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By Val Weber | Friday, May 01, 2015
In the 1980s, American program evaluator Peter Rossi described an alarming phenomenon. He noted that as new social program models are implemented across a broad range of settings, their effect lessens and tends toward zero. What Rossi called his “Iron Law of Evaluation” is probably frustratingly familiar to those who work in health care improvement. In a new post to the Health Affairs Blog by former IHI Fellow Rocco Perla, IHI researchers Amy Reid and Sandy Cohen, and IHI Senior Scientist Gareth ... read full post


Tag(s): Quality Improvement, Improvement Methods and Tools, Spreading Changes, Improvement Capability, Health Reform in the US
By Kimberly Mitchell | Wednesday, Apr 22, 2015
By Andrey Ostrovsky, MD, Care at Hand, CEO, and Lori O’Connor, RN, Director of Nursing, Elder Services of Merrimack Valley.Health care is changing rapidly. For health care organizations to adapt to external changes, they need to effectively improve internally. While quality improvement (QI) is well known to medical providers, it is less commonly used in the non-medical part of the health care system that focuses on functional supports. Home- and community-based service (HCBS) providers do some o ... read full post


Tag(s): Quality Improvement, Geriatrics, Community, Home Care, Plan-Do-Study-Act (PDSA)
By Sodzi Sodzi-Tettey | Friday, Apr 17, 2015
Sodzi Sodzi-Tettey, MD, MPH, is IHI Director of Project Fives Alive! in Ghana. In this post, he talks about some challenges and lessons learned from using data to support the project’s work across Ghana to reduce mortality of children under five years of age.


Tag(s): Improvement Capability, Quality Improvement, Data and Measurement, Data Reporting and Analysis, Large-Scale Improvement, Maternal and Child Health, Mortality Reduction, Project Fives Alive! in Ghana, Ghana, Africa, Africa
By Kimberly Mitchell | Wednesday, Apr 15, 2015
Mandy Ferguson is Project Coordinator for The Conversation Project at IHI.When I tell most of my friends about my job at The Conversation Project, I can see their eyes glaze over. They immediately assume, as I once did, that this project — making sure that everyone’s wishes for end-of-life care are both expressed and respected — is for the old and frail. Unless they’ve had a direct experience with the death of a close family member or friend, my twenty-something peers don’t think this initiative ... read full post


Tag(s): The Conversation Project, End of Life Care
By Kimberly Mitchell | Friday, Apr 03, 2015
In this blog post, IHI Vice President Kathy Luther, RN, MPM, shares tips for building strong working relationships within condition-focused teams. Ms. Luther leads IHI's work on Quality, Cost, and Value, which included the Joint Replacement Learning Community to improve value for hip and knee replacement surgery and reduce costs by 5 percent.IHI Vice President Kathy Luther describes the experience of a financial analyst who shadowed his clinical colleagues in this video.Powerful solutions come f ... read full post


Tag(s): Quality, Cost, and Value, Cost Containment and Reduction, Teamwork
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