Thursday 22 May 2025 | 15:00-16:00

Format: Presentation

Stream: Science

Content filters: Recommended for those working at system level in QI

PART ONE: New ideas for spreading interventions that work: an integrated model for spread and scale-up

The bloom of 1000 improvement flowers can quickly wither if not directed by sustainable and scalable designs. Come and hear more on IHI’s new integrated model of Spread and Scale, and recent field tests of this approach.

After this session, participants will be able to:

• Understand an actionable integrated model for spread and scale


• Learn examples of this model through global case studies


• Apply this model to scaling and spreading their own work

Tricia Bolender Institute for Healthcare Improvement (IHI); USA

PART TWO: Scale or fail: using implementation science frameworks in the real world

This interactive session will provide advanced improvement practitioners, who are involved in spread initiatives, with insights into how implementation science frameworks and models can be applied practically to support the scale and spread of improvement in real-world contexts. Participants will be introduced to the Hexagon Discussion and Analysis Tool and will hear how the Health and Social Care Quality Improvement (HSCQI) team in Northern Ireland has integrated its 6 domains into a novel, evidence-based tool for assessing readiness. The HSCQI Scalability Tool, which was co-produced with lived experience representatives and colleagues from across the health and social care system, assesses readiness for spread at an individual project level and at a system level. Participants will have the opportunity to experience an interactive version of the tool. This session will be delivered in partnership with HSCQI’s lived experience colleagues, whose input into the co-design of the tool was key to its functionality and acceptability.

After this session, participants will be able to:

• Understand the challenges of leading change and spreading improvement across an integrated health and social care system


• Describe a range of implementation science frameworks and models and how they relate to improvement science


• Describe the Hexagon Discussion and Analysis Tool and the HSCQI Scalability Tool and how they can be used practically to support the assessment of readiness for scale and spread at a local project level and system level

Anita Rowe HSCQI, Public Health Agency; Northern Ireland

PART THREE: Redefine possible: spread and scale your impact with the Model for Unleashing

Are you ready to transform your healthcare initiative into a system-wide movement? Join us to unlock the power of the Model for Unleashing. This workshop will give you an overview of the tools and knowledge you need to rapidly spread and scale your improvement for maximum impact.

Discover how to identify and replicate successful practices, overcome barriers to adoption, maximise your teams’ efficiency and build a sustainable improvement culture. Learn from a real-world example and healthcare leaders who are driving change. By attending this workshop, you will gain practical strategies to accelerate the spread of improvement, enhance patient outcomes, and achieve lasting results.

After this session, participants will be able to:

• Recognise that ‘How do I get all of these people to do what I want them to?’ is a bad question that limits spread and instead understand a better question that can be used to facilitate it


• Have a high-level understanding of the Model for Unleashing and the ten questions the Model says you must answer for your initiative to successfully spread


• Learn lessons from a successful spread initiative that can be applied to their own spread projects

Ruth Jordan Cardiff and Vale University Health Board; Wales