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5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
Highly Adoptable Improvement: A Practical Model and Toolkit to Address Adoptability and Sustainability of Quality Improvement Initiatives
This article presents the Highly Adoptable Improvement Model, a practical model and supporting tools developed on the basis of existing theories to help quality improvement (QI) programs design more adoptable approaches that lead to more sustainable improvement.
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.
Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human
This report assesses the state of patient safety in health care, advocating for a total systems approach across the continuum of care and establishment of a culture of safety, and calling for action by government, regulators, health professionals, and others to place higher priority on patient safety improvement and implementation science.
WIHI: Health Care Innovation and R&D: Taking Stock at Ten Years
November 9, 2017 | The health care quality improvement movement has rallied around some significant innovations over the years, many of which have had a lasting impact.
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.
How to Attribute Causality in Quality Improvement: Lessons from Epidemiology
This article proposes quality improvement and implementation initiatives in health care, regardless of scope and resources, can be enhanced by applying epidemiological principles adapted from Bradford Hill Criteria to strengthen evidence of effectiveness.
Are Quality Improvement Collaboratives Effective? A Systematic Review
In a systematic review of the literature on quality improvement collaboratives, a widely adopted approach to shared learning and improvement in health care, the authors conclude that, overall, the QI collaboratives included in their review reported significant improvements in targeted clinical processes and patient outcomes.
WIHI: QI Takes on Veteran and Chronic Homelessness
October 12, 2017 | Using an improvement science approach and campaign-style momentum, one initiative is dramatically increasing monthly rates of housing homeless individuals across the US, including veterans and the chronically homeless.
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.
A Framework to Guide Practice Facilitators in Building Capacity
Engaging practice facilitators — individuals trained to build the improvement skills of ambulatory care teams — is an increasingly attractive approach, supported by a growing body of evidence that these facilitators are highly effective. This article lays out a framework to guide practice facilitators in building improvement capacity.
WIHI: Tuning Up Health System Boards for Patient Safety
September 15, 2017 | What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety?
WIHI: How to Fail Forward (Quickly) on the Road to Population Health
June 29, 2017 | Learning from failure is an important part of the quality improvement process in health care. Groups focused on improving the health of communities are also discovering the value of "failing forward;" leveraging the learning from failure to accelerate progress.
Evaluating Complex Health Interventions: A Guide to Rigorous Research Designs
This publication describes a range of research design approaches that can be used to enhance the rigor of evaluations, thereby improving the quality of the evidence upon which decisions are made and ultimately improving the public’s health.
WIHI: How to Beat the Boring Aspects of QI
June 14, 2017 | Learning from failure is an important part of quality improvement in health care. But what can we learn from improvement efforts that languish or stall due to the inglorious nature of the work itself?
WIHI: Seven Popular Improvement Tools: How (and When) to Use Them
May 18, 2017 | Make sure you’re getting the most out of key improvement tools like PDSA, run chart and control chart, driver diagram, and more — and know when to use them in your improvement work.
A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.
Quality Improvement Essentials Toolkit
Download these ten essential quality improvement tools to help you with your improvement projects, continuous improvement, and quality management, whether you use the Model for Improvement, Lean, or Six Sigma.
Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
IHI’s Project JOINTS initiative engaged a network of state-based organizations and professionals in a six-month QI campaign to promote adherence to three evidence-based practices to reduce surgical site infection (SSI) after joint replacement.
Better Care for Complex Needs
For individuals with complex health and social needs, high utilization rates (and their associated costs), poor outcomes, and low satisfaction scores indicate that current care systems are not meeting their needs. This article describes five key priorities for health care leaders to consider as their organizations endeavor to improve care for high-need, high-cost individuals.
Profiles in Improvement: Dr. Pierre Barker, IHI Chief Global Partnerships and Programs Officer
Dr. Pierre Barker, IHI Chief Global Partnerships and Programs Officer, describes some of IHI’s global work that is helping to improve health and health care worldwide.
WIHI: Claiming the Edge with Quality Improvement in Communities
February 23, 2017 | Communities in Wisconsin, Scotland, and Boston are building coalitions to change the trajectory of people’s lives and health for the better. Using quality improvement methods and tools to tackle socioeconomic issues is proving to be a game changer in all three locations.
Reliably Addressing "What Matters" Through a Quality Improvement Process
A practical quality improvement approach can help to ensure that processes are in place to assist nurses in devoting time to reliably inquire about “what matters” to each patient at every encounter
Ensuring Healthcare Improvements Stick
This article describes six management principles, leadership practices, core competencies, and mental models that all play a role in generating and sustaining improvement.
WIHI: Moving Upstream to Address the Quadruple Aim
December 15, 2016 | In this Special Edition WIHI Podcast, Dr. Rishi Manchanda discusses why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health.