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Sustaining and Spread

Sustaining and Spread. Sustaining Improvements Part of QI, Senior leadership, ownership What have you learned about sustaining? Spreading Improvements What is spread What spread activities are underway?. BTS Diffusion Process. Activity. Target. Example. Phase. Action Period 1.

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Sustaining and Spread

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  1. Sustaining and Spread • Sustaining Improvements • Part of QI, Senior leadership, ownership • What have you learned about sustaining? • Spreading Improvements • What is spread • What spread activities are underway?

  2. BTS Diffusion Process Activity Target Example Phase Action Period 1 Testing Early adopters One care team in a clinic Action Period 2 Testing and Implementation Early majority That care team and four others in the clinic Last Action Period and Post Collaborative Implementation and Spread Remaining care teams (implement) and other clinics (spread) Early/late majority Traditionalists

  3. IHI Spread Model Social System -Unitfor spread-Key messengers -Listeners/connectors -Communitiesof practice-Motivators & incentives-Ability to adapt changes Better Ideas -Case for new ideas -Description of the new ideas -Transition materials Communicated -Modes -Purpose Infrastructure -Leaders responsible for spread-Staging plan -Technical support -Knowledge management -Measurement/feedback

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