Scale-Up and Spread
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 considered for spread:
1. Fill our the ELFT QI Scale up & Spread Planner and send in 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
3. If the spread site is across directorates, it will need executive approval through the monthly QI project strategy group (the QI team will support you with this)
You might want to have a read of the Seven Spreadly Sins to help you think about what not to do!
Supporting Scale up and Spread
|ELFT Scale Up and Spread Checklist – Are you ready to spread?||ELFT Spread Planner|| Seven Spreadly Sins (Infographic: Kaiser Permanente Labor
Management Partnership, 2015)
|IHI – A Framework for Spread – From Local Improvements to System-Wide Change|