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Large-scale improvement initiatives: A scan of the literature

Perla RJ, Bradbury E, Gunther-Murphy C. Large-scale improvement initiatives: A scan of the literature. Journal for Healthcare Quality. 2011 Sep 14. [Epub ahead of print.] [DOI: 10.1111/j.1945-1474.2011.00164.x]

This article provides a succinct scan of the literature as it relates to the current thinking and practice in large-scale improvement initiatives in health care. Four primary drivers (factors) were identified: Planning and Infrastructure; Individual, Group, Organizational, and System Factors; The Process of Change; and Performance Measures and Evaluation.

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Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation

This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US.
Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative

This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.”

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