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• Oncology Times, December 31, 2015: Has Anything Changed in the 15 Years Since "To Err is Human"?
  “This was a transformative report for health care... it was a turning point,” said Donald M. Berwick, MD, MPP, President Emeritus and Senior Fellow at the Institute for Healthcare Improvement, former administrator of the Centers for Medicare & Medicaid Services (CMS), former member of the IOM's Governing Council, and a member of the committee that wrote “To Err Is Human.”
• POLITICO Online, December 30, 2015: Death Panels: An Obituary
  The Institute for Healthcare Improvement, led by Don Berwick and then Maureen Bisognano, partnered with the Conversation Project to end the misleading stigma of "death panels," and re-emphsize the importance end-of-life conversations.
• The Boston Globe, December 28, 2015: Accountable Health Care Organization Having Early Success with Quality, Costs
  Coastal Medical stands as an example of an ACO that is making it work: In 2014, it saved $7.2 million while maintaining high ratings for quality. “With the community-based kind of effort produced in Rhode Island, you can set the stage for national change,” said Dr. Donald M. Berwick, senior fellow of the Institute for Healthcare Improvement in Cambridge and former administrator of the US Centers for Medicare & Medicaid Services.
• FierceHealthcare, December 21, 2015: Berwick Advocates for New Era of Accountability
  It's time to enter a new era of healthcare that returns to the purpose embraced by old-school practitioners and combines it with the accountability of today's healthcare demands, Don Berwick, the former head of the Centers for Medicare & Medicaid Services (CMS) said.
• Crain's Chicago Business, December 21, 2015: High Drug Prices Emerge as Top Issue
  Institute for Healthcare Improvement CEO Derek Feeley is quoted in this article about the top issues in health care currently. “Wherever I go, people complain about the burden of measurement,” said Feeley.
• Oshkosh Northwestern, December 19, 2015: Oshkosh Poised to Turn the Tide on Poverty
  IHI is offering consulting support for a regional poverty reduction movement at no cost to the Oshkosh community; a project driven by the Triple Aim for Populations.
• The Economist Intelligence Unit, November 11, 2015: Diabetes in the Gulf: The Policy Challenge
  Dr. Azhar Ali, executive director at the Institute for Healthcare Improvement, shares his insight and experience in this article assessing the current status and potential impact of diabetes in the six Gulf Co-operation Council states—Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the UAE.
• Healthcare Finance News, December 18, 2015: Good Hospitals Are Being Fined for Infections, CMS Program Needs Fixing, Expert says
  Don Goldmann, chief medical and scientific officer for Institute of Healthcare Improvement, thinks the Centers for Medicare and Medicaid Services needs to change its methodology for ranking providers by their number of hospital-acquired infections as many respected hospitals are seeing payment reductions in the program.
• Boston Business Journal Online, December 18, 2015: Q&A with Don Berwick, Newest Member of the State's Health Policy Commission
  Don Berwick will embark on a new role starting next month: as a member of the state's Health Policy Commission. His time as a pediatrician, a professor at Harvard Medical School, staff at Boston Children’s Hospital, Massachusetts General Hospital and Brigham and Women’s Hospital, administrator of the Centers for Medicare and Medicaid Services, and co-founder and president emeritus of the Institute for Healthcare Improvement prepare him well for this role.
• Hartford Courant, December 17, 2015: Shaping the Future of Primary Care: CHC Launches National Clinical Workforce Development Initiative
  This article features the Institute for Healthcare Improvement's Breakthrough Series Collaborative - a collaborative learning model used for training healthcare personnel to improve quality in their organizations.
• Becker's Infection Control & Clinical Quality, December 16, 2015: 10 Most Popular Stories, Studies on Bloodstream Infections and Blood Clots in 2015
  Implementing the Institute for Healthcare Improvement's infection prevention and control measures led to a sustained decrease in CLABSIs in an intensive care unit and step-down unit, this published study found.
• Hospitals & Health Networks Online, December 15, 2015: New Institute for Healthcare Improvement CEO on the One Key to Population Health
  With noted industry figure and keynote speaker Maureen Bisognano planning to retire at the year's end, Derek Feeley will assume the top post at the Institute for Healthcare Improvement on Jan. 1. In this video, he details his priorities for the organization in 2016.
• Hospitals & Health Networks Online, December 11, 2015: Don Berwick Offers Health Care 9 Steps to End This Era of Greed and Excessive Measurement
  Don Berwick, M.D. — former head of the Centers for Medicare & Medicaid Services and senior fellow with the Institute of Healthcare Improvement — illustrated the wide gap between what health care is and what it could be with two patient stories during his closing keynote at the IHI Forum Wednesday.
• Medical Economics Online, December 10, 2015: First Take: Medical Records Belong to Patients. Period.
  The Open Records movement is a start. Donald Berwick, MD, of the Institute for Healthcare Improvement has been calling for doctors and hospitals to give the records to patients for years.
• Hospitals & Health Networks Online, December 10, 2015: Hospital Leaders Must Adapt to New Roles, Rewrite Rules for Improvement, Says Retiring IHI Chief
  This is the last Institute for Healthcare Improvement Forum for Maureen Bisognano, as the influential industry figure plans to retire from her duties at the close of 2015.
• Boston Globe Online, December 10, 2015: Don Berwick to Join State Health Policy Comission
  Don Berwick is a senior fellow at the Institute for Healthcare Improvement, a Cambridge nonprofit that works with health care organizations around the world on patient safety issues. He founded the organization and ran it for nearly 20 years.
• Modern Healthcare - Vital Signs, December 09, 2015: OB-GYNs and Surgeons Most Likely to be Sued, survey finds
  A survey found that 59% of more than 4,000 U.S. primary-care physicians had been named in at least one malpractice lawsuit in their career. Obstetricians, gynecologists and surgeons were most likely to be sued, according to findings published in Medscape. These issues were the focus of sessions at the Institute of Healthcare Improvement's annual forum this week in Orlando, Fla.
• Modern Healthcare Online, December 08, 2015: Healthcare Safer in Some Areas but Not Overall, the @NPSF says
  “Safety has to fight for airtime,” said committee chair, Dr. Donald Berwick. He met up with Modern Healthcare in Orlando during the 27th annual Institute for Healthcare Improvement Forum, where the report was released.
• Hospitals & Health Networks Online, December 08, 2015: At IHI Forum: New Surgeon General Offers Hospitals Advice for Tackling Population Health
  Surgeon General Vivek Murthy, M.D., sat down with Don Berwick, M.D., former administrator of the Centers for Medicare & Medicaid Services, for a conversation on population health to help kick off the Institute for Healthcare Improvement’s annual forum.
• Becker's Hospital Review Online, December 08, 2015: 8 Tips to Create a Total Systems Approach to Patient Safety
  "Despite some significant successes, we know that far too many people still suffer from avoidable injuries in care," said Don Berwick, MD, president emeritus and senior fellow at the Institute for Healthcare Improvement. This article identifies helpful tips for eliminating these injuries.
• Tribune Online, December 05, 2015: The Talk; Approach the End-of-Life Care Conversation the Right Way
  More than 90 percent of people think it's important to talk about end-of-life care, but fewer than 30 percent actually do, according to the Institute for Healthcare Improvement.
• EMS World, December 01, 2015: Pioneer ACO Spending and Use
  Of note from the study's findings, Pioneer ACO beneficiaries rated their experience of care at least as high as for beneficiaries in the fee-for-service and Medicare Advantage programs. This seems to indicate that providers, given the right incentives, can simultaneously achieve at least two of the IHI’s Triple Aim goals.
• Patient Safety & Quality Healthcare, December 03, 2015: The Emory Experience: Quality Improvement Skills Labs in Interdisciplinary Education
  Medical student Ariadne DeSimone describes her experience as President of Emory University’s IHI Open School Chapter, including her journey from learning the basics of quality improvement and patient safety, to designing and implementing a graduate QI training session, to cultivating and sustaining genuine interest in QI among Emory’s interdisciplinary student community.
• HFMA, December 01, 2015: Improvements in Hospital-Acquired Conditions Stall
  Following several years of improvements, the rate of hospital-acquired conditions (HACs) did not improve in 2014, according to new federal data.
• Hospitals & Health Networks, December 01, 2015: What Do Most Health Care Systems Have in Common?
  Health care systems in most countries face remarkably similar challenges, but increasingly health care leaders around the world are influencing each other.
• U.S. News & World Report, November 11, 2015: Unsatisfied with Your Surgery? Get (Some of) Your Money Back
  Dr. Don Berwick, president emeritus and senior fellow at the Institute for Healthcare Improvement, says Geisinger Health System's new program will re-engineer care to better serve patient's needs, and be "a whole new way to understand the experience and outcomes of patients."
• Central Maine Online, November 07, 2015: Maine Hospitals Once Again Tops in Quality
  Quality, combined with improving patients’ experience of care, is one-third of the Triple Aim health care reform framework developed by the Institute for Healthcare Improvement in Cambridge, Mass. Maine hospitals are also working hard to address the other two goals of Triple Aim: improving population health and reducing per capital cost of health care.
• BBC Online, November 06, 2015: Wales Should "Unite Against Obesity" - US Health Expert
  Don Berwick, a former health adviser to US President Barack Obama and co-founder of the Institute for Healthcare Improvement in Cambridge, Massachusetts, has said the size of Wales makes it well placed to improve the NHS and tackle the obesity "epidemic."
• Orlando Sentinel Online, November 04, 2015: How Health Care Will Look with a Physician Shortage
  The Association of American Medical Colleges projects that the nation will face a shortage of 12,000 to 31,000 primary-care physicians by 2025. Dr. Don Goldmann, chief medical and scientific officer at the Institute for Healthcare Improvement in Cambridge, Mass., sees the growth of walk-in clinics as proof that they fill important needs, providing "easier access to providers and quick, convenient care."
• Orléans Star Online, November 03, 2015: Local Resident Wins Prestigious Scholarship
  Kelsey Lett of the Champlain Community Care Access Centre in Ontario, Canada, has won the prestigious James Conway Patient and Family Advisor Scholarship from the Institute for Healthcare Improvement.
• Health Care Blog, October 27, 2015: Healthcare's Deadly Data Problem
  This article mentions one of IHI's key principles: "Every system is perfectly designed to get the results it gets."
• Furst Group, October 16, 2015: Maureen Bisognano Looks Beyond the Healthcare Silo for Improvement
  For the last 20 years, it’s been common for healthcare executives to look to the aviation industry for both inspiration and best practices in improving quality and safety. But Maureen Bisognano, CEO of the Institute for Healthcare Improvement, thinks perhaps we should look beyond the horizon for the next step.
• Public Finance, October 19, 2015: US Health Guru Gets NHS England Role
  Don Berwick, currently a senior fellow at the US-based Institute for Healthcare Improvement, will participate in a series of events organised with the King’s Fund think-tank to help the vanguard projects develop effective leadership for system transformation.
• The Providence Journal, October 23, 2015: RI's Coastal Medical Gets National Recognition for New Care Model
  Rhode Island's largest group of primary care doctors has enjoyed so much success embracing a new model of care — one that is being touted by experts as a way to help cure the ills of America's health system — that it's now ranked among the best in the nation. IHI's Don Berwick spoke at the gathering to learn about Coastal's experience.
• Modern Healthcare Online, October 15, 2015: Bisognano to Retire from IHI After 20 Years; Executive VP Will Replace Her
  Maureen Bisognano, president and CEO of the Institute for Healthcare Improvement, has announced that she will retire at the end of the year. Derek Feeley, IHI's current executive vice president, will replace her.
• Not Running a Hospital, October 14, 2015: In Appreciation: Maureen Bisognano and Jim Roosevelt
  Maureen Bisognano has announced that she will step down as head of the Institute for Healthcare Improvement, and Jim Roosevelt announced his retirement as CEO of Tufts Health Plan.
• The Guardian, October 13, 2015: Healthcare Leadership Academy to Tackle Medical Tourism
  IHI, along with others, is involved in an intervention to plug leadership gaps in the health sector and reduce the level of health tourism from Nigeria to other parts of the world.
• Hospitals & Health Networks, October 07, 2015: IHI Lays Out 10 Ways to Radically Transform Health Care
  Maureen Bisognono, president and CEO of the Institute for Healthcare Improvement gave a talk on these 10 methods at the International Hospital Federation's World Hospital Congress.
• MyPalmBeachPost, October 01, 2015: Editorial: Medicare is Past Due in Paying for End-of Life Discussions
  Developed in conjunction with the Institute for Healthcare Improvement, this article dicusses the Conversation Project, which offers suggestions for initiating the conversation with family and physicians, too.
• GhanaWeb, September 30, 2015: Project Fives Alive, Impacts Positively on Health
  The PFA!, an initiative of National Catholic Health Service (NCHS) in partnership with the Institute for Healthcare Improvement (IHI), a US-based Health NGO also achieved 53 per cent reduction of post-neonatal infant mortality and 37 per cent reduction in under five malaria case fatality.
• Lean Healthcare Exchange, September 30, 2015: Context is Key
  Despite promising pilots and articles, taking things from one site to many sites successfully turns out to be really, really difficult. From disease management to care management to patient-centered medical home (and perhaps ACOs next), getting to “just the way we do things” is pretty difficult. Author Dave Munch is a member of IHI's faculty.
• The Independent, September 30, 2015: St. Ninians Primary's Daily Mile Program Proves a Hit in Tackling Childhood Obesity
  Elaine Wiley developed this program four years ago to improve the fitness of her elementary school students. She initally presented the idea at IHI's Annual National Forum on Quality Improvement in healthcare, and is now receiving "Teacher of the Year" and the Pride of Britain awards.
• Healthcare IT News Online, September 25, 2015: Lowell General Seeks to Achieve Triple Aim with Care Coordination
  Lowell General Hospital, a community hospital near Boston, and ClinicalBox, are poised to go full blast into care coordination. The collaboration is driven by a joint goal to make significant improvement on the Institute for Healthcare Improvement's Triple Aim for Populations.
• Memphis Daily News Online, September 25, 2015: Health Care Rx: Church Health Center's Antony Sheehan to Keynote Health Care Seminar
  One of the first steps to fixing the nation's health care system is properly defininging it. Antony Sheehan was the 2011-2012 Health Foundation Quality Improvement Fellow at the Institute for Healthcare Improvement in Boston.
• Modern Healthcare Online, September 24, 2015: Diagnostic Errors a Persistent 'BlindSpot,' Report Says
  "To Err is Human" galvanized safety work in the inpatient setting, but the issue of diagnostic mistakes extends those efforts to other healthcare settings, says Dr. Kedar Mate, senior vice president of the Institute for Healthcare Improvement.
• FierceHealthcare, September 23, 2015: Patient Safety Experts Believe New IOM Diagnostic Report Will Help Save Lives
  Kedar Mate, M.D., enior vice president with the Institute for Healthcare Improvement, told FierceHealthcare that the 1999 "To Err is Human" report focused attention on patient safety in hospitals and health systems. He thinks the latest report will help encourage patient safety initiatives in the ambulatory setting.
• U.S. News & World Report, September 22, 2015: 'Countless' Patients Harmed By Wrong or Delayed Diagnosis
  One vital check on the accuracy of a diagnosis is following up with the patient, a cycle that promotes better care and reinforces learning, says Dr. Donald Berwick, president emeritus and senior fellow at the Institute of Healthcare Improvement. "The diagnosis is the hypothesis, the treatment is a test. If we don't know what happened to the patient it's difficult to improve either our diagnosis or treatment."
• HealthDay, September 22, 2015: Most Americans Will Experience At Least 1 Diagnostic Error: Report
  A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health. IHI's Jennifer Lenoci-Edwards said she wasn't surprised by the predicition.
• Health Affairs, September 17, 2015: Moving From Documenting Disparities To Reducing Them
  AcademyHealth recently hosted a panel focused on Disparities, Diversity, and Inclusion: Building a National Platform for Engagement in Health Services Research (HSR), which complements a newly released AcademyHealth publication on the same topic. The panel and the large, diverse audience had a spirited discussion that went beyond strategies for engaging underserved minority students and professionals in HSR.
• EMS1.com, September 17, 2015: Paramedic Chiefs Learn to Apply the 'Model for Improvement'
  Dave Williams, PhD, an improvement advisor and IHI faculty member, led the workshop "Enhancing Prehospital Care Systems with the Science of Improvement" at EMS World Expo. EMS leaders and paramedic chiefs learned an improvement model to apply to operational and clinical care improvements in their organizations.
• Kaiser Health News Online, September 16, 2015: Under Pressure, Hospitals Push Physicians to Improve Their Bedside Manners
  A doctor’s training hasn’t historically focused on sensitivity. And too often while juggling heavy workloads and high stress, they can be viewed as brusque, condescending or inconsiderate.
• CNN.com, September 14, 2015: Will Doctors Be More Empathetic In The Future? - CNN.com
  New initiatives are encouraging doctors to be better listeners and more sensitive to patients."We train people to ask the question, 'What's the matter?' We train toward diagnosis," said Martha Hayward, who leads public and patient engagement efforts at IHI. "We don't train toward lifestyle understanding."
• Medpage Today, September 11, 2015: Patient Registries See Promise and Challenges Ahead
  In a healthcare landscape that continues to stress quality and cost, patient registries used to monitor safety and track outcomes are now being used in new ways: as decision-making aids, risk-adjustment tools, and alternatives to public reporting requirements. Don Goldmann, MD, chief medical and scientific officer at the Institute for Healthcare Improvement (IHI), told MedPage Today that studies have shown that some very basic metrics are still "inscrutable to patients."
• Kiplinger's Personal Finance Online, September 11, 2015: Use New Web Tools to Choose a Surgeon
  IHI's Don Goldmann is quoted in this article about using performance-based ratings to choose surgeons.
• Integrated Healthcare Delivery, September 14, 2015: Improving the Way IHI Drives Healthcare Improvement
  A longtime faculty member of the Institute for Healthcare Improvement, Dave Williams, recently joined IHI full time as the executive director co-leading the improvement capability focus area.
• New Business Ethiopia, September 05, 2015: Institute for Healthcare Improvement Partners with Ethiopian Government
  Aiming to help reduce maternal and newborn mortality in Ethiopia, the US-based IHI has received a $9.6 million grant from the Bill & Melinda Gates Foundation. Over two-and-a-half years, IHI and its partners will support the Ethiopian Federal Ministry of Health in its pursuit of an ambitious agenda to rapidly close gaps in national health outcomes through the coordination of quality planning, quality assurance, and quality improvement.
• UNC Gillings School of Global Public Health Blog, September 02, 2015: Team from Gillings School Chosen to Evaluate Maternal and Newborn Intervention in Ethiopia
  Four faculty members from the UNC-Chapel Hill Gillings School of Global Public Health have been awarded funding to evaluate a project using a quality improvement approach to advance maternal and newborn health outcomes in Ethiopia.IHI and the Ethiopian Federal Ministry of Health make up the implementing project team that the UNC faculty members featured in this article will work closely with.
• BioMed Central: On Medicine, September 01, 2015: What is Sepsis
  Although old, sepsis is not yet fully characterized and this deregulated inflammation, which occurs with severe infection, affects millions of people worldwide. IHI began the 100,000 lives campaign, which established treatment bundles, a group of interventions that, when practiced together, lead to better outcomes than when implemented individually.
• HealthLeaders, September 03, 2015: Wash Your Hands and Get Your Flu Shot, or Get Out
  Safety experts are fed up with healthcare workers who do not comply with hand washing and influenza vaccination mandates. It's time to take a new approach to ensuring compliance, they say.
• Becker's Infection Control & Clinical Quality, September 02, 2015: George Washington School of Public Health Name 10 Useful Preventable Harm Resources
  George Washington University's Milken Institute School of Public Health has published a guide to preventable harm issues in healthcare. The guide references IHI's Global Trigger Tool.
• Clinical Practice Today, August 31, 2015: Adding a Health Coach to Your Team
  A good coach inspires confidence, imparts knowledge, and motivates their players. The same is true in health care: private practices and medical groups that have added a health coach to their team have reported higher patient satisfaction and improved clinical outcomes. This article quotes IHI's Trissa Torres.
• Huffington Post, August 28, 2015: Partnering to BUILD a New U.S. Health System
  This article states that "if we want to live healthier lives, we are going to have to build healthier communities." It references the work of IHI's 100 Million Healthier Lives Campaign.
• Portal Hospitais Brasil, August 27, 2015: Institute for Healthcare Improvement: Good Initiatives for Better Health
  Industry seeks better quality and lower costs, security, and good experience for the patient. (Translation).
• Modern Healthcare, August 24, 2015: 100 Most Influential People in Healthcare 2015
  Maureen Bisognano, President and CEO of the Institute for Healthcare Improvement is on the list of 100 Most Influential People in Healthcare.
• WSRQ Sarasota Talk Radio, August 22, 2015: Salt & Light Radio
  Kate Debartalo talks to Stuart and Stephanie about The Conversation Project, a resource that helps people talk about their wishes for end-of-life care.
• Voz Da Bahia, August 20, 2015: Natural Childbirth is a Consumer Right?
  The Birth Suitable project is technical cooperation between the NSA, the Hospital Israelita Albert Einstein and the Institute for Healthcare Improvement (IHI), with support from the Ministry of Health, implemented in public and private hospitals in the form of project pilot, to test strategies that promote normal childbirth and promote the reduction of unnecessary cesareans and possible adverse effects resulting from unsuitable delivery.
• MedCity News, August 20, 2015: JAMA Seeks Evidence of Healthcare Innovation
  The staid Journal of the American Medical Association is getting into the field of healthcare innovation. JAMA won’t be bankrolling startups or conducting medical research, but rather will spend 2016 highlighting innovations specifically in healthcare delivery. In an article penned by patient safety guru Dr. Donald M. Berwick, JAMA Editor-in-Chief Dr. Howard Bauchner and Executive Deputy Editor Dr. Phil Fontanarosa, the journal this week issued a call for papers that will be subject to JAMA’s normal editorial standards. “We can make things known, subject to peer review,” Berwick, a member of the journal’s editorial board, told MedCity News.
• The Guardian, August 20, 2015: The Power of the Story: Teaching Doctors to "Feel" Patient-Centred Care
  Following the death of her 21-year-old son, Margaret Murphy, external lead of the WHO’s Patients for Patient Safety programme, has been teaching doctors and students how an engaged, knowledgeable patient can be the key resource in his or her own care.
• FierceHealthcare, August 19, 2015: What Providers Can Learn from an Early Triple Aim Adopter
  In a blog post for the Institute for Healthcare Improvement (IHI), Leslie Graham, chief executive officer and Barbara Eldridge, manager of quality improvement, both of the Primary Care Coalition in Montgomery County, Maryland, describe some of the lessons they learned while they worked on projects to improve population health as part of the Triple Aim.
• The Economist, August 15, 2015: Caesar's Legions
  The global rise of Caesarean sections is being driven not by medical necessity but by growing wealth -- and preverse financial incentives for doctors.
• The Guardian, August 12, 2015: New Programme Aims to Identify What Matters Most to Patients
  Always Events pilot projects see healthcare staff working with patients and their families to improve the quality of care.
• JAMA, July 28, 2015: Medicare at 50: Reflections From Former CMS Administrator Donald M. Berwick
  In this interview, Dr Berwick discusses, among other things, the shift to paying doctors participating in Medicare based on the quality of care provided to patients, the role of accountable care organizations (ACOs) in improving quality of care and reducing costs, and the progress that has been made in reducing Medicare fraud.
• Health News Florida, August 05, 2015: Star Ratings Fight Call-Button Blues
  “The patient is the boss; we are the servants,” [Dr. Donald Berwick] said. “They, not others, should direct their own care, and the doctors, nurses and hospitals should know and honor what the patient wants.”
• Medpage Today, August 06, 2015: The Changing Face of Medical Education: Big Data, Self-Paced Learning
  Two years ago, the American Medical Association said medical education needed a shakeup, citing "gaps between how medical students are trained and how health care is delivered," and put up $11 million to fund experiments in closing those gaps.Now that effort is beginning to bear fruit.
• ADVANCE for Laboratory Professionals, August 03, 2015: Human Error Is Inevitable
  A failure mode and effects analysis (FMEA) is one proactive tool to identify potential events that can harm patients. This is radically different from the traditional healthcare approach, in which root cause analysis is performed after sentinel events, medical errors and other mistakes. As Dr. Deborah L. Smith writes, "it is important to analyze information from a prospective point of view to see what could go wrong before the adverse event occurs."
• The Fort Wayne Journal Gazette, July 30, 2015: Health Care Changes Offer New Options for Patients
  Today, EMS remains the last discipline across the spectrum of health care still being paid solely for transporting an individual instead of the life-saving therapies EMS provides as an extension of the hospital emergency room. Changes brought about a full five years ago in our health care finance system, initiated by the Patient Protection and Affordable Care Act, have created a window of unprecedented opportunity for EMS to make the transition from a transportation service to an indispensable partner in delivering both emergency and primary care services.
• Health IT Analytics, July 29, 2015: CMS Turns to Value-Based Reimbursement, Data Analytics at 50
  Medicare has experienced its fair share of ups and downs during the first fifty years of its life, but former CMS Administrator Donald M. Berwick, MD, believes the massive public insurance program is just getting started. In an interview with the Journal of the American Medical Association (JAMA), Berwick lays out a vision of value-based reimbursement, big data analytics, quality measurement, and significant care improvements that will be more than sufficient to meet the challenges of a growing, aging, sickening population.
• The Boston Globe, July 27, 2015: New Guidelines May Encourage More Talks About End-of-Life Care
  Ellen Goodman, a former Globe columnist who founded the Conversation Project to promote end-of-life planning, sees change afoot. The project’s Conversation Starter Kit, which gives tips to patients on talking to loved ones and medical professionals about their wishes, has been downloaded 200,000 times.
• Novo Momento, July 21, 2015: Adequate Delivery is in First in the Unimed System
  O projeto “Nascer – Ação de Todos”, desenvolvido pela Unimed Santa Bárbara d’Oeste, Americana e Nova Odessa para incentivar o parto adequado, foi considerado a melhor experiência realizada entre as Unimeds paulistas que concorreram ao prêmio Casos de Sucesso, concedido pela FESP (Federação das Unimeds do Estado de são Paulo).
• Healthcare Informatics, July 20, 2015: Project ECHO Gets Grant to Expand Telehealth Initiative
  The GE Foundation has announced a three-year, $14 million grant to support Project ECHO (Extension for Community Healthcare Outcomes), an initiative with the aim to expand access to specialty care for underserved patients.
• Citizen-Times, July 18, 2015: A Circle of Moms: MAHEC Finds Success with Group Care Model
  IHI's Susan Gullo is quoted in an article about group care for maternal health. The group concept is catching on more and more rather than care in isolation," said Susan Gullo, director of the Institute for Healthcare Improvement, a nonprofit organization based in Cambridge, Massachusetts, focused on partnering with medical professionals around the world to improve health care systems.
• Medscape, July 15, 2015: Online Scorecard Shows Surgeons' Complication Rates
  In an article about online scorecards for surgeons, Donald Goldmann, MD, chief medical and scientific officer at the Institute for Healthcare Improvement in Cambridge, Massachusetts is quoted. He believes in the notion of enlightened patients. Surgeon Scorecard, however, doesn't go far enough in helping them choose a surgeon, he told Medscape Medical News.
• Hospitals & Health Networks, July 15, 2015: Five Principles for Better End-of-Life Care
  End-of-life care done properly requires more than just a conversation between a physician and patient. Even though it is a big step for the federal Medicare program to recommend that physicians be compensated for advanced care planning, such as end-of-life care, an expert at the Institute for Healthcare Improvement says that hospitals need to do more than talk. "It's not just having the conversation," said Kelly McCutcheon Adams, a director for IHI. "It's not one and done."
• Kansas City Public Radio, July 10, 2015: Death And Dying: Expanding Palliative Care
  A national initiative known as the Conversation Project offers good tools for people who want some control over the care they get when they are seriously ill or dying. KU Medical Center is part of the Conversation Ready project launched by the Institute for Healthcare Improvement. Participating hospitals pledge “to be ready” to receive and act on expressed preferences that are based on “what’s most important” to the patient.
• U.S. News & World Report, July 09, 2015: Is the 'Death Panel' Debate Dead?
  Berwick, now president emeritus and a senior fellow at the Institute for Healthcare Improvement, says the provision helps give patients more control, make them more satisfied with their care, and improve that care. "It puts the patient and the family back in the driver's seat," he says. Proponents also stress the rule would not lead to patients being pushed in any particular direction. "A proper conversation includes opening up all possibilities," Berwick says. "Everything they want will be done. Most doctors understand how to do this."
• Beta Boston, July 09, 2015: Workbar Announces the Seven Fintech Startups Participating in its Center of Excellence
  On Tuesday, Boston co-working company Workbar announced the seven startups participating in the second class of its fintech incubator partnership, the Digital Federal Credit Union (DCU) Center of Excellence in Financial Services.
• Agenda Sandra Piscitelli, July 05, 2015: Ministry of Health and ANS Publish Rules to Stimulate Normal Delivery in the Health Insurance (Translation)
  This article mentions the partnership between the Hospital Israelita Albert Einstein and the Institute for Healthcare Improvement. The article is titled "Ministério da Saúde e ANS publicam regras para estimular parto normal na saúde suplementar."
• The New York Times, July 01, 2015: How to Talk About Dying
  The Conversation Starter Kit asks what matters to you, not what’s the matter with you. It asks what’s most important to you in the last phase of your life? Who do you want to make decisions for you? Where do you want to be? Do you worry that you won’t get enough care? Do you worry that you’ll get overly aggressive care?
• HealthDay, June 29, 2015: Many Americans Wait Too Long for Needed Health Care: Report
  Health care wait times vary widely across the United States, according to a new report from the Institute of Medicine (IOM). At best, some people receive same-day service. But others aren't so lucky. The report found that some people must wait several months to receive the health care services they need. Delayed access to health care could potentially have negative effects on patients' health and satisfaction. It could also damage a health care organization's reputation, the report stated.
• Becker's Infection Control & Clinical Quality, June 29, 2015: Beyond the Burning Platform: A Recipe for Continuous Quality Improvement
  Is has been several years since To Err is Human sparked change, and if a major patient harm event has not occurred recently in an organization, it can be difficult to keep staff focused on continuous improvement. Frank Federico, RPh, executive director of strategic partners with the Institute for Healthcare Improvement, says hospitals in that situation can and should look to other organizations where medical errors have occurred. Then, "ask the question, 'could that happen here?'" he says.
• Becker's Infection Control & Clinical Quality, June 26, 2015: 14 Clinical Research Findings to Know This Week
  Implementing the Institute for Healthcare Improvement's infection prevention and control measures led to a sustained decrease in central line-associated bloodstream infections in an intensive care unit and step-down unit, a recent study outlined.
• The Iowa Gazette, June 24, 2015: Rural Health: Remote Health Facilities Find ACA Rules Especially Challenging
  The passage of the Affordable Care Act in 2010 threw new pieces into an already complex health care puzzle — moving the health care system from a fee-for-service payment model to a value-based system, and requiring hospitals to report quality measures to the Centers for Medicare and Medicaid Services. And today rural hospitals still are figuring out how they fit into that puzzle.
• Becker's Hospital Review, June 24, 2015: Intel Creates Healthcare Marketplace Collaborative, Improves Clinical Processes: 8 Critical Elements
  In a recent article published in Harvard Business Review, Patricia A. McDonald, Intel's vice president of human resources; Robert S. Mecklenburg, MD, medical director of the Center for Health Care Solutions at Virginia Mason; and Lindsay A. Martin, executive director of innovation and adviser at the Institute for Healthcare Improvement, outlined eight elements critical to the success of the Intel HMC.
• Akron Leagal News, June 23, 2015: Making the Connection Between Health and Transportation
  Say the words health and transportation and two sets of very distinct images are likely to come to mind. But Akron and Summit County officials are working to change this so that the infrastructure decisions that are made actually promote public health. In May a series of forums got underway in Akron designed to educate residents about the role transportation plays in their overall well-being.
• HealthLeaders, June 22, 2015: 7 Years In, Triple Aim Transcends Jargon
  Fueled by the financial incentives built into the healthcare reform law, the Institute for Healthcare Improvement's concept is generating meaningful changes in the way healthcare is delivered, research finds.
• Zero Hora, June 19, 2015: Understand the Controversy on Completing the Birth at Home or in Hospital
  O alto número de cesáreas no país e o resgate do parto domiciliar dividem opiniões sobre a forma mais adequada de dar à luz.
• Becker's Infection Control & Clinical Quality, June 17, 2015: 3 Thoughts from NPSF CEO Dr. Tejal Gandhi on the Future of Patient Safety
  The following are three thoughts on the future of patient safety Dr. Gandhi shared with the Institute for Healthcare Improvement for a recent blog post.
• The National, June 05, 2015: Obesity Experts Say Scotland Should Follow Mexico With Sugar Taxes to Fund Child Health Projects
  Doctors want Scotland to be more like Mexico by slapping a tax on sugary drinks and spending the money raised on child health initiatives. Mexicans and Americans came out as the only people fatter than Scots in a survey of 17 countries and experts warn that more needs to be done to tackle our “obesity epidemic”.
• FierceHealthcare, June 05, 2015: How Organizations Can Achieve Triple Aim Success
  Seven years after the Institute for Healthcare Improvement (IHI) first developed the Triple Aim, a new report details what the IHI has learned from healthcare stakeholders' efforts to improve individual care, boost the health of populations and reduce overall costs.
• The Commonwealth Fund, June 03, 2015: "New Rules" to Guide Health Care Redesign
  The Affordable Care Act has created unprecedented opportunities to transform the health care system—most notably by creating programs that reward providers for delivering better care at lower cost. As a result, health care leaders are now in a good position to tackle longstanding problems that have hampered the work of frontline care providers. To understand how this transformation is playing out, our Commonwealth Fund research team has been observing the Leadership Alliance, an initiative of the Institute for Healthcare Improvement (IHI), which brings together leaders from 40 health systems to learn from one another and chart a new course.
• Modern Healthcare, June 01, 2015: 'Wellville' Healthier Communities Project Starts to Collect Data
  The information that one innovator believes will transform the health of communities is being collected now. The Way to Wellville project aims to bring better food, quality early childhood education and a host of other positive health indicators into five American communities. The program's tagline is simple: five places, five metrics, five years.
• • Australian Health Information Technology Blog, May 30, 2015: Weekly Overseas Health IT Links
  Researches used Institute for Healthcare Improvement's Global Trigger Tool as a model and adapted it for pediatric use. They used the trigger tool to examine 100 randomly selected inpatient records at each hospital. A total of 600 patient records were examined, and the tool was able to identity 240 "harmful events," according to the study, representing a rate of 40 harms per 100 admitted patients, a much higher number than many previous academic studies have shown.
• Healthscape, May 28, 2015: Loud and Clear: Teach-Back Enriches Nurse-Patient Communication
  When research shows patients immediately forget 40 to 80 per cent of medical information they hear, and nearly half of what they do retain is inaccurate, better methods of communicating are required. Three nurse practitioners at St. Michael's think the Teach-Back Method is the solution.
• Healthcare IT News, May 29, 2015: Defining Population Health
  What does population health truly mean? Who is responsible? What impact does it have on our current healthcare environment?
• Cronica de Cantabria, May 28, 2015: Experts Advocate Patient Safety Priority on the Agenda of Politicians, Managers and Health Professionals
  The founder of the Institute for Healthcare Improvement (IHI) in the United States, Donald Berwick, recalled being at the "age of redesign" of health processes seeking to improve the experience of patient care, the health of the population and reduce health care costs. (Translation).
• Pharmacy Practice News, May 22, 2015: Keeping a Closer Eye on Post-Discharge Planning
  Regulatory and financial pressures are forcing hospitals to ramp up their post-discharge strategy initiatives. Some of the pressure is coming from the Affordable Care Act (ACA); Section 2717 requires that hospitals report the results of their efforts to prevent hospital readmissions. Whether it’s patient education and counseling, comprehensive discharge planning or post-discharge reinforcement by an appropriate health care professional, federal officials want to know what hospitals are doing to keep patients out of the hospital—and how many health care dollars are being saved in the process, experts noted.
• MedPage Today, May 18, 2015: Nearly Half of Pediatric Medical Errors Deemed Preventable
  Pilot study aims to identify triggers that cause most medical harms.
• • WBUR CommonHealth, May 11, 2015: The Checkup: How Patients Can Try To Take The Power Back
  In the latest episode of the WBUR/Slate podcast, The Checkup, they explore three strategies to help you take charge of your medical experience. The segment features IHI's Don Goldmann.
• Slate, May 11, 2015: The Checkup: Power to the Patient
  Slate and WBUR’s health podcast offers up three ways to take charge of your health care and medical data. The segment features IHI's Don Goldmann.
• • Healthcare Financial Management Association’s Leadership Magazine , May 01, 2015: Nourishing a Lagging, Cross-Disciplinary Improvement Project
  While collaborative decision making is essential to performance improvement, too many disparate voices can impede progress, bringing glimmers of success to a grinding halt. Several healthcare organizations offer strategies for sustaining or regaining momentum and achieving targeted results through team efforts.
• The Oregon Bend Bulletin, May 07, 2015: Health Care Providers Strive to Honor End-of-Life Wishes
  Inspired by her experience, Goodman, a Pulitzer Prize-winning columnist, left the news business in 2010 to help launch The Conversation Project with media colleagues, medical professionals and others. It’s an organization dedicated to spreading the word about the importance of people letting their loved ones know their wishes for end-of-life care. Goodman will talk about her work May 14 at the Tower Theatre in Bend.
• MLive.com, May 05, 2015: Jackson Health Improvement Organization One of 20 Chosen Nationwide to Participate in Program
  Jackson's Health Improvement Organization has been selected as one of 20 "pacesetter communities" across the country to receive funding for a 20-month program supporting efforts to address factors that contribute to residents' health. The Institute for Healthcare Improvement chose the Jackson organization, the only one awarded in Michigan, for its Spreading Community Accelerators through Learning and Evaluation initiative. Allegiance Health, which founded the organization, announced the selection late last month.
• FierceHealthIT, May 04, 2015: Hospital Designs Make Room for Technology
  Hospital design efforts are switching to accommodate technology's rising role in care and help improve patient safety, according to an article at U.S. News and World Report.
• FierceHealthcare, May 04, 2015: Does Medical Education Prepare Docs for Team-Based Care?
  Though new models of healthcare delivery increasingly focus on collaboration, medical education still does not adequately teach aspiring doctors how to work effectively with a team of caregivers, writes Dhruv Khullar, M.D., in a post for the New York Times' Well blog.
• Integrated Healthcare News, May 01, 2015: Secrets of the ACO That Gave Its Savings to Its Employees
  When Coastal Medical of Rhode Island earned shared savings as an ACO, it did something unusual: It distributed them among all its employees. This represented leaders’ formal acknowledgement that every worker contributed to the improvements in quality and cost control. In a blog for the Institute for Healthcare Improvement, Coastal President/CEO Al Kurose, MD, explained that decision and shared some key lessons from his organization’s ACO experience.
• The New York Times Well Blog, April 30, 2015: Doctors and Nurses, Not Learning Together
  This article describes the separate educations of health professionals. Traditional education emphasizes separate training for each health professional, which inadequately prepares students and residents for new models of health care delivery that emphasize team-based care and shared responsibility for patients. The article mentions an initiative led by the Josiah Macy Jr. Foundation and Institute for Healthcare Improvement.
• Crain's Detroit Business, April 29, 2015: Top 25 Women in Healthcare Includes 2 with Michigan Connections
  Maureen Bisognano, CEO of the Institute for Healthcare Improvement, also was one of Modern Healthcare’s selections. Bisognano was keynote speaker for the 2013 Crain’s Health Care Leadership Summit.
• BMJ Blogs, April 28, 2015: Small Things Big Wins: A Surgeon’s Perspective
  Aidan Fowler, faculty with IHI particularly in the peri-operative safety domain, reflects on his journey with quality improvement in this blog post.
• Chicago Tribune, April 24, 2015: Proviso Partners in Health awarded grant by Institute for Healthcare Improvement
  The Proviso Partners for Health was awarded a grant from the Institute of Healthcare Improvement (IHI) to support their efforts to improve community health.
• Becker's Hospital Review, April 24, 2015: 50 Experts Leading the Field of Patient Safety
  Becker's Hospital Review is pleased to announce the 2015 edition of its list of 50 Experts Leading the Field of Patient Safety. The list features Maureen Bisognano, President and CEO of the Institute for Healthcare Improvement, and Don Berwick, Don Berwick, MD. President Emeritus and Senior Fellow of the Institute for Healthcare Improvement.
• Rhose Island Public Radio, April 21, 2015: Learning To Respect A Patient's Wishes At The End Of Life
  Talking about dying is difficult for most people, including doctors. But can they learn a better way to help patients nearing the end of their lives? Can health care systems learn to respect those wishes?
• • The Kennebec Journal & Morning Sentinel, April 20, 2015: Waterville Group Wins ‘Culture of Health’ Grant
  Healthy Northern Kennebec has $68,000 in new funding to bring healthier food into meal programs and make walking and biking more accessible in the Waterville area.
• HealthLeaders, April 20, 2015: Q&A: Bellin Health CEO George Kerwin on Lowering Healthcare Costs
  Kerwin is a member of "The Leadership Alliance," a group of health care organizations and policy makers that is urging industry executives to play a bigger role in redesigning the healthcare delivery system. Noting that the federal government had been driving change through the Patient Protection Affordable Care Act, the group's manifesto – which was published in JAMA in March—calls for "change from the inside out."
• Veja.com, April 19, 2015: Caesarean Section: Why is it an Epidemic in Brazil
  This article mentions a partnership between the Ministry of Health, the National Health Agency (ANS), the Hospital Israelita Albert Einstein and the Institute for Healthcare Improvement (IHI), organization nonprofit Massachusetts, USA.
• Rapid News Network, April 16, 2015: Make Your Health Wishes Known
  Here’s a scary statistic for you: 50 percent of you reading this article will be unable to make your own healthcare decisions one day. Those are important, but Hospice does not do them. Across WNC, member organizations and friends of the Mountain Coalition for Healthcare Decisions are holding free workshops to help you with advance care planning including witnesses and notary.
• EHR Intelligence, April 17, 2015: Is the Triple Aim of Healthcare Achievable Through EHRs?
  EHR technology, e-prescribing software, and other health IT systems are being adopted by healthcare organizations in order to achieve the triple aim established by the Institute for Healthcare Improvement (IHI). The triple aim of healthcare include improving the patient experience such as satisfaction and quality of care, reducing the costs of healthcare, and enhancing population health. However, there may be some issues that inhibit health IT and EHR technology from achieving the triple aim of healthcare, according to a new study published in the Journal of the American Medical Informatics Association (JAMIA).
• Hospitals & Health Networks, April 14, 2015: Public Partners in Population Health
  Mandated community health needs assessments — a less-talked-about provision of the Affordable Care Act — may turn out to have a big impact on the transformation of health care. The ACA requires nonprofit hospitals and health systems to conduct the assessments every three years and then develop community health improvement plans. Many public health departments already perform needs assessments as part of their accreditation process.
• The Burlington Times-News, April 10, 2015: The End-of-Life Game Plan
  The Institute for Healthcare Improvement and The Conversation Project set a simple and transformative goal: to have every citizen’s end-of-life wishes expressed and respected. Ellen Goodman, who started the project, noted that 25 percent of all Medicare expenses are incurred by the 5 percent of people who are in their last year of life. One study has shown that simply having the conversation can cut end-of-life costs for cancer patients by 36 percent. Research also shows that people who have had these conversations often choose less aggressive treatment — and yet live longer.
• Hospitals & Health Networks, April 08, 2015: Collaboration Key to Success in Improving Public Health
  The Institute for Healthcare Improvement and the American Public Health Association decide to work together on long-term projects designed to improve the public's health.
• Health Affairs, April 06, 2015: What Are We Talking About When We Talk About Population Health?
  In this post by David Kindig, the term population health is discussed. The term population health is much more widely used now than in 2003 when Greg Stoddart and David Kindig proposed the following definition: “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” The term is often seen in policy discussion, research, and in the name of new academic departments and institutes.
• EBC Agencia Brasil, March 27, 2015: Ministry Announces 28 Hospitals Selected for Project for Optimal Delivery
  The initiative, developed in partnership with the Institute for Healthcare Improvement (IHI) and called Childbirth Adequate aims to encourage normal delivery from innovative models of care delivery, which can reduce the occurrence of unnecessary C-sections in the health insurance and single health system, improving the quality of care and the safety of the woman and baby.
• Wyoming Tribune Eagle, April 02, 2015: Health Care for Poor May Improve Here
  A local health coalition is in the running for a grant that could help it expand and improve health care in Laramie County. The Laramie County Community Partnership, which is made up of dozens of area groups and agencies, was recently named one of 56 finalists for a new program being run by the Institute for Healthcare Improvement.
• Medscape, March 31, 2015: Pioneer in Improving Hospital Care Aims to Put People First
  Peter Pronovost wants to change healthcare. Working at the Armstrong Institute for Patient Safety and Quality at Johns Hopkins School of Medicine in Baltimore, Dr Pronovost is considered a forerunner in the field, and has been credited with establishing checklists to reduce healthcare-associated infections.
• Forbes, March 31, 2015: Cruz News Wasn't the Real Obamacare Story in March
  For someone inside the healthcare industry, the only Obamacare-related report in national media that mattered last week appeared in the Journal of the American Medical Association: a commentary authored by representatives of the Cambridge, Mass.-based Institute for Healthcare Improvement, including IHI founder and former Medicare chief Dr. Donald M. Berwick.
• Becker's Hospital Review, March 27, 2015: Hospital Leaders Propose 8 Care Design Principles to Improve Industry
  The Patient Protection and Affordable Care Act has led to some progress in improving individual patient care, boosting the health of populations and lowering per capita costs of healthcare, but healthcare leaders need to do more, according to a viewpoint piece published in JAMA.
• Fierce Healthcare, March 27, 2015: 5 Principles to Help Hospital Leaders Improve on the Triple Aim
  Hospital leaders have proposed a new set of care principles to reflect the post-Affordable Care Act (ACA) healthcare landscape, according to an opinion piece in JAMA co-written by former Centers for Medicare & Medicaid Services Administrator Donald Berwick.
• Orlando Sentinel, March 24, 2015: Osceola County Finalist in National Health Initiative
  The Health Council of East Central Florida, Community Vision, Osceola Council on Aging and the Florida Department of Health in Osceola County are among 57 finalists in the running for national initiative to become a leading community on health improvement.
• Hospitals & Health Networks, March 24, 2015: Seven Levers Pushing Health Care to the Tipping Point
  What are the levers that are getting health care moving as it never has before? Thinking about how we can unite to support these drivers of change constitutes a new kind of industry handbook.
• The Greeley Tribune, March 21, 2015: Northern Colorado Health Alliance Named a Finalist for Health Grant
  The North Colorado Health Alliance has been named a finalist to receive funding from the Institute for Healthcare Improvement, a nonprofit organization. NCHA is one of 57 finalists selected out of about 200 applicants across the country. NHCA is in the running as part of the nonprofit’s Spreading Community Accelerators through Learning and Evaluation, or SCALE, program, which aims to work with communities to develop capabilities to improve health and effective community-driven approaches.
• yourdailyjournal.com, March 19, 2015: Richmond County Task Force a Grant Finalist
  The Richmond County First-in-Health 2020 Task Force has been named a finalist in the running to receive funding from the Institute for Healthcare Improvement.
• Homer News, March 18, 2015: MAPP Named Finalist in National Initiative
  MAPP of the Southern Kenai Peninsula announced this week it has been named a finalist in a national initiative aimed at accelerating the journey to improve health and wellbeing.
• BizTimes.com, March 18, 2015: Sixteenth Street Community Health Center Among Finalists for National Grant
  Five Milwaukee health care organizations are among 57 national finalists for funding grants to support promising community-based work on health improvement.
• Orlando Business Journal, March 17, 2015: Osceola County Named a Finalist in National Health Initiative Program
  The Health Council of East Central Florida, Community Vision, Osceola Council on Aging and the Florida Department of Health in Osceola County have been named a finalist for potential funding from the Institute for Healthcare Improvement.
• DNAinfo, March 17, 2015: West Humboldt Park Organization Chosen as Finalist in National Health Grant
  The West Humboldt Park Development Council has been named a finalist in a national initiative aimed at improving health on the Northwest Side. The honor was announced Monday by the Institute for Healthcare Improvement in partnership with Community Solutions and the Collaborative Health Network with support from the New Robert Wood Johnson Foundation.
• Alaska Business Monthly, March 17, 2015: Sitka Health Summit Named a Finalist in National Initiative Aimed at Accelerating the Journey to Improve Health and Wellbeing
  The Sitka Health Summit today announced it has been named a finalist in the running to receive funding from the Institute for Healthcare Improvement (IHI) to become a leading community on health improvement, as part of an initiative known as SCALE (Spreading Community Accelerators through Learning and Evaluation). With two years of grant support from the Robert Wood Johnson Foundation, SCALE aims to work with communities to develop capability to improve health and to spread effective community-driven approaches across the US.
• H & HN Daily, March 16, 2015: What Hospital Leaders Need to Know for Bundled Payments to Actually Work
  As hospitals move to a payment model that rewards value over volume, many experts believe that bundling together one payment for an entire episode is a essential step in the process. Sometimes, however, it can be challenging to get docs to see the entire chain of events that a patient is subjected to before and after surgery. Leaders from a couple of such successful bundle programs gathered to chew over some of the hurdles to success during a chat convened by the Institute for Healthcare Improvement last week.
• Fierce Practice Management, March 12, 2015: 3 Steps for Small Practices to Address Patient Safety
  Small physician practices often don't have the same resources as larger organizations to formalize patient safety initiatives, but that doesn't mean they should ignore the risks. Much guidance is available to healthcare organizations in how to reduce problems such as falls and infections, and a recent Urology Times article highlights advice that is most practical for physician offices.
• Green Bay Press Gazette , March 13, 2015: Algoma Wellness Center Boosts School's Role in Health
  The new Algoma Community Wellness Center will be the foundation for improving the health of the entire community, said Nick Cochart, superintendent of Algoma schools. The wellness center's opening will be celebrated 6-8:30 p.m. Wednesday, March 18, with an open house for the public. A ribbon-cutting ceremony is scheduled for 6:15 p.m. The event will include tours, refreshments, membership registration and door prizes.
• U.S. News & World Report, March 10, 2015: Lack of Required Hospital Reporting Increases Superbug Danger
  Often, what patients catch in the hospital can be worse that what sent them there in the first place. The recent spread of a "superbug" in two California hospitals is the latest example of what can go wrong – from approving a medical device through the Food and Drug Administration to reporting subsequent issues, notifying the Centers for Disease Control and Prevention of emerging infections, and following up so patients can be quickly protected.
• Healthcare IT News, March 04, 2015: 12 Patient Safety Gurus and Why They Matter
  IHI's Maureen Bisognano and Don Berwick make Healthcare IT News "12 Patient Safety Gurus and Why They Matter."
• Queens Gazette, March 04, 2015: North Shore LIJ is Recognized for Reducing Sepsis Deaths
  The North Shore-LIJ Health System announced that it received The Joint Commission and the National Quality Forum’s (NQF) 2015 patient safety award for its work since 2009 to lower sepsis mortalities.
• Qatar is Booming, February 28, 2015: HMC Convenes 1st International Advisory Panel for the Hamad Healthcare Quality Institute
  Hamad Medical Corporation (HMC) this week convened its first international advisory panel of local and international healthcare professionals to map out the future of the Hamad Healthcare Quality Institute (HHQI) and build upon HMC’s successes in healthcare improvement.
• EBC Agencia Brasil, February 26, 2015: Hospitais Privados Participarão de Projeto de Incentivo ao Parto Normal
  Um projeto-piloto de incentivo ao parto normal vai ser implantado em 20 hospitais privados de todo o país. Os hospitais e as operadoras de planos de saúde interessados têm até o dia 11 de março para aderir ao projeto e até o dia 24 será divulgada a lista dos selecionados. O objetivo é incentivar a redução de cesáreas desnecessárias, que atualmente chegam a 84% dos partos, segundo o Ministério da Saúde.
• BMJ Blogs, February 25, 2015: Building Links with Commissioners, Regulators, and External Partners Around Quality Improvement
  Designed to allow commissioners to reward excellence, CQUINs link the achievement of local quality improvement goals with payment. In recent years the size of the payments linked to these goals has increased and has sometimes resulted in an uncomfortable tension. On the one hand, Trusts want to innovate and improve quality, but on the other the financial repercussions of not meeting these could be significant. This can have a massive impact on how Trusts choose to achieve these targets and consequently the behaviour their approach motivates.
• BMJ Blogs, February 24, 2015: Richard Smith: A Global University for Healthcare Workers
  Massive online open courses (MOOCs) provide an example of large scale online learning as does the Institute for Healthcare Improvement’s (IH) Open School. It was created in 2008 to respond to the problem that many health students received little or no training in the science of improvement and patient safety. So far some 220 000 students have enrolled on courses. The economics of education are changed dramatically by delivering online courses to large numbers, making expensive education much cheaper. Don Berwick, the founder of IHI, also spoke at the World Innovation Summit for Health, and is enthused by Shetty’s vision.
• • Traverse City Record-Eagle, February 17, 2015: Fred Goldenberg: The Conversation Near the End of the Struggle
  A 2013 survey conducted by the Institute for Healthcare Improvement through their “Conversation Project” found the following: More than 90 percent of the people think it’s important to talk about their loved ones’ and their own wishes for end-of-life care. Yet less than 30 percent of people have discussed what they or their family wants when it comes to end-of-life care.
• Healthcare Financial Management Association , February 17, 2015: Experts See U.S. Healthcare System Moving in the Right Direction
  Although the Affordable Care Act (ACA) remains controversial among Congress and the general public, two prominent healthcare thinkers say U.S. health care is moving in the right direction—and that it has a long way to go.
• HIT Consultant, February 12, 2015: Can Esther Dyson’s Way to Wellville Challenge Improve Population Health?
  Do you know the way to Wellville? If not, Esther Dyson hopes to point you in the right direction. Dyson, a journalist and technology investor turned wellness enthusiast, is on a mission to better health by rethinking and recreating the environment in which it can thrive. It’s a tall task, but Dyson isn’t doing it alone. In fact, she wants you to take part.
• Becker's Health IT & CIO Review, February 09, 2015: Data Analytics Helps Texas-Based ACO Find Cost Savings in MSSP
  Accurate analysis based on easily verifiable data has been extremely helpful in identifying and reducing costs in the ACO, which up until the platform was adopted, were difficult to determine.
• MedCity News, February 03, 2015: The Hidden Digital Health Opportunities in Obamacare
  Despite over $5 billion in investments in digital health in 2014, there appears to be no correlation between that investment and improved quality of care for patients. This information comes from a recenty study out of the Institute for Healthcare Improvement (IHI).
• Forbes, January 29, 2015: Can Business Savvy, Clout And Charisma Supercharge Patient Safety?
  Can the Patient Safety Movement maintain its momentum? It’s a formidable task. When the Institute of Medicine (IOM) issued its landmark 1999 report declaring that 44,000 to 98,000 patients died each year preventable medical errors in hospitals, it called for deaths to be cut in half in five years. A decade later, studies found hardly any progress. Later research has increased the preventable death estimate to from 210,000 to more than 400,000 individuals annually.
• Vox, January 29, 2015: Medical Errors in America Kill More People Than AIDS or Drug Overdoses. Here’s Why.
  Medical errors kill more people than car crashes or new disease outbreaks. They kill more people annually than breast cancer, AIDS, plane crashes, or drug overdoses. Depending which estimate you use, medical errors are either the 3rd or 9th leading cause of death in the United States. Those left dead as a result of their medical care could fill an average-sized Major League Baseball stadium — sometimes twice over.
• Quality Digest, January 28, 2015: A Funny Thing Happened on the Way to Quality Improvement
  Davis Balestracci, a returning presenter at the National Forum, discusses the quality vs. transformation disconnect.
• MS Noticias, January 27, 2015: With 52% of Cesarean Sections, Brazil Wants to Increase Normal Birth
  To try to change the Brazilian scenario and adapt it to the international recommendation, the NSA, the Ministry of Health, the Hospital Israelita Albert Einstein and the American NGO Institute for Healthcare Improvement (IHI) signed at the end of October, an agreed technical cooperation to increase the performance of normal deliveries in private hospitals.
• Healthcare Informatics, January 23, 2015: Top Ten Tech Trends: "Clinical Informaticists 2.0"
  What will senior clinical informaticists need going forward? Rock-solid skills and big-picture understandings and leadership capabilities, that’s for certain.
• LawyersandSettlements.com, January 22, 2015: 440,000 Deaths Annually from Preventable Hospital Mistakes
  A patient safety study estimates that more than 400,000 American deaths are associated with preventable harm done to patients in hospital settings.
• Behavioral Healthcare, January 22, 2015: More ACOs Look to Behavioral Health
  In an effort to treat the whole patient, Accountable Care Organizations (ACOs) across the country are finding innovative ways to integrate mental and behavioral healthcare into their programs. While each ACO might approach integration in its own way, experts say the integration of behavioral healthcare in commercial-payer and Medicaid ACOs is only predicted to grow in the years ahead.
• Hospital News, January 21, 2015: Students as Agents for Change Through Quality Improvement
  Florentina Teoderascu, an IHI Open School student, reflects on her improvement project and storyboard she presented at the 26th Annual National Forum.
• EBC- Agencia Brasil, January 18, 2015: Private Institutions' Initiatives are Reference in Encouraging Normal Delivery
  Actions include 24 hour care by doctors and midwives, the use of resources for pain relief in childbirth, continuing education of staff and encouraging the partner's presence, based on recommendations from the Institute for Healthcare Improvement (IHI) - American organization that works to improve safety and quality in patient care.
• Healthcare IT News, January 14, 2015: Population Health Success Depends on Good Data
  Improved access to care is 'the future' -- but there are big challenges to getting there.
• Healthcare IT News, January 13, 2015: How Hospitals are Tackling Costs in 2015
  2015 is a big year for hospital finances, and many are still facing considerable challenges before they're able to see big changes
• Healthcare IT News, January 12, 2015: Tripling Down on Care Improvement
  "The famous "Triple Aim" framework developed by the Institute for Healthcare Improvement seeks to improve the patient experience of care, improve population health and reduce the per capita cost of healthcare. As the industry tries to tackle all three of these huge goals at once, IT – whether it's electronic health records, patient portals, health information exchanges, telemedicine technologies or business intelligence and revenue cycle tools – is instrumental."
• Politico, January 09, 2015: End-of-Life Instructions Find No Place in Electronic Health Records
  This article examines the cross of end-of-life wishes and electronic health records. IHI's Kelly McCutcheon Adams contributes: “The health care system has to be ready to receive, record and respect people’s end-of-life wishes,“ adding that doctors and hospitals must “steward this information reliably.”
• Journal of Emergency Medical Services, January 11, 2015: Reno Roundtable Brings International Look at Community Paramedicine
  At the 10th Annual International Roundtable on Community Paramedicine, attendees were treated to numerous presentations and informational updates. With virtually all presenters making some reference to the Institute for Healthcare Improvement (IHI) Triple Aim, IRCP organizers shrewdly invited David Williams, PhD, the chief executive and consultant from the Medic Health consulting group to describe community paramedicine and mobile healthcare through the lens of the IHI. Williams is an improvement advisor with the IHI who has worked on several EMS-related improvement projects.