Spread

PHMI 2026 Spread Team Worksheet

Use this worksheet to define what spread means for your health center, identify PHM strategies that may be ready to spread, and vet them against PHMI's five conditions for spread. The worksheet also supports teams in identifying next steps before finalizing a spread strategy and drafting a spread SMARTIE goal.
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Moving from Implementation to Spread

These slides from the March 2026 PHMI Statewide Learning Session introduce PHMI’s definition of spread, including how spread may look different depending on CHC size, site structure, and context. The session also reviews the relationship between implementation, sustainability, and spread; the conditions for spread; and next steps for developing a Spread SMARTIE goal.
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