Curing Student Underachievement
Table of Contents



Introduction: Clinical Practice in Education

       Adapting Clinical Practice for Education

Art and Science in Problem Solving
Introducing Diagnosis, Prescription and Prognosis
Moving Beyond Compliance
A Modest Proposal


1. Chapter One—The Clinical Practice Cycle for Performance Improvement

Phase I: Discovery

Phase II: Solution Scenario

Phase III: Implementation

            Phase IV: Assessment & Revision

      The Clinical Practice Cycle for Improved Performance Health

Discovery—One to Three O’clock

Solution Scenario—Four to Six O’clock

Implementation—Seven to Ten O’clock

Assessment and Revision—Eleven to One O’clock

The Guided Implementation Phase Mini-Cycle (GIPMC)

Exploring the Clinical Practice Model


2. Chapter Two—Understanding the Anatomy and Physiology of Districts and Schools

Traditional Hierarchy: The Skeleton
White Space Among Organization Boxes

       Constructing a New Anatomy and Physiology

Adding Organ Systems to the Skeleton: Critical Performance Categories (CPC)

CPC Origins

CPC Definitions and Descriptions

Mapping the Internal Organs of Districts and Schools

       Chapter Two Strategies


3. Chapter Three—Research is Everyone’s Responsibility and It Starts with Data

District and School Health Trends

Other Sources of Data

Multiple Uses of the SDF/CPC Matrix

Description of the Matrix

Simplifying the Matrix: The Roll Up

Mapping the Anatomy

       Chapter Three Strategies


4. Chapter Four—Identifying the Vital Signs of Performance Health

Vital Sign Performance Indicators (VSPI)

Composition of VSPI

Presentation of Individual VSPI

Solving Complex Problems

The Ethics of Practice

       Chapter Four Strategies


5. Chapter Five—Clustering Vital Signs to Determine a Course of Action

VSPI Clusters and Diagnosis

Study Protocol for VSPI Clusters: Developing Diagnoses

      Chapter Five Strategies


6. Chapter Six—Diagnostic Options for District, Schools, Employees, and Students

      Diagnostics in Education

Pre-Diagnostic Assessment


The Diagnostic Funnel

First Level: Collection and Organization of Observations and Data

Second Level: Observations, Data Analysis, Surveys, and Interviews

Third Level: Diagnostic Instruments

Fourth Level: Critical Performance Categories and Performance Indicators

Fifth Level: Findings: Symptoms, and VSPI Clusters

Sixth Level: Syndromes and Diagnostic Options

Seventh Level: Root Causes

Outcomes: Prescription and Prognosis

       Chapter Six Strategies


7. Chapter Seven—Prescriptions and Prognoses: Prioritizing Solutions to  Educational Problems

Prescription and Prognosis

Writing Prescriptions

Prioritizing and Reducing Available Prescription Options

Developing Prognoses

Making Accurate Prognoses

Tasks and Timelines

Plotting and Monitoring Prognoses

       Chapter Seven Strategies


8. Chapter Eight—Increasing Commitment and Capacity for Improvement

     Issues of Responsibility and Accountability

     Commitment and Capacity

Definitions of Commitment and Capacity

The Performance Improvement Readiness Inventory

Reading the Commitment and Capacity Matrix

        Chapter Eight Strategies

9. Chapter Nine—Protocols and Milestones Promote Consistency and Thoroughness Protocols Generate Common            Understanding Between Patient and Physician

Simple, Complicated, and Complex Problems

Protocols and Professional Judgment

Urgency and Protocols

Complex Problems and Protocols

Milestones of Expertise

        Chapter Nine Strategies


10. Chapter Ten—Monitoring and Measuring Progress through Indicators, Contraindicators, and Side-Effects

Forecasting and Plotting Milestones

Indications, Contraindications, and Side-Effects

Understanding and Tracking Indications, Contraindications, and Side-Effects

The Pain of Healing

       Chapter Ten Strategies


11. Chapter Eleven—Managing Performance Improvement Processes

The Performance Improvement Coordinating Committee

Tracking Progress through VSPI

Final Reports of Consulting Specialists

       Chapter Eleven Strategies


12. Chapter Twelve—Leadership for More-Effective Organizations

Roles of Leadership

A Western Tradition—the Cattle Drive

Better or Just Different?

Recognizing and Addressing At-Risk Adult Populations—Anticipating 

     What Happens on the Trail

Annual Reporting

        Chapter Twelve Strategies


13. Chapter Thirteen—Leadership in the Flow of Organizational Change

Piloting the River of Performance Change

Making the Organization “Black Box” Transparent

Medical Advances Open the Human Black Box

Utilizing Three Dimensions to Solve Problems in Districts and Schools

The Engagement and Action Dimension

Leadership in Education

        Chapter Thirteen Strategies


14. Chapter Fourteen—Leaders as Performance Improvement Health Specialists

Levels of Performance Health

Impact of Time on Organization Plans and Behavior

Improving Planning Effectiveness

The “Pac Man” Cycle of Planning

Deciding to Improve—Seeing the Whole from the Parts

        Chapter Fourteen Strategies


15. Chapter Fifteen—Development of a National Network for Performance Improvement

The Cost of Performance Improvement

Moving into the Promising Future of Clinical Practice

Pre-Clinical and Clinical Experience

All Districts and Schools Will Succeed

        The Educational Equivalent of the Merck Manual

An Invitation

        Chapter Fifteen Strategies