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PHMI Spread Roadmap

September 14, 2026

The PHMI Spread Roadmap provides a visual guide to help health centers move from implementation to spread. The roadmap outlines key drivers and steps for effective spread, including defining the PHM strategy to spread, building will and alignment, documenting a spread plan, preparing the receiving site or program, and using staged implementation and monitoring to track progress. It also highlights the conditions for effective spread, including alignment with clinical outcome goals, adaptability to a new context, clinical, operational, and organizational structures, and financial sustainability.