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The Role of Racism as a Core Patient Safety Issue
Maternal mortality rates in the US are rising, particularly among black women. This article describes three things health care leaders can do to understand the contributing causes of mortality, including racism, and factors to reduce inequities and improve safety in maternal health.
Improving Health Equity: Guidance for Health Care Organizations
The eight health system teams participating in the Pursuing Equity initiative share strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources for improving health equity.
WIHI: Aim High for Equity in the Health Care Workforce
July 18, 2019 | How can health systems take action to improve workforce equity?
Advancing Equity in Health Systems by Addressing Racial Justice
This article describes lessons from IHI’s work with health systems in three settings (the United States, Brazil, and Ethiopia) to advance racial equity.
Re-envisioning Care for People with Involved Disabilities: Benefits and Challenges of Home-Based Primary Care
Providers and patients explore the importance of expanding primary care beyond the walls of the clinic, particularly when it comes to reaching people with involved disabilities.
What Is an Age-Friendly Health System?
The number of older adults, individuals age 65 and older, in the United States is growing rapidly. And as we age, care often becomes more complex. Health systems frequently are not prepared for this complexity, and older adults suffer a disproportionate amount of harm while in the care of the health system.
Re-envisioning Care for People with Involved Disabilities: Redesigning Primary Care
Anna, a woman who has become increasingly debilitated and isolated. The failure of the traditional medical system to respond to Anna’s needs is contrasted with a team-based approach in which home-based primary care is combined with an array of critical services that address her medical, social, behavioral, and physical functioning needs.
Re-envisioning Care for People with Involved Disabilities: Creating Culture Change
Patients and providers share how the traditional medical model puts the clinician at the center, whereas the needs of a person living with disabilities is better met by an independent living model built around them. We’ll explore how one practice infused the values and principles of independent living into daily practice by embedding them in hiring, orientation, training, and coaching.
Re-envisioning Care for People with Involved Disabilities: Shifting the Paradigm
People with involved disabilities share the barriers they face in accessing primary care in traditional settings. The foundation for building a primary care delivery system that is accessible and responsive, they’ll explain, requires a different set of values.
Making Health Equity a Strategic Priority
This article describes lessons learned from health systems participating in the Pursuing Equity initiative that are testing changes to make health equity a strategic priority — the first pillar in the IHI Framework for Achieving Health Equity.
WIHI: Pursuing Health Equity in North Carolina
April 19, 2018 | Eight health systems, including one in North Carolina, are working with IHI to elevate health equity to a strategic priority, confront institutional racism, and improve the livelihood and health of their patients, employees, and surrounding communities.
Liberation in the Exam Room: Racial Justice and Equity in Health Care
This tool is intended to be used as a starting guideline for individuals in the health care delivery context as they work to identify key areas of focus on racial justice and health equity, serving as a resource to begin conversations with teams within the organization toward developing a deeper understanding of structural racism and its impact on achieving health equity.
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.
WIHI: Pursuing Health Equity with Curiosity: Notes from New Initiatives
August 24, 2017 | You may have data on outcomes disparities in your health system by race, ethnicity, and other factors. But in what ways is health equity a strategic priority in your organization, and what does health equity look like in your community?
What If You Take a Complex Clinical Challenge to the Community?
Solving the challenge of a high stillbirth rate in Scotland is not simply about getting obstetricians to improve. “It’s a multidisciplinary problem,” says Jason Leitch.
Health Equity Must Be a Strategic Priority
This article presents five concrete actions health care leaders can take to make health equity a core strategy at their organizations.
WIHI: How Health Care Can Accelerate Health Equity
September 15, 2016 | What might be possible if health care organizations across the US made a commitment to work to achieve health equity in their communities in dramatically new ways?
Achieving Health Equity: A Guide for Health Care Organizations
This white paper presents a framework for health care organizations to improve health equity in the communities they serve, guidance for measuring health equity, a case study of one organization that has strategically integrated health equity throughout its system, and a self-assessment tool for organizations to gauge their current focus on and efforts to improve health equity.
A Framework for Improving Health Equity
This article presents an overview of a framework developed by IHI to help guide leaders in improving health equity by making it a system-level priority for their organizations.
WIHI: How Health Care Organizations Can Create Equity in the Community
October 29, 2015 | Health and health care improvement communities in the US are focusing on equity and racial disparities in some important new ways.
WIHI: Relationships Count: Community Health Workers and Team-Based Care
October 15, 2015 | Community health workers (CHWs) are increasingly being utilized to bridge gaps for patients between health care, home, and the community. This WIHI explores the growing interest in CHWs that is sparking some important discussions and the development of innovative programs.
WIHI: Working Toward Health Equity
February 20, 2014 | This WIHI reviews the progress that’s being made to reduce health disparities in ways that everyone can learn from, and looks ahead to the next steps to create solutions-focused care that is anchored by cultural competency in word and deed.
Improving Care and Health for Low-Income Populations
This article summarizes key findings from the latest research on health disparities, a joint effort between IHI and the Commonwealth Fund, and provides two examples of how innovation in the delivery of care is reducing these disparities.
Scorecard on State Health System Performance for Low-Income Populations
Analyzing 30 indicators of access, prevention and quality, potentially avoidable hospital use, and health outcomes, the scorecard documents sharp health care disparities among states.
Mobile Clinic in Massachusetts Associated with Cost Savings from Lowering Blood Pressure and Emergency Department Use
A study of 10,509 patient visits to the Family Van, an urban mobile health clinic in Massachusetts, found that screenings and counseling resulted in significant reductions in high blood pressure from 2010 to 2012. The researchers argue that mobile health clinics are an effective delivery model for underserved communities with poor health status and frequent use of emergency departments.