The seventh step of change is to embed the change output into the system. This is part of the “Maintaining Quality” domain within a Quality Management System.

Why: This step moves the change output or new model into “business as usual”.

What: This step involves following the implementation plan developed in step six to fully integrate the new model into the wider system, ensuring it fits with the processes, systems, management and governance arrangements. It involves also measuring the impact and value of the change on an ongoing basis as part of Maintaining Quality processes.

How: Examples of tools that support the embed step

• Communication and engagement plan: used to share the implementation plans with the team/organisation and how and when this will be done. 
• Team Huddles: used to communicate with a team about managing quality and embedding a change.
• SBAR: a simple structured communication tool to enable accurate transfer of information in a Situation, Background, Assessment, Recommendation format.
• Gantt charts and measurement plans described in step six are also useful.