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Blueprint for Complex Care
This publication assesses the current state of the complex care field and presents actionable recommendations and a common framework for collectively advancing care delivery for individuals with complex health and social needs.
Framework for Effective Board Governance of Health System Quality
This white paper presents an actionable framework with the core processes needed for effective governance of all dimensions of quality; an assessment tool; and support guides for three central knowledge areas for governance of quality.
WIHI: Building the Will and Skill to Be a Clinical Improver
November 8, 2018 | Quality improvement knowledge can unite clinicians in the common pursuit of better clinical decision making and encourage more clinicians to take the lead with improving care delivery.
Effectiveness of a Multistate Quality Improvement Campaign in Reducing Risk of Surgical Site Infections Following Hip and Knee Arthroplasty
This article provides an assessment of IHI’s Project JOINTS initiative, a multistate QI campaign to promote adoption of evidence-based practices to reduce surgical site infections (SSIs) following hip and knee arthroplasty.
Leading Quality Across a System
This article describes five core drivers for effective health care chief quality officers (CQOs) in their role of overseeing and aligning quality efforts within and across health care systems.
WIHI: Lowering Readmissions, Reducing Disparities
October 25, 2018 | Initiatives to reduce avoidable readmissions are the norm in US health systems today. What happens when hospitals and health systems look beyond to the non-clinical issues upstream that have a big impact on rehospitalizations?
IHI Psychology of Change Framework
This white paper is a guide for all leaders interested in understanding the underlying psychology of change and leveraging its power to impact quality improvement efforts: to achieve breakthrough results, sustainably, at scale.
QI Project Management
This tool describes strategies to effectively manage quality improvement projects, specific ideas to try within each strategy, and offers a workspace for you to note your next steps to implement the strategy.
QI Project Charter
The QI project charter provides a rationale and roadmap for the team’s improvement work that can be used to clarify thinking about what needs to be done and why. The charter helps keep the focus on a specific opportunity or problem and identifies the members of the improvement team.
WIHI: The How and Why of Deprescribing
September 13, 2018 | The ground is shifting for prescription medication. There’s much talk and publicity about deprescribing, the process that entails taking patients off some of their medications or tapering down the dosages.
Visual Management Board
A visual management board is used as a key communication tool that provides at-a-glance information about current process performance, both quantitative and qualitative data, to help clinical unit staff coordinate and guide their daily work and monitor ongoing improvement projects.
Invite the Next Generation to Lead
Reflecting on lessons from 10 years of the IHI Open School, this article shares five practical ideas for how can health care organizations can engage the next generation of health professionals as powerful change agents and leaders.
WIHI: Connecting Patient Experience to Culture and Strategic Aims
August 9, 2018 | Most hospitals are understandably preoccupied with patient experience scores. But can those same scores help guide an organization to the aims and values it hopes to achieve?
Transforming Concepts in Patient Safety: A Progress Report
This article reviews progress to date to advance patient safety in the US in five essential areas of health care, as first identified in 2009 by the IHI/NPSF Lucian Leape Institute.
IHI Innovation System
Drawing on IHI's nearly 30 years of experience with innovation, this white paper provides a detailed description of IHI’s innovation system, including 90-Day Learning and Testing Cycles, and describes how a health care organization might create its own internal innovation system that focuses on improving health care delivery.
WIHI: How to Build Better Behavioral Health in the Emergency Department
July 12, 2018 | Promising new practices are being tested in hospitals to integrate behavioral health in the emergency department and upstream.
Human-Centered Design and Performance Improvement: Better Together
Kaiser Permanente, an IHI Strategic Partner, is fusing methods from human-centered design and performance improvement to systematically partner with patients, families, and customers to co-design better care, systems, and programs.
Leadership and Vision for a Culture of Safety
Leaders seeking to transform their health care organization’s culture would do well to commit focused attention on six key areas described in this article.
WIHI: Addiction Treatment Demystified: Proven, Practical Steps for Complex Care
June 21, 2018 | The burgeoning field of “complex care” is identifying new interventions to better address a broad set of needs, including treatment for addiction.
WIHI: Strategic Pathways to Population Health
June 7, 2018 | Health systems face numerous challenges in their efforts to improve population health. What makes a comprehensive strategy, and where do health care systems start?
No Place Like Home: Advancing the Safety of Care in the Home
This report provides expert panel recommendations, strategies, and tools for realizing five guiding principles for advancing the safety of home care.
The Scottish Improvement Journey: A Nationwide Approach to Improvement
Learn about Scotland’s 10-year effort to apply quality improvement on a national scale to improve patient safety, including an in-depth review of the successful Scottish Patient Safety Programme, and further QI efforts that spread across Scotland into new social policy areas such as children’s services, education, and justice.
Using Quality Improvement Methods to Combat Poverty: Northeast Wisconsin's POINT Initiative
This case study provides an overview of the Poverty Outcomes and Improvement Network Team (POINT) initiative, a multiyear regional effort to reduce poverty in Northeast Wisconsin by teaching nonprofit organizations how to use quality improvement methods and tools to improve the services they provide to those in the community living in poverty.
WIHI: Giving Patients and Families the Tools to Be Health Care Improvers
May 17, 2018 | Patients and families are playing a greater role in health care quality improvement. Now, some organizations believe it's essential for patients and families to have training in basic improvement to enhance their influence and involvement.
Making Health Equity a Strategic Priority
This article describes lessons learned from health systems participating in the Pursuing Equity initiative that are testing changes to make health equity a strategic priority — the first pillar in the IHI Framework for Achieving Health Equity.