This Week at the Institute for Healthcare Improvement                  July 28, 2014

An Innovation Relay! (#InnovationRelay)

Roadblocks to improvement require innovation: the translation of new concepts into actionable ideas. This week, we welcome 44 quality improvers (from seven countries) to IHI's Summer Immersion program. As part of this program, the participants will engage in an exciting new approach – the IHI Innovation Relay. Guided by IHI's Innovation Team, participants in the Relay will work to pioneer answers to persistent problems in health care. Each leg of the Relay will focus on a fundamental aspect of IHI's Innovation strategy, empowering participants to develop innovative solutions to challenges in health and health care. Rather than just research the problems, they'll design testable solutions together, with the help of experts within and outside of health care. And we need your help, too! To harvest truly innovative approaches to these challenges we'll be conducting a Twitter Chat called the IHI #InnovationRelay on Wednesday, July 30, from 1 to 2 PM ET. Follow @TheIHI on Twitter for updates and information on how you can participate.

Patients and Families in Multidisciplinary Rounds

Multidisciplinary rounds are a proven way to engage the entire care team in delivering effective and efficient patient care. Increasingly, these kinds of rounds are emerging as an ideal way to make care more person- and family-centered as well. Organizations of all types have started to regularly include patients and family members as part of the regular rounding process. Tammy Alvarez, MSN, RN, CCRN, Executive Director of Improving Performance for the Saint Joseph Health System in Orange, CA, and faculty for the IHI Expedition on Engaging Patients and Families in Multidisciplinary Rounds, has seen firsthand how this expansion of the rounding process can transform care. In a new post to the IHI Blog, Alvarez discusses why it's important to engage patients and families in rounding; how to gain buy-in and support from leadership; how to address clinician uncertainty and other barriers; and why she brings a personal passion to this work.

Improving Health Care and a Whole Lot More

IHI and its partners have been using the Breakthrough Series Collaborative (BTS) method to improve health care for nearly 20 years. But what many don't know is that the BTS methodology can improve virtually any sector of our society – from organ donation to foster care to education! In a new post to the IHI Blog, IHI Director Marie Schall (who is responsible for the ongoing development of IHI's spread methodology and programming) discusses what's unique about the BTS method, and why it's such a powerful framework for improvement. She also discusses her personal observations during the 10 years she has been teaching the BTS method at IHI's Breakthrough Series College. Thanks to Breakthrough Series College graduates, Schall says, thousands of people are now leading healthier lives due to increased access to primary care; hundreds of young adults have stayed in school; and foster care situations have been vastly improved.

IHI Focus Area Spotlight

Improvement Capability: Improvement Advisors in Action

Person- and Family-Centered Care: Nurses Shift, Aiming for More Time with Patients

Patient Safety: Nurse-Reported Hospital Characteristics and Estimated 30-day Survival Probabilities

Quality, Cost, and Value: Collaborative Begins with Energy, Creativity to Help Those with Complex Needs

Triple Aim for Populations: Transforming Primary Care Practice and Education at Harvard Medical School



An article in The Wall Street Journal – "Nurses Shift, Aiming for More Time With Patients" – that features IHI's and RWJF's Transforming Care at the Bedside (TCAB) initiative


The Patient Care Experience Observation Exercise, an IHI tool that helps teams understand care processes from the patient perspective



An article in Infection Control and Hospital Epidemiology co-authored by IHI Chief Medical and Scientific Officer, Don Goldmann: A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates

Where's IHI this week?

IHI Senior Vice President Pierre Barker is in Addis Ababa this week working with the Gates Foundation and the Ethiopian Ministry of Health on a quality strategy for Ethiopia.

Who's at IHI this week?

IHI Board member Brent James, MD, MStat, Executive Director of the Institute for Health Care Delivery Research at Intermountain Healthcare, is in Cambridge this week to teach at the IHI Summer Immersion program and at Maureen Bisognano's course at the Harvard School of Public Health.

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