This framework, developed by the Institute for Healthcare Improvement, was built upon the concepts of “will, ideas, and execution.” It organizes leadership processes that focus the organization and senior leaders on improvement. 

This framework can be useful in several ways:

• As an organizing structure to understand how the various work activities of health care leaders contribute to the broad aim of transformation and improvement of the care system
• As an ongoing learning tool, to be contributed to and modified by participants in Institute for Healthcare Improvement (IHI) networks, projects, and initiatives
• As an aid for health care leaders to assess and improve their organizations
• As a guide for the design of leadership development programs in health care organizations

[Authored by Lloyd Provost, Diane Miller, and James Reinertsen in February 2006.]