Always Events

The Institute for Healthcare Improvement is honored to have been chosen by The Picker Institute to assume the work of the Always Events® program when The Picker Institute closed its doors at the end of 2012. Picker transferred their Always Events® trademark and programmatic goals to IHI, effective January 1, 2013.

The Picker Institute has set a high standard with the Always Events® program. The goal of the Always Events program is the translation of person- and family-centered principles into tangible action. New approaches to communicating and collaborating with patients and families have emerged and are being piloted across multiple organizations with great success.

IHI congratulates the Picker Institute for 27 years of service to patients and families around the world and for serving as pioneers in promoting person- and family-centered care. We congratulate the Always Events grant recipients that have been hard at work designing new models from which all in health care can learn. IHI is honored to carry on and further the work of the Always Events program.

Recognition Program

The IHI Always Events® Recognition Program enables any organization that has implemented a program that meets the Always Events criteria to be recognized by IHI. Organizations previously recognized by The Picker Institute are encouraged to apply. In 2012, The Picker Institute issued the  Always Events Blueprint for Action, which provides examples of Always Events initiatives and may be used as a guide for reliably implementing such events. IHI’s Always Events Toolkit is another resource for creating and implementing a successful Always Event.

IHI is not currently accepting applications for the IHI Always Events® Recognition Program. We will post the application form and due dates for submissions when available.

Recognition Program Organizations

Always Events 2015 Recognition
IHI is pleased to recognize the following Always Events. With their deep commitment to co-designing with patients and family members and application of the IHI Always Events Framework, the organizations below proved their commitment to improving care for every patient, every time.

Blackpool Teaching Hospitals NHS Foundation Trust
“I always know what to do when I get home or, if not, I know who to contact.”

The team at Blackpool selected their stroke unit to co-design and test an Always Event. Building on the work at Anne Arundel Medical Center, the team adapted the SMART Discharge Protocol to improve the discharge process. After successful implementation on the Stroke Ward for patients being discharged home, they spread the process to patients being discharged to a care home. The team is also creating plans for wider adoption across the Trust with guidance from NHS England, Picker Europe, and IHI.
Lancashire Care NHS Foundation Trust
“I will always be supported when moving on in care.”

The Learning Disabilities Service at Lancashire Care wanted to improve the process of care for the people that use their services. By asking people what was working well and what could be improved, they established that the transition out of their service was often difficult for people. The co-design team crafted and developed components of the Always Event to help ease the transition and continue to provide support via their monthly “pop in and chat” session. The work of the team has been featured in The Guardian and plans to roll this out to other teams are underway. The Lancashire Care team has been supported by NHS England, Picker Europe, and IHI.
Sutter Care at Home
“My care team always knows what matters to me."

The Sutter Center for Integrated Care team at Sutter Care at Home attended the 2014 IHI Always Events Web&ACTION and decided to co-design an Always Event around making sure that they knew what mattered most to their patients, in addition to what was the matter. All home health and hospice patients referred to the Sutter Care at Home are asked about “what matters most” in the hospital by the in-hospital home care liaison, and that discussion is continued in the home by the nurse care manager. This fed the personal health record page “what matters most” and, eventually, was incorporated into the electronic health record. The information is projected at multidisciplinary case conferences and guides care delivery discussions. As they have focused on spread, they have worked on engaging all staff by developing training and tools to make it easy to do the right thing.