Here are some strategies you and your change team can consider when scaling up, scaling out, or scaling deep:
|Type of Scaling||Scaling Strategies|
|Any scaling - up, scaling out, and/or scaling deep||
SOURCES: Aarons et al., 2017; Grinspun, 2018; Grinspun et al., 2018a; Moore et al., 2015; Sustainable Improvement Team & the Horizons Team, 2018.
A change is more likely to be scaled up, scaled out, or scaled deep when it:
- Demonstrates a clear advantage to current practice in ways that are meaningful to staff.
- Is seen as a rational decision and one that connects with staff’s hearts and minds, engaging emotions and values.
- Addresses a problem that is considered significant or as an important opportunity.
- Fits with the local context and the current system of care.
- Can be piloted before committing fully to the change.
- Engages change agents and others from the start so that they can co-design the change.
- Allows for opportunities to learn together.
- Is championed by formal leaders, including senior management teams.
- Includes all of the 'CORRECT' attributes for scaling a change initiative: Credible, Observable, Relevant, Relative advantage, Easy to use and understand, Compatible, and Testable.
- Is supported by networks and communities granting access to the knowledge, skills and resources needed for the change
SOURCES: Grinspun et al., 2018a; McConnell et al., 2018; Rogers, 2003; Sustainable Improvement Team & the Horizons Team, 2018; World health Organization, 2010.
Accelerate Your Success: The Knowledge-to-Action Framework’s ‘Sustain knowledge use’ action cycle phase describes strategies for sustainment. To be able to scale change an innovation must be shown to be effective and sustainable. For change agents, developing capacity in sustainability can support the scaling of change to widen influence. Visit 'Sustain knowledge use' to learn more strategies about sustainment and factors that hinder and help it.