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J Healthc Qual. 2008 Mar-Apr;30(2):48-58.

Spreading improvement strategies within a large home healthcare organization.

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Center for Home Care Policy and Research, Visiting Nurse Service of New York, NY, USA.


This article describes the process of the spread of improvement strategies to improve relationships between professional and paraprofessional service providers within a large home healthcare organization and its partnering home health aide vendors. We describe the method for spreading the strategies, which emerged from a learning collaborative, and the successes and challenges of the spread. Two case studies highlight how the attributes of innovations and the methods for spreading them can influence the effectiveness of an improvement effort.

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