{"id":56,"date":"2020-02-24T11:15:26","date_gmt":"2020-02-24T16:15:26","guid":{"rendered":"https:\/\/sites.bu.edu\/gabbytoolkit\/?page_id=56"},"modified":"2021-06-03T11:35:14","modified_gmt":"2021-06-03T15:35:14","slug":"tool-3-how-to-implement-gabby","status":"publish","type":"page","link":"https:\/\/sites.bu.edu\/gabbytoolkit\/tool-3-how-to-implement-gabby\/","title":{"rendered":"Module 3: How to Begin Implementation"},"content":{"rendered":"<h4><span style=\"color: #800080;\"><strong>Purpose of This Module<\/strong><\/span><\/h4>\n<p>Now that you have learned how the Gabby System works, the next step is to implement it at your site. This module provides a step-by-step approach on how to implement the Gabby System.<\/p>\n<p>Learning Objectives:<\/p>\n<ol>\n<li>Identify who is able to use the Gabby System.<\/li>\n<li>Describe the steps involved with Gabby System implementation.<\/li>\n<\/ol>\n<hr \/>\n<h4><span style=\"color: #800080;\"><strong>7 Steps to Implement the Gabby System<\/strong><\/span><\/h4>\n<figure id=\"attachment318\" aria-describedby=\"caption-attachment318\" style=\"width: 599px\" class=\"wp-caption aligncenter\"><a href=\"\/gabbytoolkit\/files\/2020\/04\/timeline_final.png\"><img loading=\"lazy\" src=\"\/gabbytoolkit\/files\/2020\/04\/timeline_final-636x328.png\" alt=\"\" width=\"589\" height=\"304\" class=\" wp-image-318\" srcset=\"https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/timeline_final-636x328.png 636w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/timeline_final-768x396.png 768w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/timeline_final-1024x527.png 1024w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/timeline_final.png 1522w\" sizes=\"(max-width: 589px) 100vw, 589px\" \/><\/a><figcaption id=\"caption-attachment318\" class=\"wp-caption-text\">(Click to enlarge)<\/figcaption><\/figure>\n<p><span>\u00a0<\/span>The entire Gabby System implementation process can be split into two parts: 1) pre-implementation and 2) implementation. Pre-implementation will take about one to two months, and implementation will take about 6 months, however, the Gabby System has enough content that it can be used for up to 12 months.<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 1: Assess Site Priorities and Determine if Implementation is the Right Fit<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>Since the Gabby System is designed\u00a0to address the needs of\u00a0young black and African American women, there are conditions that must be met for women to be able to use the Gabby System.<\/p>\n<table width=\"533\" height=\"198\" style=\"background-color: #d9d3f0; height: 198px; border-color: #aaa4de;\">\n<tbody>\n<tr>\n<td><span style=\"color: #000000;\">Determine whether your client population meets the following criteria:<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">African American and black women<\/span><\/li>\n<li><span style=\"color: #000000;\">Ages 18-39<\/span><\/li>\n<li><span style=\"color: #000000;\">Not currently pregnant<\/span><\/li>\n<li><span style=\"color: #000000;\">Computer\/ internet access<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Once you have determined that your client population meets the criteria, you must then determine if your site has the ability to take on this program at this time. Implementation of a program like this takes time, effort, and resources to ensure proper use and success.<\/p>\n<p><\/div>\n<\/div>\n<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 2: Identify Your Site Champion<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>Once you have concluded that the Gabby System will be a good fit at your site, we recommend that one person be designated the \u201csite champion\u201d or project leader who will be the primary point of contact during the implementation process. <span>\u00a0<\/span>This could be an administrator, nurse, or other staff member. Although we recommend only one site champion, multiple frontline staff members can be involved in the implementation process.<\/p>\n<p>The site champion is responsible for:<\/p>\n<ul>\n<li>Creating an implementation plan<\/li>\n<li>Enrolling clients<\/li>\n<li>Monitoring outcomes and reporting progress<\/li>\n<li>Troubleshooting technical problems faced by clients<\/li>\n<\/ul>\n<p>Once the site champion has been selected, he\/she will be in charge of overseeing Gabby System implementation.<\/p>\n<p><\/div>\n<\/div>\n<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 3: Create a Process Map<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>The next step is to determine at which point of your clinical process the Gabby System would fit in. To do this, we recommend creating a process map or visual diagram of your site clinic flow. Your process map will outline all the individuals and activities involved with providing care to clients so that you can identify who will introduce the system to clients and where in the process it will be introduced.<\/p>\n<figure id=\"attachment379\" aria-describedby=\"caption-attachment379\" style=\"width: 362px\" class=\"wp-caption aligncenter\"><a href=\"\/gabbytoolkit\/files\/2020\/04\/proc-map.png\"><img loading=\"lazy\" src=\"\/gabbytoolkit\/files\/2020\/04\/proc-map.png\" alt=\"\" width=\"352\" height=\"346\" class=\" wp-image-379\" srcset=\"https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/proc-map.png 1112w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/proc-map-636x625.png 636w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/proc-map-768x754.png 768w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/proc-map-1024x1006.png 1024w\" sizes=\"(max-width: 352px) 100vw, 352px\" \/><\/a><figcaption id=\"caption-attachment379\" class=\"wp-caption-text\">(Click to enlarge)\u00a0<a href=\"\/gabbytoolkit\/files\/2020\/02\/Healthy-Start-Process-Map-Draft-2-1.pdf\" style=\"font-size: 16px;\">\u00a0Click\u00a0here\u00a0to\u00a0download\u00a0the\u00a0process\u00a0map.\u00a0<\/a><\/figcaption><\/figure>\n<table width=\"622\" height=\"269\" style=\"border-color: #aaa4de; height: 269px; background-color: #d9d3f0;\">\n<tbody>\n<tr>\n<td><span style=\"color: #000000;\"><strong>Example<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Based on this process map, the best time to introduce the Gabby System is during the monthly visits or community events.\u00a0 The point of entry will be specific to your site. If your site provides educational classes that overlap with the content that the Gabby System provides, that may be the ideal time to introduce the Gabby System and enroll clients. There is no one way to implement the Gabby System. Ideally, you should use the tools we give you to be able to comprehensively think about implementation and ensure the success of implementation.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/div>\n<\/div>\n<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 4: Discuss Facilitators\/Barriers and Logistics to Successful Implementation<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>We recommend that the site champion have conversations with site staff to discuss potential facilitators and barriers that could impact implementation. The purpose of these conversations is to get perspectives from staff at various levels including leadership, administration, and frontline. The buy-in from multiple individuals in different positions will help motivate staff members to learn about Gabby and implement it among their own clients. Discussing facilitators and barriers can address site-specific needs that may not be included in this toolkit.\u00a0<strong>Ideally, staff discussion should occur throughout the planning and implementation process, not only at this point of the process.<\/strong><\/p>\n<h6><span style=\"text-decoration: underline;\"><span style=\"color: #000000; text-decoration: underline;\">Questions to Consider: Logistics<\/span><\/span><\/h6>\n<p>There are several logistic questions that the site staff might want to consider:<\/p>\n<ul>\n<li>Will you enroll only women in preconception or interconception, or both?<\/li>\n<li>How will women take the health survey? Will it be on a laptop during a home visit, on a computer on-site, or will they take it on their own at home?<\/li>\n<li>Who will address the health topics identified by Gabby with the clients? Will it be a nurse, doctor, or other staff member?<\/li>\n<li>Will the discussion with the clients happen during a home visit or during their visit on-site?<\/li>\n<li>Will there be follow-ups with Gabby System clients? If so, when and how often?<\/li>\n<li>Who will follow up with women about any progress they have made?<\/li>\n<li>Will you make referrals to other available resources?<\/li>\n<\/ul>\n<p>It is critical to answer these questions early on in the process because the answers will affect how you proceed with implementation.<\/p>\n<p><span><\/div>\n<\/div>\n<\/span><\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 5: Staff Overview<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>We recommend that the site champion learn how to use the Gabby System so that he\/she can train site staff and confidently answer their questions. Staff may have competing priorities so an in-depth training for all site staff may not be a good idea. One approach could be to split up the training into a general overview for all staff members and an in-depth training for frontline staff. This way, all staff members are aware and knowledgeable about the Gabby System, but they can refer to frontline staff or the site champion for specific questions.<\/p>\n<p>During the general training, it is a good idea to cover the history of Gabby and what the system does.<\/p>\n<p><\/div>\n<\/div>\n<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 6: Gabby System Training<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p>The site champion may lead a more in-depth training with staff who will be taking part in the enrollment process. This training could include:<\/p>\n<ol>\n<li>Who may use the Gabby System<\/li>\n<li>How to enroll clients<\/li>\n<li>How to use the Administrative Page<\/li>\n<\/ol>\n<p>Individuals involved in enrollment will need to be more knowledgeable about the Gabby System so that they can confidently answer client questions regarding the Gabby System.<\/p>\n<h6><span style=\"text-decoration: underline;\"><span style=\"color: #000000; text-decoration: underline;\">Client Enrollment<\/span><\/span><\/h6>\n<p>When enrolling clients, make sure to fully explain what Gabby is and does. Gabby is designed for their benefit! It may be helpful to provide the client with an informational handout about Gabby in English or in the language primarily spoken by your clients. We have included an example below.<\/p>\n<figure id=\"attachment346\" aria-describedby=\"caption-attachment346\" style=\"width: 244px\" class=\"wp-caption aligncenter\"><a href=\"\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2.png\"><img loading=\"lazy\" src=\"\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2.png\" alt=\"\" width=\"234\" height=\"259\" class=\" wp-image-346\" srcset=\"https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2.png 974w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2-574x636.png 574w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2-768x851.png 768w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/04\/gabby-flyer2-924x1024.png 924w\" sizes=\"(max-width: 234px) 100vw, 234px\" \/><\/a><figcaption id=\"caption-attachment346\" class=\"wp-caption-text\">(Click to enlarge)<\/figcaption><\/figure>\n<h6><span style=\"text-decoration: underline; color: #000000;\"><span>How to Enroll Clients<\/span><\/span><\/h6>\n<p style=\"text-align: left;\"><span>Client enrollment is done through the Administrative Page. The Administrative Page is accessible to the site champion and all staff involved in client enrollment.\u00a0<\/span><\/p>\n<table width=\"494\" height=\"347\" style=\"border-color: #aaa4de; height: 347px; background-color: #d9d3f0;\">\n<tbody>\n<tr>\n<td><strong>Information to collect from client:<\/strong><\/p>\n<ul>\n<li><span> Nickname\/ preferred name (This is what Gabby will call the client!) <\/span><\/li>\n<li><span> Username<\/span><\/li>\n<li><span> Password <\/span><\/li>\n<\/ul>\n<p><span><em>Tip: The nickname and username can be the same!<\/em><\/span><\/p>\n<p><strong>Information created by site staff:<\/strong><\/p>\n<ul>\n<li><span> Participant ID Number<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"background-color: #ffffff;\">On the Administrative Page, you will find a list of all currently enrolled clients as well as the following information for each client:<\/span><\/p>\n<ul>\n<li>Topics flagged during the health survey<\/li>\n<li>Baseline stage of change information from the health survey<\/li>\n<li>Number of logins and duration of time spent on each topic<\/li>\n<li>Risk status<\/li>\n<\/ul>\n<p>This is an example of what the Administrative Page will look like:<\/p>\n<figure id=\"attachment71\" aria-describedby=\"caption-attachment71\" style=\"width: 1326px\" class=\"wp-caption aligncenter\"><a href=\"\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595.png\"><img loading=\"lazy\" src=\"\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595.png\" alt=\"Administrative Page\" width=\"1316\" height=\"744\" class=\"size-full wp-image-71\" srcset=\"https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595.png 1316w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595-636x360.png 636w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595-768x434.png 768w, https:\/\/sites.bu.edu\/gabbytoolkit\/files\/2020\/02\/admin-page-e1580753180595-1024x579.png 1024w\" sizes=\"(max-width: 1316px) 100vw, 1316px\" \/><\/a><figcaption id=\"caption-attachment71\" class=\"wp-caption-text\">(Click to enlarge)<\/figcaption><\/figure>\n<p>Here you find a status code in the table of risks.<\/p>\n<div class=\"mceTemp\">\n<dl id=\"attachment_71\" class=\"wp-caption aligncenter\" style=\"width: 1316px;\"><\/dl>\n<\/div>\n<p>Status Codes:<\/p>\n<ul>\n<li>New: Topic not yet discussed with Gabby<\/li>\n<li>Discussed: Topic already discussed with Gabby<\/li>\n<li>Abandoned: Client no longer wants to talk about topic<\/li>\n<li>Notdiscusseddoctor: Topic not yet discussed with doctor<\/li>\n<\/ul>\n<p><\/div>\n<\/div>\n<\/p>\n<p><span><div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h5 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Step 7: Gabby System Launch<\/h5><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/span><\/p>\n<p><span>After you have completed all of the steps to get ready for implementation, it is now time for you to launch the Gabby System at your site. To prepare for the launch, it may be helpful to send reminder emails to site staff and confirm that staff understands the system. It is especially important to check in with frontline staff to make sure they feel comfortable enrolling clients and explaining the system to clients.<\/span><\/p>\n<p><\/div>\n<\/div>\n<\/p>\n<hr \/>\n<h4><span style=\"color: #800080;\"><strong>Key Takeaways: <\/strong><\/span><\/h4>\n<ul style=\"text-align: center;\">\n<li style=\"text-align: left;\">Before you implement the Gabby System, you must first determine if it is a good fit for your site.<\/li>\n<li style=\"text-align: left;\">A process map will help you determine at which point of your clinical process the Gabby System would be introduced to clients.<\/li>\n<li style=\"text-align: left;\">A general training may be helpful for all staff members to learn about the Gabby System.<\/li>\n<li style=\"text-align: left;\">A more comprehensive training would be useful for frontline staff involved in enrolling clients.<span> <\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Purpose of This Module Now that you have learned how the Gabby System works, the next step is to implement it at your site. This module provides a step-by-step approach on how to implement the Gabby System. Learning Objectives: Identify who is able to use the Gabby System. Describe the steps involved with Gabby System [&hellip;]<\/p>\n","protected":false},"author":17378,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/pages\/56"}],"collection":[{"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/users\/17378"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/comments?post=56"}],"version-history":[{"count":40,"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/pages\/56\/revisions"}],"predecessor-version":[{"id":446,"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/pages\/56\/revisions\/446"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/gabbytoolkit\/wp-json\/wp\/v2\/media?parent=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}