Institute for Healthcare Improvement: Improvement Stories

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IHI.org has two types of Improvement Stories:

IHI.org Stories that describe the changes and results in specific organizations.
Improvement Project Reports from IHI.org users that describe improvement projects in their organizations.

We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.

Improvement Project Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Report with the IHI.org community. Please click the Submit an Improvement Report button below.

Choose the story types you would like to see:

Improvement Project Reports
IHI.org Stories

only the story types I've requested

Reinventing Diabetes Care Through A.L.L.
In partnership with Kaiser Permanente (Oakland, California, USA), three San Diego community health centers identified high-risk diabetics who would optimally benefit from a daily protocol of three cardiovascular risk-reducing drugs.

Managing Hyperglycemia in Hospitalized Adult Patients
Loyola University Health System (Maywood, Illinois, USA) created a consistent, evidence-based approach to normalize and standardize the management of hyperglycemia in hospitalized adult diabetes patients which significantly lowered the incidence of hyperglycemia from 62 percent to 46 percent of inpatient days, without significantly affecting hypoglycemia incidence.

Powell Hospital Mountain View Medical Center Lowers Cholesterol and Hba1c Levels for Diabetes Patients
Deeply committed to practice improvement, Dr. Michael Tracy is applying advanced access principles to improve access to appointments and provide more proactive care for diabetes patients at his 11-person physician practice, part of Powell Valley Healthcare (Powell, Wyoming, USA).

Profiles in Improvement: Carolyn Shepherd of Clinica Campesina
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 Carolyn Shepherd of Clinica Campesina.

CAPH/SNI Diabetes Care Learning Collaborative
Since November 2004, under the direction of the California Health Care Safety Net Institute (Oakland, California, USA), nine clinic teams from five public hospital systems have participated in an IHI-style learning collaborative with good results in diabetes care processes and outcome measures.

Pursuing Perfection: Report from Cincinnati Children’s Hospital Medical Center on Improving Diabetes Care
When a new, more flexible insulin therapy became more widely available, the diabetes care team at Cincinnati Children’s Hospital Medical Center (Cincinnati, Ohio, USA) worked to redesign educational materials and training programs that would support diabetes patients and their families in whichever therapy they chose, either the new therapy or the traditional one.

Touch Every Life: Improving Diabetes Outcomes
NovaHealth and Pinnacle joined forces to develop a system to determine the IPA’s baseline level of care provided to patients with diabetes and to implement aspects of the Chronic Care Model to improve process and outcome measures.

Regional Collaboration to Improve Diabetes Outcomes
MaineHealth (Portland, Maine, USA), a relatively small private health system, used the learning Collaborative model to build on its locally-developed diabetes program and provide a structure to support 12 primary care practices to improve diabetes care and outcomes across its 10-county region.

The Use of Shared Medical Appointments to Improve Care to Diabetic Patients in an Academic Practice
Through the implementation of Shared Medical Appointments at Maine Medical Center’s Family Medicine Practice (Portland, Maine, USA), a new, innovative and efficient model of health care delivery was taught to residents, and a significant number of process and clinical outcome measures in diabetes care were improved.

Making the Diabetes Connection
Advocate Health Care’s Outpatient Diabetes Management team reviewed Hemoglobin A1c and Lipid Profile screening rates and identified inadequate or under use of medical therapy by health care providers; failure of patients to comply with treatment regimens; inadequate skills, knowledge and motivation of patients to perform self-care tasks as areas to focus on to aide in improving preventive screenings.

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