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• A Framework for Spread: From Local Improvements to System-Wide Change
  A key factor in closing the gap between best practice and common practice is the ability of health care providers and their organizations to rapidly spread innovations and new ideas.
• Engaging Physicians in a Shared Quality Agenda
  This white paper presents a framework on which hospital leaders might build a written plan for physician engagement in quality and safety.
• Execution of Strategic Improvement Initiatives to Produce System-Level Results
  This paper describes the essential elements for strategic improvement: Will (the will to improve), Ideas (altneratives to the status quo), and Execution (implementing a portfolio of projects that get results).
• Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives
  This white paper may be used as a preparation tool by those that are planning to take effective health care practices from one setting or isolated environment and to make them ubiquitous across a health care system, region, state, or nation.
• Seven Leadership Leverage Points for Organization-Level Improvement in Health Care (Second Edition)
  As part of IHI's work of supporting and encouraging leaders of innovative health systems, this white paper presents what we believe to be some important leverage points for leaders who want to achieve dramatic, system-level performance improvement.
• The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
  IHI developed the Breakthrough Series to help health care organizations make breakthrough improvements in quality while reducing costs.
• Whole System Measures
  This white paper describes and promotes the use of a system of metrics, called the Whole System Measures, to measure the overall quality of a health system and to align improvement work across a hospital, group practice, or large health care system.

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• How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
  This How-to Guide describes key evidence-based interventions for preventing surgical site infection for patients undergoing hip and knee replacement surgery, describes how to implement these interventions, and recommends measures to gauge improvement.
• How-to Guide: Prevent Obstetrical Adverse Events
  This How-to Guide describes the essentials elements of preventing obstetrical adverse events, including the safe use of oxytocin and key evidence-based care components in the IHI Perinatal Bundles.
• How-to Guide: Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations
  This How-to Guide focuses on the reception of patients back into the office practice after hospitalization and is intended to be a resource for clinicians and staff in office practices as they create new ways to provide optimal care for their patients.
• How-to Guide: Improving Transitions from the Hospital to Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations
  This guide focuses on the transfer of patients to skilled nursing facilities (SNFs), an umbrella term that includes nursing homes, long-term care facilities, acute rehabilitation facilities, and post-acute care facilities.
• How-to Guide: Improving Transitions from the Hospital to Home Health Care to Reduce Avoidable Rehospitalizations
  This How-to Guide is designed to support hospital-based teams and their community partners in creating an ideal reception into home health care in the first 48 hours after the patient is discharged from the hospital, a post-acute care setting, or a rehabilitation facility.