This Week at the Institute for Healthcare Improvement
June 19, 2017
Reducing Overuse of Antipsychotic Agents in Nursing Homes

Overprescription of antipsychotic medications for nursing home patients with dementia is a longstanding challenge in the US. A new JAMA Viewpoint co-authored by IHI’s Don Berwick describes how, over the past five years, the Centers for Medicare & Medicaid Services National Partnership to Improve Dementia Care in Nursing Homes cut the use of antipsychotic drugs among long-term nursing home residents by 33%. IHI hopes to build on these efforts through the work of the Creating Age-Friendly Health Systems initiative, for which Medication and Mentation (dementia, delirium, and depression) are two areas of focus in improving care for older adults.

Combining Medicine and Spirituality
for Better End-of-Life Care

When Reverend Gloria White-Hammond, MD, scheduled her first workshop with parishioners at her church to talk about their end-of-life care wishes, she wasn’t sure what to expect. In a recent blog post with video clips, she notes that, as both a faith leader and a physician, discussing death and dying with her community has provided a unique opportunity to break down barriers between medicine and spirituality — especially as medicine becomes more patient-centered and clinicians seek to collaborate more with patients. “It’s not body versus spirit,” she says. “It’s life.”

“Failing Forward” on the Road to Population Health: WIHI, June 29

Learning from failure is an important part of the quality improvement process. So is “failing forward” — that is, leveraging the learning from failure to accelerate progress. On the next WIHI (Thursday, June 29, 2-3pm ET), learn what failing forward looks like in two communities working to improve population health as part of the SCALE initiative. In one community, multiple agencies are coordinating efforts to better understand and redirect the needs of high utilizers of 911 for non-emergencies. Another community will share how they met various challenges in their work to better match community health workers with pregnant women in need of supports and services.

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IHI Focus Area Spotlight

Improvement Capability: Through the Eyes of an Improvement Coach

Person- and Family-Centered Care: Creating a Just Culture as a Foundation for Joy in Work

Patient Safety: AHRQ Toolkit to Improve Safety in Ambulatory Surgery Centers

Quality, Cost, and Value: Leveraging Artificial Intelligence to Support Clinical Workflow

Triple Aim for Populations: The Benefits of Primary Care Behavioral Health Integration

Look for
Mara Laderman

In a Modern Healthcare article, “Addressing Behavioral Health to Improve All Health,” IHI’s Mara Laderman remarks on how the US payment system contributes to fragmented medical and behavioral health care. She is faculty for IHI’s Virtual Expedition on Behavioral Health Integration: Beyond the Basics.

Tejal Gandhi

Can We Get a National Action Plan for Patient Safety?” In an HFMA article, IHI’s Dr. Tejal Gandhi describes how the ACA has improved patient safety and health care quality, and she issues a “Call to Action” for a coordinated response from leaders and policymakers to improve patient safety.


In the BMJ, IHI’s Dr. Don Berwick offers a helpful explainer in the article, “Understanding the American Healthcare Reform Debate.

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IHI Health Improvement Alliance Europe
Begins September 2017

Improvement Coach Professional Development Program 
Begins September 18 in Cambridge, MA

Where's IHI?
IHI’s Dr. Kedar Mate is in Colorado speaking on a panel about “Improving Care for the Sickest People” at the Aspen Ideas Festival Spotlight Health.
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