first < > last

• A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost
  This white paper provides suggested measures for the three dimensions of the Triple Aim, accompanied by data sources and examples, and describes how these measures might be used along with process and outcome measures for particular projects to create a learning system to achieve the Triple Aim.

first < > last

• 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.
• A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost
  This white paper provides suggested measures for the three dimensions of the Triple Aim, accompanied by data sources and examples, and describes how these measures might be used along with process and outcome measures for particular projects to create a learning system to achieve the Triple Aim.
• Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care
  This white paper presents a framework centered on five primary drivers of an exceptional experience of care that hospitals can use to design, test, and implement changes, weaving them into the fabric of daily work to achieve outstanding results. Tips on how to get started, exemplars from a variety of hospitals, and references for further evidence and guidance are also included.
• Care Coordination Model: Better Care at Lower Cost for People with Multiple Health and Social Needs
  This white paper outlines methods and opportunities to better coordinate care for people with multiple health and social needs, and reviews ways that organizations have allocated resources to better meet the range of needs in this population. The elevated cost of care in this population offers a tremendous opportunity to craft a service delivery plan that meets their needs more effectively at a significantly lower cost.
• 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).
• Going Lean in Health Care
  Lean management principles have been used effectively in manufacturing companies for decades, particularly in Japan. IHI believes that lean principles can be successfully applied to the delivery of health care.
• Hospital Inpatient Waste Identification Tool
  The Hospital Inpatient Waste Identification Tool provides a systematic method for hospital frontline clinical staff, members of the financial team, and leaders to identify clinical and operational waste and subsequently prioritize and implement waste reduction initiatives that will result in cost savings for the organization.
• Idealized Design of Perinatal Care
  Reviews of perinatal care have consistently pointed to failures in communication among the care team and documentation of care as common factors in adverse events that occur in labor and delivery. This white paper provides detail about IHI's Idealized Design process and examines some of the initial work of the Idealized Design of Perinatal Care innovation project.
• IHI Global Trigger Tool for Measuring Adverse Events (Second Edition)
  This white paper provides information on the development and methodology of the IHI Global Trigger Tool, enabling the ability to accurately identify adverse events and measure the rate of adverse events over time.
• Improving the Reliability of Health Care
  This white paper describes principles and strategies used successfully in other industries to help evaluate, calculate, and improve the overall reliability of complex systems, and explains the application of reliability principles to health care.
• Increasing Efficiency and Enhancing Value in Health Care: Ways to Achieve Savings in Operating Costs per Year
  This white paper proposes a set of steps health care organizations can undertake to systematically identify and eliminate inefficiencies to create a portfolio of work leading to a 1 percent to 3 percent savings in operating costs per year.
• Innovations in Planned Care
  IHI is developing and testing a new design for the delivery of primary care for all patients, which reaches high levels of effectiveness, efficiency, and patient-centeredness. This design is based on the idea that in order to ensure reliable care delivery, every patient should have a plan for his or her care.
• Leadership Guide to Patient Safety
  This white paper presents eight steps that are recommended for leaders to follow to achieve patient safety and high reliability in their organizations.
• Move Your Dot™: Measuring, Evaluating, and Reducing Hospital Mortality Rates (Part 1)
  This white paper helps hospitals know more about their organizational performance as it relates to mortality, and explains one of many current approaches being used to improve health care safety throughout the health care system.
• Optimizing Patient Flow: Moving Patients Smoothly Through Acute Care Settings
  In this white paper, IHI offers new perspectives on the impediments to timely and efficient flow of patients through acute care settings.
• 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.
• Reducing Costs Through the Appropriate Use of Specialty Services
  This white paper describes a framework that primarily focuses on changing professional practice culture by engaging physicians in developing and implementing practice standards that will work best in local circumstances.
• Reducing Hospital Mortality Rates (Part 2)
  In the first white paper, IHI introduced an analytical tool for understanding hospital mortality rates (hospital standardized mortality ratio, or HSMR). This second white paper presents the experience of hospitals that implemented evidence-based interventions proven to reduce mortality and their early results.
• Respectful Management of Serious Clinical Adverse Events
  This white paper introduces an overall approach and tools designed to support two processes: the proactive preparation of a plan for managing serious clinical adverse events, and the reactive emergency response of an organization that has no such plan.