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Sustain and Spread IF Session 3; Day 4

Sustain and Spread IF Session 3; Day 4. Objectives. Identify activities and/or strategies that sustain and spread improvements in a primary care clinic and organization.

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Sustain and Spread IF Session 3; Day 4

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  1. Sustain and SpreadIF Session 3; Day 4

  2. Objectives • Identify activities and/or strategies that sustain and spread improvements in a primary care clinic and organization. Spread the changes to other providers, but think of them as change ideas that can be adapted, not as solutions to be copied.

  3. Blue Meadows Success to be Spread • Blue Meadows has improved their screening rates as per tracking of opportunistic and outreach offers. • What changes did Blue Meadows make that contributed to their improved screening rates? • Improved standardized documentation (as per run chart) • Improved use of scripting for offers (as per run chart)

  4. Creating a New System Needs Spread Design Improvement Spread Hold Gains Improvement Hold Gains Spread Design Spread

  5. Act Plan Study Do The Sequence for Improvement and Spread Make part of routine operations Spreading a change to other locations Test under a variety of conditions Implementing a change Theory and Prediction Testing a change Developing a change Robert Lloyd

  6. Plan for the next phase … • Successful testing is not enough to assume implementation has occurred. • Implementation is building it into the current system. • Sustaining is once it has become routine and a normal process. • Spreading to others will change the broader system.

  7. A Framework for Spread Leadership Measurement & Feedback Social System Better Ideas Set-Up Knowledge Management Adapted from Langley et al.

  8. Leadership • ASaP as a key strategic initiative • National, provincial, organizational levels • Goals and incentives aligned • Executive Sponsor assigned • Day to day managers identified • Spread Aim Statement developed

  9. Better Ideas • Develop the case • Describe the idea • Evidence based

  10. Set Up for Spread • Adopter Audiences • Successful Sites • Structural Enhancements • Key Partners • Initial Spread Plan

  11. Social System - Communication • Key messengers and messages • Peer to peer interaction • Technical Support • Transitional issues

  12. Example of ASaP Spread uses a Nested Organizational Approach within a PCN

  13. A Framework for Spread Leadership Measurement & Feedback Social System Better Ideas Set-Up Knowledge Management Adapted from Langley et al.

  14. What the IF and Improvement Team Can Do to Help with Spread • Know how ASaP fits in the national, provincial and organizational contexts • Know your internal leaders • Be a part of developing the spread AIM • Know the evidence for ASaP • Know your key messages • Know the high leverage changes for ASaP • Know your audience – (facilitation skills!) • Collect your good news stories

  15. Further information • IHI Open School QI 104; Putting it All Together - How Quality Improvement Works in Real Health Care Settings

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