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WIHI: What's in a Name? Health Care's Chief Quality Officer
January 25, 2018 | A health care system's Chief Quality Officer oversees efforts to create and sustain transformative change on multiple fronts, including patient and worker safety, overall quality of care, moving from volume to value, and more.
What If We Flipped the Patient Discharge Process?
At Sheffield Teaching Hospitals in the United Kingdom, an improver came up with the idea of assessing frail elder patients’ needs in patients’ homes instead of at the hospital. One PDSA cycle led to another, and another. Eventually, 10,000 patients got home 3 to 4 days faster in one year.
WIHI: Improving the Rate of Recommended Care: Looking Back and Looking Ahead
January 12, 2017 | A study published in 2003 reported that adults in the US receive only about half the care that’s recommended to prevent, treat, and manage some 30 leading causes of illness and death. Has the situation improved? Not nearly enough.
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: Bundles and Buy-In for Value-Based Care
March 12, 2015 | There’s no question that public and private payers in the US are moving towards more global payment arrangements with health care providers. But the picture of how health care delivery systems take up the challenge is still coming into focus.
WIHI: The Ups and Downs of Health Care Costs and Reform
February 12, 2015 | Against the backdrop of the Affordable Care Act and other significant US initiatives, this WIHI touches on recent progress with efforts to achieve better care and lower costs, global payments and various payer-led financial efforts designed to improve health care delivery, statewide reforms, Medicaid expansion, and more.
WIHI: Better Care and Better Value for Hip and Knee Replacement
October 23, 2014 | The frequency of a surgical hip and knee replacement that has comparatively low rates of harm and complications brings new scrutiny of performance and opportunities for improvement.
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: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
July 24, 2014 | In this WIHI, we discuss the dramatic changes underway with emergency medical services (EMS) in both the US and globally.
WIHI: Slowdown in the Growth of US Health Care Spending
July 11, 2013 | This WIHI examines indications that pressure from both public and private payers, reinforced by reimbursement reforms rolling out in the Affordable Care Act, may be making a dent in the growth of the country’s health care spending.
WIHI: Clinicians and Financial Staff Can Improve Quality and Lower Costs, Part 2
February 21, 2013 | This WIHI discusses cost reduction and quality improvement strategies that two organizations — Northeast Health and Hackensack University Medical Center — used to improve their bottom lines without sacrificing patient care.
WIHI: Employers and Employees Can Improve Quality and Lower Costs: Stories from the Front Lines, Part 1
February 7, 2013 | This WIHI discusses what promises to be the next wave of employer engagement in improving health and controlling health care costs in the US, including taking a deeper dive into the underlying, often chronic health conditions affecting today’s employees.
WIHI: Navigating the Elections with a Clear-Eyed View
October 12, 2012 | This WIHI focuses on ways to help you navigate this US election cycle with a clarity of purpose that health care improvement requires more than ever in these tumultuous times.
WIHI: Pioneering ACOs: What Do We Know So Far?
September 27, 2012 | This WIHI discusses a major study of the factors enabling accountable care organizations (ACOs) to get up and running and to successfully implement new forms of care delivery, as well as examples of early adopters of the ACO concept.
WIHI: Testing,Testing! Is This Procedure Necessary?
May 17, 2012 | This WIHI discusses tests and procedures that tend to be overused and that should trigger discussions to ensure that they’re really needed and of value, and the key role that physicians play in these efforts.
WIHI: Going, Going, Green! Embedding Environmental Health and Sustainability into Health Care Delivery
April 5, 2012 | The Healthier Hospitals Initiative aims to enlist hospitals in efforts to increase use of safer materials and products for patients and staff alike, reduce energy consumption and waste, and adopt policies to ensure sustainability.
WIHI: The Social Imperative to Demonstrate That Better Care = Lower Costs
February 9, 2012 | This WIHI discusses what dedicated legions of health professionals, already deeply immersed in improvement work, can do differently or better to connect better care with lower health care costs.
Passport Exclusive: Building Strong Connections Between Cost and Quality
This module focuses on three approaches used by the UK's National Health Service (NHS) to increase quality in care while decreasing cost: 1) better care, better volume indicators; 2) high-volume care; and 3) the production series.
How Can Primary Care Be More Fulfilling?
Primary care suffers from a lot of problems, says physician executive Douglas Eby. Clinicians often have to work too quickly to get to know their patients, which makes for unfulfilling work and an ineffective care model. At Anchorage-based Alaska Native Medical Center, however, things are different.
WIHI: The Power of Specialty Care – and the Necessity to Use It Wisely
January 13, 2011 | A framework to help providers get closer to an appropriate use of specialty services, to reduce unnecessary health care costs and deliver better care to patients, is explored.
WIHI: Finding the Will to Bend the Cost Curve
December 2, 2010 | This WIHI reviews Maryland's all-payer hospital rate-setting system (one of the longest-running payment and cost control initiatives in the US) that has pushed hospital costs steadily downward, and some important ideas and framing for "bending the cost curve" are explored.
How Can You Identify and Confront Workarounds?
What are workarounds? Why are they bad? How do we avoid them? MIT senior lecturer and IHI Senior Fellow Steve Spear explains.
How Can You Apply Clinical Skills to QI?
MIT senior lecturer and IHI Senior Fellow Steve Spear explains why he thinks seven steps needed to care for patients are essentially the same as those needed to fix systems of care. He also shares common trouble areas and gives an example of a successful improvement.
What Are the Biggest Challenges Facing Your Health System?
What's the single biggest challenge the US health care system will face within the next five to ten years? We put the question to a doctor, a nurse, a professor, a student, a hospital CEO, and a patient.
How Can We Define “Quality” in Health Care?
In this video, IHI’s Former CEO Don Berwick describes a 2001 report by the Institute of Medicine, Crossing the Quality Chasm, that laid the foundation for health care reform in the United States and spread around the world.