This Week at IHI
This Week at the Institute for Healthcare Improvement
October 5, 2015
Changing the Balance of Power

In a new post to the IHI Blog, Derek Feeley, IHI Executive Vice President, shares his thoughts on how changing the balance of power in health care can accelerate improvement. Change the balance of power is one of the “New Rules for Radical Redesign in Health Care” created by the IHI Leadership Alliance to provoke health care leaders to examine new ways to pursue the Triple Aim and achieve the Alliance’s goals: care better than we’ve ever seen, health better than we’ve ever known, at a cost we can all afford. In the blog post, Feeley reflects on his experiences leading NHS Scotland – particularly, how leaders there changed the balance of power between patients and providers to enable true co-production of care. He proposes that we need to go even further and change the balance of power within health systems – making sure that everyone in the organization understands how their work relates to the overall strategy and vision, and feels confident making decisions at the local level in alignment with that strategy.

Learning to Communicate Better with Patients

Providers often dread the “doorknob moment” when patients voice a major concern at the end of a visit. In a series of videos from the American Academy on Communication in Healthcare, Dr. Calvin Chou, Professor at the University of California, San Francisco, School of Medicine, teaches clinicians how to better manage patient visits so that big issues don’t come up at the last minute. Dr. Chou demonstrates how to develop rapport with a patient at the outset of an appointment, how to build a shared agenda (heading off those last-minute issues), how to elicit patients’ perspectives on their health, and how to use Teach Back to ensure you communicated effectively. Looking for more short instructional videos? Browse by topic in the IHI Open School video library.

Five Steps for Creating Value Through Process Mapping 

To deliver excellent care to every patient, every time, health systems need tools to objectively analyze their current practices. In a new post to the IHI Blog, IHI faculty members Kevin Little, PhD, and Mike Barbati, MHA, describe five key steps to developing a process map that can help you better understand and visualize your system. Little and Barbati argue that by getting a clearer picture of a progression of activities that comprise an existing sequence of work, you can then develop ideas about how to improve it. By way of example, the authors explain how they used process mapping to get a complete picture of the inpatient stay care segment of the hip replacement process at Advocate Health Care in Illinois.

IHI Focus Area Spotlight

Improvement CapabilityWhat’s the Secret to Change Implementation?

Person- and Family-Centered CareA Vision for “What Matters to You?”

Patient SafetyBuilding Reliable Systems to Reduce Delays in Diagnosis

Quality, Cost, and Value: Learning to Talk with Patients about Costs

Triple Aim for Populations: ​Improving Safety in Primary Care

Look for
How Doctors Can Approach End-of-Life Conversations

A new Wall Street Journal article, "How Doctors Can Approach End-of-Life Conversations," underscores the importance of health care systems and providers being "Conversation Ready"

How QI Can Improve Screening for Social Determinants of Health

For her recently completed IHI Open School Practicum, MPH student Lisa Miller's (above) QI project focused on helping primary care clinic staff screen for social determinants of health 

Gary Cohen

Congratulations to Gary Cohen (above), co-founder of Health Care Without Harm, on being named 2015 MacArthur Fellow for his work to improve environmental practices in health care

Where's IHI?
IHI's Bob Lloyd, Derek Feeley, Pedro Delgado, and Yael Gill have a three-day site visit at East London NHS Foundation Trust, an IHI Strategic Partner.  

IHI's Saranya Loehrer is facilitating a session on leveraging post-acute care strategies and Don Berwick is a keynote at the National Association of ACOs Fall Conference in Washington, DC.
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