Spread Improvement
Spreading improvement to other units
Spreading your improvements to other areas of the hospital requires that the new process concepts you’ve refined in your pilot get woven into the wider fabric of every day clinical work.
The Institute for Healthcare Improvement has a brief but very useful White Paper, “A Framework for Spread.” We highly recommend the 10 minutes to read it. The field-tested themes are:
- Committed organizational leadership is crucial
- Begin planning for spread as early as possible
- Be specific in the aims of spread (who, what, where, when)
- Leverage existing infrastructure/Identify infrastructure gaps
- Execute the spread plan but learn and revise as you go
Just as you did for your pilot, let the key principles for layering effective QI interventions guide your efforts to spread the improvement.
|
