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Improvement Report: Reduction in Cost of Coronary Artery Bypass Grafting for Low-Risk Patients
At Scott White Memorial Hospital, Clinic, and Health Plan (Temple, Texas, USA) we have reduced the cost of Coronary Artery Bypass Surgery (CABG) by 33 percent in low-risk patients and are continuing to hold the gains.
Reducing Costs Through the Appropriate Use of Specialty Services
This white paper describes a framework that primarily focuses on changing professional practice culture by engaging physicians in developing and implementing practice standards that will work best in local circumstances.
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: 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.
Eliminating Waste Without Hurting Quality
This article describes IHI's work with health systems to help them identify and remove waste from their operations.
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.
Enhancing Prehospital Emergency Care
This article makes the case that earlier prehospital interventions can positively affect downstream hospital patient outcomes and costs of care, describes how emergency medical services (EMS) are increasingly becoming part of an integrated care system, and discusses the expanded role of ambulance services and paramedics to increase access to care.
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: Improving the Rate of Recommended Care: Looking Back and Looking Ahead
January 12, 2017 | A study published in 2003 reported that adults in the US receive only about half the care that’s recommended to prevent, treat, and manage some 30 leading causes of illness and death. Has the situation improved? Not nearly enough.
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.
Going Lean in Health Care
Lean management principles have been used effectively in manufacturing companies for decades, particularly in Japan. IHI believes that lean principles can be successfully applied to the delivery of health care.
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.
Hospital Inpatient Waste Identification Tool
The Hospital Inpatient Waste Identification Tool provides a systematic method for hospital frontline clinical staff, members of the financial team, and leaders to identify clinical and operational waste and subsequently prioritize and implement waste reduction initiatives that will result in cost savings for the organization.
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.
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."
Care Coordination Model: Better Care at Lower Cost for People with Multiple Health and Social Needs
This white paper outlines methods and opportunities to better coordinate care for people with multiple health and social needs, and reviews ways that organizations have allocated resources to better meet the range of needs in this population. The elevated cost of care in this population offers a tremendous opportunity to craft a service delivery plan that meets their needs more effectively at a significantly lower cost.
Patient First: Efficient Patient Flow Management Impact on the ED
Memorial Regional Hospital (Hollywood, Florida, USA) improves care and service in the adult emergency department by focusing on key operational, clinical, and service improvement strategies.
Increasing Efficiency and Enhancing Value in Health Care: Ways to Achieve Savings in Operating Costs per Year
This white paper proposes a set of steps health care organizations can undertake to systematically identify and eliminate inefficiencies to create a portfolio of work leading to a 1 percent to 3 percent savings in operating costs per year.
Leaders Challenged to Reduce Cost, Deliver More
This article discusses leadership strategies to overcome common challenges for creating culture in which it is possible to improve quality and simultaneously realize cost savings.
Quality Improvement Savings Tracker Worksheet
This standard tool may be used throughout the organization to track cost savings associated with waste reduction efforts and to adjust for annual changes.
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: 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: 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.
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.