​More Information

For questions or more information about which IHI Onsite Diagnostic is best suited for your organization’s needs, please email: DiagnosticsOfferings@ihi.org

Building System-wide Quality Improvement Capability Onsite Diagnostic

​Expert Analysis and Recommendations

IHI’s Building System-wide Quality Improvement Capability Onsite Diagnostic lays out a clear path to embedding a culture of continuous improvement and building sustainable quality improvement capability throughout a system.

A team of experienced IHI senior leaders will come to your organization to assess existing capability and any barriers to improvement, and guide the development of a strategy for building improvement knowledge and skills at all levels of the organization.

This diagnostic may be tailored to the needs and priorities of your system.



  • Provide insight into the baseline capabilities and critical development needs at your organization and among the leadership and professional workforce
  • Inform a strategy for building quality improvement capability across your system
  • Identify what is needed to adopt a comprehensive and effective framework for building improvement capacity, capability, and the cultural foundation to promote and sustain continuous quality improvement
  • Build will and alignment among senior leaders and board members to advance an agenda for system-wide capability building and adoption of a culture of quality and safety



Meeting the challenge of improving health care quality and safety requires active participation from a health care workforce that is skilled in using methods of improvement and accustomed to multidisciplinary collaboration. Different groups of health care personnel (senior leaders, managers, providers and staff delivering care, quality improvement staff, and others) require different levels of quality improvement knowledge and skills. IHI refers to this as a “dosing formula,” which is dependent on the unique culture, capabilities, and context of the organization.

Through this diagnostic, and IHI team of experts will utilize self-assessments, information and data reviews, interviews, and observation to understand the system’s current improvement capability and existing approaches to building capability throughout the organization. The insights generated from this process will enable the IHI team to then inform a strategy for enhancing and building on existing skills and knowledge at different levels of the organization.

Additionally, an important step in establishing a culture of continuous improvement is to engage the executive team and leaders throughout the organization to create a shared future vision for this work, building on the existing accomplishments and strengths in the organization. This diagnostic includes a meeting with key senior leaders and Board members, facilitated by the IHI team while onsite, in order to foster an appreciation for and alignment around the value of quality improvement and a shared vision for building improvement capability throughout the system.

Note that the diagnostic approach described above can be combined with the method undertaken for the System-wide Quality Leadership Onsite Diagnostic if your organization would like a more comprehensive approach to improving quality and safety across your system.


Onsite Process

Below is a general overview of the sequence of steps during the diagnostic period:

  • Virtual or In-Person Meeting with Leadership Teams
  • Pre-Visit Data Collection and Relevant Information Gathering
  • Pre-Visit Planning Call with Leadership Teams
  • On-Site Visit(s) by the IHI diagnostic team to meet with key stakeholders and conduct field observations
  • Findings and Recommendations presented via an in-person debrief, as well as a written report


Findings and Recommendations

The findings and recommendations provided by IHI at the conclusion of the diagnostic are intended to be actionable and help senior leaders further shape strategy and plans for executing on the strategy.

The diagnostic is often a starting point for a deeper engagement with IHI to achieve system-wide transformation. Please see Customized Services: Building Improvement Capability for an overview of programming that IHI offers to build capability at the various levels of an organization.