Mass trauma events, quality is everyone’s responsibility, what matters at the end of life?
This Week at the Institute for Healthcare Improvement
August 29,  2016
When Tragedy Strikes, Will You Be Prepared?

The June 2016 mass shooting at the Pulse nightclub occurred only a few blocks from Central Florida’s only Level One Trauma Center at Orlando Regional Medical Center, part of the Orlando Health system. A recent JAMA article looks at expanding the health care response to mass violence, noting the events in Orlando and elsewhere, and explores how hospitals and communities might improve their preparedness. At IHI’s National Forum on December 4-7, members of Orlando Health’s care team will share their firsthand account of what they were prepared for — and what no one could have been prepared for — and describe the journey to improve their readiness to handle mass trauma events.

Quality Is Everyone’s Responsibility

Meaningful, sustainable quality improvement happens when people at every level of the organization share a desire to make processes and outcomes better every day, in a bold and continuous manner. “Quality is not a program or a project; it isn’t the responsibility of one individual or even those assigned to the Quality Department,” says IHI Vice President Bob Lloyd. As Deming reminded us, “Quality is everyone's responsibiity." Lloyd shares some insights from a long career coaching teams and providing leadership in performance improvement, building improvement capability, and teaching statistical process control methods.

What Matters Most in End-of-Life Care

The only way to know what is right for a patient is to ask what matters most to them. And asking once is not enough. IHI faculty member Dr. Lauge Sokol-Hessner discusses the importance of shared decision making to help ensure that care provided at the end of life matches the patient’s wishes. “The health care system is not designed to ensure that we reliably understand ‘what matters most’ to our patients,” he says. “We don’t always engage in the shared decision-making process with our seriously ill patients that would help us learn this crucial information.” Want to build your skills? Take the free IHI Open School course, PFC 202: Having the Conversation: Basic Skills for Conversations about End-of-Life Care.

IHI Focus Area Spotlight

Improvement Capability: Do You Have a Line of Sight to Your Organization’s Mission?

Person- and Family-Centered Care: Assessing the Potential of Patient Shadowing

Patient Safety: Health Care Staff Wellbeing, Burnout, and Patient Safety

Quality, Cost, and Value: Report Finds Unchanged Medical Costs Show the ACA Marketplace’s Strength

Triple Aim for Populations: Is Equity the Forgotten Aim?

Look for

In this HealthLeaders Media article, “Disparity-Busting Payment Reform, Validated,” Dr. Ron Wyatt discusses the new IHI White Paper, Achieving Health Equity, of which he is an author.


Using Community Input to Improve Advance Care Planning”: This Health Affairs Blog post describes the need for both health providers and community leaders to encourage people to have end-of-life care conversations and to identify resources to support these efforts, such as the Conversation Starter Kit and Community Resources developed by IHI and The Conversation Project.


How Do I Launch a Career in QI?: In this “Dear IHI” post, Don Goldmann gives advice to those who want to build skills and use QI methods in their daily work in health care.

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Applying Value Management to Health Care
November 2–4 in Washington, DC

Where's IHI?
IHI Vice Presidents Carol Haraden and Frank Federico are teaching an accelerated patient safety program in Sussex, England, this week.
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