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100 Million Healthier Lives: Using Improvement Science to Accelerate Community Transformation
This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), provides practical guidance on how to use improvement methods and tools in community-based settings to advance health, well-being, and equity.
Well-Being in the Nation: A Living Library of Measures to Drive Multi-Sector Population Health Improvement and Address Social Determinants
This article describes the approach led by 100 Million Healthier Lives, a collaboration of partners across sectors convened by the Institute for Healthcare Improvement, to support the measurement of health and well-being at local, state, and national levels.
Effect of Data Quality Improvement Intervention on Health Information Management System Accuracy
A data quality improvement initiative embedded within woreda clinical improvement collaborative in Ethiopia improved the accuracy of data used to monitor maternal and newborn health services. The initiative was a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health.
The NAM and the Quality of Health Care: Inflecting a Field
Two decades after the publication of two seminal Institute of Medicine reports, focal progress in quality improvement is undeniable, but wholesale, systemic improvement has been hard to bring to scale.
There Can Be No Quality Without Equity
Quality improvement tools and methods are well suited to an effort to improve equity in health and care. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care.
Telemedicine: Center Quality and Safety
This article offers four elements on which health care leaders must focus to ensure safe, high-quality telemedicine for patients.
Thriving Together: A Springboard for Equitable Recovery and Resilience in Communities across America
This guide highlights numerous actions that communities, organizations, businesses, governments, and funders can take in the wake of COVID-19 and other related threats to the US — to create the vital conditions that all people and places need to thrive.
A Data-Driven Approach to Addressing Racial Disparities in Health Care Outcomes
This article describes lessons from Brigham Health in Boston to develop a robust data infrastructure to understand the differential impact of COVID-19 on patients and staff.
COVID-19: Patient Safety and Quality Improvement Skills to Deploy During the Surge
The authors suggest a five-step strategy and actions for patient safety and quality improvement staff to employ their skills to support patients, clinical staff, and health care organizations during the COVID-19 pandemic.
Choices for the "New Normal"
The author reflects on the COVID-19 pandemic and six areas where we face decisions about long-term change in the health care system: the speed of learning, standards, working conditions, proximity, preparedness, and equity.
Enhancing Collaborative Learning for Quality Improvement: Evidence from the Improving Clinical Flow Project, a Breakthrough Series Collaborative with Project ECHO
A novel combination of IHI Breakthrough Series Collaborative tools with Project ECHO's telementoring model contributed to building quality improvement (QI) capacity and improving processes and patient experience across FQHCs participating in the Improving Clinical Flow project.
Understanding Variation in Reported COVID-19 Deaths with a Novel Shewhart Chart Application
A novel Shewhart chart helped health care leaders and frontline teams understand if day-to-day variation in COVID-19 deaths may be attributed to meaningful signals of change.
Measuring Complexity: Moving Toward Standardized Measures for the Field of Complex Care
This report describes the current state of quality measurement in complex care, key challenges associated with complex care, current complex care research and measurement development efforts, and eight recommendations for next steps to develop a standard set of quality measures for the field of complex care.
Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers
IHI's high-performance management system (HPMS) was piloted in several ambulatory surgery centers to understand the applicability of quality control using related practices (e.g., standardized daily huddles, visual management boards), and to understand the approach's impact on sustaining improvement in patient care.
Adopting a Systems Approach to the Opioid Crisis
Rather than a myopic focus on opioid prescription reduction, this article describes five strategies health care leaders can employ to implement a systems approach to timely and effective treatment of opioid use disorder, in tandem with pain assessment and management.
Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, health care leaders are working to support staff who are experiencing anxiety, stress, and intense demands. This guide includes actionable ideas that leaders can quickly test during the coronavirus response, and which can build the longer-term foundation to sustain joy in work and well-being for the health care workforce.
Virtual Learning Hour Special Series: Quality Improvement, Epidemiology, and COVID-19
April 24, 2020 | The COVID-19 pandemic has emphasized the important intersection of data-driven quality improvement and epidemiology to effectively deliver excellent, safe care to patients while protecting the health care workforce.
Zero Harm in Health Care
This article describes a comprehensive systems-focused approach to patient safety to achieve the goal of zero harm for patients, families, and the health care workforce. The approach includes four interdependent elements: the psychology of change, a culture of safety, an optimal learning system, and codesigning care and improvement with patients.
Providing Safe, High-Quality Maternity Care in Rural US Hospitals
This IHI Innovation Report examines the challenges and gaps that rural health care organizations in the US face; presents a synthesis of published evidence and effective approaches developed by clinicians and leaders; and describes potential strategies for providing safe, high-quality maternity care in rural areas.
Novel Quality Improvement Method to Reduce Cost While Improving the Quality of Patient Care
This article describes continuous value management (CVM), an approach developed by IHI in partnership with NHS Highland that is derived from Lean accounting and employs quality improvement (QI) methods, to assist health systems to decrease operating costs and reduce or repurpose resources to improve efficiency.
Quality Improvement Team Member Matrix Worksheet
Effective quality improvement (QI) teams are multidisciplinary and include different areas of expertise. Use this worksheet to help you form a QI team that represents a range of perspectives and expertise.
QI Team Member Work Styles Inventory Worksheet
Quality improvement (QI) team members can use this worksheet to identify their preferred work styles.
Quality Improvement Project Measures Worksheet
Use this worksheet to identify the process, outcome, and balancing measures for your quality improvement project.
Quality Improvement Project Change Concepts Worksheet
A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. Use this worksheet to choose and explore relevant change concepts for a quality improvement project.
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.