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Now that you and your team have successfully incorporated your change ideas into your everyday workflows, it’s time to start thinking about how to get other groups to adopt these changes in a way that will be impactful and meaningful to them. Changing the habits of the people you work with on a recurring basis is difficult, changing the habits of those outside your immediate influence can be daunting. The following materials will help you to move a project from small-scale to organization-wide.


  • Enhancing Project Spread and Sustainability: A classic resource which provides helpful tips, practical advice and a framework for successful spread and sustainment of performance improvement
  • Change Packet Template. A toolkit of information that can inform the planning, implementation and evaluation of a healthcare improvement initiative that aims to create lasting benefits to patient, family and/or caregiver experience, health and/or work life of providers developed by the Canadian Foundation for Healthcare Improvement.
  • IHI Open School course: QI 201, Planning for Spread: From Local Improvements to System-Wide Change