BTS) and Associates in Process Improvement’s (API) model for improvement (MFI) 11–14. The CSN Framework aligns with (1) FSG’s model in having a common agenda/aim, shared measurement, mutually reinforcing activities, continuous communication and a backbone organisation,13 (2) IHI’s BTS model in using structured activities, including learning sessions and action periods,12 14 and (3) API in using the MFI 14.…”

“…Building on these models, the CSN Framework (1) incorporates a prominent component for leadership and management that provides support and resources for state leaders working in complex environments; (2) expands the expert community to include public health practitioners that inform feasibility of spreading evidence-based child safety strategies; (3) adapts the delivery of learning activities by adding blended learning and outputs for workforce development and systems improvement; and (4) adds distal population-level outcomes of improved child safety. The rationale for these adaptations and supporting evidence is described in previous work 10. The CSN Framework, used by the Child Safety Learning Collaborative (CSLC), puts forth consistent application of child safety expertise, leadership and management, and systems improvement methods results in strengthening child safety systems and the workforce, ultimately contributing to reductions in fatalities, hospitalisations and emergency department visits.…”

Injury prevention: achieving population-level change

“…These key features reflect the ways in which communities are strengthening systems to drive population-level impact on injury and related health outcomes, rather than striving for fidelity to specific evidence-based programmes. Leonardo et al 11 describe a quality improvement model for building state public health capacity to test, implement and spread change ideas for reducing childhood injury and death, and Toprani et al 12 explain how a pilot injury prevention programme grew to absorb other system impacts (eg, building codes, home inspections, policy change, surveillance and civil liability) and resulted in significant injury reduction.…”