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• A Framework for Spread: From Local Improvements to System-Wide Change
  A key factor in closing the gap between best practice and common practice is the ability of health care providers and their organizations to rapidly spread innovations and new ideas.
• Comparing Lean and Quality Improvement
  This IHI white paper provides detailed descriptions of Lean and the IHI approach to quality improvement, including the basic concepts and principles of each approach, how they are similar and different (in history and approach), and for what purposes each approach is the most appropriate.
• Engaging Physicians in a Shared Quality Agenda
  This white paper presents a framework on which hospital leaders might build a written plan for physician engagement in quality and safety.
• Execution of Strategic Improvement Initiatives to Produce System-Level Results
  This paper describes the essential elements for strategic improvement Will (the will to improve), Ideas (altneratives to the status quo), and Execution (implementing a portfolio of projects that get results).
• Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives
  This white paper may be used as a preparation tool by those that are planning to take effective health care practices from one setting or isolated environment and to make them ubiquitous across a health care system, region, state, or nation.
• Seven Leadership Leverage Points for Organization-Level Improvement in Health Care (Second Edition)
  As part of IHI's work of supporting and encouraging leaders of innovative health systems, this white paper presents what we believe to be some important leverage points for leaders who want to achieve dramatic, system-level performance improvement.
• Sustaining Improvement
  This white paper presents a framework that health care organizations can use to sustain improvements by focusing on the daily work of frontline managers, supported by a system of standard tasks and responsibilities for managers at all levels of the organization.
• The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
  IHI developed the Breakthrough Series to help health care organizations make breakthrough improvements in quality while reducing costs.
• Whole System Measures
  This white paper describes and promotes the use of a system of metrics, called the Whole System Measures, to measure the overall quality of a health system and to align improvement work across a hospital, group practice, or large health care system.