This Week at the Institute for Healthcare Improvement
July 17, 2017
Why Improving Discharge Can Help
Fix Hospital Flow

Even if bottlenecks are improved within the emergency department and the operating room, overall hospital flow and capacity may not improve if the discharge process is inefficient. That’s a key lesson learned at Cincinnati Children’s Hospital Medical Center (CCHMC). IHI recently interviewed Dr. Christine White, leader of a CCHMC project to improve discharge efficiency, who explains how using quality improvement methods helped her team improve hospital flow. The project significantly decreased length of stay without increasing readmission rates, earning CCHMC the Children’s Hospital Association Pediatric Quality Award in 2013. Dr. White is faculty for IHI’s Hospital Flow Professional Development Program.

Partnering to Lead a Culture of Safety

What are the most effective ways for leaders to create the organizational culture needed to provide safe, high-quality health care? A new Journal of Healthcare Management article co-authored by Dr. Tejal Gandhi, IHI Chief Clinical and Safety Officer, and Dr. Gary Kaplan, IHI Board Member, highlights key elements for building a culture of safety, its pivotal role in the success of safety improvement efforts, and leaders’ responsibility for driving this culture. The article also notes the recently published Leading a Culture of Safety: A Blueprint for Success, which provides practical tools. Dr. Gandhi is faculty for IHI’s upcoming training for Patient Safety Officers.

What Can Medical Professionals Do
to Address Implicit Bias?

Anurag Gupta, founder and CEO of Be More America, offers training to health care providers on how to overcome implicit bias. In an IHI Open School short video, Gupta defines implicit bias and offers some practical suggestions on how medical professionals can understand and reduce their own biases. In two companion videos, he describes how implicit bias affects health care — including interpersonal interactions, organizational dynamics, and health care costs — and the potential harm that may occur by not being aware of bias. Reducing implicit bias is one aspect discussed in the IHI White Paper Achieving Health Equity.

IHI Focus Area Spotlight

Improvement Capability: Open School Learners in New Delhi Put QI Training to Use

Person- and Family-Centered Care: The “Insider’s” Dilemma: Am I a Clinician or a Family Member First?

Patient Safety: A Tale of Two Organizations: Which Patient Safety Response Is More Like Yours?

Quality, Cost, and Value: Fixing the Five Percent

Triple Aim for Populations: Evaluating Complex Interventions to Improve Population Health

Look for
John Whittington and Derek Feeley weigh in

IHI Senior Fellow John Whittington and CEO Derek Feeley weigh in with thoughtful comments on “Outcomes” and “The Way Ahead,” two articles in the “Tale of Two Nations” MedPage Today series that compares the US and Canadian health care systems through the lens of the IHI Triple Aim.

What We Know about Designing an Effective Improvement Intervention

A recent BMJ Quality & Safety article discusses “What We Know about Designing an Effective Improvement Intervention (But Too Often Fail to Put into Practice).”

Spend a week with IHI

Spend a week with IHI! Are you curious about what it’s like to work at IHI and how we do our work? In a short video, IHI CEO Derek Feeley describes how IHI Summer Immersion (July 31–August 4) gives you an inside look.

Sign Up

The Business Case for Patient Safety: Free IHI/NPSF Webcast
July 25 (1-2 pm ET)

Breakthrough Series College
October 17-19 in Cambridge, MA

American Society of Professionals in Patient Safety
IHI/NPSF Individual Membership Program for Those Committed to Patient Safety

Who's at IHI?
Approximately 40 interns from Health Career Connection are visiting this week to learn more about IHI as part of their summer internship program.
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