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All of the participating organizations in Pursuing Perfection changed the role that their leaders played in health care improvement, as well as changing their infrastructures to make quality the central business strategy.


Cambridge Health Alliance (CHA) is an integrated health system serving Cambridge, Somerville, and Boston's metro-north communities. With three hospital campuses, an extensive primary care network, and an employed physician model, CHA provides high-quality, culturally competent care to a large, diverse patient population. In addition, its health plan, Network Health provides comprehensive health coverage to more than 160,000 Massachusetts residents.
Cincinnati Children's Hospital Medical Center is dedicated to providing the highest level of pediatric care. As Greater Cincinnati's only pediatric hospital, Cincinnati Children's is committed to bringing the very best medical care to children in our community.
As an institution nationally recognized for excellence in diagnosing and treating complex pediatric diseases, Cincinnati Children's is proud to serve patients from across the country and around the world.
Hackensack University Medical Center's standing as one of New Jersey's and the nation's healthcare leaders is driven by a commitment to quality. At Hackensack University Medical Center, quality means always striving to deliver the best medicine to our patients. It means always re-evaluating the delivery of healthcare to ensure that high standards are achieved. It means never turning away from a community need, but instead redoubling our efforts and commitment to respond to those needs. 
The HealthPartners Medical Group and Clinics (HPMG&C) in Bloomington, Minnesota, is one of the largest and most integrated multispecialty group practices in the Twin Cities area. HPMG&C is staffed by more than 550 physicians, providing care to patients at 40 clinic locations. Two hospitals partner with HPMG&C for the Pursuing Perfection initiative: Regions Hospital, a 427-bed facility; and North Memorial Medical Center, a 518-bed facility. The first pilot project will make fundamental changes in the traditional model of providing health care, improving both processes and outcomes of care for all patients with diabetes. A second pilot project will seek aggressive improvement in access for patients requiring primary care and/or specialty care.


In Sweden most health and medical care is public. The County Council of Jönköping is a health care organization for 330,000 inhabitants in 13 municipalities in the south of Sweden. Besides health and medical care, they manage dental care, education, culture, research, public transport, and regional policy regarding business and industry in the region. Eighty-eight percent of their activities concern health and medical care. The County Council has three hospitals with emergency and planned inpatient care; 34 health centres; 35 public dental clinics for general dentistry; 12 clinics for specialist dental treatment, training and research; three clinics for hospital dental care; and a college of Health and Caring Sciences. They have approximately 10,000 employees.
In May 2001, the United Kingdom's National Health Service (NHS) Modernisation Agency (MA) partnered with IHI to bring Pursuing Perfection to England. As part of this effort, four English teams joined the nine US, Swedish, and Dutch teams in the program:
Bradford Community
Lambeth and Southwark Community
Norfolk and Norwich Community
North and East Devon Community
Based in different geographical areas and serving hundreds of thousands of patients, the Communities provide a wide range of opportunities for the NHS to tackle organizational change and pursue perfection on a nationwide basis.


McLeod Regional Medical Center (MRMC) serves 12 counties in northeastern South Carolina. MRMC provides primary, secondary, and regional tertiary medical and educational services to a population of nearly one million people. More than 4,000 employees, 350 physicians, and 36 medical practices make up MRMC. One of MRMC's pilot programs will focus on eliminating adverse drug events, capitalizing on enhancements in paperless technology and providing extensive training to medical and hospital staff. Additionally, MRMC will implement best practices for treating heart disease, concentrating on patient identification, disease management, and patient and medical technology.
​The Reinier de Graaf Group (RdGG) in Delft, The Netherlands is a general hospital that cares for over 400,000 residents in Delft, the Westland, Voorburg, Rijswijk, The Hague-southwest, Pijnacker and Nootdorp. For years RdGG has distinguished itself by its policy on quality. This is acknowledged both nationally and internationally. The importance of awareness of the quality in the stream of daily activities and problems is considerable.  


Founded more than 60 years ago, Tallahassee Memorial HealthCare (TMH) is a private, not-for-profit community health care system that includes a 770-bed acute care hospital including a tertiary hospital, a behavioral health hospital, a subacute facility, a long-term care facility, a home health agency, 12 primary care clinics in seven surrounding counties, and a family practice residency program.
Whatcom County/PeaceHealth - St Joseph Hospital, Bellingham, Washington, is part of PeaceHealth, ranked among the top 50 best-performing health care systems in the US according to a Thomson Reuters study. PeaceHealth operates seven hospitals located in Alaska, Washington and Oregon. PeaceHealth's commitment to patient quality and safety uses a system approach to collaborate and standardize best practices for ongoing improvements in patient care across operations. The study showed that PeaceHealth hospitals have 25 percent lower mortality, 20 percent fewer medical complications, and 13 percent fewer patient safety incidents than 80 percent of the hospital systems in the US with specific excellence in management of heart failure, heart attack, pneumonia, and surgical infection prevention.
Over the past few years, clinical collaborative initiatives across all hospitals in the PeaceHealth system, have been underway in the areas of cardiovascular, surgery, intensive care, emergency care, obstetrics and women’s care, infection prevention, and medication and patient safety. PeaceHealth consistently monitors national quality and safety efforts and tracks most effective patient care within the system to incorporate best practices system-wide.