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Well-Being in the Nation: A Living Library of Measures to Drive Multi-Sector Population Health Improvement and Address Social Determinants
This article describes the approach led by 100 Million Healthier Lives, a collaboration of partners across sectors convened by the Institute for Healthcare Improvement, to support the measurement of health and well-being at local, state, and national levels.
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.
Effect of Data Quality Improvement Intervention on Health Information Management System Accuracy
A data quality improvement initiative embedded within woreda clinical improvement collaborative in Ethiopia improved the accuracy of data used to monitor maternal and newborn health services. The initiative was a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health.
The NAM and the Quality of Health Care: Inflecting a Field
Two decades after the publication of two seminal Institute of Medicine reports, focal progress in quality improvement is undeniable, but wholesale, systemic improvement has been hard to bring to scale.
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.
Telemedicine: Center Quality and Safety
This article offers four elements on which health care leaders must focus to ensure safe, high-quality telemedicine for patients.
Moving Toward a Global Age-Friendly Ecosystem
This article reviews the historical evolution of age-friendly programs and describes a vision for an age-friendly ecosystem.
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.
COVID-19: Patient Safety and Quality Improvement Skills to Deploy During the Surge
The authors suggest a five-step strategy and actions for patient safety and quality improvement staff to employ their skills to support patients, clinical staff, and health care organizations during the COVID-19 pandemic.
Choices for the "New Normal"
The author reflects on the COVID-19 pandemic and six areas where we face decisions about long-term change in the health care system: the speed of learning, standards, working conditions, proximity, preparedness, and equity.
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.
Enhancing Collaborative Learning for Quality Improvement: Evidence from the Improving Clinical Flow Project, a Breakthrough Series Collaborative with Project ECHO
A novel combination of IHI Breakthrough Series Collaborative tools with Project ECHO's telementoring model contributed to building quality improvement (QI) capacity and improving processes and patient experience across FQHCs participating in the Improving Clinical Flow project.
Understanding Variation in Reported COVID-19 Deaths with a Novel Shewhart Chart Application
A novel Shewhart chart helped health care leaders and frontline teams understand if day-to-day variation in COVID-19 deaths may be attributed to meaningful signals of change.
Measuring Complexity: Moving Toward Standardized Measures for the Field of Complex Care
This report describes the current state of quality measurement in complex care, key challenges associated with complex care, current complex care research and measurement development efforts, and eight recommendations for next steps to develop a standard set of quality measures for the field of complex care.
Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers
IHI's high-performance management system (HPMS) was piloted in several ambulatory surgery centers to understand the applicability of quality control using related practices (e.g., standardized daily huddles, visual management boards), and to understand the approach's impact on sustaining improvement in patient care.
Adopting a Systems Approach to the Opioid Crisis
Rather than a myopic focus on opioid prescription reduction, this article describes five strategies health care leaders can employ to implement a systems approach to timely and effective treatment of opioid use disorder, in tandem with pain assessment and management.
Zero Harm in Health Care
This article describes a comprehensive systems-focused approach to patient safety to achieve the goal of zero harm for patients, families, and the health care workforce. The approach includes four interdependent elements: the psychology of change, a culture of safety, an optimal learning system, and codesigning care and improvement with patients.
Providing Safe, High-Quality Maternity Care in Rural US Hospitals
This IHI Innovation Report examines the challenges and gaps that rural health care organizations in the US face; presents a synthesis of published evidence and effective approaches developed by clinicians and leaders; and describes potential strategies for providing safe, high-quality maternity care in rural areas.
Novel Quality Improvement Method to Reduce Cost While Improving the Quality of Patient Care
This article describes continuous value management (CVM), an approach developed by IHI in partnership with NHS Highland that is derived from Lean accounting and employs quality improvement (QI) methods, to assist health systems to decrease operating costs and reduce or repurpose resources to improve efficiency.
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.
A Quality Improvement Initiative to Increase the Frequency of Vaginal Delivery in Brazilian Hospitals
Four key interventions implemented with quality improvement (QI) methods in Brazilian hospitals were associated with increased vaginal delivery, suggesting that this approach may help address the global C-section delivery epidemic.
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.
Ethiopia Health Care Quality Initiative: Design and Initial Lessons Learned
The Ethiopian Federal Ministry of Health and IHI co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national health care quality strategy, building quality improvement (QI) capability at all health system levels, and introducing scalable QI collaboratives across four regions.
Factors Influencing a Hospital-wide Intervention to Promote Professionalism and Build a Safety Culture
A three-year qualitative study at an Australia hospital identifies valuable insights into factors influencing implementation of a multifaceted behavior change intervention to promote professionalism and build a culture of safety. The multiple interrelated factors impacting the hospital-wide intervention are discussed and analyzed.