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WIHI: Practicing More Careful and Thoughtful Diagnosis
February 8, 2018 | What's next when the diagnosis process is causing as many problems as it's trying to solve?
WIHI: The Careful and Kind Patient Revolution
December 7, 2017 | Victor Montori argues that it is time for providers to look up from strict protocols and guidelines long enough to get curious about their patients' lives and begin to minimize barriers to better health, not add to them.
WIHI: When Patients Feel as Powerless as Hostages
November 21, 2017 | Is "hostage" the right way to describe how patients and family members sometimes feel when they're trying to get the care they need?
WIHI: Greater Satisfaction, Outcomes, and Savings with Self-Administered Care
July 13, 2017 | Patients undergoing dialysis typically do so in a hospital or health care facility. Most people don't question the need to have experienced health care staff on hand or what's considered a safe environment for the treatments. But that might be changing.
WIHI: Creating Age-Friendly Health Systems
April 20, 2017 | Best practices for older or elderly patients aren’t always top of mind, and practitioners don't always know how they might do things differently. Now, a small group of health systems is about to test some new, evidenced-based interventions that promise to model for the rest of the industry.
WIHI: Who's Your Health Care Proxy?
April 6, 2017 | Situations may arise when we need a trusted person to communicate with doctors and nurses on our behalf. And, if facing care decisions near the end of life, a trusted health care proxy can play a crucial role in ensuring our wishes are respected.
WIHI: What We're Learning about Patients with Complex Needs
March 23, 2017 | There’s a lot of attention being paid to developing new models to care for and support patients with multiple, complex health problems. And for good reason.
WIHI: Practicing Respect and Preventing Harm
February 9, 2017 | Most of us know what it feels like to have an interaction with someone that can feel rushed, incomplete, maybe even abrupt or downright rude. What are the consequences of these encounters?
WIHI: Engaging and Supporting Family Caregivers
October 20, 2016 | A lot has been said and written over the years about the important role family caregivers play on behalf of loved ones with various health conditions and disabilities. But acknowledgment of the estimated 42 million family caregivers in the US alone hasn’t always translated into needed support.
WIHI: Improving Patient Experience: What's Working, What's Not
October 6, 2016 | With so much focus on improving patient satisfaction scores and patient-centered care, are patients and family members feeling more positive about the experiences they’re having in the US health care system? Are they feeling more connected to their care teams?
WIHI: The New World of Co-producing Health and Health Care
March 24, 2016 | When we say patients and clinicians should be “co-producing health and health care,” this requires a paradigm shift and, for medical staff, letting go of seeing themselves as the sole engines and creators of the “product” known as health care. What if health care isn’t a product at all, but a service which both “sides” engage in and have an opportunity to shape?
WIHI: Morality Matters: How to Reset the Mission of Quality Improvement
February 18, 2016 | What is the “true north” for the health care quality improvement movement? What are the questions leaders and champions of quality and safety initiatives must periodically ask themselves as a natural part of the process of seeking dramatic change? For IHI’s founder, Don Berwick, the questions, and the answers, are often moral ones.
WIHI: New Tools and Thinking for Shared Decision Making
January 28, 2016 | If you work in primary care today, odds are good that you’re seeing patients with multiple chronic conditions. Even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health, the best-laid plans often fall apart.
WIHI: Realizing “What Matters” (to Patients and Families)
January 14, 2016 | A few years ago, IHI and others began suggesting to providers that instead of routinely asking patients “What’s the matter with you?” they should begin asking “What matters to you?”
WIHI: Medicare Reimbursement and Meaningful Conversations about End-of-Life Care
November 19, 2015 | This WIHI explores whether the new US Centers for Medicare & Medicaid Services payment options to reimburse practitioners for talking with Medicare recipients about end-of-life care preferences make advance care planning more likely to happen and encourage health professionals to gain the necessary skills for such discussions.
WIHI: Getting Right Care, Right!
October 1, 2015 | There’s growing awareness of the need to curb health care’s overuse of interventions that lack a strong evidence base, unnecessarily subject patients to potential harm, and are more expensive than equally effective, cheaper alternatives.
WIHI: The Echo Effect of Project ECHO's Access to Specialty Care
July 9, 2015 | There’s telemedicine, and then there’s Project ECHO. What began in 2003 as a process for improving access to treatment for people in New Mexico suffering from Hepatitis C, now offers support and learning for 30 different diseases and conditions, impacting patients in some 22 states.
WIHI: Disability Competent Care
June 11, 2015 | A lot of progress has been made the past several decades for people with disabilities. But, there are still barriers and biases that prevent disabled individuals from leading full lives and fully accessing health care.
WIHI: Now What? Best Practices for Newly Diagnosed Cancer Patients
May 21, 2015 | When someone is first diagnosed with cancer, those first few days and weeks can be terribly disorienting. A growing number of providers, patients, and observers believe there are particular ways the health care system can behave, and best practices that can be deployed, to ease this initial, hard part of the cancer journey.
WIHI: Tread Water No More! Making Sense of Patient Experience Data
September 11, 2014 | Learn about guiding principles for deciphering patient experience data and the comprehensive picture that emerges from patient surveys, focus groups, patient and family advisory councils, and much more.
WIHI: Preventing Financial Harm to Patients: The Costs of Care Initiative
August 21, 2014 | On this WIHI, learn about an innovative effort in the US to help caregivers make more high-value decisions that can protect patients from unnecessary care and expenses.
WIHI: The Patient-Centered Medical Home: Early Results, Tough Scrutiny
May 22, 2014 | The patient-centered medical home (PCMH) is getting a hard look this year. On this WIHI, we explore the early results and the critical next steps.
WIHI: Partnering with Patients for Safety: The Next Phase of Work and Commitment
May 8, 2014 | Patients and family members offer extra eyes and ears to events unfolding around them, and have crucial knowledge about and perspectives on what kinds of changes will help them the most.
WIHI: Reclaiming Empathy — Best Practices for Engaging with Patients
April 10, 2014 | Why the seemingly sudden need to draw the attention of doctors and nurses to the humanness of the patients before them? We explore empathy and some of the ways today's busy and often overwhelmed caregivers can reconnect with their own feelings and the feelings of those they care for.
WIHI: Patients as Partners in QI Research
December 9, 2013 | This special WIHI podcast looks at the opportunity for patients to collaborate with improvement scientists on research designed to impact patient experience. The broadcast was recorded during a panel at the 19th Annual Scientific Symposium on Improving the Quality and Value of Health Care on at the 25th Annual IHI National Forum on Quality Improvement in Health Care.