Welcome to our web site and the initiative to improve health care and public health through enhanced scale-up and spread of effective health programs. This website was established in conjunction with the July 2010 Conference to Advance the State of the Science and Practice on Scale-up and Spread of Effective Health Programs, an event funded by the Agency for Health Care Research and Quality, Commonwealth Fund, US Department of Veterans Affairs, Donaghue Foundation and John A. Hartford Foundation. The initiative seeks to envision – and trigger – a new era of rapid and broad scale up of effective practices in health care and public health, to achieve improvements in health and quality of life through more rapid diffusion and uptake of effective, innovative practices.
Thursday, October 13, 2011
1.Increase awareness of the need for greater attention and activity in scale-up and spread, including research, practice, and policy activity.
2.Facilitate better information exchange, collaboration and use of existing knowledge regarding scale-up and spread.
3.Develop, evaluate and refine innovative scale-up and spread methods, including novel incentives and “pull” strategies.
4.Develop and apply new approaches for evaluation of scale-up and spread.
5.Expand capacity for scale-up and spread policy, practice and research.
Conference attendees generally agreed that the specific recommendations produced at the conclusion of the conference represented a strong start but did not comprise a comprehensive, actionable and compelling set required to provide a strong foundation for future activity. With continued grant support from AHRQ, we are pleased to announce a fall 2011 project to “virtually” reconvene conference attendees (and other key stakeholders) to refine and elaborate the conference recommendations and to develop specific plans for operationalizing key recommendations. Our ongoing discussions with representatives from CMS, VA, CDC and other federal, state and private organizations have indicated the timeliness of these issues and the clear need for additional guidance regarding scale-up and spread.
The fall effort includes two parts:
1. A web-based survey asking you to review, refine and prioritize the conference-generated recommendations and to offer specific suggestions for actions needed to operationalize each recommendation.
2. A conference call / on-line discussion to further discuss and refine the expanded set of recommendations, leading to their formal publication and dissemination.
We think this is an exciting opportunity to provide meaningful input and guidance for important, time-sensitive policy and practice activities in health care and public health. If you would like more information about the post-Conference activities please contact Deborah Jenkins (Deborah.Jenkins@va.gov).
Thursday, September 30, 2010
reduce disparities, and enhance efficiency by fostering the adoption of
innovations in health care delivery. The Innovations Exchange includes
an adopter-oriented Web site (www.innovations.ahrq.gov) with a central
repository of over 475 searchable innovations and 1,500 quality tools.
The site offers guidance to support innovation uptake, including
evidence ratings, practical adoption considerations, comments, and
innovator contact information.
The Innovations Exchange is very interested in promoting the
sustainability and spread of promising health care innovations and is
actively exploring avenues to help advance this area and support
innovators in addressing challenges to spread. Recent and upcoming
activities of the Innovations Exchange include:
1. Sponsoring a meeting for health care innovators who have contributed
innovations to the Innovations Exchange. The meeting, which took place
one day prior to the AHRQ Annual Conference this past week, engaged
innovators in discussing innovator roles, challenges, needs, and rewards
related to the spread of their innovations.
2. Developing brief articles and perspectives for the Innovations
Exchange Web site discussing the spread of innovations. Innovations
Exchange staff will contribute some of these pieces by interviewing
selected participants in the recent Conference to Advance the State of
the Science and Practice on Scale-up and Spread of Effective Health
3. Convening a virtual roundtable with a group of participants from the
Conference to solicit discussion on how the Innovations Exchange can
help foster spread of health care innovations.
Please contact the Innovations Exchange (firstname.lastname@example.org) to
learn more about these activities. We encourage other stakeholders to
contribute to these and other activities designed to promote greater
interest and activity in scale-up and spread.
Friday, August 27, 2010
Given my passion for improvement and dissemination, this seems like a terrific opportunity, and it's one I'm eager to take. Having said that, I will need to step down from my position as chair of the conference and our learning community. Marie Schall, who you all now know from her role as a working group chair at the conference, will take over as the point person from IHI, joining the conference co-chairs, Brian Mittman and Wynne Norton.
Happily, they will shortly initiate the VA-sponsored webinar series which should help sustain the momentum from our gathering (more information to come on that shortly). I know I speak for Brian, Wynne and Marie when I say that our shared hope is for this group to continue to come together regularly to build will and tools for the field, and to actively study and support ongoing scale-up efforts.
I am still awaiting my ethics orientation, at which point I will better understand the boundaries of my future involvement, but I fully intend to stay as involved with the group as possible.
Thank you very much for you ongoing involvement with this important work.
All the best,
Thursday, July 22, 2010
If you were not able to join the Scale Up Post-conference WebEx session yesterday, please feel free to listen to the recording of the call here: https://ihi.webex.com/ihi/lsr.php?AT=pb&SP=TC&rID=53361357&rKey=eabf0e46b42850fd&act=pb. When you click on the link, you may be directed to download the WebEx player. Please follow the instructions when prompted. The session is approximately an hour and fifteen minutes long. Please fast forward to 00:04:45, which is when the formal session begins. If you have any questions about the session, or the conference in general, please email Joe McCannon at email@example.com or myself, at firstname.lastname@example.org.
Thursday, July 15, 2010
The listserv is purposely broad in membership and scope, and encompasses the areas relevant to dissemination and implementation in health care and public health, including: scale-up/spread, capacity building, knowledge translation, quality improvement, research-to-practice, diffusion, knowledge transfer and exchange, adoption, complex interventions, implementation strategies, action research, translational research, and other related terms and sub-disciplines. If you are interested in joining this listserv, send an email to email@example.com with the body of the message stating: Subscribe D-I-Health your name. You should receive a message from the listserv with instructions for how to complete your subscription. Archives for the listserv can be found at http://listserv.uab.edu/D-I-Health.html. Postings are also available on the Center for Health Dissemination and Implementation Research website (www.research-practice.org). Please feel free to circulate this information to interested colleagues.
We hope that this is one of many ways that we can continue to communicate with one another and grow this exciting field.
Please contact me with any questions, comments, or suggestions.
Friday, July 9, 2010
Wednesday, July 7, 2010
1. We need to redesign incentives (e.g., payment, recognition, career advancement) for innovators and researchers that drive them to scale-up and deepen their skills in implementation and spread.
2. There is work to be done on raising awareness about the importance of change management and scale up that has to occur simultaneous to actual change management efforts (i.e., we need to create a ready substrate of the "interested, willing and capable").
3. There is an important distinction to be made between efforts to scale up a particular practice and multi-disciplinary efforts to improve health for large populations (i.e., differences in the motivations, interventions and mechanisms for these different types of change).
4. There is chronic underuse and under-testing of innovative practices, technologies and methods, particularly from other fields, and there is a need for "facilitated evolution" in order to accelerate learning and adoption -- creating networks of distributed innovation among all actors in a given system, region or population.
5. We need to create some kind of shared system for setting health care and public health priorities, based upon some calculus (acuity, volume, etc.).
6. We new forms of evaluation that yield learning during the scale-up process, as well as reliable studies of project performance at the conclusion of a given effort.
Over dinner, we also heard from Anne-Marie Audet, Rashad Massoud, Russ Glasgow and Chris Goeschel, offering perspective on ongoing efforts at to spread effective practices inside and outside of the US. Their stories and outcomes - which we'll include in the conference notes - were very compelling, demonstrating innovative models of spread and breakthroughs in mobilizing energy and activity at the front lines of care. Once again, we'll benefit from these stories and insights as we re-engage tomorrow.