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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.
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.
Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
IHI’s Project JOINTS initiative engaged a network of state-based organizations and professionals in a six-month QI campaign to promote adherence to three evidence-based practices to reduce surgical site infection (SSI) after joint replacement.
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.
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.
Lessons in Leadership for Improvement: Kaiser Permanente’s Improvement Journey Over 10 Years
Kaiser Permanente (KP) has achieved impressive improvements in quality of care over the past decade — a testament to their engaged and effective leadership and staff, and also due in part to a unique 10-plus-year collaboration with the Institute for Healthcare Improvement (IHI) that accelerated improvement at KP, greatly informed IHI’s own learning, and helped KP build system-wide capacity for improvement.
A Framework for Scaling Up Health Interventions: Lessons from Large-Scale Improvement Initiatives in Africa
This article details a sequence of four steps for taking a health intervention to full scale, properties that facilitate adoption of the new ideas, and the infrastructure required to support the scale-up. Two case studies present national-scale initiatives in Ghana and South Africa that used early iterations of this framework to scale up evidence-based interventions to improve maternal and child health.
A Two-Way Street: What the United States Can Learn from Resource-Limited Countries to Improve Health Care Delivery and Reduce Costs
This article highlights five key ideas for "bidirectional innovation," gathered from the experience of health care providers and health system managers in resource-limited countries, that may have a meaningful impact on health care quality and safety if applied in resource-rich countries.
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.
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.
Lessons Learned from Ghana's Project Fives Alive! A Practical Guide for Designing and Executing Large-Scale Improvement Initiatives
How do you set up a large-scale improvement project for success? After seven years of rapidly and successfully scaling up high-impact maternal and child health interventions across Ghana using a quality improvement approach, the lessons learned from Project Fives Alive! are documented in this practical guide. Topics include project design, day-to-day project management and leadership, building QI capability, managing complex partner relationships, and deploying a core set of balanced metrics.
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.
The Importance of Context in Implementation Research
The authors present a framework for implementation science, a review of published HIV/AIDS protocols for complex interventions, a case study, and preliminary recommendations that can be used to characterize context when reporting interventions and describing how context can be accounted for in implementation strategies.
Project JOINTS: What Factors Affect Bundle Adoption in a Voluntary Quality Improvement Campaign?
This article examines how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign — Project JOINTS, an IHI-led initiative — could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery (hip and knee arthroplasty).
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.
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.
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.
Promising Care: How We Can Rescue Health Care by Improving It
This book collects 16 landmark speeches given by Donald M. Berwick (including all of his speeches delivered at IHI’s annual National Forum on Quality Improvement in Health Care from 2003 to 2012) that clearly show why our medical systems don’t reliably contribute to our overall health. Berwick offers a vision for making our systems better — safer, more effective, more efficient, and more humane.
Using Quality Improvement Methods to Test and Scale Up a New National Policy on Early Post-natal Care in Ghana
This initiative demonstrates the utility of a quality improvement (QI) approach in testing, implementing, and subsequent scaling up a national policy for early post-natal care in a resource-constrained setting, and provides a model to accelerate the achievement of the Millennium Development Goals in Ghana and other resource-poor countries.
Joint Learning Network for Universal Health Coverage Update
This report from the Joint Learning Network highlights the network's unique collaborative model to ensure universal health coverage in low- and middle-income countries, some early results, and innovative tools and approaches to address priority areas such as expanding coverage, utilizing information technology, and improving and/or maintaining quality.
WIHI: Large-Scale Change Across a Country: Learning from Scotland
June 20, 2013 | During this WIHI some of the top leadership from IHI, including Derek Feeley, the Chief Executive of NHS Scotland and incoming Executive Vice President at IHI, offer perspective on Scotland's success in many areas of patient safety and the corresponding results.
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 24th Annual National Forum on Quality Improvement in Health Care
Storyboards of quality improvement work on display at the 24th Annual National Forum on Quality Improvement in Health Care in December 2012 are freely available for all registered IHI.org users to view.
Storyboards from IHI 14th Annual International Summit on Improving Patient Care in the Office Practice and the Community
Storyboards of improvement work on display at IHI's 14th 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.
Crossing the Quality Chasm in Resource-Limited Settings
This perspective piece discusses why scale-up is the foundation necessary to deliver effective health care to the poor and describes a vision for a global quality improvement movement in resource-limited areas.