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Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project
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
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.
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.
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.
The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
IHI developed the Breakthrough Series to help health care organizations make breakthrough improvements in quality while reducing costs.
WIHI: Accelerating Improvement: The Enduring Value of Collaboratives
November 12, 2015 | One hallmark of the health care improvement movement has been the way in which diverse organizations and teams come together to gain the knowledge, skills, and confidence needed to implement change. The most celebrated of these models over the past few decades has been the “collaborative,” as simple a concept as it is radical.
Applying a Science-Based Method to Improve Perinatal Care: The IHI Perinatal Improvement Community
This article explores the origins of and the early challenges faced by the IHI Perinatal Improvement Community, the work to reduce early elective deliveries and rates of cesarean sections, IHI’s overall approach to improvement, and the growing role of the IHI Triple Aim in improving perinatal care.
Using a Virtual Breakthrough Series Collaborative to Improve Access in Primary Care
The Institute for Healthcare Improvement pioneered the Breakthrough Series (BTS), a short-term improvement project that convenes, in three face-to-face meetings, hospital or clinic teams to make rapid, significant improvement.
Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?
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.
Lessons Learned from Ghana's Project Fives Alive! A Practical Guide for Designing and Executing Large-Scale Improvement Initiatives
How do you set up a large-scale improvement project for success? After seven years of rapidly and successfully scaling up high-impact maternal and child health interventions across Ghana using a quality improvement approach, the lessons learned from Project Fives Alive! are documented in this practical guide. Topics include project design, day-to-day project management and leadership, building QI capability, managing complex partner relationships, and deploying a core set of balanced metrics.
Collaborating for Improvement: The Institute for Healthcare Improvement's Breakthrough Series
A general description of the Institute for Healthcare Improvement's Breakthrough Series.
The Pursuing Perfection Initiative: Lessons on Transforming Health Care
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.
Assessment Scale for Collaboratives
This scale provides a basic template to assess a team’s progress throughout an IHI Breakthrough Series Collaborative or other improvement project.
Making Collaborative Improvement a Virtual Reality
Is it possible to build an engaged virtual community capable of transforming health care? The Institute for Healthcare Improvement (IHI) believes the answer is a resounding yes, and now has some experience with “virtual Collaboratives” to demonstrate what’s possible.
Harvard Medical School Academic Innovations Collaborative: Transforming Primary Care Practice and Education
The goal of the two-year Harvard Medical School Academic Innovations Collaborative (AIC) was to transform primary care education and practice by engaging hospital- and community-based primary care teaching practices in building highly functional teams, managing populations, and engaging patients. The AIC built on models developed by Qualis Health and the Institute for Healthcare Improvement, optimized for the local academic medical center context.
A Brief History of Quality Improvement
This article aims to describe common improvement terms within a scientific context, to foster learning and knowledge sharing regarding what it takes to improve health and health care.
Did a Quality Improvement Collaborative Make Stroke Care Better?
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.
Profiles in Improvement: Nneka Mobisson-Etuk, MD, Executive Director of African Operations, IHI
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
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
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
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
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
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
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
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.