PDSA ramps provide a way to continue to learn about and refine a change through related, repeated cycles of testing as it is spread into new contexts. This template can be used to plan for spreading or scaling a change idea and to organize learning to build confidence that the change will reliably lead to improvement before system-wide implementation.
Successfully bringing a change to new contexts or implementing a new practice systemwide requires understanding what it takes to make the change work in varied settings. Engaging in iterative testing as a change idea is gradually introduced in new contexts (i.e., moving up a PDSA ramp) supports learning about the structures and supports needed to enable systemwide implementation. This template includes guiding questions and prompts to aid in planning for strategic testing of a change idea as it is being scaled.
