Using a framework for spread: The case of patient access in the Veterans Health Administration
Nolan K, Schall M, Erb F, Nolan T. Using a framework for spread: The case of patient access in the Veterans Health Administration. Joint Commission Journal on Quality and Safety. 2005;31(6):339-347.
This article describes a framework for spread that was used in the VA Healthcare Network VISN 2 to spread improved access to its outpatient clinics. This case example includes both the theoretical background and practical guidance that organizations can use in planning for the spread of improvements.
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