Fellowship Program

IHI Fellowship Program

The IHI Fellowship Program is designed for worldwide health care professionals in quality and safety roles who are looking to take their strategic, operational, and thought leadership skills to the next level.
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Take Your Quality and Safety Leadership Skills to the Next Level

Ideal candidates for the IHI Fellowship Program have strong foundational knowledge and experience in quality, safety, and quality improvement capability. Candidates seek to hone their knowledge and skills to effectively institute impactful change and achieve organizational goals in today's complex health care environment.
Application Information

IHI Fellowship: A 14-Month Program

The Institute for Healthcare Improvement (IHI) Fellowship Program, offered to select health care professionals worldwide, is designed for those in quality and safety roles who are looking to take their strategic, operational, and thought leadership skills to the next level.

The 14-month program will support a closely-knit cohort of participants from around the globe and will include smaller affinity groups. It offers a unique virtual learning opportunity, and includes experiential learning through the leadership of strategic, impactful work within participants' home organizations. This work within home organizations will help to firmly cement the strategic improvement knowledge and new ways of thinking gained throughout the program.

Ideal candidates will have strong foundational knowledge and experience in quality, safety, and quality improvement capability. They will seek to hone their knowledge and skills to effectively institute impactful change and achieve organizational goals in today's complex health care environment.


Don't miss out! Join one of our upcoming free informational calls to learn about the program:

  • Tuesday, June 17 at 7:00 AM ET | Register
  • Wednesday, June 25 at 3:00 PM ET | Register

IHI Fellow Gillian Smith discusses how the IHI Fellowship Program has been valuable to her.
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Class picture of fellows from the IHI Fellowship Program
Class Picture of IHI Fellows

Fellowship participants:

  • Bring new ways of thinking and innovative ideas for improving the quality of patient care, reducing harm, and patient-centered outcomes back to their organization
  • Make a direct impact on their system while pursuing a strategic project with metrics tied to strategic organizational goals
  • Deepen their knowledge in quality and safety science
  • Learn how to lead system changes in quality, safety, and culture, including how to engage, influence, and impact culture change

Support and networking opportunities include:

  • A dedicated mentor providing continuous feedback and support
  • Access to and guidance from renowned IHI leaders and faculty, including health care quality and safety experts, and innovative leaders who have improved systems in other industries
  • A lasting and meaningful global network of peers and faculty, allowing for an exchange of advice, ideas, and support in the long term (this includes an exclusive alumni network)
  • Senior sponsorship and active engagement from your home organization’s executive team, including quarterly sponsor progress check-ins

Learn more about applying for the IHI Fellowship Program

Additional Information

Apply for the IHI Fellowship Program

The IHI Fellowship Program is designed for those in quality and safety roles who are looking to take their strategic, operational, and thought leadership skills to the next level.

Application Information
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IHI Fellowship Program

Need Help or Have Questions?

Email the IHI Fellowship Team at fellowship@ihi.org

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Training

Training

Advance your health care career with IHI’s world-renowned training programs. Our expert-led courses emphasize the application of evidence-based methodologies to achieve sustainable, system-wide improvements, all while empowering learners with the practical tools to evolve as professionals. Begin improving health care delivery today.
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IHI Training

Learn, Connect, and Grow with IHI

Start Your Journey

IHI's training programs introduce learners to patient safety, quality, and quality improvement. They are excellent for students in health or health care-related fields, residents, frontline care providers (e.g., MD, RN, pharmacists, social workers), and others.

Advance Your Skills

For those who are looking to advance their knowledge and/or seek a position in patient safety, quality, or quality improvement, IHI offers training geared to build deeper skills and engage with peers.

Become a Leader

Designed by experts in the field with lived experience, our leadership programs prepare attendees for the next level in their career journey and optimize performance at their current level.

Professional Development and Online Course Listing

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Certified Professional in Patient Safety (CPPS)

The CPPS credential is earned by professionals who have demonstrated a high level ​​of proficiency in the core standards of patient safety.​​​​​​​​​ Live and on-demand review courses are available to help you prepare for the CPPS exam by reviewing domain content areas and test-taking strategies.

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Certified Professional in Patient Safety (CPPS)

Conferences

Conferences

IHI’s annual world-class international conferences offer opportunities to learn the latest improvement ideas, connect with like-minded colleagues from around the world, and generate momentum for ch​ange in your organization.​​

Upcoming Conferences

IHI/BMJ International Forum on Quality and Safety in Healthcare: Singapore 2025

August 13–15, 2025 | Singapore

The IHI/BMJ International Forum will return to Singapore in 2025 to focus on strategies to close the gap between theory and practice, with quality and safety serving as fundamental drivers for sustainability and continuous improvement. The conference will be themed "Moving together towards sustainable quality," inspiring cross-sector collaboration as key to positive change and a shared vision of sustainable health care.

Learn more

Latin American Forum on Quality and Safety in Health Care

November 3–5, 2025 | Buenos Aires, Argentina

Now in its 10th year, the Latin American Forum on Quality and Safety in Health Care attracts leaders and health professionals from Latin American countries to address key issues for the transformation of health and the development of a sustainable system, such as health safety, patient experience, leadership, primary care, digital transformation, and equity, among others. The focus of this year’s Latin American Forum is innovating with purpose: efficiency and sustainability of health systems.

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IHI/BMJ International Forum on Quality and Safety in Healthcare: Canberra 2025

November 19–21, 2025 | Canberra, Australia

The IHI/BMJ International Forum continues to be the place for health and care professionals to connect, share learning, and discuss effective approaches to quality and safety improvement. Through our theme of "Think differently, start small, have impact," we will recognize the complex, interdependent nature of health care and focus on driving meaningful, lasting change by thinking differently and acting as a collective.

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IHI Forum 2025

December 7–10, 2025 | Anaheim, CA, USA

The IHI Forum has been the home of quality improvement (QI) in health ​care for more than 30 years. The four-day conference brings together health care visionaries, improvement professionals, world leaders, and industry newcomers. Dedicated improvement professionals from across the globe convene to tackle health care's most pressing challenges: improvement capability, patient and workforce safety, equity, climate change, artificial intelligence, and more.

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IHI/BMJ International Forum on Quality and Safety in Healthcare: Oslo 2026​​

March 9–11, 2026 | Oslo, Norway

Using our combined expertise and passion, the Institute for Healthcare Improvement (IHI) and BMJ bring you the largest international conference in Europe focused on improving outcomes for patients and communities through quality improvement. The International Forum focuses on the key themes in health and care in Europe, while bringing in perspectives and knowledge from around the world.

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IHI Forum: December 7–10, 2025

The home of quality improvement in health care for more than 30 years, the IHI Forum convenes dedicated improvement professionals from across the globe to tackle health care's most pressing challenges.

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IHI Forum

Past Conferences

IHI/BMJ International Forum on Quality and Safety in Healthcare: Utrecht 2025​​

May 21–23, 2025 | Utrecht, The Netherlands

Using our combined expertise and passion, the Institute for Healthcare Improvement (IHI) and BMJ bring you the largest international conference in Europe focused on improving outcomes for patients and communities through quality improvement. The International Forum, hosted in Utrecht in 2025, will focus on the key themes in health and care in Europe, while bringing in perspectives and knowledge from around the world.

Learn more

IHI Patient Safety Congress​

March 10–11, 2025 | San Diego, CA, USA

The IHI Patient Safety Congress brings together people who are passionate about ensuring safe care equitably for all across the globe. This is the must-attend event for those who continue to shape ​​smarter, safer care for patients wherever it’s provided – from the hospital to outpatient settings to the home.​

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IHI/BMJ International Forum on Quality and Safety in Healthcare: Brisbane 2024​​

November 6–8, 2024 | Brisbane, Australia

For over 26 years, the IHI/BMJ International Forum has been the place for health and care professionals to connect, share learning, and discuss effective approaches to quality and safety improvement. The International Forum in Brisbane will focus on the key themes in health and care in the region while bringing in perspectives and knowledge from around the world. Join IHI and BMJ in exchanging ideas, celebrating successes, and helping each other solve problems.

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Middle East Forum on Quality and Safety in Healthcare 2024​

February 23–25, 2024 | Doha, Qatar

In its 10th edition, the Middle East Forum on Quality and Safety in Healthcare is an annual gathering of healthcare professionals in quality improvement and patient safety. Hosted by Hamad Medical Corporation, in collaboration with IHI, it is the region’s most successful and well-established healthcare conference focused on quality improvement. This year’s Forum will connect both in-person and virtually, more than 2500 physicians, nurses, quality leaders, healthcare administrators, hospital executives, patient and family advisors and other allied health professionals.

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Certified Professional in Patient Safety (CPPS) TM

Certified Professional in Patient Safety (CPPS)™

Validate your proficiency, confirm your expertise, assert your clinical competence, and show your commitment to promoting the highest standards of excellence in patient safety with the globally recognized Certified Professional in Patient Safety™ (CPPS) credential. Learn more about registration, exam scheduling, and essential test preparation resources. IHI is here to help you succeed. ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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CPPS

Earn the Certified Professional in Patient Safety Credential

The Certified Professional in Patient Safety credential (CPPS)™ is awarded through a thorough examination covering four patient safety domains:​ Culture​, Systems Thinking, Human Factors Engineering, and Design, Safety Risks and Responses, Performance Measurement, Analysis, and Improvement and Monitoring.
Learn more about CPPS

Certified Professional in Patient Safety (CPPS)

The Certified Professional in Patient SafetyTM credential (CPPS) is earned by professionals who have demonstrated a high level ​​of proficiency in the core standards of patient safety.​​​​​​​​​ This credential is awarded through a thorough examination covering four patient safety domains:​

  • Culture​
  • Systems Thinking, Human Factors Engineering, and Design
  • Safety Risks and Responses
  • Performance Measurement, Analysis, Improvement and Monitoring

More than 7,000 professionals have earned the CPPS credential, representing all 50 US states and 32 countries.​​​​​​​

Download the CPPS Brochure for additional information

 

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NCAA by ICE

The Certified Professional in Patient Safety (CPPS)TM  program is fully accredited by the National Commission for Certifying Agencies (NCCA). Accreditation from NCCA, the Institute for Credentialing Excellence (ICE) 's accrediting body provides independent affirmation that the CPPS program achieves the highest quality standards in professional certification. NCCA uses a peer review process to establish accreditation standards, evaluate compliance with these standards, recognize programs that demonstrate compliance, and serve as a resource on quality certification. 

CPPS Review Courses

Review courses help you prepare for the Certified Professional in Patient Safety (CPPS) examination by reviewing domain content areas and test-taking strategies. Review courses are offered in multiple formats and CE credits are available.

Live Webinars

Delivered live over two consecutive days, this interactive course is led by experienced faculty experts in the field of patient safety. Participants will engage in in-depth reviews of the four CPPS domains, gain practical test-taking strategies, and have opportunities to ask questions in real time — all in a supportive, collaborative virtual environment.

Live webinar July 31–August 1, 2025 (12 PM – 4 PM ET​​)

Live webinar October 22–23, 2025 (12 PM – 4 PM ET​​)

On Demand

The on-demand CPPS Review Course offers flexible, self-paced exam preparation for professionals pursuing the Certified Professional in Patient Safety (CPPS) credential. The course is aligned with the CPPS content outline, providing comprehensive coverage of key patient safety concepts essential for success on the CPPS examination.

Enroll in the on-demand CPPS Review Course 
[Note: You will be prompted to login or create an IHI account to purchase.] 

Continuing Education Credits for CPPS Review Courses

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. This program is approved to provide 7 credits for physicians, nurses, pharmacy, and Certified Professional in Patient Safety (CPPS) recertification.

CPPS Informational Session

Missed the last exclusive Informational Call? Listen now and review the slides.

CPPS Scholarships

The 2025 CPPS scholarship application is open through July 15, 2025. Selection criteria can be found on the application page.

Apply for CPPS Scholarship 

Scholarships include full coverage for the fees of:

  • Online CPPS Review Course
  • CPPS Practice Exam
  • CPPS Credentialing Exam

Any professional working in or around health care who is able to demonstrate need and meets the exam eligibility requirements is encouraged to apply. 

Certified Professional in Patient Safety (CPPS)™ Credential

7,000+

Professionals have earned the CPPS credential

50

US states represented

32

Countries represented

Why Certification Is Important

This professional certification program establishes core standards for the field of patient safety, benchmarks requirements necessary for health care professionals, and sets an expected proficiency level.​​

​For professionals, the CPPS credential provides those working in patient safety a means to demonstrate their proficiency and skill in the discipline

For organizations, requiring the CPPS credential provides a way for employers to validate a potential candidate’s patient safety knowledge and skill base, critical competencies for today’s health​​ care challenges

​Additional compelling reasons to earn your CPPS:

  • 79% of health care professionals who have earned the CPPS told us that this credential helped them to improve patient care at their organization
  • You can prepare for the CPPS exam — and take the actual exam — virtually, from wherever you are
  • Adding this credential to your CV makes your commitment to — and education about — patient safety visible
  • ​Since earning their CPPS credential, 81% of titleholders have led organization or system-wide initiatives, leading critical improvements​

Who Should Consider Certification

  • Physicians
  • Nurses​
  • Pharmacists​
  • Patient Safety Professionals​
  • Quality and Risk Management Professionals​
  • Health Care Executives​
  • Non-Clinical Health Care Professionals​
  • ​All other health care professionals with the requisite background​

Requirements for Certification

Candidates for the CPPS credential are those who include patient safety practices as an integral component of current or future professional responsibilities. Candidates must also possess academic and professional experience at one of the following levels:

  • Baccalaureate degree or higher, plus three years of experience (includes time spent in clinical rotations and residency programs) in a health care setting or with a provider of services to the health care industry

OR​​

  • Associate degree or equivalent plus five years of experience (includes time spent in clinical rotations) in a health care setting or with a provider of services to the health care industry​

CBPPS randomly audits a limited number of applications per year to confirm eligibility requirements are met. If your application is selected for audit, please be prepared to provide documentation attesting to your education and experience. 

Additional Information

Karen Harris, MSN-MHA, RN, CPHQ, CPPS

Vice President of Quality, StoneSprings Hospital Center

Vice President of Quality, StoneSprings Hospital Center

“My CPPS credential is a testimony to the competency I have to be a leader in my hospital’s patient safety efforts, and one that I proudly wear.”

Romeo Miguel Alonzo, MAN, RN, CPHQ, CPXP, CPPS

Quality Specialist, Qatar Red Crescent Society

Quality Specialist, Qatar Red Crescent Society

“My certification will help me move forward with my career in the field of patient safety. This prestigious designation will put me in the vast world of ever-changing and challenging, yet fulfilling patient safety movement.”

Lisa Kuprel, RN, MSN, CPHQ, CPPS

Quality Analyst, Maui Medical Center

Quality Analyst, Maui Medical Center

“I proudly wear the CPPS credential. This credential demonstrates to colleagues, customers, and patients my extensive knowledge and commitment to patient safety. It offers me the ability to be a respected leader in the health care field.”

Denise Peterson, RN, MMH

Senior Director Quality and Patient Safety, Cambridge Health Alliance

Senior Director Quality and Patient Safety, Cambridge Health Alliance

“I am thrilled to have the CPPS recognition to help promote the importance of patient safety as a leading factor for focusing the safety of the care we provide and ensure patients are aware of that importance to us.”

Need Help?

Email our team at cpps@ihi.org

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Careers

Careers at IHI

IHI treasures our staff, faculty, and fellows and believe each person in our organization is essential to achieving our mission. We understand that when you are considering potential employers, being a good fit in the organization is important to you. A good fit is important to us, too.

IHI's Candidate Commitment

At IHI, we treasure our staff, faculty, and fellows and believe each person in our organization is essential to achieving our mission. Our candidate commitment is designed to provide an experience that mirrors our core values and culture, and reflects the importance of these relationships. Our goal is to treat each candidate with respect, transparency, and speed and agility as outlined in our Citizenship Guidelines​ and Core Values​. Learn more about IHI’s values-driven hiring.

Our Process

We understand that when you are considering potential employers, being a good fit in the organization is important to you. A good fit is important to us, too. Our website offers you the opportunity to get to know IHI, our programs, and our values. We also have a social media presence on LinkedIn, Facebook, Twitter and YouTube​. Our Human Resources team takes pride in knowing and communicating the details of all our openings to you.

Our online application can be completed in five minutes and is easy to understand to make your experience as smooth as possible. You will be contacted directly by someone on the Human Resources team if you are selected to proceed in the process. If you have questions during the process you can refer to the Frequently Asked Questions below, and contact us directly at employment@ihi.org.

We value open and honest dialogue. While we are naturally concerned with ensuring your experience and background make you a proper fit for the position, it is also important that you feel IHI is right for you. Our interviews are designed to ensure you are able to get the information you need from us to guide your decision. We look forward to hearing from you.

If our current opportunities are not a fit for you, we hope you will consider other ways to join us in our mission through our programs and resources
 

Please browse our open positions.


IHI's Commitment to Diversity, Equity, and Inclusion

People Come First: Why You Should Join Our Diverse Workforce

Our people come first. IHI staff selected our values of Courage, Love, Equity, and Trust. These values guide how we work, shape our experiences, and are an integral part of our interview process. Watch the video below for a message from Kedar Mate, IHI President and CEO, highlighting how our values and our diverse staff are critical to achieving our mission.

Learn more about equity at IHI.

Veterans and IHI

At IHI, we celebrate the unique skillsets and talents that our veteran employees bring. We are committed to providing a military-friendly hiring process by partnering with local and national organizations to recruit and retain veterans. These include but are not limited to the US Department of Veterans Affairs VR&E Program and MassHire’s Department of Career Services.

Once hired, we aim to provide a military-friendly work culture, rooted in the understanding of each veteran’s individual and transformative experience.

​“There are many organizations that say they support veteran staff, but I have never worked for an organization that actually shows their support like IHI does. As a disabled veteran that has regular doctor’s visits, I was worried I would hold my projects back or fall behind in my work, but with the support of IHI staff and my colleagues, that has never happened. We genuinely have each other’s back and it feels great being part of a team again.” 
—Current IHI Employee, Former Army Combat Medic (68W)
 

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Military.com Veteran Hiring Pledge Badge 200px

Veterans encouraged to apply!

We hereby pledge our commitment to actively hire veterans of the US Armed Forces. We value and recognize the leadership, training, character, and discipline that our veterans and members of the National Guard and Reserve bring to our company and the American workforce.

Competitive Total Rewards

At IHI, we ensure that people feel valued and supported in meaningful ways. When you join IHI, you will have access to:

  • Generous medical benefits and paid time off to promote mental and physical well-being.
  • Competitive compensation and 401K contributions (including an IHI match) to support financial well-being.
  • Tuition reimbursement to further education and career goals.
  • Personal and professional development funds to support what matters to you.
  • A comprehensive Employee Assistance Program (EAP) to help you navigate life’s everyday challenges.
  • Remote work and flexible work arrangements to prioritize work/life balance.
  • Affinity groups to foster workplace community and joy in work. (Examples: Racial Justice, Mental Health Awareness, LGBTQ+, Veterans, Working Parents, and others.)
  • And so much more!


IHI Is an Equal Opportunity Employer

IHI is committed to equal employment opportunity regardless of race, color, religion, sex or gender, marital status, national origin or ancestry, disability, veteran status, military service, age, sexual orientation, gender identity, genetic information, crime victim status, political belief, and any other protected class under applicable law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation to complete our application, please let us know. Veterans are encouraged to apply.

We intend to make all reasonable efforts to live up to our Equal Opportunity policy and Affirmative Action Plan. We have prepared the Plan to accurately reflect our current status, our actions to date, and our intentions for the future. The President and CEO has expressed support for the Affirmative Action Plan and assigned overall responsibility for fulfillment of the Equal Employment Opportunity policy and Affirmative Action Plan to Amy Hosford-Swan, Chief Financial and Administration Officer, who will periodically conduct analyses of all personnel actions to ensure that we are living up to our stated intention.

Our management is responsible for the ongoing monitoring of all personnel actions in their respective areas of supervision and will carry out the intentions of the Equal Opportunity policy and Affirmative Action Plan to the fullest extent possible.

Our employment practices are nondiscriminatory and based on factors that are job-related. Factors such as race, color, religion, gender, marital status, national origin or ancestry, disability, veteran status, military service, age, sexual orientation, gender identity, genetic information, or political belief or activity are not job-related. We designed the Affirmative Action Plan to report and monitor all related procedures that will include, but will not be limited to:

  1. Recruiting, hiring, training, and promoting applicants and employees in all job classifications without discrimination;
  2. Basing decisions on employment so as to further the principle of Equal Opportunity employment;
  3. Ensuring that promotion decisions are in accord with principles of Equal Opportunity employment by imposing only valid requirements for promotional opportunities; and
  4. Ensuring that all other personnel actions, such as compensation, benefits, transfers, layoffs, return from layoffs, IHI-sponsored training, education, tuition assistance, and social and recreational programs, will be administered without discrimination.

We promise not to retaliate against any person who files a complaint concerning Equal Opportunity or Affirmative Action and will ensure that no one harasses, intimidates, threatens, coerces, or discriminates against any individual exercising rights under this policy.

The Persons with Disabilities and Veterans Affirmative Action Plan is available for inspection in the Human Resources Department during normal business hours. Please contact Human Resources for further information.

Please also review the "Know Your Rights: Workplace Discrimination Is Illegal" poster.

FAQs about Employment at IHI

Learn, Connect, and Grow with IHI

IHI empowers your career growth and learning with a dynamic blend of in-person and virtual educational opportunities, designed with your needs in mind. Our programs are meticulously designed to foster collaborative learning and hands-on experiences, ensuring that you gain practical skills and insights.

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Career Growth and Professional Development

News

News

IHI is proud to work with members of the news media to help deepen the health care industry and public’s understanding of health and health care improvement.

Institute for Healthcare Improvement subject matter experts provide knowledgeable, practical, and independent insights on a wide range of topics. Below you will find our spokesperson directory as well as media contact information, recent IHI press releases, and featured media coverage. 

All News

All News

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About: Finances

Finances

IHI's work is funded primarily through our own fee-based program offerings and services, and also through the generous support of a distinguished group of foundations, companies, and individuals.

A strong financial position is essential to IHI's ability to achieve our mission — improving health and health care all over the world — and we are pleased that we are in a position to aggressively pursue this mission now and in the future.

 

For questions about our finances, contact Amy Hosford-Swan (ahosford-swan@ihi.org), Chief Financial and Administration Officer.

People

People

IHI is a staff of talented and dedicated people, expert faculty, our Board of Directors, Improvement Advisors, Senior Fellows and Fellows, an Equity Advisory Group, a Scientific Advisory Group... and you.
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IHI Leadership Team

IHI Leadership Team

IHI has assembled an unequaled team of dedicated and talented people around the world, working in concert to improve health and health care.
Our Leadership Team

For more than 30 years, IHI has worked to fulfill our vision and mission by assembling an unequaled team.

IHI is a Staff of dedicated and talented people around the world working in concert to improve health and health care.

IHI is a cadre of hundreds of Expert Faculty members from around the world who devote their extensive talents and energies to help us spread our ideas, methods, and philosophies.

IHI is our Board of Directors, a dedicated group of highly respected professionals who provide our strategic rudder.

IHI is our vital group of Improvement Advisors, who bring the science of improvement concepts, methods, and tools to support change and drive results.

IHI is our Senior Fellows, influential leaders with national and international reputations who add richness and depth to the intellectual life of the organization and our community of fellows and faculty.

IHI is our Fellows, mid-career health professionals in quality and safety roles who are immersed in a year-long IHI Fellowship seeking to take their strategic, operational, and thought leadership skills to the next level — and our growing group of Fellowship Alumni.

IHI is our Equity Advisory Group, an independent group of advisors who provide expert review and guidance to improve the consistency and credibility of IHI’s internal and external equity work.

IHI is our Scientific Advisory Group, a team of internationally recognized scientists who provide expert review and guidance to improve the rigor and credibility of our results-oriented programs and activities.

But most of all, IHI is YOU. IHI is not an organization with walls; it is really more of a movement for collaboration and change. And that is only possible to the extent that change-minded people and organizations are part of the work. We welcome anyone, anywhere who shares our passion for the improvement of patient care to join with us.​

History

History

For more than 30 years, the Institute for Healthcare Improvement has been applying quality improvement methods to meet current and future health care challenges.

Founded in 1991

The Institute for Healthcare Improvement (​IHI) was officially founde​d in 1991, but our work began in the late 1980s as part of the National Demonstration Project on Quality Improvement in Health Care, led by Donald Berwick, MD, MPP, and a group of visionary individuals committed to redesigning health care into a system without errors, waste, delays, and unsustainable costs. Since then, we’ve grown from an initial collection of grant-supported programs to a self-sustaining organization with worldwide influence.

Now, with more than 30 years of experience on which to build, IHI has evolved to meet current and future health care challenges. Three decades of teaching, coaching, convening, and caring — learning what works, and what we can do better. While our programs, projects, and priorities have changed with the times, we remain steadfastly committed to our mission to improve health and health care worldwide.​

We hope to one day reach a place where health care doesn't need improving. Until that time comes, we look forward to another 30 years of making it better, with courage, ​love, equity, and trust at the center of all that we do.

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PDSA Cycle

IHI's Work Is Grounded in Science​​

Our wor​k is grounded in science and we use and teach practical quality improvement methods to enable sustainable changes in health and ​health care. In large systems and small villages, we have taken improvement methods originally used in the manufacturing industry and applied them to improving all aspects of health and care.

Science of Improvement

IHI takes a unique approach, based on the science of improvement, to working with individuals, teams, leaders, organizations, systems, states, regions, and countries to improve quality, including safety, equity, and value in health and health care. The science of improvement traces back to W. Edwards Deming, who taught that by adhering to certain principles of management, organizations can increase quality and simultaneously reduce costs.

The science of improvement is an applied science that includes:

The interaction of systems thinking, understanding variation, the theory of knowledge, and the psychology of change that are applied to improve the performance of processes, products, systems, services, organizations, and communities. The proper application of this science requires integration of a set of improvement methods and tools with knowledge of subject matter to develop, test, implement, spread, and scale up changes that lead to improvement.1

Essential in this definition of the science of improvement are four elements:2

  • Appreciation for a system: A focus on how the parts of a process relate to one another to create a system with a specific aim.
  • Understanding variation: A distinction between variation that is an inherent part of the process and variation that is not typically part of the process or cause system.
  • Theory of knowledge: An appreciation for the need for theory to make predictions to incorporate the scientific method in improvement.
  • Psychology: Understanding how the interpersonal and social structures impact performance of a system or process.

These four elements are based on what Deming referred to as the System of Profound Knowledge.3 The System of Profound Knowledge provides an outside view – a lens – that serves as a map of theory to understand the organizations and contexts in which we work. Deming emphasized that it is the interaction of the four elements with each other, and with subject matter knowledge, that produce insights that lead to improvement. The System of Profound Knowledge is depicted below.

Deming’s System of Profound Knowledge

Applying Deming’s Theory of Profound Knowledge, Associates for Process Improvement created the Model for Improvement as a simple, effective tool for bringing about positive change. IHI uses the Model for Improvement as the foundational method for all its improvement efforts.

The science of improvement and the Model for Improvement provide the scientific basis that IHI uses to drive innovation, testing in the field, and spread and scale up to generate and disseminate learning about what changes, in which contexts, produce the improvements we seek with our customers, partners, and funders. As part of our approach, we seek to build improvement capability with those we work so that they also may apply the science of improvement in our work together and long after our work together concludes.

Whole System Quality

Since 2021, IHI has more explicitly drawn from works originating with Joseph M. Juran to articulate a management structure and leadership practices necessary to plan for, control, maintain, and improve quality. Whole System Quality: A Unified Approach to Building Responsive, Resilient Health Care Systems outlines a more holistic approach to quality management — whole system quality — that enables organizations to close the gap between the quality that customers are currently receiving and the quality that they could be receiving by integrating quality planning, quality control, and quality improvement activities across multiple levels of the system.

References

1. Adapted from Associates in Process Improvement (apiweb.org).

2. Perla RJ, Provost LP, Parry GJ. Seven propositions of the science of improvement: Exploring foundations. Quality Management in Health Care. 2013;22(3):170-186.

3. For more on the System of Profound Knowledge:

  • Deming WE. The New Economics: For Industry, Government, Education (2nd edition). Cambridge, MA: Massachusetts Institute of Technology Center for Advanced Engineering Study; 1994: Chapter 4.
  • Berwick DM. The science of improvement. JAMA. 2008 Mar 12;299(10):1182-1184.
  • Langley GJ, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass; 2009: Chapter 4.

Vision, Mission, Values

Vision, Mission, and Values

At IHI, we embrace the values of courage, love, equity, trust, and impact to improve health and health care worldwide so that everyone has the best care and health possible.
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IHI Forum people

Our vision is that everyone has the best care and health possible.

What Unites Us

People who are drawn to IHI see beyond walls to the possibilities on the other side. We are inspired and energized by one uniting vision: a future in which everyone has the best care and health possible.

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IHI Forum people

Our mission is to improve health and health care worldwide.

What Drives Us

Although global health care problems are big and daunting, we resolve to approach them with optimism grounded in rigorous science, hard work, and a relentless drive for results.

Values

IHI's values are at the core of everything we do.

Courage

We stay true to our values, even in the face of risk or loss. We speak up. We do this all in the service of personal and organizational integrity.

Love

We build relationships grounded in patience, kindness, gratitude, and respect. In our teams and in our work, we bring our whole selves in an authentic and caring spirit and encourage others to do the same.

Equity

We work to prevent and undo unfair systems, policies, and forms of racism and discrimination that drive gaps in our organization and in our work. We tell the truth about inequities and value all voices. We believe that we are interconnected and that inequities lead us all to lose. We want everyone to thrive and none of us can truly thrive until we all do.

Trust

We recognize the unique experience that each of us brings and believe in each other’s strengths. We ensure that people feel empowered and supported. We engage in genuine dialogue and encourage feedback with one another and our customers.

Impact

We work to improve all aspects of health and health care for patients, caregivers, the health workforce, and populations. We do this by applying improvement science to create better results for our partners and communities.

 

Equity Is One of IHI's Values

Over the past 10 years, IHI has learned that pursuing equity is a continuous improvement journey. On this journey, we’ve learned the importance of working at the individual, interpersonal, and institutional levels. To achieve our mission to improve health and health care worldwide, IHI is committed to diversity, equity, inclusion and being an anti-racist organization. In 2018, staff came together to redefine IHI’s organizational values of love, courage, equity, and trust. Ideally, equity, as with all of our values, is embedded in all of our systems, processes, and actions.

At IHI, holding equity as one of our values means: We work to develop and maintain systems, policies, and procedures to eliminate gaps in our organization and in our work. We tell the truth about inequities and value all voices. We believe that we are interconnected and that inequities lead us all to lose. We want everyone to thrive and none of us can truly thrive until we all do.

Improving Equity at IHI

We recognize that to successfully work with others to improve equity, IHI must do our own work on equity internally. Diversity, inclusion, and equity do not happen by accident or without the expertise and perspectives of people from a variety of backgrounds and experiences. IHI works to ensure that diversity, inclusion, and equity within our organization is an integral part of IHI’s strategy.

Our work to improve equity at IHI has a dual aim:

  • Develop a workforce representative of the communities where IHI lives and works; and
  • Cultivate a working environment where all staff can thrive and achieve their full potential.

There is no one-size-fits-all approach to diversity, inclusion, and equity. IHI currently has 167 US-based staff, 22 staff based in our Ethiopia office, and 35 staff members IHI engages through Professional Employment Organizations in Australia, Bangladesh, Brazil, Colombia, Ecuador, France, Ghana, New Zealand, Nigeria, Portugal, Qatar, Singapore, South Africa, and the United Kingdom. We continue our partnerships with staff around the world to ensure that IHI maintains diverse, equitable, and inclusive workplaces wherever staff are based.

We have committed to reporting these data publicly because we advocate for all of our partners do the same. IHI believes it is important to be transparent about both our successes and challenges with equity work, and we believe that it is important to model behavior that we hope others might emulate in health and health care around the world. In 2020, IHI committed to publish our data on diversity, inclusion, and equity and below you will find the first iteration. At IHI, we commit to annually reporting these data and to enhance and improve them over time.

Develop a Representative Workforce

With the guidance and support of the IHI Board of Directors, our internal equity efforts began with a focus on increasing the diversity of IHI staff, leaders, and board members. These data are tracked over time and used to evaluate equity in IHI recruiting and hiring processes to improve talent pools at every stage and ultimately contribute to improving diversity across IHI. While improving diversity is important, IHI recognizes that diversity on its own is never enough to foster inclusion and equity.

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Race and Ethnicity: IHI Staff Percent Diversity (US-Based Employees)
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Race and Ethnicity: IHI Executive Leadership Percent Diversity
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Race and Ethnicity: IHI Board Percent Diversity

Cultivate an Environment Where All Staff Thrive

While IHI’s diversity statistics have steadily improved, we believe this is only the beginning of the story. We need to go many steps further and take the time to seek out and listen deeply to staff experiences. We need to be willing to look for inequities in the experience of people in the workplace.

For years, IHI’s quarterly employee satisfaction scores were consistently high when reviewed in the aggregate. In staff surveys, approximately 90 to 95 percent of staff agreed or strongly agreed with the statement, “Overall, IHI is an excellent place to work.” In 2017, as part of our internal equity improvement efforts, on internal surveys IHI staff had the option to identify, if they chose, as White or as a Person of Color. This enabled IHI to begin stratifying the data by race and ethnicity, and to couple data with stories of staff experience.

In response to the statement, “Overall, IHI is an excellent place to work,” the data from the first stratified survey in 2017 indicated a 28 percent difference between staff of color and white staff, with around 96 percent of white staff agreeing or strongly agreeing with this statement compared to 68 percent of staff of color. This information challenged us to look deeper, to carefully consider the qualitative feedback in the survey and other markers of staff experience. It compelled us to consider how organizational policies and practices could widen or narrow that gap. We continue to work with our staff on changes and improvement ideas that will help to improve the experience of all staff in the organization.

Some of IHI’s efforts to address this gap include:

  • Designated safe spaces for staff of color to come together to discuss their experiences and offer mutual support;
  • Racial justice affinity groups for white staff and staff of color led by external coaches;
  • Diversity, equity, and inclusion trainings provided to all staff on a regular basis; and
  • Ongoing efforts to improve the transparency of IHI’s promotion and compensation processes.
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IHI Staff Survey: IHI Excellent Place to Work

IHI Equity Advisory Group

IHI’s equity work is guided by the IHI Equity Advisory Group (EAG), an independent group of advisors chartered by the IHI Board of Directors in 2016 to provide expert review and guidance to improve the consistency and credibility of IHI’s internal and external equity work. The EAG helps us advance our learning in equity, focus IHI’s strategy and programs, review and help develop IHI activities, advise on advocacy opportunities, and support new partnership development.

 


 

IHI Statement on Modern Slavery

The Institute for Healthcare Improvement is committed to conducting our business responsibly and sustainably. As a global organization committed to improving health and well-being, it is our responsibility to ensure that we are not complicit in any form of modern slavery in any aspect of our operations, including our supply chain. 

Read the IHI Statement on Modern Slavery

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