Small scale success through rapid PDSA cycles is a significant accomplishment and should be celebrated. Now that you’ve proven a change is an improvement, you need incorporate the change into existing workflows. Sustaining improvement can be challenging and the following materials will help ensure your project becomes embedded in culture and processes.
Resources
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- IHI Sustaining Improvement White Paper: This white paper provides a theoretical framework for spreading and sustaining performance improvement initiatives including a high performance management system, key drivers for high performance management at the front line and case studies
- 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.
- Sustainability Guide, National Health Service: Provides a framework for sustainment planning
- Examples of Toolkits
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- 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.
- Sustainability Model, National Health Service: An assessment tool to identify project specific activities needed for skillful sustainment
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