Table 2.

Definitions of Selected SCALE Tools and Terminology

SCALE Term	Description and Purpose
Driver diagram	An illustration of the structures, processes, and norms that are believed to require change in the system; this is one way to illustrate the team’s shared theory of change.
Leading from within/leading from the heart	The inner and reflective work of leadership and one’s inner journey as a leader.
Action lab	Equity Action Lab uses a structured set of activities to bring together a diverse group of community stakeholders to set a goal that is important to them, and to design and take action over a 100-day period to make progress toward that goal (Community Solutions, Designing an Action Lab, 2016).
Open and honest questions	Communication skills designed to facilitate the exchange of ideas in a safe and non-judgmental setting.
PDSA	A Plan-Do-Study-Act cycle is an improvement method for iteratively testing a change on a small scale — by planning it, trying it, studying the results, and acting on what is learned.
“Yes, and…”	Instead of responding to another person with “Yes, but…” a response of “Yes, and…” allows the honoring of their truth and the addition of yours.
Bright spots	A set of activities, an intervention, or a program that a community is working on to improve health, wellbeing, and equity. It is scalable and shows evidence of the impact of the work on the population or subpopulation in the community.
Failing forward	The notion that mistakes are not only to be accepted as an occasional occurrence in improvement projects, but should be viewed as critical parts of the learning and improvement process. It embraces the belief that teams that fail forward quickly learn faster, reach higher levels of performance, and create a safe environment for a wide variety of ideas to be suggested and tried.