Retooling for Quality and Safety: An Initiative of the Josiah Macy, Jr. Foundation and the IHI Open School for Health Professions

​Grant Awarded: June 2009


The overall goal of the initiative was to demonstrate that US nursing and medical schools can work together to integrate health care improvement and patient safety content into existing, required curricula. From 25 applications, the IHI Open School chose six universities to participate: Case Western Reserve University, Johns Hopkins University, Pennsylvania State University, University of Colorado – Denver, University of Missouri – Columbia, and the University of Texas Health Science Center – San Antonio. Each site developed its own set of aims, and, by the end of the 2009-2010 academic year, all six substantially achieved their stated goals.

IHI designed this demonstration project using the successful Breakthrough Series Collaborative model, a collaborative learning system that uses improvement methodology to rapidly deploy major changes that produce breakthrough results in a specific area. This structure allows participating organizations to learn from each other and from experts in the specific content areas through a combination of coaching, collaborative meetings, and site visits.


Lead Academic Advisor: Linda A. Headrick, MD, MS, is Helen Mae Spiese Distinguished Faculty Scholar, Senior Associate Dean for Education and Faculty Development, and Professor of Medicine at the School of Medicine, University of Missouri in Columbia, Missouri

Nursing Academic Advisor: Amy Barton, PhD, RN, FAAN, Professor and Daniel and Janet Mordecai Endowed Chair in Rural Health Nursing, is Associate Dean for Clinical and Community Affairs at the University of Colorado, College of Nursing

Medical Academic Advisor: Greg Ogrinc, MD, MS, Director of the Office of Research and Innovation in Medical Education and Assistant Professor of Community and Family Medicine, Dartmouth Medical School; senior scholar at White River Junction VA Quality Scholars Program

Improvement Expert: Bob Lloyd, PhD, Executive Director, Performance Improvement

Project Director: Carly Strang, Director of Operations, IHI Open School

The Josiah Macy, Jr. Foundation

The Josiah Macy, Jr. Foundation is a leading supporter of efforts to improve the education of health care professionals, funding initiatives that emphasize diversity and teamwork in medicine and attempting to increase care for underserved populations.