State: Name:

Stage 4: Full Implementation

Step 1: The training, TA and support (competency drivers) at each site are fully functioning to maintain and improve skills and fidelity to practices.

1. Not Begun	2. Needs Improvement	3. Completed	4. NA

Recruitment and selection policies are used to hire staff with competencies to match desired practices.

Training of new staff continues and “booster” training occurs on a scheduled and as needed frequency.

Regular supervision occurs for practice fidelity and emotional support.

Coaching occurs regularly for new staff as well as for experienced staff based on supervision and performance assessment data.

Feedback and improvement loops continue.

Plans are in place for training of new program leaders, Implementation Team members and direct service staff.

Step 2: Data systems, policies, procedures and funding (organizational drivers) are integrated and fully functioning.

1. Not Begun	2. Needs Improvement	3. Completed	4. NA

Monitoring, support systems and reporting processes are in place and used regularly.

Data and feedback loops are used to ensure organizational procedures and supports for continuing practices.

Reliable data systems are in place and provide information about the specific processes, practices and outcomes.

Information from data collection systems is frequently used by practitioners, coaches and supervisors to improve performance.

Policies, procedures and budgets at relevant state, regional and local levels are adjusted as needed to support practice.

Step 3: Performance assessment is fully functioning.

1. Not Begun	2. Needs Improvement	3. Completed	4. NA

Staff performance is evaluated for fidelity to the practices or innovation.

Multiple sources of information (self-assessment, observation, supervision, peer reports, video clips, team meetings, etc.) are used to evaluate the skills and knowledge of staff and to improve practices.

Staff understand that the performance assessment process and fidelity measures are the basis of feedback and improvement.

Feedback is provided in a helpful and timely manner.

The supervisors and/or coaches conducting performance assessments are well trained and receive supportive supervision as well.

Step 4: State Leadership Team and Site Implementation Teams understand their responsibilities to use feedback and data to make decisions to sustain high fidelity of practices.

1. Not Begun	2. Needs Improvement	3. Completed	4. NA

Data are reviewed with site Implementation Teams and State Leadership Team to help make administrative changes as needed.

State Leadership Team is actively engaged in reducing any administrative barriers that arise.

State Leadership Team and Implementation Teams frequently use communication strategies and feedback loops to receive and provide information.

Improvement cycles are used by the State Leadership Team and Site Implementation Teams with a focus on sustainability.

Step 5: State Leadership Team and Site Implementation Teams take necessary actions to assure sustainability of the structures and practices.

1. Not Begun	2. Needs Improvement	3. Completed	4. NA

Continue to provide administrative, organizational and fiscal support.

Continue to provide technical assistance for maintaining fidelity.

Maintain relationships and provide materials to higher education and professional organizations to impact pre-service education and licensing requirements.

Continue to promote buy-in and to expand support base.