You had a good idea for a change. Then you tested it and implemented it in one location. Now what? Well, if the change continues to lead to improvement, the next logical step is to spread it — to widely share that great innovation. However, you can’t just take a new process from one location and expect that it is going to work perfectly somewhere else. In this final lesson, you’ll see how a hospital network in Central Texas used the concepts from the first two lessons to spread a major improvement initiative — widely improving care across a vast system.