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• A Framework for Spread: From Local Improvements to System-Wide Change
  A key factor in closing the gap between best practice and common practice is the ability of health care providers and their organizations to rapidly spread innovations and new ideas.
• Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives
  This white paper may be used as a preparation tool by those that are planning to take effective health care practices from one setting or isolated environment and to make them ubiquitous across a health care system, region, state, or nation.

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• Sustainability Planning Worksheet
  Teams may use this worksheet to help plan for the long-term sustainability of an improvement effort.
• IHI "Seven Spreadly Sins"
  Improvement teams often make some common missteps when it comes to successfully sharing and spreading improvement ideas in their organizations. IHI's "Seven Spreadly Sins" infographic give teams practical tips for overcoming challenges that impede successful spread.

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• Ethiopia Health Care Quality Initiative: Design and Initial Lessons Learned
  The Ethiopian Federal Ministry of Health and IHI co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national health care quality strategy, building quality improvement (QI) capability at all health system levels, and introducing scalable QI collaboratives across four regions.
• The Scottish Improvement Journey: A Nationwide Approach to Improvement
  Learn about Scotland’s 10-year effort to apply quality improvement on a national scale to improve patient safety, including an in-depth review of the successful Scottish Patient Safety Programme, and further QI efforts that spread across Scotland into new social policy areas such as children’s services, education, and justice.
• 10 IHI Innovations to Improve Health and Health Care
  This curated publication highlights 10 ideas that have emerged from IHI's systematic 90-day innovation approach, including reflections on the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, and other frameworks and fresh thinking that have been replicated around the world.
• Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
  IHI’s Project JOINTS initiative engaged a network of state-based organizations and professionals in a six-month QI campaign to promote adherence to three evidence-based practices to reduce surgical site infection (SSI) after joint replacement.
• Ensuring Healthcare Improvements Stick
  This article describes six management principles, leadership practices, core competencies, and mental models that all play a role in generating and sustaining improvement.