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What’s the Secret to Change Implementation?

Lloyd Provost, MS; Statistician, Associates for Process Improvement

Have trouble viewing this video? Read the transcript.

Learning Objectives: At the end of this activity, you will be able to:
  • Discuss how improvement methodology can help you implement change.
  • Describe four key differences between PDSA for improvement versus PDSAs for implementation.

Description: According to Lloyd Provost, co-author of the Improvement Guide, implementing a change isn’t just difficult — it’s “one of the hardest things in the world.” Why is implementation so tricky? How can you overcome the barriers to implementation when you have a change that you know is great? Learn from one of the leading experts in improvement science in this Open School video short.

Discussion Questions:

  1. Provost believes that implementing change is very difficult. Do you agree? Why or why not?
  2. Have you ever tried to implement a change, in your personal life or at work? How did it go?
  3. Pause the video at the 1:00 mark on the table that compares pilot testing to testing for implementation (or view a PDF version of the table). What are the key differences between the two phases, and why do these differences exist?
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