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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.
Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers
IHI's high-performance management system (HPMS) was piloted in several ambulatory surgery centers to understand the applicability of quality control using related practices (e.g., standardized daily huddles, visual management boards), and to understand the approach's impact on sustaining improvement in patient care.
Adopting a Systems Approach to the Opioid Crisis
Rather than a myopic focus on opioid prescription reduction, this article describes five strategies health care leaders can employ to implement a systems approach to timely and effective treatment of opioid use disorder, in tandem with pain assessment and management.
Conversation and Action Guide to Support Staff Wellbeing and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, health care leaders are working to support staff who are experiencing anxiety, stress, and intense demands. This guide includes actionable ideas that leaders can quickly test during the coronavirus response, and which can build the longer-term foundation to sustain joy in work for the health care workforce.
Virtual Learning Hour Special Series: Quality Improvement, Epidemiology, and COVID-19
April 24, 2020 | The COVID-19 pandemic has emphasized the important intersection of data-driven quality improvement and epidemiology to effectively deliver excellent, safe care to patients while protecting the health care workforce.
Zero Harm in Health Care
This article describes a comprehensive systems-focused approach to patient safety to achieve the goal of zero harm for patients, families, and the health care workforce. The approach includes four interdependent elements: the psychology of change, a culture of safety, an optimal learning system, and codesigning care and improvement with patients.
Providing Safe, High-Quality Maternity Care in Rural US Hospitals
This IHI Innovation Report examines the challenges and gaps that rural health care organizations in the US face; presents a synthesis of published evidence and effective approaches developed by clinicians and leaders; and describes potential strategies for providing safe, high-quality maternity care in rural areas.
Novel Quality Improvement Method to Reduce Cost While Improving the Quality of Patient Care
This article describes continuous value management (CVM), an approach developed by IHI in partnership with NHS Highland that is derived from Lean accounting and employs quality improvement (QI) methods, to assist health systems to decrease operating costs and reduce or repurpose resources to improve efficiency.
Quality Improvement Team Member Matrix Worksheet
Effective quality improvement (QI) teams are multidisciplinary and include different areas of expertise. Use this worksheet to help you form a QI team that represents a range of perspectives and expertise.
QI Team Member Work Styles Inventory Worksheet
Quality improvement (QI) team members can use this worksheet to identify their preferred work styles.
Quality Improvement Project Measures Worksheet
Use this worksheet to identify the process, outcome, and balancing measures for your quality improvement project.
Quality Improvement Project Change Concepts Worksheet
A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. Use this worksheet to choose and explore relevant change concepts for a quality improvement project.
A Quality Improvement Initiative to Increase the Frequency of Vaginal Delivery in Brazilian Hospitals
Four key interventions implemented with quality improvement (QI) methods in Brazilian hospitals were associated with increased vaginal delivery, suggesting that this approach may help address the global C-section delivery epidemic.
Sustainability Planning Worksheet
Teams may use this worksheet to help plan for the long-term sustainability of an improvement effort.
Ethiopia Health Care Quality Initiative: Design and Initial Lessons Learned
The Ethiopian Federal Ministry of Health and IHI co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national health care quality strategy, building quality improvement (QI) capability at all health system levels, and introducing scalable QI collaboratives across four regions.
Special Edition Podcast: Creating a Culture of Continuous Improvement That Outlasts Your Leaders
December 10, 2019 | Learn about evidence-based approaches that ensure a culture of improvement lasts beyond the tenure of any senior individual.
Aim Statement Worksheet
An effective aim statement is fundamental for every quality improvement project. Use this worksheet to help you write a clear, specific aim statement and complete the checklist to double-check your work.
Are You Using Data the Right Way?
Health care leaders rely on data to guide decisions, yet when data is misinterpreted it impacts the quality of those decisions. This article discusses using data the right way to inform decisions, including control charts to display and interpret data over time.
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
How One Health System Overcame Resistance to a Surgical Checklist
This article describes three mindshifts for overcoming resistance to change and provides an example of one health system that used this approach to overcome resistance to employing a surgical safety checklist.
Is Your Board Effectively Overseeing Quality?
This article gives an overview of IHI's Framework for Effective Board Governance of Health System Quality and recommends three guiding principles to build improvement knowledge and capacity among board members.
The Answer to Culture Change: Everyday Management Tactics
This article describes the High-Performance Management System, a model developed by IHI to drive sustained value improvement using a clear rhythm of performance measurement and communication via huddles and visual management.
Leveraging the Psychology of Change
This article presents an overview of the IHI Psychology of Change Framework with key takeaways for leaders, to help them understand why people resist change and how to activate people to advance and sustain improved care.