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A Simple Way to Involve Frontline Clinicians in Managing Costs
This article describes the building blocks of a value-management system in health care. The approach that IHI co-developed includes a simplified method to understand quality, cost, and workforce capacity on a weekly basis; a visual management system to present and analyze this data regularly; and daily, point-of-care communication to support continuous improvement.
Applying Radical Redesign Efforts
MemorialCare Health System's (California) strategy to provide high-quality care, reduce waste, and keep costs in line demonstrates three of the ten “New Rules for Radical Redesign in Health Care” developed by IHI Leadership Alliance members: standardize what makes sense; make it easy; and return the money.
The Employer-Led Health Care Revolution
Intel is using Lean improvement methods to manage the quality and cost of its health care suppliers in Portland, OR. Their Healthcare Marketplace Collaborative model holds potential for employers, with their large purchasing power, to take the lead in securing better health for local populations and lowering costs for employees and companies alike.
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.
Health Care, the Whole Person, and Community Engagement: Church Health Center of Memphis, Tennessee
The Church Health Center in Memphis, Tennessee, is committed to encouraging healthy living for individuals as well as communities. Their work provides an inspiring example of a community that is working toward achieving the Triple Aim.
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.
Lessons Learned from Two "Super-Utilizers"
After implementing several interventions, including building capacity for primary care teams to customize patient care plans, this team decreased total annual charges from $600,000 to $3,000 for two patients considered to be "super-utilizers."
ACOs: A Step in the Right Direction
Accountable care organizations (ACOs) can be a step forward in the journey toward aligning payment and delivery mechanisms to achieve better care and better health at lower costs. This article includes recommendations that may serve to accelerate our collective efforts toward achieving cost- and quality-related improvements at scale.
A Spine Care Model with Demonstrable Cost Savings
This storyboard presented at IHI’s 25th Annual National Forum describes how HealthPartners brought together key stakeholders from across their system to develop an optimized spine care model to lower the cost of care. The model, which includes both surgical and non-surgical options, resulted in a total cost savings of $1.2 million from 2010 to 2011.
To Reconcile Mission and Margin, Deliver Better Outcomes at Lower Costs
This article gives an overview of value-based health care delivery (using time-driven activity-based costing) and highlights the partnerships among the Harvard Business School, the Institute for Healthcare Improvement, and various orthopedic surgical groups.
Mobile Clinic in Massachusetts Associated with Cost Savings from Lowering Blood Pressure and Emergency Department Use
A study of 10,509 patient visits to the Family Van, an urban mobile health clinic in Massachusetts, found that screenings and counseling resulted in significant reductions in high blood pressure from 2010 to 2012. The researchers argue that mobile health clinics are an effective delivery model for underserved communities with poor health status and frequent use of emergency departments.
Preventing Infection After Hip and Knee Replacements
IHI's Project JOINTS initiative is helping to speed the adoption of proven practices to prevent surgical site infections (SSIs) after hip and knee replacement surgery. This article describes simple, affordable, evidence-based practices organizations can put into place to reduce such infections.
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.
Enhancing the Effectiveness Effectiveness of Follow-Up Phone Calls to Improve Transitions in Care: Three Decision Points
This study used a nonsystematic review of the literature focused on the use of telephone follow-up to improve postdischarge processes and reduce avoidable readmissions, and examined use of such calls among organizations participating in the STate Action on Avoidable Rehospitalizations (STAAR) initiative.
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.
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.
Healthy Employees, Lower Premiums and Costs
Employers, providers, and health plans have a new shared aim of collaboratively working together to improve the health of employees and reduce health care costs.
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.
A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost
This white paper provides suggested measures for the three dimensions of the Triple Aim, accompanied by data sources and examples, and describes how these measures might be used along with process and outcome measures for particular projects to create a learning system to achieve the Triple Aim.
Can Sustainable Hospitals Help Bend the Health Care Cost Curve?
This study tracked sustainability practices at nine hospitals and health systems over five years, and revealed significant savings in waste management, energy use, and operating room supply procurement.
More Quality Measures versus Measuring What Matters: A Call for Balance and Parsimony
The authors propose a policy that quality measurement should be parsimonious: to measure quality, outcomes, and costs with appropriate metrics that are selected based on needs of patients, providers, and payers.
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.
Eliminating Waste Without Hurting Quality
This article describes IHI's work with health systems to help them identify and remove waste from their operations.
Profiles in Improvement: Katharine Luther, Vice President, IHI
IHI Vice President Kathy Luther describes her career in health care quality improvement, and how her current IHI work includes getting finance and clinicians to work together to impact cost and quality.