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Taking Innovations to Scale
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Scaling up and Spreading Innovation

The purpose of the Health Care Innovations Exchange is to speed the implementation of new and better ways of delivering health care. Taking Innovations to Scale highlights resources and information to help innovators spread their innovations, and to help adopters find, learn about, and implement new ways to improve care in their organizations.

Taking Innovations to Scale includes a Spread Success Stories section, which highlights innovations that have been successfully scaled. Our Getting Started section provides helpful tools and links to resources for both innovators and potential adopters related to scale up and spread. The section Voices from the Field offers expert perspectives on the topic and video presentations from innovators who are attempting to spread their innovations.

Share Your Experience Spreading Innovations

Spread Success Stories

Scaling and Spreading Innovations

These profiles describe the approaches and challenges of spreading health care innovations.

Innovations with a Track Record of Spread

Our Expert Perspectives on Scale Up and Spread from Hill, Kliger, Hines, Battles, and Shields discuss approaches to spreading specific innovative programs. Read the full profiles of these innovations at the following links:

Getting Started

Promoting the Spread of Health Care Innovations Resources to Enhance Your Spread Knowledge
-  The Conference to Advance the State of the Science and Practice on Scale-up and Spread of Effective Health Programs Literature Database External Link (Adobe Reader is required to view or print the PDF. Download a free copy here. External Web Site Policy)
-  The Conference to Advance the State of the Science and Practice on Scale-up and Spread of Effective Health Programs Resource Database External Link (Adobe Reader is required to view or print the PDF. Download a free copy here. External Web Site Policy)

Presentations and Reports

Promoting the Spread of Health Care Innovations
This Innovations Exchange Web event, held on April 9, 2013, featured a presentation by health care innovator Linda Wick, who discussed the experiences and lessons learned from spreading her innovation both within and outside of her health care organization.
Spread Models and Lessons: Learning from the ARHQ Health Care Innovations Exchange
  • Presentation at the 4th Annual NIH Conference on the Science of Dissemination and Implementation: Policy and Practice, March 21-22, 2011
  • Presenters: Mary P. Nix, AHRQ; Veronica Nieva, Westat; Bruce Leff, Johns Hopkins School of Medicine; and Tracy Novak, Johns Hopkins Bloomberg School of Public Health
AHRQ Health Care Innovations Exchange Report on Scale Up and Spread Activities 2011
This report provides an overview of the general findings, lessons learned, and overall recommendations derived from the 2011 scale up and spread activities undertaken by the AHRQ Health Care Innovations Exchange.
Scaling and Spreading Innovation: Strategies to Improve Cardiovascular Health
This report presents a summary and findings from an April 2012 event titled Million Hearts™ Scaling and Spreading Innovation: Strategies to Improve Cardiovascular Health, sponsored by 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.

Last updated: February 26, 2014.

Voices From the Field
Expert Perspectives on Scale Up and Spread
Brian Mittman PhD
Peggy Hill, MS
Julie Kliger, MPA, BSN, Director, Integrated Nurse Leadership Program, University of California San Francisco
Steve Shields, CEO/Principal, Action Pact Development, LLC
Amy Berman, B.S., R.N., Program Officer of the John A. Hartford Foundation
Jürgen Unützer, M.D., M.P.H., Professor and Vice-Chair in the Department of Psychiatry and Behavioral Sciences at the University of Washington
Barbara Spurrier, M.H.A., Administrator Director of the Mayo Clinic Center for Innovation
Million Hearts™
The Heart 360® Innovation was one of several programs featured in a Million Hearts™ event in April 2012. The Million Hearts™ initiative invited prominent health care thought leaders and stakeholders to Washington DC, to inspire creative thinking about scaling and spreading cardiovascular prevention activities throughout the United States.
Scaling and Spreading the Heart 360 Innovation: Part 1
Scaling and Spreading the Heart 360® Innovation: Part 1
David J. Magid
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Scaling and Spreading the Heart 360 Innovation: Part 2
Scaling and Spreading the Heart 360® Innovation: Part 2
David J. Magid
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Spotlight on Innovators’ Spread Efforts
This AHRQ Health Care Innovations Exchange video series, Can This Innovation Be Scaled?, features presentations from three innovators who are attempting to scale their programs, as well as reactions from a panel of stakeholders. These videos were filmed at the Scale Up & Spread Round Table, held in Rockville, MD on May 11, 2011. Access the video summaries. >>
The Essentia Heart Failure Program
The Essentia Heart Failure Program
Linda Wick
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Care Management Plus Program
Care Management Plus Program
David Dorr
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Brenner Children’s Hospital BrennerFIT program
Brenner Children’s Hospital BrennerFIT program
Joseph Skelton
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