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Did a Quality Improvement Collaborative Make Stroke Care Better?
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In this study, 24 NHS hospitals in the Northwest of England were randomly allocated to participate either in Stroke 90:10, a quality improvement collaborative (QIC) based on the IHI Breakthrough Series (BTS) model, or in a control group giving normal care. Some aspects of stroke care modestly improved during the collaborative.
The Pursuing Perfection Initiative: Lessons on Transforming Health Care
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This paper describes the learning from the eight-year Pursuing Perfection initiative, whose goal was to learn if and how health care organizations could make dramatic improvements in performance across the organization. Select innovations and results stemming from the initiative are presented.
The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
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IHI developed the Breakthrough Series to help health care organizations make breakthrough improvements in quality while reducing costs.
Profiles in Improvement: Nneka Mobisson-Etuk, MD, Executive Director of African Operations, IHI
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In this profile, Dr. Nneka Mobisson-Etuk describes her leadership of IHI's work in Africa, building on a near-decade of quality improvement work focused on maternal and child health, prevention of mother-to-child transmission of HIV, quality planning strategy, building improvement capability in the region, and other areas of focus.
Profiles in Improvement: Dr. Nana Twum-Danso, IHI
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Nana A.Y. Twum-Danso, MD, MPH, the outgoing Executive Director for IHI African Operations, talks about emerging quality improvement work in Ghana, Malawi, and South Africa.
Unique Challenges, Creative Solutions: Improving Care and Spreading Change in Developing Nations
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Experts are improving maternal and newborn care and rapidly spreading improvements in developing nations such as Latin America and Africa by adapting quality improvement techniques, including IHI's Breakthrough Series methodology, used in some of the world's most advanced and resource-rich health systems.
Health Disparities Collaboratives: Improving Diabetes Care in 3,400 Health Center Sites
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In 1998 the Bureau of Primary Health Care (BPHC), a division of the US Department of Health and Human Services, teamed up with the Institute for Healthcare Improvement to form the Health Disparities Collaboratives to improve diabetes care for patients. The BPHC oversees programs that offer care to twelve million people who are underserved by the United States health care system — the underinsured and the uninsured.
The "Blog": Updates on Projects in Malawi to Improve Maternal and Neonatal Mortality
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This "blog" shares stories about IHI's collaborative improvement projects in Malawi to improve maternal and neonatal mortality.
Leveraging IHI Participation to Achieve Critical Care Improvement Spread in a Multi-Hospital System
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A system-wide Critical Care Collaborative was convened by Catholic Healthcare West (San Francisco, California, USA) modeled after the IHI Breakthrough Series Collaborative to achieve improvements in care systems in the intensive care setting resulting in reduction in ventilator-associated pneumonia rate, reduction in our catheter-related blood stream infection rate, improved compliance with all components of the ventilator bundle, reduction in ICU average length of stay, and reduction in percentage of patients in the ICU greater than 7 days.
Spreading the Gift of Life: Organ Donation Breakthrough Collaborative
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Seventeen people die on average every day in the US while awaiting an organ transplant. A national initiative called the Organ Donation Breakthrough Collaborative is attempting to change that statistic. Launched in 2003, the Collaborative has demonstrated that the supply of healthy organs available to patients in need could be increased by 50 percent.
Province-wide CHF Collaborative
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Healthy Heart Society (Vancouver, BC, Canada) sponsored a chronic disease collaborative of 19 teams, which increased the proportion of their congestive heart failure (CHF) patients receiving guideline-based care by 68 percent.
Organ Donation Update: Success Brings New Challenges
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In the world of organ transplants, timing is everything. So when members of an Arkansas heart transplant team recently faced an unexpected delay due to a rather important individual, they took decisive action to overcome it.
Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project
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This study of the early phase of Project Fives Alive! to improve key maternal and child health outcomes in Ghana demonstrates that the quality improvement (QI) approach of testing and implementing simple, low-cost, locally-inspired changes has the potential to lead to improved health outcomes at scale both in Ghana and other low- and middle-income countries.
Using Quality Improvement Methods to Test and Scale Up a New National Policy on Early Post-natal Care in Ghana
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This initiative demonstrates the utility of a quality improvement (QI) approach in testing, implementing, and subsequent scaling up a national policy for early post-natal care in a resource-constrained setting, and provides a model to accelerate the achievement of the Millennium Development Goals in Ghana and other resource-poor countries.
Lessons from the Baldrige Winners in Health Care
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This story offers a quick look at the three health care organizations that received the Malcolm Baldrige National Quality Award, the top quality award in the US.
A Multicenter Collaborative Approach to Reducing Pediatric Codes Outside the ICU
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Although the code rate for the collaborative did not decrease significantly, 12 hospitals reported additional data after the collaborative and saw significant improvement in code rates, and patient safety culture scores improved.
Collaboratives and Spreading Improvement: An Annotated Bibliography
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This annotated bibliography provides a rich listing of books and articles that discuss the topic of collaborative improvement and spreading ideas.
To Russia with Health Care Improvement
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Pregnancy-induced hypertension, neonatal respiratory distress syndrome, and arterial hypertension were rampant in two Russian oblasts in 1998. But an improvement project has led to dramatic declines in these conditions, and is proving that such projects can create lasting change and be scaled to large regions.
Reducing Mortality Through Aggressive Blood Sugar Control at SSM Health Care
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St. Joseph Health Center implemented a new insulin protocol that resulted in a 32 percent overall reduction in hospital-wide mortality. The aim of the protocol, now in use hospital-wide, is to aggressively control the blood sugar levels of all patients — not just those with diabetes — in an effort to reduce infection.
CHCA Collaborative Accelerates Improvement
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Large organizations and multi-hospital systems describe their experiences with using IHI's Breakthrough Series Collaborative model as a highly effective way to accelerate widespread improvement.
Finding the Right Opportunities in the Right Places: A New Model for Organ Donation
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Using the IHI Breakthrough Series Collaborative model, the former US Secretary of Health and Human Services Tommy Thompson has launched a nationwide campaign to improve the rates of patients in need who receive organ donations. The program has already helped increase the organ donation rate by 16 percent since 2003, offering new hope for nearly 1,400 patients.
South Africa: Where Collaborative Methods are Rapidly Spreading AIDS Care
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Disparities in care can seem especially dramatic on the global level. But IHI's methods of rapid improvement and collaborative learning are applicable anywhere, as demonstrated by the encouraging early results of an improvement project currently underway in South Africa.
Improving Coronary Heart Disease Care in the United Kingdom
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A fourfold reduction in mortality and more than 800 lives saved over a two-year period. These are the results of a nationwide effort by the United Kingdom's National Health Service to improve care for coronary heart disease patients.
Better Oral Health for Mothers and Children
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Research shows that there is a connection between a pregnant woman's oral health and her child's well-being. To improve access to oral health services for low-income pregnant women and children ages 0 to 5, four community health centers are collaborating to bridge the gap between medical and dental care and to break the cycle of dental disease transmission from mother to child.
Mercy Health Partners Targets Accounts Payable, Centralized Distribution and Information System and Saves Over $1.16 Million
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Highlights of the progress made by Mercy Health Partners (Ohio, USA) through their work in the Premier Supply Chain Collaborative. The story lists the changes tested by Mercy, as well as the results they achieved.
  
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