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Products > Institute for Healthcare Improvement > IHI 9th Annual International Summit on Redesigning the Clinical Office Practice
C8: Spreading Better Care Across California: Principles and Practicalities

      It is remarkably difficult to achieve widespread adoption of proven changes across delivery systems and across outpatient practices on a regional or statewide scale. This session describes how applying five concepts of spread and designing programs (from the beginning) to reach spread goals influenced the program design, program metrics, and the business case for adoption within both public and private delivery systems in California.
      After this presentation you will be able to:

  1. Develop spread metrics for large‐scale programs.
  2. Discuss program models to achieve spread goals that are alternatives to collaboratives.
Diane Stewart, Director, Pacific Business Group on Health;
Hunter Gatewood, MSW, Senior Program Associate, California Health Care Safety Net Institute
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