There is a saying in improvement work: communicate five ways five times. Communication is
critical in all aspects of the work. During testing, raise awareness so other practice members
and patients are aware of the work. Use your run charts in breakrooms, on posters, etc. Honor
those who are doing the front-line work. During implementation, communicate the wins and
the progress within the practice. During sustaining, communicate the data, any new
modifications, and continued wins. And finally during spread, communicate the timing, theHow to Implement the Six Core Elements of Health Care Transition™ 3.0 9
plan, the deliverables, and the specific changes to be spread. Find ways to communicate your
success: post run charts, send newsletters to youth/young adults and parents/caregivers, apply
to institutional quality events, consider publishing or presenting at regional or national
programs, etc. If you have access, include public relations and marketing departments. Consider
working with your state Title V program to communicate and disseminate your successes.