Module 7

Sustaining and Spreading Improvement

This module focuses on the human side of improvement and how culture, change management, sustainability, and spread influence whether improvements take hold, last, and expand over time across settings.

Key Focus Areas: Organizational culture and psychological safety, change management and influence strategies, sustaining improvements through system design and accountability, and spreading successful interventions across teams and sites.

What You Will Be Able To Do: Assess cultural readiness and barriers, engage and influence key stakeholders using tailored approaches, apply strategies to sustain improvements beyond initial testing, and plan for the spread of successful changes across your organization or network.

Getting Started: Begin with “Culture” to understand how your environment shapes improvement efforts. Reflect on your setting, identify one factor that could support—or hinder—your work, and consider how you can adapt your approach to strengthen sustainability and spread.

To watch a video overview of these modules, please click here.