So I was whiling away the evening, as one does, watching Don Berwick’s keynote speech at the 2024 Institute for Healthcare Improvement’s Forum.
As always, Don’s storytelling was powerful. What really caught my attention, though, was his reference to Safer Together: A National Action Plan to Advance Patient Safety.
The plan lays out three clear action steps:
1️⃣ Review the recommendations
2️⃣ Form a team to self assess
3️⃣ Get to work
It made me wonder: what if we had something like this in education? A national action plan with evidence-based recommendations, a self-assessment, and an implementation guide.
Co-producing such a resource wouldn’t be a light lift—but could it help our field focus, align, and accelerate progress?
Curious what others think. Would education benefit from a comparable plan?
Real reading growth for Title I 7th-12th grade classrooms.
1 day ago
A national plan sounds nice. But if we’re serious about student outcomes, the real plan isn’t pedagogy tweaks or checklists,. It’s poverty.
When we look at industrialized democratic peers that pair strong social safety nets with explicit anti-poverty policy (yes, like Finland) we see they keep child poverty in the low single digits. The US is in the mid-teens.
That stability shows up in their classrooms. In the U.S., affluence produces the same stability and world-leading academic performance, but only for those born into those zip codes.
So if we’re talking “plans,” the first should be to eradicate child poverty, but we Americans don't want to do that.
So next best Plan has to be: how do schools in high-poverty communities replicate, inside the classroom, the language and behavioral foundations their affluent peers already bring from home which drives their achievement?
Because it's a myth that “great teaching” explains affluent schools’ results. That is statistically impossible.
The reality is that poverty explains the gap.
Living at the intersection of equity, innovation, and improvement.
1 day ago
Here's a link to the Safer Together plan (requires email to download): https://www.ihi.org/partner/initiatives/national-steering-committee-patient-safety/national-action-plan-advance-patient-safety
Organizational sense-making & strategy; navigating complexity; implementation & continuous improvement; accelerate and amplify improvement and systems change.
1 day ago
I don’t fundamentally disagree. Seemingly we have accreditation processes that have “evidence-based” recommendations (with endless debate about whether it’s the evidence the school community wants to believe), we have teams that self-assess (but perhaps unwilling to self-evaluate), and no doubt people are working harder than ever (even if one might argue not smarter). So what would be different? In education improvement science, missing from the initial articulation was Dr. Deming’s “human psychology” of change in his System of Profound Knowledge. With that, I’d add that schools, like hospitals, are complex adaptive systems and that requires a different orientation beyond traditional systems thinking. Dr. Deming called for “appreciation for a system” and contemplating how to pursue improvement within complex adaptive systems would remain consistent with Dr. Deming’s intentions with his SoPK.