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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.
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Reliability in Planned Care: Office Practice Redesign
Seeking to achieve both high reliability of evidence-based care and improved satisfaction for patients and staff, the office practice at CareSouth Carolina, Inc. (Hartsville, South Carolina, USA) initiated changes in both clinical and administrative that led to a cascade of positive effects in reliability of care and satisfaction of patients and staff.
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Veterans Affairs New Jersey Health Care System: Where Patients Have Easy Access to Appointments
Once notorious for long wait times for appointments, the Veterans Health Administration worked with IHI for years on a massive initiative to improve access to timely appointments across more than 1,800 primary care, audiology, cardiology, eye care, orthopedics and urology clinics.
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Outpatient-Centered Care: Quality, Access, Efficiency, and Patient Satisfaction
The team at Emory Healthcare (Atlanta, Georgia, USA) worked on improving outpatient care, focusing on improving access and efficiency by reducing cycle times, increasing access, and ensuring patient-physician continuity in an effort to improve patient satisfaction and outcomes.
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Redesigning Ambulatory Care: Delivering the Promise
As a result of an integrated strategy and operational improvement project, Borgess Ambulatory Care (Kalamazoo, Michigan, USA) implemented a vision of service and quality excellence that improved practice processes and throughput, enhanced care coordination capabilities, improved practice flow, and increased outpatient volume.
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Improving Access and Efficiency in the Primary Care Setting at Mountain View Medical Center
Mountain View Medical Center (Powell, Wyoming, USA) improved access to care considerably over an 18-month period as measured by a decrease in average days to third next available appointment from 23 days to 2 days for a 20-minute appointment, and from 34 days to 10 days for a 40-minute appointment.
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CareSouth Carolina Increases Health Literacy Techniques Improving Patients’ Health and Self-Confidence
For patients with chronic conditions, giving patients the tools and support to manage their own care is an important part of being patient-centered — including addressing health literacy and communication issues.
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Ideal Health of Brighton Takes the Office Practice to Higher Levels of Performance
L. Gordon Moore, MD, is a one-man crusade, fueled by the success of his one-man practice, Ideal Health of Brighton (Rochester, New York, USA). His practice model has stripped the primary care office to its essential elements in order to deliver effective, efficient, and deeply patient-centered care.
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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).
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Neshobe Family Medicine, Porter Hospital Reduces Access to Appointments From 41 Days to Same Day
Neshobe Family Medicine (Middlebury, Vermont, USA) instituted advanced access, a system that allows most patients to schedule an appointment the same day they call.
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Using Health Literacy Principles to Improve Hypertension Treatment Compliance Rates and Patient Self-Confidence
CareSouth Carolina, Inc. (Hartsville, South Carolina, USA) tested the impact of visual handouts, created based on health literacy principles, on hypertension treatment compliance rates and patient self-confidence with promising early results.
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