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IHI at Forefront of National Program to Advance Patient Self-Management of Care
Patients battling chronic diseases such as asthma, diabetes, hypertension, and HIV have complex and often overlapping medical needs that our health system has struggled to meet. General and family practice groups increasingly tap into new tools and strategies developed to help their patients with chronic conditions stay healthier, avoid hospitalizations, and remain engaged in their family lives, work and communities.

Profiles in Improvement: Dr. Bertha Safford from Whatcom County
Who’s improving health care? People are — at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Dr. Bertha Safford (Bellingham, Washington, USA).

Report from Tallahassee Memorial HealthCare on Enhancing Continuity of Care
Tallahassee Memorial HealthCare (Tallahassee, Florida, USA), in partnership with their counterparts at the area’s largest health plan, recognized that improving communication between their two organizations, particularly about patients with complex care requirements, could improve care and possibly reduce costs as well.

Pursuing Perfection: Report from Whatcom County, Washington on Patient-Centered Care
When the Community Health Improvement Consortium (CHIC) of Whatcom County received the Pursuing Perfection grant, they started to focus on one of the IOM aims — patient-centered care.

Pursuing Perfection: Report from HealthPartners on Prepared Practice Teams
Having been awarded the Pursuing Perfection grant in 2002, HealthPartners Medical Group recognized that the Pursuing Perfection program could serve as a catalyst to promote positive change across the entire HealthPartners system. One of the improvements was to transform patient care by implementing a new “Planned Care Model.”

Pursuing Perfection: Report from Cincinnati Children’s on Improving Family-Centered Care for Cystic Fibrosis Patients
The Cystic Fibrosis Center at Cincinnati Children’s Hospital Medical Center (Cincinnati, Ohio, USA) wanted better results for its patients. But leaders didn’t want to just improve outcomes; they wanted to increase collaboration among providers, patients, and families, enabling all partners to be equally vital team members working together toward common goals.

Reducing Incidence of Chronic Lung Disease (CLD) in 501 – 1500 gm Infants
The Children’s Hospital at Bronson (Kalamazoo, Michigan, USA) decreased the incidence of CLD by 49.7 percent and secondarily seen significant decreases in cost per discharge and length of stay through process improvements such as delivery room management, ventilation management, use of CPAP and oxygen management.

A Focus on Hypertension – Four Years of Improvement
At Kaiser Permanente – Colorado Region, we have significantly increased blood pressure (BP) control in our 47,000 hypertensives every year for the last four years by committing to a long-term change, and by incorporating local and regional improvement across multiple sites and departments.

Low(er) Tech Care Delivery Innovations that Work!
Hill Physicians Medical Group (San Ramon, California, USA), a large IPA, improved health outcomes, appointment access and patient and physician satisfaction by implementing in-office group appointments, telephonic group appointments and video-assisted telephone classes/support groups for its members with chronic conditions.

Province-wide CHF Collaborative
Healthy Heart Society (Vancouver, BC, Canada) sponsored a chronic disease collaborative of 19 teams, which increased the proportion of their congestive heart failure (CHF) patients receiving guideline-based care by 68 percent.