Spread

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.

Resources

Read	A Framework for Spread: From Local Improvements to System-Wide Change: This white paper provides a snapshot of IHI’s latest thinking and work on spread. It includes examples of how the VHA applied the framework to spread improvements in access to care for more than 1,800 outpatient clinics Kotter’s 8-Step Process to Change Management Spread & Sustainability-How to Guide: This document was created as a part of IHI’s Protecting 5 Million Lives From Harm, Getting Started Kit. This guide provides some practical tips for generating spread and sustainment including best practices and examples of success
Use	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.
Watch	IHI Open School course: QI 201, Planning for Spread: From Local Improvements to System-Wide Change