1067 items found
Evaluating Complex Health Interventions: A Guide to Rigorous Research Designs
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| 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
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| 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
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| 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. |
Driver Diagram
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| 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
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| IHI’s QI Essentials Toolkit features ten tools you need to launch and manage a successful improvement project, including instructions, an example, and a blank template for each tool. |
Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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. |
WIHI: Measures That Matter: Whole System Measures 2.0
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| December 1, 2016 | Against a backdrop of hundreds of improvements that are being tracked and reported on by thousands of health systems in the US alone, guidance on which measures are most important to the pursuit of better care, better health, and lower cost couldn’t be more timely. |
Whole System Measures 2.0: A Compass for Health System Leaders
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| This white paper presents Whole System Measures 2.0, a set of 15 measures to help health care system leaders and boards better understand their organization’s current (and desired) performance across three (Triple Aim) domains: population health, experience of care, and per capita cost. |
Four Steps to Sustaining Improvement in Health Care
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| To learn how to build systems that sustain improvement, IHI studied health care organizations that were able to achieve standout results and then build on them. This article highlights four steps, derived from insights from their work, on how to get started with introducing new standard work processes for point-of-care staff. |
Triple Aim in Canada: Developing Capacity to Lead to Better Health, Care, and Cost
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| This article reports on the work of nine Canadian health care organizations to embed the Triple Aim (better care, health, and cost) across Canada. The nine sites participated in IHI’s Triple Aim Improvement Community in order to build a solid Triple Aim infrastructure, develop quality improvement capacity, and foster a culture of health care improvement. |
Building a Culture of Improvement at East London NHS Foundation Trust
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| East London NHS Foundation Trust (ELFT) in the UK provides mental health and community services to a diverse and largely low-income population. By establishing an organization-wide culture of continuous improvement, and integrating quality improvement methodology and training at every level of work, ELFT has significantly reduced incidents of inpatient violence and improved staff satisfaction, among other achievements. |
Profiles in Improvement: Dr. Hema Magge, IHI Country Director, Ethiopia
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| Dr. Hema Magge, IHI Country Director in Ethiopia, is leading a program to reduce maternal and newborn mortality in Ethiopia. IHI and its partners are supporting the Ethiopian Federal Ministry of Health in an ambitious agenda to rapidly close gaps in national health outcomes through the coordination of quality planning, quality assurance, and quality improvement.
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WIHI: 100 Million Healthier Lives: From Vision to Reality
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| July 28, 2016 | Hundreds of communities around the world are working with kids, veterans, elders, and others on move-the-needle priorities like nutrition, mental health, and equity — the price of admission to 100 Million Healthier Lives, an unprecedented collaboration of change agents across sectors. |
Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?
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| This paper discusses the impact of a scale-up phase of Project Fives Alive! to improve maternal and child health outcomes, which used quality improvement methods to identify barriers to care and care-seeking, and then identify, test, implement, and scale up simple and low-cost local solutions to address the barriers. The project and this approach demonstrated improved outcomes at scale. |
WIHI: Five Practical Strategies for Managing Successful Improvement Projects
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| June 30, 2016 | Whether you're about to manage your first improvement project or your 50th, learn strategies you can test and use immediately, examples you can share with colleagues, and valuable tools for your next quality improvement project. |
Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units
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| North Shore-LIJ Health System (now Northwell Health) launched a strategic partnership with the Institute for Healthcare Improvement to accelerate the pace of sepsis improvement, focusing initially on sepsis recognition and treatment in emergency departments (EDs). The health system reduced overall sepsis mortality by approximately 50 percent in a six-year period and increased compliance with sepsis resuscitation bundle elements in the EDs and inpatient units in 11 acute care hospitals. |
Sustaining Improvement
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| This white paper presents a framework that health care organizations can use to sustain improvements by focusing on the daily work of frontline managers, supported by a system of standard tasks and responsibilities for managers at all levels of the organization. |
WIHI: Health Care in Motion: Making Sense of a Moving Picture
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| May 26, 2016 | This WIHI looks at the current state of quality improvement and the new value-driven initiatives that have health care organizations undertaking unprecedented levels of financial risk and undergoing rapid transformation. |
Lessons in Leadership for Improvement: Kaiser Permanente’s Improvement Journey Over 10 Years
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| Kaiser Permanente (KP), the largest managed care organization in the US, has achieved impressive improvements in quality of care over the past decade — a testament to their engaged and effective leadership and staff. Kaiser's achievements also owe a great deal to a unique 10-plus-year collaboration with the Institute for Healthcare Improvement (IHI) — a strategic partnership that accelerated improvement at KP, greatly informed IHI’s own learning, and helped KP build system-wide capacity for improvement. |
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