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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.
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.
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.
Are You Using Data the Right Way?
Health care leaders rely on data to guide decisions, yet when data is misinterpreted it impacts the quality of those decisions. This article discusses using data the right way to inform decisions, including control charts to display and interpret data over time.
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
How One Health System Overcame Resistance to a Surgical Checklist
This article describes three mindshifts for overcoming resistance to change and provides an example of one health system that used this approach to overcome resistance to employing a surgical safety checklist.
Is Your Board Effectively Overseeing Quality?
This article gives an overview of IHI's Framework for Effective Board Governance of Health System Quality and recommends three guiding principles to build improvement knowledge and capacity among board members.
The Answer to Culture Change: Everyday Management Tactics
This article describes the High-Performance Management System, a model developed by IHI to drive sustained value improvement using a clear rhythm of performance measurement and communication via huddles and visual management.
Leveraging the Psychology of Change
This article presents an overview of the IHI Psychology of Change Framework with key takeaways for leaders, to help them understand why people resist change and how to activate people to advance and sustain improved care.
Framework for Effective Board Governance of Health System Quality
This white paper presents an actionable framework with the core processes needed for effective board governance of all dimensions of health system quality; an assessment tool; and support guides for three central knowledge areas for trustee oversight of quality.
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.
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.
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.
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.
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.
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.