Scale-Up and Spread
- Overview
- ELFT Scale up and Spread Checklist
- ELFT Spread Planner
- Seven Spreadly Sins
- A Framework For Spread
- Ontario Spread Planner
- Using Communications Approaches to Spread Improvement
- The Spread and Sustainability of QI in Healthcare
- Using a Framework for Spread: The Case of Patient Access in the Veterans Health Administration
Share this:
As more of our teams use QI and see improvement in outcomes, the question of ‘spread’ is coming up frequently. It is difficult to spread successful improvement initiatives and maintain the effect size in other settings. Without careful thought and planning, the gains made in the test ward/team will not be replicated.
What do we mean by ‘sustainability’ and ‘spread’?
Below is a checklist to see if you’re ready to think about scale up or spread:
If you can answer Yes to all 5 questions, then your project may be ready to consider for spread:
1. Fill out the ELFT QI Scale-up & Spread Planner and send it to the QI team, who will get in touch and help you with your spread plan. The spread project will be registered as a new project and will need its own measurement plan, project lead and sponsor.
2. If the spread site is within your local directorate, present the spread plan at your QI forum. It will need DMT sign-off before proceeding
You might want to have a read of the Seven Spreadly Sins to help you think about what not to do!
ELFT Scale up and Spread Checklist
Are you ready to spread? Please find out by downloading our ELFT Scale up and Spread Checklist.
This is useful for sharing just this resource rather than the whole collection
ELFT Spread Planner
Please click and complete the ELFT QI Spread Checklist first to ensure your project is ready for spread.
This is useful for sharing just this resource rather than the whole collection
Seven Spreadly Sins
Click here to see some practical tips for successful sharing.
(Infographic: Kaiser Permanente Labor Management Partnership, 2015)
This is useful for sharing just this resource rather than the whole collection
A Framework For Spread
This article is part of the Innovation 2006 series and is supported by the Institute of Health Care Improvement.
Please read more by clicking on the image to the left.
This is useful for sharing just this resource rather than the whole collection
Ontario Spread Planner
Please click to view this Spread Planner which provides some guidance to develop a spread plan and move the effort forward.
This is useful for sharing just this resource rather than the whole collection
Using Communications Approaches to Spread Improvement
This article is a practical guide to help you effectively communicate and spread your improvement work. This interesting article was written by Susannah Randall who has run communications teams for the Wellcome Trust and for the National Patient Safety Agency, where she led a campaign focused on junior doctors that received two Chartered Institute of Public Relations excellence awards.
Please click on the image to the left to read more…
This is useful for sharing just this resource rather than the whole collection
The Spread and Sustainability of QI in Healthcare
Please click on this resource to increase understanding of the 10 key factors underpinning successful spread and sustainability of quality improvement in NHS Scotland.
This is useful for sharing just this resource rather than the whole collection
Using a Framework for Spread: The Case of Patient Access in the Veterans Health Administration
This interesting article was written by Kevin Nolan, M.A. Marie W. Schall, M.A. Fabiane Erb, R.H.I.A and Thomas Nolan, Ph.D.
Please click on the image to the left to read more.
This is useful for sharing just this resource rather than the whole collection