Presenter: Karen Scott Collins, MD, MPH, Deputy Chief Medical Officer, New York City Health and Hospitals Corporation

    This session will review models for spreading improvement and describe the development of a process for spreading specific practice changes in ambulatory care. The session will also share the experience of leveraging multiple components to incorporate depression screening and management into primary care in a public hospital system. 
    After this presentation you will be able to:

• Identify needed components for spreading changes in practice.
• Describe timeframes and resources needed to support spread.