The English NHS has been working on quality and scaling up quality for years. They've produced some excellent guidance, and there are many good examples. Progress remains patchy because it's all about the people! See this really excellent free resource https://www.england.nhs.uk/wp-content/uploads/2017/09/practical-guide-la...
I use it all the time. It's the product of over a two decades of testing quality improvement methods from other industries and other healthcare sectors, especially Don Berwick and IHI applied to a nationalised health system serving 55 million people.
HIFA profile: Sian Williams is Executive Officer at the International Primary Care Respiratory Group in the UK. Professional interests: Implementation science, NCDs, primary care, respiratory health, education, evaluation, value, breaking down silos. sian.health AT gmail.com