Measurement and Feedback:
Develop an Outcome Measure and a Measure for the Rate of Spread
Measures used to guide the spread process include one or more outcome measures and a measure of the rate of spread of specific improvements. Outcome measures for spread assess whether the improvements being spread are having a positive impact on the performance of the system. The outcome measures used to guide local improvement are often converted to system-level measures during the spread effort. Measures for the rate of spread assess the extent to which key ideas or process changes are being spread from the local level to sites in the target population.
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