This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

"Spread" improvement can affect your hospital’s adaptation of quality improvement (QI) protocols, said two senior management leaders at Iowa Health System. Speaking as part of the Institute for Healthcare Improvement’s (IHI) October 13 audioconference, "What Senior Leaders Need to Know About Spreading Improvement," Gail Nielsen, clinical performance improvement education administrator for Iowa Health System, and Mark Purtle, MD, patient safety officer and vice president of medical affairs at Iowa Health Des Moines, spoke about the effectiveness of using spread techniques to sustain and implement QI across a hospital setting.