1. What is Sustainability?  When the new ways of working and improved outcomes become the norm 1

2. Key Questions to Consider  How will workflow changes remain permanent throughout our organization?  How will measureable outcomes continue to evolve?  How will the system changes be spread and adapted by the rest of our facility? 2

3. Planning for Sustainability  In order to implement change and sustain it over a period of time, consider: Determination of what will be sustained Engagement of leaders Involvement and on-going support for front-line staff Monitoring and feedback Integration of the improved process throughout the organization Spread 3

4. Sustainability Planning Guide/Workbook In your packets 4

5. Sustainability Action Plan  Work with team members from your facility to begin filling out the questionnaire 5

6. This material was prepared by IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 10SOW-NY-AIM7.1-13-34

7. For more information Crystal Isaacs Quality Improvement Specialist (516) 209-5589 cisaacs@nyqio.sdps.org IPRO CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY 11042-1002 IPRO REGIONAL OFFICE 20 Corporate Woods Boulevard Albany, NY 12211-2370 www.ipro.org Template 1/13/2012