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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.
• Spreading Changes: Leadership
  Executive leaders ensure that the spread aim is aligned with the strategic goals of the organization, assign day-to-day leadership for spread, provide overall guidance to the spread team, and ensure communication and involvement of senior leadership in the progress of the spread effort.