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Knowledge Management in Context
@NHS_HealthEdEng #HEELKS
Knowvember 2018
Exeter
September 2018
Sue Robertson
Knowledge Services Development Lead
HEE South
What do we mean by knowledge
management?
Knowledge – familiarity gained by
experience
Knowledge Mobilisation –
connecting and encouraging
people to share explicit and tacit
knowledge AND to use or
mobilise this knowledge to
inform their own decision making
@NHS_HealthEdEng #HEELKS
Quality & Productivity Challenge
The Dalton and Carter Reviews
Sustainable Transformation Partnerships
Integrated Care Systems (ICS)
Getting It Right First Time (GIRFT)
NHS RightCare
New Care Models Programme
@NHS_HealthEdEng #HEELKS
Business critical:
Mobilising evidence
“Evidence does not speak for itself but needs to be
mobilised at the right time, and through the right people,
to make a difference in decision making.”
National Institute for Health Research, 2013
@NHS_HealthEdEng #HEELKS
Business critical
Healthcare Library and Knowledge Specialists can play a pivotal
role in helping organisations to identify and seize opportunities to
achieve productivity, realise efficiency savings and improve the
quality of patient care. For example -
• Increase and improve the use of evidence into practice through
provision of synthesised, summarised evidence and horizon
scanning products
• Develop tools, processes and resources so that healthcare staff
can effectively share organisational knowledge and know-how
@NHS_HealthEdEng #HEELKS
An ambitious vision:
NHS bodies, their staff,
learners, patients and the
public use the right
knowledge and evidence,
at the right time, in the
right place, enabling high
quality decision-making,
learning, research and
innovation to achieve
excellent healthcare and
health improvement.
Knowledge for Healthcare
https://www.hee.nhs.uk/our-work/library-knowledge-services
Library and Knowledge Services Policy
To ensure the use in the health service of evidence obtained
from research, Health Education England is committed to:
• Access: enabling all members of NHS workforce to freely
access library and knowledge services
• Workforce development: developing NHS librarians and
knowledge specialists to use their expertise to mobilise
evidence to underpin decision-making
• Service development: developing proactive NHS library
and knowledge services - coherent national service
focussed on needs and priorities
NIHR
https://www.hee.nhs.uk/our-work/library-knowledge-services
Mobilising organisations
https://kfh.libraryservices.nhs.uk/knowledge-management/evidence-and-knowledge-self-assessment-tool/
Evidence and Knowledge Self-
Assessment Tool
Mobilising the knowledge of healthcare
professionals
Tools and techniques E-learning
https://www.e-lfh.org.uk/programmes/knowledge-mobilisation-framework/
Mobilising librarians
Increase the confidence and capability of
library and knowledge specialists to assess
organisational needs and introduce
knowledge management solutions
Learning Zone
Development Guide
Leadership Programmes
PKSB for Health
Summarising & Synthesising courses
Establishing a Community of Practice
The KM Toolkit
Links to tools &
techniques
Links to short case
studies of real-life
examples.
Includes contact
details of the service,
for more information
The Knowledge
Management
Toolkit
KM goal
https://kfh.libraryservices.nhs.uk/knowledge-management/
A National Community of Practice for KM in LKS
• An interest and common purpose for a CoP was identified at
the Mobilising Evidence training events in 2017…
• So, Emily and Katie (the KM team at HEE) are going to kick
things off!
• If you’ve not already, join the mailing list:
• We will look at other tools and platforms as a group
• Everyone is welcome! You don’t have to be an ‘expert’ – if
you’re a newbie, it’s a chance to learn from the experts!
• We can expand on the conversations from #Knowvember/
Padlet, report back on Pledges, ask questions and Share Our
Knowledge!
NIHR
https://www.hee.nhs.uk/our-work/library-knowledge-services
The Importance of Conversations
@NHS_HealthEdEng #HEELKS
Impact, Impact, Impact
NIHR
http://kfh.libraryservices.nhs.uk/value-and-impact-toolkit/kfh-impact-tools/impact-case-studies/
Make
and
share
your
pledge
https://kfh.libraryservices.nhs.uk/knowvember/
Questions and Contact Details
For further information speak to your regional library
lead or a member of the MEK workstream group:
Louise Goswami [email protected]
Sue Lacey Bryant [email protected]
Alison Day [email protected]
Using the Evidence and Knowledge
Self-Assessment Tool
@NHS_HealthEdEng #HEELKS
Knowvember 2018
Exeter, September 2018
Alison Day
Lead Librarian, Poole Hospital
& Knowledge for Healthcare
Project Manager, HEE
@alisonday3
Overview
Introduce the Evidence and
Knowledge Self-Assessment Tool
Practise working through a short
section of the tool
Consider knowledge mobilisation
opportunities that you could
introduce in your organisations
The Evidence and Knowledge Self-
Assessment Tool
This self-assessment tool was
devised in 2017 to encourage
NHS organisations to make
better use of knowledge as an
asset
http://kfh.libraryservices.nhs.uk/knowledge-management/evidence-and-knowledge-self-assessment-tool/
Benefits?
What are the potential
benefits of using the Tool for
you individually, for your
service and your
organisation?
http://kfh.libraryservices.nhs.uk/knowledge-management/evidence-and-knowledge-self-assessment-tool/
Feedback from using the tool
This has given us the opportunity
to change the way we deliver
care and should enable better
patient outcomes.”
Nicola Shopland, Medical
Division Chief Nurse, Surrey and
Sussex Healthcare NHS Trust at
the Medical Division Board
“Completing the
Board tool has
completely changed
the way we will make
use of knowledge”
“
“The library team
should be our
knowledge stewards
in the same way as
microbiology are the
antibiotic stewards
for the Trust.”
“Really useful as an
exemplar of best practice
and as a way of setting
up expectations and
methods to support this” Director HR/OD Poole Hospital Ben Mearns, Chief of Medicine, Medical Division,
Surrey and Sussex Healthcare NHS Trust
See it in action“Completing the Board
tool has completely
change the way we will
work and our use of
knowledge”
“
“The library team
should be our
knowledge stewards
in the same way as
microbiology are the
antibiotic stewards
for the Trust.”
https://www.e-lfh.org.uk/programmes/knowledge-mobilisation-framework/
Have a go …
Work through the criteria of section one with the
person next to you
Answer from the perspective of your team or
organisation
What are your strength areas?
Have you identified areas for development?
Priorities and Planning
Identify which priorities you
would consider to be:
• ‘business as usual’ for you
• Extending your current role
• Identify those areas you want
to know more about
Find out more
• Complete the self-
assessment e-learning
module
• Use the additional resources
associated with the e-learning
to find out more about
maturity models
• Use the KM Toolkit to find out
more about KM tools and
techniques
https://kfh.libraryservices.nhs.uk/knowledge-management/
Over to you…
What 3 things will you
do in the next 6 months
to help mobilise
knowledge in your
organisation?
Will using the Self
Assessment Tool be
your pledge for
#Knowvember2018?
Questions and Contact Details
Alison Day
Lead Librarian, Poole Hospital &
Knowledge for Healthcare Project
Manager, HEE
@alisonday3
Meet the Neighbours
Benjamin Vella
University Hospitals Bristol
Contents
• What was the problem?
• A Simple Solution
• Transferable Skills
• How it works
• Key Details/Difficulties
• What’s to gain?
• Suggestions?
What was the problem?
• Brought to our attention by our Head of Education
Surveys showed staff from different departments would like
the opportunity to communicate with each other more.
• Other considerations: Team dynamics – behind the scenes
politics
• Why me?
• Brainstorming/other considerations
• Inspired by AWP’s ‘Living Library’ (SWIMS Newsletter
Aug 2017)
• Frequent gatherings, small in size
• No more than an hour
• Not a meeting, casual in nature
• Just a chance to have a chat with perhaps some new
people – Speed Dating!
A Simple Solution
The Round Robin Method
How it Works
• To make the session more library-related, we asked for
some data we could compile for the Data Management
System. Transferable Skills & Hidden Talents!
• Mobilizing Evidence and Organisation Knowledge
• LQAF Criteria 5.4 - Members of the library/knowledge
services (LKS) team are actively involved in the
Creation, Capture, Sharing, Utilisation or Reuse of
knowledge in the organisation(s) served.
Transferable Skills
• Prompts / Fresh and interesting topics to discuss
• Note taking is key eg. Names, contact numbers, emails
• Keeping an eye on the time
• Chasing up nominees (other duties relating to
department take priority)
Key Details/Difficulties
• Putting names to faces
• A stronger sense of community
• A larger pool of colleagues to call on when further
guidance is needed.
• Better understanding other departments’ function
What People Gain
• Any suggestions on how we can tweak this to make it
better?
• If anyone’s willing to try hosting a similar event, please
contact us via the e-mail below. I’d be more than happy
to share my notes.
Questions & Suggestions?
RANDOMISED COFFEE TRIAL
W H AT I S A
R A N D O M I S E D
C O F F E E T R I A L ?
• “Organised
serendipity”
• Breaks down silos
• Encourages
collaboration
• Permission to take
time to get to know
other people
KNOWLEDGE CAFE
WHAT IS A
KNOWLEDGE
CAFÉ?
• Space for open
dialogue
• Driven by one big
question
• Explore / discuss /
brainstorm
• Collaborate / share
WHAT ARE THE CHALLENGES AND OPPORTUNITIES COULD KM BRING TO YOUR ORGANISATION?
• 10 minutes per table
• Move to a new table and continue discussing this question
• Write on the tablecloths if you want to
• End with reflections on experiencing knowledge cafes
Knowledge and Library Services, Public Health England
After Action Reviews#Knowvember 2018
5th September 2018, Exeter
Session Outline
• Overview of after action reviews
• Group activity (small groups)
• After action review of the group
activity (small groups)
• Whole group discussion on the
process
2 After Action Reviews #Knowvember 2018
After action reviews: overview
3 After Action Reviews #Knowvember 2018
After action reviews: overview
4 After Action Reviews #Knowvember 2018
AAR: What is it?
• An evaluation tool.
• Simple questions.
• An open and honest discussion of an event, tast,
project.
• Focus directly on the task and its goals.
• Not problem-fixing, nor allocating blame.
• 15 minutes to half a day.
• Summarises the key learning points.
• Informs participants of the next steps.
5 After Action Reviews #Knowvember 2018
AAR: Why do it?
• Drive organisational change.
• Build trust among team members.
• Overcome fear of mistakes.
• Establish a common understanding of the event.
• Generate reflection.
• Identify specific, actionable recommendations.
• Save costs and avoid repetition of mistakes.
• To share lessons learned with participants and a
wider audience.
6 After Action Reviews #Knowvember 2018
AAR: Top Tips (1)
• Conduct the AAR soon after the event.
• Use an independent facilitator.
• Include all (and only) event participants.
• Agree ground rules.
• Ensure room layout promotes discussion.
• Use a warm-up.
• Start by reviewing the original objectives.
• Allow the whole group to see notes as they are
being written.
7 After Action Reviews #Knowvember 2018
AAR: Top Tips (2)
• “Thank you” goes a long way.
• Leave hierarchy at the door.
• Each participant’s views are valid.
• Everybody should know why they are present.
• Circulate questions in advance.
• Absent members can submit their views.
• Stick to the project scope.
• Openness and honesty are key.
• The process is about improvement not blame.
8 After Action Reviews #Knowvember 2018
Group Activity
Get into groups (~six per group).
Steph will distribute materials and
provide instructions.
9 After Action Reviews #Knowvember 2018
Group activity: after action review
• Identify the ‘independent’ member of your team;
they will facilitate your AAR. Remember that in real
life this would be somebody not involved with the
project.
• Use the template provided or blank paper.
• Identify issues, discuss them, produce clear actions
from each issue and discussion.
• Remember:
• This should be an open and honest discussion.
• You are gaining perspectives and insights.
• “Park” ideas that are outside the project scope.
10 After Action Reviews #Knowvember 2018
Group AAR: questions
• Did the “customer get what was needed?
• Were deadlines met?
• What was achieved?
• Identify delays, efficient points, areas with lack of clarity.
• What were the successes? Why? How can we repeat the
successes?
• What were the disappointments? Why? How can we avoid
them in future?
• What would you do differently next time?
• What techniques and processes would you use again?
• What advice would you give to others?
11 After Action Reviews #Knowvember 2018
Whole group discussion
• Did you like the process?
• What was easy?
• What was difficult?
• Do you think you could use the AAR
process in your organisation?
Why? Why not?
12 After Action Reviews #Knowvember 2018
Knowledge and Library Services, Public Health England
Thank you for listening!
@StephGrey84