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The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity
This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the "quadruple aim" (addressing clinician burnout) to a "quintuple aim" that includes advancing health equity.
Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation
This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US.
Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative
This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.”
An Equity Agenda for the Field of Health Care Quality Improvement
Convened by the National Academy of Medicine, leaders of seven prominent US health care quality organizations identified equity as the most important priority for the health care quality movement in the next 20 years. This paper summarizes key barriers and strategies to advancing equity in health care quality.
An Integrated Approach to Quality
This article describes how whole system quality, an integrated organization-wide approach to quality, can help health care leaders build more responsive and resilient health systems.
Better Maternal Outcomes Quality Improvement Workbooks
Developed as part of the Better Maternal Outcomes Rapid Improvement Network, the workbooks contain descriptions, examples, and templates for tools that teams can use to guide their quality improvement (QI) work focused on improving maternal health outcomes and equity.
Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement
To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.
Tackling Systemic Racism in Maternity Care
A Brazilian health collaborative uses improvement science and the concept of “liberatory consciousness” to address racism in maternity care.
Accelerating Population Health Improvement
This article describes how applying improvement methods to population health improvement efforts could help close equity gaps.
Whole System Quality
This white paper describes a more holistic approach to quality management that integrates quality planning, quality control, and quality improvement activities across the organization, supported by leadership practices that foster a culture of learning.
Accelerating Global Improvements in Health Care Quality
Many lower-resourced countries, historically focused on expanding access to essential health services, now place a similar priority on higher quality. In this Viewpoint, the authors describe how universal health coverage, a key Sustainable Development Goal, is meaningful only if the access it ensures is to effective and safe health services.
Building an Equitable System for Postsecondary Education Transition and Success
Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.
100 Million Healthier Lives: Using Improvement Science to Accelerate Community Transformation
This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), provides practical guidance on how to use improvement methods and tools in community-based settings to advance health, well-being, and equity.
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.
Effect of Data Quality Improvement Intervention on Health Information Management System Accuracy
A data quality improvement initiative embedded within woreda clinical improvement collaborative in Ethiopia improved the accuracy of data used to monitor maternal and newborn health services. The initiative was a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health.
The NAM and the Quality of Health Care: Inflecting a Field
Two decades after the publication of two seminal Institute of Medicine reports, focal progress in quality improvement is undeniable, but wholesale, systemic improvement has been hard to bring to scale.
There Can Be No Quality Without Equity
Quality improvement tools and methods are well suited to an effort to improve equity in health and care. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care.
Telemedicine: Center Quality and Safety
This article offers four elements on which health care leaders must focus to ensure safe, high-quality telemedicine for patients.
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.
A Data-Driven Approach to Addressing Racial Disparities in Health Care Outcomes
This article describes lessons from Brigham Health in Boston to develop a robust data infrastructure to understand the differential impact of COVID-19 on patients and staff.
COVID-19: Patient Safety and Quality Improvement Skills to Deploy During the Surge
The authors suggest a five-step strategy and actions for patient safety and quality improvement staff to employ their skills to support patients, clinical staff, and health care organizations during the COVID-19 pandemic.
Choices for the "New Normal"
The author reflects on the COVID-19 pandemic and six areas where we face decisions about long-term change in the health care system: the speed of learning, standards, working conditions, proximity, preparedness, and equity.
Enhancing Collaborative Learning for Quality Improvement: Evidence from the Improving Clinical Flow Project, a Breakthrough Series Collaborative with Project ECHO
A novel combination of IHI Breakthrough Series Collaborative tools with Project ECHO's telementoring model contributed to building quality improvement (QI) capacity and improving processes and patient experience across FQHCs participating in the Improving Clinical Flow project.
Understanding Variation in Reported COVID-19 Deaths with a Novel Shewhart Chart Application
A novel Shewhart chart helped health care leaders and frontline teams understand if day-to-day variation in COVID-19 deaths may be attributed to meaningful signals of change.
Measuring Complexity: Moving Toward Standardized Measures for the Field of Complex Care
This report describes the current state of quality measurement in complex care, key challenges associated with complex care, current complex care research and measurement development efforts, and eight recommendations for next steps to develop a standard set of quality measures for the field of complex care.