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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.
New Payment Models Drive Value
Standardizing processes, enhancing efficiency of care delivery systems, and optimizing capacity across care delivery systems are all essential in driving value and preparing care teams for managing patients in a bundled payment program.
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).
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: What's in a Name? Health Care's Chief Quality Officer
January 25, 2018 | A health care system's Chief Quality Officer oversees efforts to create and sustain transformative change on multiple fronts, including patient and worker safety, overall quality of care, moving from volume to value, and more.
Achieving Hospital-wide Patient Flow
This white paper guides health care leaders and quality improvement teams through an in-depth examination of a system-wide view of patient flow within (and outside) the hospital, including high-leverage strategies and interventions to achieve hospital-wide patient flow.
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.
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.
Personalized Perfect Care
The authors propose measuring quality from the patient’s perspective as an expression of his or her personalized health needs. The Personalized Perfect Care Bundle combines several distinct measures into one and is scored as “all-or-none,” with the patient’s care being counted as complete if he or she has met all of the quality measures for which he or she is eligible.
WIHI: All Hospitals in Favor of Saving Money: Say “Patient Flow!”
December 2, 2009 | A hospital CEO, a chief surgeon, and an operations management expert discuss how they applied the best improvement science available to address overcrowding in the emergency department, vacant operating rooms, a lackluster occupancy rate, stressed staff, and patients waiting around to be seen.
WIHI: Finding the Will to Bend the Cost Curve
December 2, 2010 | This WIHI reviews Maryland's all-payer hospital rate-setting system (one of the longest-running payment and cost control initiatives in the US) that has pushed hospital costs steadily downward, and some important ideas and framing for "bending the cost curve" are explored.
WIHI: The Power of Specialty Care – and the Necessity to Use It Wisely
January 13, 2011 | A framework to help providers get closer to an appropriate use of specialty services, to reduce unnecessary health care costs and deliver better care to patients, is explored.
WIHI: The Social Imperative to Demonstrate That Better Care = Lower Costs
February 9, 2012 | This WIHI discusses what dedicated legions of health professionals, already deeply immersed in improvement work, can do differently or better to connect better care with lower health care costs.
WIHI: Going, Going, Green! Embedding Environmental Health and Sustainability into Health Care Delivery
April 5, 2012 | The Healthier Hospitals Initiative aims to enlist hospitals in efforts to increase use of safer materials and products for patients and staff alike, reduce energy consumption and waste, and adopt policies to ensure sustainability.
WIHI: Testing,Testing! Is This Procedure Necessary?
May 17, 2012 | This WIHI discusses tests and procedures that tend to be overused and that should trigger discussions to ensure that they’re really needed and of value, and the key role that physicians play in these efforts.
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.
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: 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.
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.
WIHI: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
July 24, 2014 | In this WIHI, we discuss the dramatic changes underway with emergency medical services (EMS) in both the US and globally.
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.
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.
WIHI: The Ups and Downs of Health Care Costs and Reform
February 12, 2015 | Against the backdrop of the Affordable Care Act and other significant US initiatives, this WIHI touches on recent progress with efforts to achieve better care and lower costs, global payments and various payer-led financial efforts designed to improve health care delivery, statewide reforms, Medicaid expansion, and more.
WIHI: Bundles and Buy-In for Value-Based Care
March 12, 2015 | There’s no question that public and private payers in the US are moving towards more global payment arrangements with health care providers. But the picture of how health care delivery systems take up the challenge is still coming into focus.
WIHI: Getting Right Care, Right!
October 1, 2015 | There’s growing awareness of the need to curb health care’s overuse of interventions that lack a strong evidence base, unnecessarily subject patients to potential harm, and are more expensive than equally effective, cheaper alternatives.