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A Quality Improvement Initiative to Increase the Frequency of Vaginal Delivery in Brazilian Hospitals
Four key interventions implemented with quality improvement (QI) methods in Brazilian hospitals were associated with increased vaginal delivery, suggesting that this approach may help address the global C-section delivery epidemic.
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
Using Quality Improvement Methods to Combat Poverty: Northeast Wisconsin's POINT Initiative
This case study provides an overview of the Poverty Outcomes and Improvement Network Team (POINT) initiative, a multiyear regional effort to reduce poverty in Northeast Wisconsin by teaching nonprofit organizations how to use quality improvement methods and tools to improve the services they provide to those in the community living in poverty.
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.
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.
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.
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.
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.
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.
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.
A Multicenter Collaborative Approach to Reducing Pediatric Codes Outside the ICU
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.
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.
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.
Profiles in Improvement: Karen Scott Collins of New York City Health and Hospitals Corporation
Who's improving health care? People are — at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Karen Scott Collins of New York City Health and Hospitals Corporation.
Organ Donation Update: Success Brings New Challenges
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.
Lessons from the Baldrige Winners in Health Care
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.
To Russia with Health Care Improvement
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.
Brief Report: National Nursing Home Improvement Collaborative Outcomes Congress
This story describes the success of a National Nursing Home Improvement Collaborative that used the IHI Breakthrough Series model to improve pressure ulcer outcomes while maintaining optimal quality of life for nursing home residents.