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• Turn on the Lights Podcast
  Turn on the Lights podcast is IHI's thought-provoking series of candid conversations about how the US health care system is working and not working, hosted by Drs. Don Berwick and Kedar Mate.
• Enhancing Quality Improvement Adoption in US Nursing Homes
  This report summarizes the research findings from the Institute for Healthcare Improvement's 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.
• Effective Quality Planning
  Quality planning is the essential first step of IHI's Whole System Quality approach to overall quality management. This article describes effective quality planning that engages multidisciplinary health care leaders in clearly defining the systemwide quality goals, sets priorities, responds to external evaluations of performance, ensures there are sufficient resources to meet the goals, and leverages existing data systems to identify aligned opportunities for improvement.
• Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care
  This book is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, high-quality systems of care in partnership with patients.
• The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity
  This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the "quadruple aim" (addressing clinician burnout) to a "quintuple aim" that includes advancing health equity.

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• Turn on the Lights Podcast
  Turn on the Lights podcast is IHI's thought-provoking series of candid conversations about how the US health care system is working and not working, hosted by Drs. Don Berwick and Kedar Mate.
• Special Edition Podcast: Creating a Culture of Continuous Improvement That Outlasts Your Leaders
  December 10, 2019 | Learn about evidence-based approaches that ensure a culture of improvement lasts beyond the tenure of any senior individual.
• WIHI: Building the Will and Skill to Be a Clinical Improver
  November 8, 2018 | Quality improvement knowledge can unite clinicians in the common pursuit of better clinical decision making and encourage more clinicians to take the lead with improving care delivery.
• WIHI: Connecting Patient Experience to Culture and Strategic Aims
  August 9, 2018 | Most hospitals are understandably preoccupied with patient experience scores. But can those same scores help guide an organization to the aims and values it hopes to achieve?
• 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.
• WIHI: How to Make Change Happen: An Introduction to IHI's Psychology of Change Framework ​
  May 10, 2018 | The biggest challenge to quality improvement projects is often not measurement or process. It's people.
• WIHI: What's in a Name? Health Care's Chief Quality Officer
  January 25, 2018 | A health care system's Chief Quality Officer oversees efforts to create and sustain transformative change on multiple fronts, including patient and worker safety, overall quality of care, moving from volume to value, and more.
• WIHI: Health Care Innovation and R&D: Taking Stock at Ten Years
  November 9, 2017 | The health care quality improvement movement has rallied around some significant innovations over the years, many of which have had a lasting impact.
• WIHI: QI Takes on Veteran and Chronic Homelessness
  October 12, 2017 | Using an improvement science approach and campaign-style momentum, one initiative is dramatically increasing monthly rates of housing homeless individuals across the US, including veterans and the chronically homeless.
• WIHI: Tuning Up Health System Boards for Patient Safety
  September 15, 2017 | What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety?
• WIHI: How to Fail Forward (Quickly) on the Road to Population Health
  June 29, 2017 | Learning from failure is an important part of the quality improvement process in health care. Groups focused on improving the health of communities are also discovering the value of "failing forward;" leveraging the learning from failure to accelerate progress.
• WIHI: How to Beat the Boring Aspects of QI
  June 14, 2017 | Learning from failure is an important part of quality improvement in health care. But what can we learn from improvement efforts that languish or stall due to the inglorious nature of the work itself?
• 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.
• WIHI: Claiming the Edge with Quality Improvement in Communities
  February 23, 2017 | Communities in Wisconsin, Scotland, and Boston are building coalitions to change the trajectory of people’s lives and health for the better. Using quality improvement methods and tools to tackle socioeconomic issues is proving to be a game changer in all three locations.
• WIHI: Moving Upstream to Address the Quadruple Aim
  December 15, 2016 | In this Special Edition WIHI Podcast, Dr. Rishi Manchanda discusses why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health.
• WIHI: Measures That Matter: Whole System Measures 2.0
  December 1, 2016 | Against a backdrop of hundreds of improvements that are being tracked and reported on by thousands of health systems in the US alone, guidance on which measures are most important to the pursuit of better care, better health, and lower cost couldn’t be more timely.
• WIHI: 100 Million Healthier Lives: From Vision to Reality
  July 28, 2016 | Hundreds of communities around the world are working with kids, veterans, elders, and others on move-the-needle priorities like nutrition, mental health, and equity — the price of admission to 100 Million Healthier Lives, an unprecedented collaboration of change agents across sectors.
• 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.
• WIHI: Health Care in Motion: Making Sense of a Moving Picture
  May 26, 2016 | This WIHI looks at the current state of quality improvement and the new value-driven initiatives that have health care organizations undertaking unprecedented levels of financial risk and undergoing rapid transformation.
• WIHI: Making Data Work for Quality Improvement
  February 25, 2016 | If you’re going to measure, as we know health care improvers must do, you’re going to generate data. But in a world where there increasingly seems no end to what can be tracked and quantified and analyzed, there’s a real danger of creating a lot more data than you truly need.

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• Better Maternal Outcomes Quality Improvement Workbooks
  ​Developed as part of the Better Maternal Outcomes Rapid Improvement Network, the workbooks contain descriptions, examples, and templates for tools that teams can use to guide their quality improvement (QI) work focused on improving maternal health outcomes and equity.
• 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.
• 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.
• Sustainability Planning Worksheet
  Teams may use this worksheet to help plan for the long-term sustainability of an improvement effort.
• Aim Statement Worksheet
  An effective aim statement is fundamental for every quality improvement project. Use this worksheet to help you write a clear, specific aim statement and complete the checklist to double-check your work.
• 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.
• 5 Whys: Finding the Root Cause
  When a problem presents itself, ask Why again and again until you reach the root cause.
• Driver Diagram
  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.
• IHI "Seven Spreadly Sins"
  Improvement teams often make some common missteps when it comes to successfully sharing and spreading improvement ideas in their organizations. IHI's "Seven Spreadly Sins" infographic give teams practical tips for overcoming challenges that impede successful spread.

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• Enhancing Quality Improvement Adoption in US Nursing Homes
  This report summarizes the research findings from the Institute for Healthcare Improvement's 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.
• Effective Quality Planning
  Quality planning is the essential first step of IHI's Whole System Quality approach to overall quality management. This article describes effective quality planning that engages multidisciplinary health care leaders in clearly defining the systemwide quality goals, sets priorities, responds to external evaluations of performance, ensures there are sufficient resources to meet the goals, and leverages existing data systems to identify aligned opportunities for improvement.
• Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care
  This book is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, high-quality systems of care in partnership with patients.
• The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity
  This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the "quadruple aim" (addressing clinician burnout) to a "quintuple aim" that includes advancing health equity.
• Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation
  This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US.
• Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative
  This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.”
• An Equity Agenda for the Field of Health Care Quality Improvement
  Convened by the National Academy of Medicine, leaders of seven prominent US health care quality organizations identified equity as the most important priority for the health care quality movement in the next 20 years. This paper summarizes key barriers and strategies to advancing equity in health care quality.
• An Integrated Approach to Quality
  This article describes how whole system quality, an integrated organization-wide approach to quality, can help health care leaders build more responsive and resilient health systems.
• Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement
  To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.
• Tackling Systemic Racism in Maternity Care
  A Brazilian health collaborative uses improvement science and the concept of “liberatory consciousness” to address racism in maternity care.
• Accelerating Population Health Improvement
  This article describes how applying improvement methods to population health improvement efforts​ could help close equity gaps.
• Whole System Quality
  This white paper describes a more holistic approach to quality management that integrates quality planning, quality control, and quality improvement activities across the organization, supported by leadership practices that foster a culture of learning.
• Accelerating Global Improvements in Health Care Quality
  Many lower-resourced countries, historically focused on expanding access to essential health services, now place a similar priority on higher quality. In this Viewpoint, the authors describe how universal health coverage, a key Sustainable Development Goal, is meaningful only if the access it ensures is to effective and safe health services.
• Building an Equitable System for Postsecondary Education Transition and Success
  Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.
• 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.