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The Answer to Culture Change: Everyday Management Tactics
This article describes the High-Performance Management System, a model developed by IHI to drive sustained value improvement via culture change.
QI Project Management
This tool describes strategies to effectively manage quality improvement projects, specific ideas to try within each strategy, and offers a workspace for you to note your next steps to implement the strategy.
QI Project Charter
The QI project charter provides a rationale and roadmap for the team’s improvement work that can be used to clarify thinking about what needs to be done and why. The charter helps keep the focus on a specific opportunity or problem and identifies the members of the improvement team.
Visual Management Board
A visual management board is used as a key communication tool that provides at-a-glance information about current process performance, both quantitative and qualitative data, to help clinical unit staff coordinate and guide their daily work and monitor ongoing improvement projects.
Human-Centered Design and Performance Improvement: Better Together
Kaiser Permanente, an IHI Strategic Partner, is fusing methods from human-centered design and performance improvement to systematically partner with patients, families, and customers to co-design better care, systems, and programs.
The Scottish Improvement Journey: A Nationwide Approach to Improvement
Learn about Scotland’s 10-year effort to apply quality improvement on a national scale to improve patient safety, including an in-depth review of the successful Scottish Patient Safety Programme, and further QI efforts that spread across Scotland into new social policy areas such as children’s services, education, and justice.
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.
WIHI: Giving Patients and Families the Tools to Be Health Care Improvers
May 17, 2018 | Patients and families are playing a greater role in health care quality improvement. Now, some organizations believe it's essential for patients and families to have training in basic improvement to enhance their influence and involvement.
Building Improvement Capacity and Capability: A "Dosing" Approach
This article describes the Institute for Healthcare Improvement's "dosing" approach to building improvement capacity and capability by establishing and deploying targeted levels of improvement knowledge and skills throughout an organization.
5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
How to Attribute Causality in Quality Improvement: Lessons from Epidemiology
This article proposes quality improvement and implementation initiatives in health care, regardless of scope and resources, can be enhanced by applying epidemiological principles adapted from Bradford Hill Criteria to strengthen evidence of effectiveness.
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.
Evaluating Complex Health Interventions: A Guide to Rigorous Research Designs
This publication describes a range of research design approaches that can be used to enhance the rigor of evaluations, thereby improving the quality of the evidence upon which decisions are made and ultimately improving the public’s health.
WIHI: Seven Popular Improvement Tools: How (and When) to Use Them
May 18, 2017 | Make sure you’re getting the most out of key improvement tools like PDSA, run chart and control chart, driver diagram, and more — and know when to use them in your improvement work.
A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.
Quality Improvement Essentials Toolkit
Download these ten essential quality improvement tools to help you with your improvement projects, continuous improvement, and quality management, whether you use the Model for Improvement, Lean, or Six Sigma.
Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
IHI’s Project JOINTS initiative engaged a network of state-based organizations and professionals in a six-month QI campaign to promote adherence to three evidence-based practices to reduce surgical site infection (SSI) after joint replacement.
Ensuring Healthcare Improvements Stick
This article describes six management principles, leadership practices, core competencies, and mental models that all play a role in generating and sustaining improvement.
Four Steps to Sustaining Improvement in Health Care
To learn how to build systems that sustain improvement, IHI studied health care organizations that were able to achieve standout results and then build on them. This article highlights four steps, derived from insights from their work, on how to get started with introducing new standard work processes for point-of-care staff.
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: Five Practical Strategies for Managing Successful Improvement Projects
June 30, 2016 | Whether you're about to manage your first improvement project or your 50th, learn strategies you can test and use immediately, examples you can share with colleagues, and valuable tools for your next quality improvement project.
This white paper presents a framework that health care organizations can use to sustain improvements by focusing on the daily work of frontline managers, supported by a system of standard tasks and responsibilities for managers at all levels of the organization.
Lessons in Leadership for Improvement: Kaiser Permanente’s Improvement Journey Over 10 Years
Kaiser Permanente (KP) has achieved impressive improvements in quality of care over the past decade — a testament to their engaged and effective leadership and staff, and also due in part to a unique 10-plus-year collaboration with the Institute for Healthcare Improvement (IHI) that accelerated improvement at KP, greatly informed IHI’s own learning, and helped KP build system-wide capacity for improvement.
What's Your Theory? Driver Diagram Serves as Tool for Building and Testing Theories for Improvement
This article provides a detailed description of the driver diagram, an indispensable tool for visually mapping out the theory of change — that is, the structures, processes, and norms believed to require change in the system, and the specific change ideas that are anticipated will lead to improvement.
Frontline Dyad Approach to Maximize Frontline Engagement in Improvement and Minimize Resource Use
The Frontline Dyad Approach begins with a conversation with frontline staff to identify potential defects in care processes. The approach encourages small-scale testing with the smallest working group (two frontline staff, or "dyad") and, because of the very important scoping function, provides improvement with minimal resource use in a very short timeframe (within 30 days or less).