The 100,000 Homes Campaign

By Sarah Soule, Huggy Rao, Robert Sutton, Davina Drabkin
2016 | Case No. L30

Rosanne Haggerty remembered looking over the table at Becky Margiotta, both with their mouths hanging open.   The two had just learned about the 100,000 Lives Campaign, an initiative by Institute for Healthcare Improvement (IHI) that resulted in an estimated 123,000 preventable deaths avoided.

Margiotta thought she should lead a similar campaign to provide permanent housing for the homeless who were most at risk.  Haggerty was immediately intrigued as well: “It was very different set of activities, ironically, but just the notion of a campaign framework to drive adoption of improvement just was one of those light bulb-going-off moments.”

Margiotta and Haggerty launched the 100,000 Homes Campaign in July 2010. The goal was to house 100,000 homeless Americans whose health conditions put them at risk of premature death if they did not have permanent housing. Margiotta served as the campaign director and Haggerty, founder of Common Ground, as president and CEO of Community Solutions, the organization that subsequently spun off to manage the campaign.

This case explores the approach that Margiotta, with support from Haggerty and the 100,000 Homes team, used to build a national campaign and make it successful.  The focus is on scaling up excellence and the philosophies and practices that Margiotta and the leadership team employed.

Click to view The 100,000 Homes Campaign case.

Learning Objective

To examine how the 100,000 Homes Campaign took a proven pilot and scaled it up to a successful national effort. To explore how the Campaign used elements of Design Thinking such as a bias for action to scale up its pilot and have an impact.

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