“The question is ‘are you willing and do you have the internal support to even go outside your environment?’ This is a tough question.” –Amy Berman, Hartford Foundation
The role and characteristics of the adopting organization frequently dominate discussions and research about scale up and spread; however, less attention is paid to the role of the innovator’s organization. Whether the innovator’s organization supports spread or considers it “out of scope” or a threat to its competitive advantage has important implications for spread efforts. Joseph Skelton alluded to this point as he spoke about aligning his goal of reaching and helping sick children with the financial goals of his home institution. He has also secured alternate funding sources to limit the financial burden on his home organization. Janell Moerer also recommended aligning innovations with important altruistic missions of home organizations, thereby reducing some of the pressure to be cost effective.