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How to Improve
Learn about the fundamentals of the Model for Improvement and testing changes on a small scale using Plan-Do-Study-Act (PDSA) cycles.
The SQUIRE Guidelines help authors write excellent, usable articles about quality improvement in health care so that their findings can be easily discovered and widely disseminated.
The Spread Planner is a set of questions designed to assist organizations in identifying the key actions they can take to turn a local success into a system-wide improvement.
Profiles in Improvement: Alide Chase of Kaiser Permanente
Who's improving health care? People are — at hospitals and in office practices all across the US and internationally. Listen to the story of Alide Chase of Kaiser Permanente.
Tried and Tested: Models for the Scale Up of HIV Prevention, Treatment, and Care from South Africa and Beyond
The "tried and tested" models described reflect the range of great work being done frontline nurses and doctors to prevent HIV infection and mother-to-child prevention of HIV.
Profiles in Improvement: Dr. Nana Twum-Danso, IHI
Nana A.Y. Twum-Danso, MD, MPH, the outgoing Executive Director for IHI African Operations, talks about emerging quality improvement work in Ghana, Malawi, and South Africa.
A Region Bands Together for Quality Improvement
Ko Awatea, a new learning center in Auckland, New Zealand, that opened in June 2011, is a partnership between IHI and Counties Manukau District Health Board to establish a Quality and Innovation Center for the region.
Storyboards from IHI 15th Annual International Summit on Improving Patient Care in the Office Practice and the Community
Storyboards of improvement work on display at IHI's 15th Annual International Summit on Improving Patient Care in the Office Practice and the Community are freely available for all registered IHI.org users to view.
Profiles in Improvement: Nneka Mobisson-Etuk, MD, Executive Director of African Operations, IHI
In this profile, Dr. Nneka Mobisson-Etuk describes her leadership of IHI's work in Africa, building on a near-decade of quality improvement work focused on maternal and child health, prevention of mother-to-child transmission of HIV, quality planning strategy, building improvement capability in the region, and other areas of focus.
Profiles in Improvement: Jennifer Lenoci-Edwards, RN, MPH, IHI Director, Patient Safety
In this profile, Jennifer Lenoci-Edwards, IHI Director of Patient Safety, talks about the experiences that shaped her passion and dedication to improving safety, and the current focus of IHI's work in patient safety, which includes safety across the continuum of care, engaging patients in safety efforts, and supporting health care teams in improving system reliability and enhancing their joy in work.
Ensuring Healthcare Improvements Stick
This article describes six management principles, leadership practices, core competencies, and mental models that all play a role in generating and sustaining improvement.
10 IHI Innovations to Improve Health and Health Care
This curated publication highlights 10 ideas that have emerged from IHI's systematic 90-day innovation approach, including reflections on the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, and other frameworks and fresh thinking that have been replicated around the world.
New Idea Scorecard
The scorecard helps organizations and spread teams assess the ease (or difficulty) of spreading a new idea or innovation. This tool uses Everett Rogers’ attributes of a change that affect the rate of adoption as a reference.
IHI "Seven Spreadly Sins"
Improvement teams often make some common missteps when it comes to successfully sharing and spreading improvement ideas in their organizations. IHI's "Seven Spreadly Sins" infographic give teams practical tips for overcoming challenges that impede successful spread.
A Framework for Spread: From Local Improvements to System-Wide Change
A key factor in closing the gap between best practice and common practice is the ability of health care providers and their organizations to rapidly spread innovations and new ideas.
Managing clinical knowledge for health care improvement
The authors assess the growth in clinical research studies coupled with a slow rate of adoption, often taking an average of 17 years for new evidence-based findings to reach clinical practice.
Saving 100,000 lives in US hospitals
An initiative to cut avoidable deaths required rapid recruitment and support of large numbers of US hospitals. Campaign leaders describe how they coordinate nationwide implementation of effective health care interventions and document lessons for effective spread.
Change Achievement Success Indicator (CASI)
This assessment method checklist helps to assess to what extent an organization has taken the necessary actions to carry out a change successfully.
Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives
This white paper may be used as a preparation tool by those that are planning to take effective health care practices from one setting or isolated environment and to make them ubiquitous across a health care system, region, state, or nation.
Science of Improvement: Spreading Changes
After successful implementation of a change or package of changes for a pilot population or an entire unit, the team can spread the changes to other parts of the organization or in other organizations.
A Quality Improvement Model for the Rapid Scale-up of a Program to Prevent Mother-to-Child HIV Transmission in South Africa
This article describes how a group of NGOs and government partners jointly developed the "Accelerated Plan" (A-Plan) to successfully improve services at health care facilities in South Africa to prevent mother-to-child transmission (PMTCT) of HIV.
Storyboards from IHI's 25th Annual National Forum on Quality Improvement in Health Care
One of the highlights of every IHI National Forum is the rich collection of quality improvement storyboards presenting approaches, results, challenges, and lessons learned from nearly every corner of the health care improvement world.
Profiles in Improvement: Sodzi Sodzi-Tettey, MD, MPH, IHI Director of Project Fives Alive!
Dr. Sodzi Sodzi-Tettey, IHI Senior Technical Director for the Africa Region, talks about his work in Ghana with Project Fives Alive!, including the encouraging results they're seeing in reducing mortality of children under five years of age (work that is underpinned by strong technical leadership in QI), and IHI's growing portfolio of work in Africa.
Lessons in Leadership for Improvement: Kaiser Permanente’s Improvement Journey Over 10 Years
Kaiser Permanente (KP), the largest managed care organization in the US, has achieved impressive improvements in quality of care over the past decade — a testament to their engaged and effective leadership and staff. Kaiser's achievements also owe a great deal to a unique 10-plus-year collaboration with the Institute for Healthcare Improvement (IHI) — a strategic partnership that accelerated improvement at KP, greatly informed IHI’s own learning, and helped KP build system-wide capacity for improvement.
Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?
This paper discusses the impact of a scale-up phase of Project Fives Alive! to improve maternal and child health outcomes, which used quality improvement methods to identify barriers to care and care-seeking, and then identify, test, implement, and scale up simple and low-cost local solutions to address the barriers. The project and this approach demonstrated improved outcomes at scale.