This stage involves rolling out and spreading changes to other areas where appropriate.
Why Spread is important
Spread describes the process by which we take change ideas beyond the initial area of testing to new areas or teams. Spread normally takes place once a change idea has been succcesfully tested, implemented and sustained under a variety of conditons. If you know the change project and ideas are likely to be spreadable this should be planned for from the beginning of an improvement project.
Watch the animation below for an overview of Spread.
When to spread, context and adopters
Five questions to help you spread improvement
Readiness for spread checklist
IHI Breakthrough Series Collaborative model
Generating action through storytelling
Links to other QI Zone Topics to assist with spreading improvement
The Improvement Guide 2nd Edition (2009). Langley et al.
The Spread Challenge. The Health Foundation (2018)
Framework for Spread. Institute for Healthcare Improvement (2006)
Planning for Scale. Institute for Healthcare Improvement (2008)
Slow ideas. Gwande (2013) The New Yorker
Webinar: Spreading innovation and improvement in the NHS: The Health Foundation