Diffusion of Excellence
Scaling Promising Practices
Diffusion of Excellence specializes in scaling emergent, high-impact health care practices across the nation’s largest integrated health care system.
Our Model
Diffusion of Excellence meets its goal through deploying a model to discover, test, replicate, and scale.

VHA Shark Tank Competition
VHA IE identifies
employee-developed
Promising Practices and matches them with interested facilities.

Facilitated Replication
Promising Practices are implemented in one or two additional facilities with training and project management support through a six to nine-month process.

Diffusion Pathway
Promising Practices continue through organic diffusion, initial diffusion, or national diffusion.
Our Work

Promising Practices
The Diffusion of Excellence Program
specializes in scaling emerging, high-impact health care Promising Practices across
the nation’s largest integrated health care system.

HAPPEN
The Diffusion of Excellence Program
advances Promising Practices that improve Veteran care such as Hospital-Acquired
Pneumonia Prevention by Engaging Nurses (HAPPEN), an initiative
that is leveraging a simple, low-cost, low-risk intervention to reduce the risk of
hospital-acquired pneumonia.

National Organization for NV-HAP Prevention
VHA is collaborating with a network of health care leaders to advance a national research agenda and develop policies to combat non-ventilator associated pneumonia through the National Organization for NV-HAP Prevention (NOHAP).
Read More »The Diffusion Marketplace
Diffusion of Excellence enables our collaborative practices and innovations to sustainably
scale across our nationwide health care system to maximize their impact.” - Blake Henderson,
Director Diffusion of Excellence
VHA Diffusion of Excellence Playbook
Since 2016,
Diffusion of Excellence has been on a journey to develop repeatable, inclusive
frameworks that enable practices, developed by VHA frontline employees, to obtain
recognition and broader impact. The Diffusion of Excellence Playbook provides a “bread-crumb
trail” to how Diffusion fosters identifies, replicates, and scales Promising Practices.
Click here to learn more


Blake Henderson
Director, Diffusion of Excellence
“Diffusion of Excellence enables our partnered practices and innovations to sustainably scale across our nationwide health care system to maximize their impact.”