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Lessons from the Baldrige Winners in Health Care

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This story offers a quick look at the three health care organizations that received the Malcolm Baldrige National Quality Award, the top quality award in the US.

The Pursuing Perfection Initiative: Lessons on Transforming Health Care

This paper describes the learning from the eight-year Pursuing Perfection initiative, whose goal was to learn if and how health care organizations could make dramatic improvements in performance across the organization. Select innovations and results stemming from the initiative are presented.

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.

Organ Donation Update: Success Brings New Challenges

In the world of organ transplants, timing is everything. So when members of an Arkansas heart transplant team recently faced an unexpected delay due to a rather important individual, they took decisive action to overcome it.

A Multicenter Collaborative Approach to Reducing Pediatric Codes Outside the ICU

Although the code rate for the collaborative did not decrease significantly, 12 hospitals reported additional data after the collaborative and saw significant improvement in code rates, and patient safety culture scores improved.

Profiles in Improvement: Dr. Nana Twum-Danso, IHI

Nana A.Y. Twum-Danso, MD, MPH, the outgoing Executive Director for IHI African Operations, talks about emerging quality improvement work in Ghana, Malawi, and South Africa.

Collaboratives and Spreading Improvement: An Annotated Bibliography

This annotated bibliography provides a rich listing of books and articles that discuss the topic of collaborative improvement and spreading ideas.

To Russia with Health Care Improvement

Pregnancy-induced hypertension, neonatal respiratory distress syndrome, and arterial hypertension were rampant in two Russian oblasts in 1998. But an improvement project has led to dramatic declines in these conditions, and is proving that such projects can create lasting change and be scaled to large regions.

Reducing Mortality Through Aggressive Blood Sugar Control at SSM Health Care

St. Joseph Health Center implemented a new insulin protocol that resulted in a 32 percent overall reduction in hospital-wide mortality. The aim of the protocol, now in use hospital-wide, is to aggressively control the blood sugar levels of all patients — not just those with diabetes — in an effort to reduce infection.

CHCA Collaborative Accelerates Improvement

Large organizations and multi-hospital systems describe their experiences with using IHI's Breakthrough Series Collaborative model as a highly effective way to accelerate widespread improvement.

Finding the Right Opportunities in the Right Places: A New Model for Organ Donation

Using the IHI Breakthrough Series Collaborative model, the former US Secretary of Health and Human Services Tommy Thompson has launched a nationwide campaign to improve the rates of patients in need who receive organ donations. The program has already helped increase the organ donation rate by 16 percent since 2003, offering new hope for nearly 1,400 patients.

South Africa: Where Collaborative Methods are Rapidly Spreading AIDS Care

Disparities in care can seem especially dramatic on the global level. But IHI's methods of rapid improvement and collaborative learning are applicable anywhere, as demonstrated by the encouraging early results of an improvement project currently underway in South Africa.

Improving Coronary Heart Disease Care in the United Kingdom

A fourfold reduction in mortality and more than 800 lives saved over a two-year period. These are the results of a nationwide effort by the United Kingdom's National Health Service to improve care for coronary heart disease patients.

Province-wide CHF Collaborative

Healthy Heart Society (Vancouver, BC, Canada) sponsored a chronic disease collaborative of 19 teams, which increased the proportion of their congestive heart failure (CHF) patients receiving guideline-based care by 68 percent.

Spreading the Gift of Life: Organ Donation Breakthrough Collaborative

Seventeen people die on average every day in the US while awaiting an organ transplant. A national initiative called the Organ Donation Breakthrough Collaborative is attempting to change that statistic. Launched in 2003, the Collaborative has demonstrated that the supply of healthy organs available to patients in need could be increased by 50 percent.

Leveraging IHI Participation to Achieve Critical Care Improvement Spread in a Multi-Hospital System

A system-wide Critical Care Collaborative was convened by Catholic Healthcare West (San Francisco, California, USA) modeled after the IHI Breakthrough Series Collaborative to achieve improvements in care systems in the intensive care setting resulting in reduction in ventilator-associated pneumonia rate, reduction in our catheter-related blood stream infection rate, improved compliance with all components of the ventilator bundle, reduction in ICU average length of stay, and reduction in percentage of patients in the ICU greater than 7 days.

Unique Challenges, Creative Solutions: Improving Care and Spreading Change in Developing Nations

Experts are improving maternal and newborn care and rapidly spreading improvements in developing nations such as Latin America and Africa by adapting quality improvement techniques, including IHI's Breakthrough Series methodology, used in some of the world's most advanced and resource-rich health systems.

Better Oral Health for Mothers and Children

Research shows that there is a connection between a pregnant woman's oral health and her child's well-being. To improve access to oral health services for low-income pregnant women and children ages 0 to 5, four community health centers are collaborating to bridge the gap between medical and dental care and to break the cycle of dental disease transmission from mother to child.

Mercy Health Partners Targets Accounts Payable, Centralized Distribution and Information System and Saves Over $1.16 Million

Highlights of the progress made by Mercy Health Partners (Ohio, USA) through their work in the Premier Supply Chain Collaborative. The story lists the changes tested by Mercy, as well as the results they achieved.

Breakthrough change for adult cardiac surgery in a community-based cardiovascular program

This article describes the improvement achieved by a community hospital in the area of cardiac care through participation in an IHI Breakthrough Series Collaborative.

A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough Series

Article explaining the Institute for Healthcare Improvement's Breakthrough Series. Dr. Kilo describes the model in depth.

Health Disparities Collaboratives: Improving Diabetes Care in 3,400 Health Center Sites

In 1998 the Bureau of Primary Health Care (BPHC), a division of the US Department of Health and Human Services, teamed up with the Institute for Healthcare Improvement to form the Health Disparities Collaboratives to improve diabetes care for patients. The BPHC oversees programs that offer care to twelve million people who are underserved by the United States health care system — the underinsured and the uninsured.

Profiles in Improvement: Karen Scott Collins of New York City Health and Hospitals Corporation

Who's improving health care? People are — at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Karen Scott Collins of New York City Health and Hospitals Corporation.

The "Blog": Updates on Projects in Malawi to Improve Maternal and Neonatal Mortality

This "blog" shares stories about IHI's collaborative improvement projects in Malawi to improve maternal and neonatal mortality.

Reducing cesarean section rates safely: Lessons from a "Breakthrough Series" Collaborative

The objective of the project described in this article was to test the hypothesis that a structured collaborative improvement effort can help participating health organizations to reduce their cesarean delivery rates safely.

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