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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 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.
Health Disparities Collaboratives: Improving Diabetes Care in 3,400 Health Center Sites
In 1998 the Bureau of Primary Health Care (BPHC), a division of the US Department of Health and Human Services, teamed up with the Institute for Healthcare Improvement to form the Health Disparities Collaboratives to improve diabetes care for patients. The BPHC oversees programs that offer care to twelve million people who are underserved by the United States health care system — the underinsured and the uninsured.
Improving Coronary Heart Disease Care in the United Kingdom
A fourfold reduction in mortality and more than 800 lives saved over a two-year period. These are the results of a nationwide effort by the United Kingdom's National Health Service to improve care for coronary heart disease patients.
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.
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.
Special Edition Podcast: Creating a Culture of Continuous Improvement That Outlasts Your Leaders
December 10, 2019 | Learn about evidence-based approaches that ensure a culture of improvement lasts beyond the tenure of any senior individual.
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.
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.
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.
Sustainability Planning Worksheet
Teams may use this worksheet to help plan for the long-term sustainability of an improvement effort.
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.
Better Ideas for Spreading Changes
The term "better ideas" refers to the set of changes or improvements that have been shown to be successful (i.e., achieved desired results) in a single site or local area within the organization and are now being spread more broadly.
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.
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.
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.
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.
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.