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Scaling and Spreading Innovation Strategies to Improve Cardiovascular Health

This report presents a summary and findings from an April 2012 event entitled Million Hearts™ Scaling and Spreading Innovation: Strategies to Improve Cardiovascular Health, sponsored by the Agency for Healthcare Research and Quality (AHRQ)’s Health Care Innovations Exchange, the Centers for Disease Control and Prevention (CDC) Division for Heart Disease and Stroke Prevention, and the Centers for Medicare and Medicaid Services (CMS), in partnership with the American Heart Association. The event generated valuable findings for the emerging field of scaling and spreading innovation. Findings are summarized here.

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Table of Contents

Executive Summary



Background on the Million Hearts™ Initiative

Event Description

Report Overview

Prepare Cardiovascular Innovations for Spread

Identify Core Elements of the Innovation

Tailor the Innovation to Local Contexts

Package the Innovation for Spread

Connect Innovators with Spreaders

Engage Multiple Stakeholders in Spread Efforts

Identifying Stakeholder Groups and Roles

Tailoring Message to Various Stakeholders

The Provider Pitch

The Hospital/Health System Leader or Administrator Pitch

The Employer Pitch

The Patient Pitch

The Insurer Pitch

Exploring New Partnerships

Spreading Cardiovascular Innovations

Creating Receptivity to the Spread of Cardiovascular Innovations

Creating Organizational Readiness to Adopt Innovations

Implementing Innovations

Spreading Innovations in a Changing Health Care Environment

Payment Systems

The Changing Healthcare Workforce

New Provider Organizations

Summary and Conclusions


Appendix A


Appendix B

Million Hearts™ Participants

Appendix C


Appendix D

Heart360® Fishbowl Summary

Appendix E

Disease Management to Promote Blood Pressure Control Among African Americans Fishbowl Summary

Appendix F

Language Concordant Health Coaches Fishbowl Summary

Appendix G

Medication Therapy Management Fishbowl Summary

Appendix H

Top Ideas from the 3x5 Exercise

Last updated: March 24, 2011.