Change Design Studio
Most improvement regresses because the change was structurally incapable of holding.
Leverage takes your team from context, through the three questions of the Model for Improvement, to a portfolio of fully articulated change ideas — each classified against the ISMP Canada Hierarchy of Effectiveness, and each pushed upward.
Your work stays yours. Projects are visible only to people in your own organisation. Ruavira Collective cannot read what your team writes. What we learn is the shape of the work — how many change ideas a team has, at which levels of the hierarchy, and whether they pushed an idea upward — never the words themselves. Please do not enter anything that could identify a patient.