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Well-Being in the Nation: A Living Library of Measures to Drive Multi-Sector Population Health Improvement and Address Social Determinants
This article describes the approach led by 100 Million Healthier Lives, a collaboration of partners across sectors convened by the Institute for Healthcare Improvement, to support the measurement of health and well-being at local, state, and national levels.
Thriving Together: A Springboard for Equitable Recovery and Resilience in Communities across America
This guide highlights numerous actions that communities, organizations, businesses, governments, and funders can take in the wake of COVID-19 and other related threats to the US — to create the vital conditions that all people and places need to thrive.
The Moral Determinants of Health
Six items are proposed as an "agenda for action" that physicians, nurses, and US health care institutions could help lead as a shared endeavor for securing the health of communities.
WIHI: Which Way Is North? Setting Your Compass for Population Health
February 13, 2020 | Actions to improve population health are common among health systems, but how can they ensure lasting, positive changes? Tune in to learn more about the Pathways to Population Health Compass.
WIHI: Addiction Treatment Demystified: Proven, Practical Steps for Complex Care
June 21, 2018 | The burgeoning field of “complex care” is identifying new interventions to better address a broad set of needs, including treatment for addiction.
WIHI: Strategic Pathways to Population Health
June 7, 2018 | Health systems face numerous challenges in their efforts to improve population health. What makes a comprehensive strategy, and where do health care systems start?
Integrating Behavioral Health in the Emergency Department and Upstream
This IHI Innovation Report discusses barriers to integrating behavioral health in the ED, and presents five drivers (emerging from six key themes from existing approaches) that form the building blocks of a theory of change for making improvements in this area.
Creating Age-Friendly Health Systems: How to Meet the Needs of a Growing Population of Older Adults
This article explains an emerging care model for older adults focused on the “4Ms” of Age-Friendly Health Systems — What Matters, Mobility, Medications, and the Mentation of older adults — that is in the testing phase at five health systems, as part of the Creating Age-Friendly Health Systems initiative led by IHI.
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.
Postal Service “Call & Check Visits” for Isolated, Frail Elderly in the Community
This case study from the IHI/Commonwealth Fund International Program for US Health Care System Innovation describes the "Call & Check Visits” program developed by Jersey Post in Jersey, British Channel Islands, in which postal service workers check on isolated, frail elderly residents in the community, deliver prescription refills, remind clients of upcoming medical visits, and ask about their health and social needs.
The Age-Friendly Health System Imperative
The article gives an overview of how five early-adopter US health systems — working in partnership with IHI and The John A. Hartford Foundation as part of the Creating Age-Friendly Health Systems initiative — are testing prototype models for age-friendly care using continuous improvement efforts to streamline and enhance new approaches to geriatric care.
Creating Age-Friendly Health Systems: A Vision for Better Care of Older Adults
This article describes the background, evidence-based changes, and testing, scale-up, and spread strategy that are part of the design of the Creating Age-Friendly Health Systems initiative to improve care for older adults.
WIHI: How to Fail Forward (Quickly) on the Road to Population Health
June 29, 2017 | Learning from failure is an important part of the quality improvement process in health care. Groups focused on improving the health of communities are also discovering the value of "failing forward;" leveraging the learning from failure to accelerate progress.
Better Care for Complex Needs
For individuals with complex health and social needs, high utilization rates (and their associated costs), poor outcomes, and low satisfaction scores indicate that current care systems are not meeting their needs. This article describes five key priorities for health care leaders to consider as their organizations endeavor to improve care for high-need, high-cost individuals.
WIHI: Claiming the Edge with Quality Improvement in Communities
February 23, 2017 | Communities in Wisconsin, Scotland, and Boston are building coalitions to change the trajectory of people’s lives and health for the better. Using quality improvement methods and tools to tackle socioeconomic issues is proving to be a game changer in all three locations.
WIHI: Moving Upstream to Address the Quadruple Aim
December 15, 2016 | In this Special Edition WIHI Podcast, Dr. Rishi Manchanda discusses why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health.
Triple Aim in Canada: Developing Capacity to Lead to Better Health, Care, and Cost
This article reports on the work of nine Canadian health care organizations to embed the Triple Aim (better care, health, and cost) across Canada. The nine sites participated in IHI’s Triple Aim Improvement Community in order to build a solid Triple Aim infrastructure, develop quality improvement capacity, and foster a culture of health care improvement.
WIHI: 100 Million Healthier Lives: From Vision to Reality
July 28, 2016 | Hundreds of communities around the world are working with kids, veterans, elders, and others on move-the-needle priorities like nutrition, mental health, and equity — the price of admission to 100 Million Healthier Lives, an unprecedented collaboration of change agents across sectors.
Improving the Health of Populations
With the rapid growth of accountable care organizations, health care delivery organizations are expanding their scope of accountability and changing how they identify and define their immediate goals and longer-term aspirations. Yet the terms to describe this approach — “population health” and “population management” — are often used interchangeably. This article makes the case that a common language is needed, provides clarification around terminology, and offers five questions for health care leaders to explore.
This Coalition of 20 Companies Thinks It Can Change US Health Care
Based on IHI’s learning from work with employers to improve health care, this article offers five strategies to help employers — like those in the recently formed Health Transformation Alliance — achieve better care and better health for their employees, while also lowering costs (the Triple Aim).
Healthy Shelby: A Triple Aim Improvement Story
This Triple Aim improvement story examines the work of the Healthy Shelby Initiative in Tennessee, a community pursuing a regional focus to improve population health by linking public health, hospitals, health care providers, social service providers, academic institutions, the faith community, local government, and funders to work together to tackle some of the county’s most critical health problems: infant mortality, chronic disease management, and end-of-life care.
Indian Health Service Chinle Service Unit: A Triple Aim Improvement Story
This Triple Aim improvement story on the Indian Health Service Chinle Service Unit is an example that demonstrates how an organization funded and directed by the US government can take on the challenge of the Triple Aim for a Native American population.
Bellin Health: A Triple Aim Improvement Story
Bellin Health is an example that illustrates the evolution of a health system that began working on the Triple Aim with an enrolled population, built skills over time, expanded its Triple Aim work to include more populations, and eventually became involved with a multistakeholder group focused on a regional population.
WIHI: How Health Care Organizations Can Create Equity in the Community
October 29, 2015 | Health and health care improvement communities in the US are focusing on equity and racial disparities in some important new ways.
Health Improvement Partnership of Santa Cruz County: A Triple Aim Improvement Story
This Triple Aim improvement story examines the work of one community pursuing a regional focus to improve population health, and the backbone organization that established the Triple Aim as its guiding framework for improving health outcomes of those served by safety net clinics, with a focus on vulnerable populations — in particular, low-income childless adults, undocumented people, and young entrepreneurs — all of whom had little or no access to health care.