Office of Spread and Scale

About Us

The Office of Spread and Scale (OSS) aims to amplify successful models of care and innovative programs beyond our hospital walls, while learning from the success of others. To achieve this goal, we conduct research, consulting, and capacity building activities related to:  

  • How to include principles of implementation science in your work, projects, and research grants to help you consider sustainability, spread and scale from the beginning.
  • Assessing readiness for implementation and options for spread and scale, including potential barriers and enablers.
  • How to consider sustainability, spread and scale within digital health evaluations.
  • Strategies for encouraging and supporting patient engagement and involvement of all relevant decision makers. 
  • Potential ways to spread and scale your work to similar and new contexts, populations, and settings.
  • How to scale successful initiatives requiring policy changes to allow for successful adoption.

Our Approach

The OSS values collaboration, health equity, and evidence-informed decision-making while prioritizing patient-oriented research and application of practices likely to achieve great impact.

Our Services

We provide coaching and consultation services for work at any stage, including providing relevant input to funding applications, factors to consider before ethics submission, implementation and dissemination strategies, and planning for next steps. We will work with you to identify a model of service that best suits your project and team needs.

These services are available to those within and outside of Women’s College Hospital. Please contact for details

Sample Projects 

• Leading Canadian Institutes of Health Research (CIHR) funded planning grants to develop research questions and design scalable interventions on a variety of health-related topic areas.

• Integrating planning for sustainability, spread and scale into digital health evaluations.

• Supporting implementation science team grants to incorporate planning for sustainability, spread and scale into research projects.

• Leading a systematic review on sustainability, spread, and scale of Audit & Feedback interventions.

Public Discussion Groups 

Once per month we host an online discussion group that provides an opportunity for people to discuss a key topic or paper with peers and experts in the field.  No experience or expertise in implementation science is necessary as we will always have a place for people who are new to the field.

To register to receive information about upcoming events, please click here.

Our Team

The OSS team includes a core group of individuals from the Women’s College Research Institute, Women’s College Institute for Health Systems Solutions and Virtual Care (WIHV), and several other organizations and universities.

Expertise includes implementation science, digital health evaluation, health services research, health equity, dissemination, communications, and public policy. Additional expertise will be drawn from within and beyond WIHV as needed.

Core Team members include:

Implementation Support Team members include:

• Dr. Celia Laur – Scientific Lead
• Katherine Ford, RD, PhD, CIHR Health System Impact Fellow with the University of Waterloo & the Canadian Nutrition Society
• Alyssa Kelly, PhD(c), University of Toronto (on leave)
• Zeenat Ladak – CIHR Health System Impact Fellow with the Office of Spread & Scale and University of Toronto
• Priscilla Medeiros, PhD, Knowledge Mobilization Specialist at the Edwin S.H. Leong Centre for Healthy Children
• Sam Petrie, PhD, CIHR Health System Impact Fellow with the Ted Rogers Centre for Heart Research & the University of Toronto
• Josh Porat-Dahlerbruch, PhD, Ben Gurion University; the Israel Implementation Science and Policy Engagement Centre (IS-PEC)
• Nida Shah, Manager, Virtual Care, WIHV
• Jennifer Shuldiner, PhD, Research Lead, WIHV
• Camille Williams, PhD, WIHV

    Our Funders

    The OSS is supported by the Ontario SPOR (Strategy for Patient-Oriented Research) Support Unit (OSSU). The OSSU is a network that engages researchers, patients, and other partners in patient-oriented research to improve the health of Ontarians and the health care system.

    Additional funding is provided through research grants and consulting contracts.

    Contact us at to learn more about how we can help you achieve impact.

    Implementation Science: The study of methods to promote the adoption and integration of evidence-based practices, interventions, and policies into routine health care and public health settings to improve the impact on population health (National Cancer Institute, Division of Cancer Control & Population Science)

    Sustainability: The extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations. (Proctor et al, 2011)

    Spread: Replicating an initiative somewhere else (i.e. one site to another) (Greenhalgh & Papoutsi, 2019)

    Scale: Deliberate efforts to increase the impact of innovations successfully tested in pilot or experimental projects so as to benefit more people and to foster policy and program development on a lasting basis. (ExpandNet; Simmons et al, 2007)


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