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Leadership

The Institute for Healthcare Improvement has developed and adapted a suite of tools to help senior leaders successfully lead improvement in their organizations. In addition, many organizations have developed tools in the course of their improvement efforts — for example, successful protocols, order sets and forms, instructions and guidelines for implementing key changes — and are making them available on IHI.org for others to use or adapt in their own organizations. We invite you to submit tools you have found useful!

Culture of Safety
General Tools
Information Gathering Tools
Measurement and Feedback
Set-up

Tools Icon Key
PDF PDF (Downloadable) Power Point Powerpoint (Downloadable)
Word Doc Word (Downloadable) Access Access (Downloadable)
Excel Excel (Downloadable) Tool Interactive Tool (Online)

Culture of Safety

A compilation of leadership strategies for enhancing patient safety; developed by the Dana-Farber Cancer Institute (DFCI) (Boston, Massachusetts, USA) in partnership with the American Hospital Association (AHA) (Washington, DC, USA)

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Senior leaders conduct weekly WalkRounds™ to have informal conversations with front-line staff about safety issues and to demonstrate their support of an organizational culture that promotes nonpunitive reporting of errors, adverse events, near misses, and unsafe conditions; developed by the Institute for Healthcare Improvement and Allan Frankel, MD (Boston, Massachusetts, USA)

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General Tools

This Guide presents recommended practices and resources to improve quality, address disparities, and achieve equity in care, and features four case studies of approaches to reducing disparities; developed by The Disparities Solutions Center at Massachusetts General Hospital (Boston, Massachusetts, USA).

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This list of questions, developed by Jim Reinertsen, MD, is designed to help think through the key decisions involved with forming a Board Quality Committee and formalizing the processes by which the committee will do its work.

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Guidelines for how to effectively use patient stories to engage boards of directors in quality improvement work; developed by Delnor-Community Hospital (Geneva, Illinois, USA)

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This tool will help clinical managers with direct oversight of bedside care activities evaluate the expected impact on quality, resource use and needs, and potential business and financial impact of their clinical quality improvement projects; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), in conjunction with Lynn Sprages and the Robert Wood Johnson Foundation.

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A glossary of frequently used financial terms that can be used to help evaluate clinical improvement projects; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), in conjunction with Lynn Spragens and the Robert Wood Johnson Foundation.

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This suite of tools is designed to make information gathering and communication about clinical improvement projects straightforward; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), in conjunction with Lynn Spragens and the Robert Wood Johnson Foundation.

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Practical templates which project managers can use to track clinical quality improvement projects and strategic goals over time; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), in conjunction with Lynn Spragens and the Robert Wood Johnson Foundation.

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A summary tool designed to help leaders and project managers track multiple quality improvement projects concurrently; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), in conjunction with Lynn Spragens and the Robert Wood Johnson Foundation.

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Information Gathering Tools

A guide for executives on how to channel senior management attention to quality projects; developed by the Leadership Innovation Team at the Institute for Healthcare Improvement.

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Visiting another organization can be a great help to teams working on improvement. Use these guidelines to help you arrange and run a visit.

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Walk-throughs enable providers to better understand the experience of care from the patient’s and family’s points of view — by going through the experience themselves.

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Measurement and Feedback

An example of a balanced score card used to display goals and data related to patient satisfaction, finance, strategy, patient safety, development, and employee measures; developed by New London Hospital Association, Inc. (New London, New Hampshire, USA)

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Set-up

The Spread Planner is a set of questions designed to assist organizations in identifying the key actions they can take to turn a local success into a system-wide improvement; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)

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This list of patient safety facts and statistics can be used as a source for compelling evidence when building will for improvement initiatives; developed by Safe & Sound, an Arizona patient safety initiative through the Arizona Hospital and Healthcare Association (Phoenix, Arizona, USA).

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This document provides a sample business case for reducing ventilator-associated pneumonia; developed by Safe & Sound, an Arizona patient safety initiative through the Arizona Hospital and Healthcare Association (Phoenix, Arizona, USA).

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This example of a business profile stating the need for work to reduce ventilator-associated pneumonia explores the projected impact on resources for a hospital participating in such an initiative; developed by Safe & Sound, an Arizona patient safety initiative through the Arizona Hospital and Healthcare Association (Phoenix, Arizona, USA).

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This PowerPoint tool explains how to build a business plan that incorporates patient safety goals; developed by Safe & Sound, an Arizona patient safety initiative through the Arizona Hospital and Healthcare Association (Phoenix, Arizona, USA).

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This tool is a template for creating a business plan document; developed by Yuma Regional Medical Center (Yuma, Arizona, USA).

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