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Better Maternal Outcomes Quality Improvement Workbooks
Developed as part of the Better Maternal Outcomes Rapid Improvement Network, the workbooks contain descriptions, examples, and templates for tools that teams can use to guide their quality improvement (QI) work focused on improving maternal health outcomes and equity.
Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement
To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.
Black Maternal Health: Reducing Inequities Through Community Collaboration
This report describes the experience of the community of Detroit, Michigan, a participant in the Better Maternal Outcomes: Redesigning Systems with Black Women project, to improve outcomes and reduce racial inequities in maternal outcomes for Black people who birth.
Tackling Systemic Racism in Maternity Care
A Brazilian health collaborative uses improvement science and the concept of “liberatory consciousness” to address racism in maternity care.
Addressing Institutional Racism in Healthcare Organizations
This article presents strategies in five core areas to guide health care leaders as they seek to address institutional racism in their organizations.
Building an Equitable System for Postsecondary Education Transition and Success
Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.
100 Million Healthier Lives Community Transformation Resources
This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), helps communities accelerate progress toward ensuring they are healthy and equitable places for everyone who lives there.
100 Million Healthier Lives Health and Well-Being Measurement Approach and Assessment Tools
These tools and resources, developed as part of the 100 Million Healthier Lives initiative, help individuals, organizations, and communities measure what matters most to advance health, well-being, and equity at multiple levels and across topics.
100 Million Healthier Lives Engaging People with Lived Experience Tools
This collection of resources, developed as part of the 100 Million Healthier Lives initiative, provides key information and tools to support communities and organizations to authentically engage people with lived experience in co-design and implementation efforts.
100 Million Healthier Lives Advancing Equity Tools
These tools and resources, developed as part of the 100 Million Healthier Lives initiative, support communities' efforts to prioritize equity in an authentic and deep way and address racism as a determinant of health as they work toward achieving improvements in health and well-being.
Health Care Equity: From Fragmentation to Transformation
The authors describe a four-tier model that offers a practical framework to establish measurements that will advance equity for both patients and the staff of the health care provider organization.
There Can Be No Quality Without Equity
Quality improvement tools and methods are well suited to an effort to improve equity in health and care. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care.
Thriving Together: A Springboard for Equitable Recovery and Resilience in Communities across America
This guide highlights numerous actions that communities, organizations, businesses, governments, and funders can take in the wake of COVID-19 and other related threats to the US — to create the vital conditions that all people and places need to thrive.
A Data-Driven Approach to Addressing Racial Disparities in Health Care Outcomes
This article describes lessons from Brigham Health in Boston to develop a robust data infrastructure to understand the differential impact of COVID-19 on patients and staff.
The Moral Determinants of Health
Six items are proposed as an "agenda for action" that physicians, nurses, and US health care institutions could help lead as a shared endeavor for securing the health of communities.
Virtual Learning Hour Special Series: Centering Equity in the Response to COVID-19
May 8, 2020 | COVID-19 is dramatically and disproportionately impacting communities of color in the US. What might it look like to embed equity in the response to the pandemic going forward?
Advancing Safety and Equity Together
There are widespread inequities in health outcomes in the United States based on race, sex, language, and other factors. But there is no such thing as high-quality, safe care that is inequitable. Health systems can leverage patient-safety programs to advance equity.
The Role of Racism as a Core Patient Safety Issue
Maternal mortality rates in the US are rising, particularly among black women. This article describes three things health care leaders can do to understand the contributing causes of mortality, including racism, and factors to reduce inequities and improve safety in maternal health.
Improving Health Equity: Guidance for Health Care Organizations
The eight health system teams that participated in the Pursuing Equity initiative share strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources for improving health equity.
WIHI: Aim High for Equity in the Health Care Workforce
July 18, 2019 | How can health systems take action to improve workforce equity?
Advancing Equity in Health Systems by Addressing Racial Justice
This article describes lessons from IHI’s work with health systems in three settings (the United States, Brazil, and Ethiopia) to advance racial equity.
Re-envisioning Care for People with Involved Disabilities: Benefits and Challenges of Home-Based Primary Care
Providers and patients explore the importance of expanding primary care beyond the walls of the clinic, particularly when it comes to reaching people with involved disabilities.
What Is an Age-Friendly Health System?
The number of older adults, individuals age 65 and older, in the United States is growing rapidly. And as we age, care often becomes more complex. Health systems frequently are not prepared for this complexity, and older adults suffer a disproportionate amount of harm while in the care of the health system.
Re-envisioning Care for People with Involved Disabilities: Redesigning Primary Care
Anna, a woman who has become increasingly debilitated and isolated. The failure of the traditional medical system to respond to Anna’s needs is contrasted with a team-based approach in which home-based primary care is combined with an array of critical services that address her medical, social, behavioral, and physical functioning needs.
Re-envisioning Care for People with Involved Disabilities: Creating Culture Change
Patients and providers share how the traditional medical model puts the clinician at the center, whereas the needs of a person living with disabilities is better met by an independent living model built around them. We’ll explore how one practice infused the values and principles of independent living into daily practice by embedding them in hiring, orientation, training, and coaching.