263185 Assessing healthy start staff perceptions of organizational readiness in the Interconception Care Learning Community (ICC LC) quality improvement project

Monday, October 29, 2012

Vonna Drayton, DrPH , US Health Division, Abt Associates, Inc., Bethesda, MD
Alice Lee , U.S. Health Division, Public Health and Epidemiology, Abt Associates, Cambridge, MA
Kay Johnson, MPH, EdM , Johnson Group Consulting, Hinesburg, VT
Lisa J. LeRoy, PhD, MBA , U.S. Health Division, Public Health and Epidemiology, Abt Associates, Cambridge, MA
Sarah Ball, MPH, ScD , US Health Division, Abt Associates, Inc., Cambridge, MA
Deborah K. Walker, EdD , Abt Associates Inc., Cambridge, MA
Juliann DeStefano, RN, MPH , Dhsps, HRSA, Rockville, MD
Johannie Escarne, MPH , Maternal and Child Health Bureau(MCHB) , Divison of Healthy Start and Perintal Services (DHSPS), Health Resources and Services Administration (HRSA), Rockville, MD
Kimberly Deavers, MPH , Maternal & Child Health Bureau, Division of Healthy Start & Perinatal Services, U.S. Dept of Health & Human Services, Health Resources & Services Administration, Rockville, MD
Meredith Pustell , Domestic Health Division, Abt Associates, Cambridge, MA
Background: The Interconception Care Learning Community (ICC LC) was a three-year quality improvement project of Healthy Start grantees, funded by the Division of Healthy Start and Perinatal Services of the Maternal and Child Health Bureau from 2008-2011.This presentation will discuss our findings from a pre- and post-assessment of grantees' readiness for implementing and sustaining change in their organizations. Methods: Before and after implementation of their quality improvement projects, Healthy Start project directors and key staff completed the Organizational Change Recipients' Beliefs Scale, a questionnaire developed by Armenakis et al. (2007) to assess five categories of beliefs that are related to an individual's perception of organizational readiness for change. Of those who participated, project directors from 55 grantees and staff from 44 grantees completed both pre- and post-test questionnaires. Results: Project directors and staff experienced significant increases in their perceived support from leadership and other peers, with both seeing positive shifts for the questionnaire item, “Most of my respected peers embrace the proposed organizational change.” Staff experienced the greatest gain (a 47.6% change) in the perception that “[t]he change that we are implementing is correct for our situation.” Together, these findings reflected substantial increases over time in grantees' perceptions that the Healthy Start community was committed to change. Conclusion: Studies of large scale improvement demonstrate that organizational readiness is a key factor in effectively improving organizational processes and services. The findings from this study can be used by community health staff as they plan, implement, and assess organizational change.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Planning of health education strategies, interventions, and programs
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Identify the five constructs of beliefs and perceptions that are related to an individual’s perception of organizational readiness for change. 2. Describe the value and limitations of measuring organizational readiness for change over time and its impact on community-based quality improvement projects.

Keywords: Quality Improvement, Organizational Change

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a senior associate at Abt Associates, Inc and led the analysis that will be presented in this paper.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.