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Partners and Case Studies

When partnering with Plexus Institute, organizations discover sustainable actions and progress toward solving their complex problems. Our facilitators are skilled at enabling new conversations, expanding networks, and galvanizing useful ideas. Organizations working with us have dramatically reduced infection rates, cut millions of dollars in costs, streamlined operations, and increased overall workplace satisfaction.

The following are examples of the successes that organizations have experienced when partnering with Plexus.


Long Beach Unified School DistrictPlexus Institute received a $2.1 million grant from the Bill & Melinda Gates Foundation for a three year project in California’s Long Beach Unified School District (LBUSD) to discover, develop and promote methods that help K-12 educators continually improve so that their students achieve better outcomes.

STEP: The Supporting Teacher Effectiveness Project (pdf)

During the 2013-2014 school year, Plexus Institute worked in two middle schools in the Long Beach Unified School District. STEP: The Supporting Teacher Effectiveness Project, reports the successes and challenges of the first year of the project from the perspective of teachers, administrators and district staff.


Positive Deviance/MRSA initiative- a collaborative involving six diverse institutions used Positive Deviance, adapted with other change processes, to prevent healthcare associated infections. The results: sustainable 35 % to 80 % reduction in infections, countless lives saved, and millions of dollars saved.

Fighting MRSA by Engaging a Whole Medical Center Community
The Einstein Healthcare Network uses a Positive Deviance Improvement Approach to reduce MRSA infections and save nearly $2 million a year.

"Do What You Can, With What You Have, Where You Are;” MRSA Prevention in Pittsburgh Veterans Hospitals
After initial success with the Toyota Production System (TPS), VA Pittsburgh Healthcare System added a Positive Deviance Improvement Approach to spread the success beyond the initial units. With PD, the hospital-wide MRSA rate dropped 64%.

Fighting Infection: Making the Invisible Vibrantly Visible
Billings Clinic staff discovered "seriously playful" ways to see the continual interplay between humans and their invisible bacterial adversaries and new practices emerged leading to an 80% decline in MRSA infections.

Cabin Creek Health Systems- a group of community health centers in rural West Virginia partnered with Plexus to modify organizational practices. More projects have been sustained and the staff has been happier and more productive.

Organizational Change: Improved Pain Management and Better Rural Healthcare
Cabin Creek Health Systems (CCHS) provides primary care at four community health centers in Kanawha County in rural West Virginia. Cabin Creek used a Liberating Structures (LS) approach resulting in immediate and long-range results.

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