All | IHI - Institute for Healthcare Improvement

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Turn on the Lights podcast is IHI's thought-provoking series of candid conversations about how the US health care system is working and not working, hosted by Drs. Don Berwick and Kedar Mate.

Organizational Trustworthiness in Health Care

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.

A Matter of Trust: Commitment to Act for Health Equity

This article presents high-leverage, specific actions to improve equity in health care that are both possible and feasible for all health care organizations to undertake now.

Ensuring Equitable Age-Friendly Care

This article presents six steps to address inequities in the care of older adults, aligned with each step of the journey to becoming an Age-Friendly Health System.

Equity and Quality: Improving Health Care Delivery Requires Both

This article describes how the health system can use the existing infrastructure developed to measure, monitor, improve, and incentivize quality to build a more equitable health system by focusing on data, leadership and governance, and payment.

The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity

This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the "quadruple aim" (addressing clinician burnout) to a "quintuple aim" that includes advancing health equity.

Addressing Pushback on Health Equity

This article provides guidance for health care leaders to effectively prepare for and address pushback on health equity, including using data and stories to harness curiosity as an antidote to fear and resistance.

Getting Grounded: Building a Foundation for Health Equity and Racial Justice Work in Health Care Teams

This article proposes a three-pronged approach for equity improvement teams to build a strong foundation to effectively, collaboratively, and authentically dismantle racism in health care.

Why Health Care Systems Should Invest in Medical Malls

Medical malls have the potential to enable hospital-based systems to deliver care more effectively, efficiently, and flexibly and to help address health care inequities.

An Equity Agenda for the Field of Health Care Quality Improvement

Convened by the National Academy of Medicine, leaders of seven prominent US health care quality organizations identified equity as the most important priority for the health care quality movement in the next 20 years. This paper summarizes key barriers and strategies to advancing equity in health care quality.

Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care

This white paper describes a framework to guide health care organizations in their efforts to provide safe, equitable, person-centered telemedicine. The framework includes six elements to consider: access, privacy, diagnostic accuracy, communication, psychological and emotional safety, and human factors and system design.

Better Maternal Outcomes Quality Improvement Workbooks

Developed as part of the Better Maternal Outcomes Rapid Improvement Network, the workbooks contain descriptions, examples, and templates for tools that teams can use to guide their quality improvement (QI) work focused on improving maternal health outcomes and equity.

Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement

To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.

Black Maternal Health: Reducing Inequities Through Community Collaboration

These reports describe the guiding principles for the Better Maternal Outcomes: Redesigning Systems with Black Women project, and the experience of the four communities participating in the project to improve outcomes and reduce racial inequities in maternal outcomes for Black people who birth through community collaboration.

Tackling Systemic Racism in Maternity Care

A Brazilian health collaborative uses improvement science and the concept of “liberatory consciousness” to address racism in maternity care.

Addressing Institutional Racism in Healthcare Organizations

This article presents strategies in five core areas to guide health care leaders as they seek to address institutional racism in their organizations.

Equity in Postsecondary Education Systems

Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.

100 Million Healthier Lives Community Transformation Resources

This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), helps communities accelerate progress toward ensuring they are healthy and equitable places for everyone who lives there.

100 Million Healthier Lives Health and Well-Being Measurement Approach and Assessment Tools

These tools and resources, developed as part of the 100 Million Healthier Lives initiative, help individuals, organizations, and communities measure what matters most to advance health, well-being, and equity at multiple levels and across topics.

100 Million Healthier Lives Engaging People with Lived Experience Tools

This collection of resources, developed as part of the 100 Million Healthier Lives initiative, provides key information and tools to support communities and organizations to authentically engage people with lived experience in co-design and implementation efforts.

100 Million Healthier Lives Advancing Equity Tools

These tools and resources, developed as part of the 100 Million Healthier Lives initiative, support communities' efforts to prioritize equity in an authentic and deep way and address racism as a determinant of health as they work toward achieving improvements in health and well-being.

Health Care Equity: From Fragmentation to Transformation

The authors describe a four-tier model that offers a practical framework to establish measurements that will advance equity for both patients and the staff of the health care provider organization.

There Can Be No Quality Without Equity

Quality improvement tools and methods are well suited to an effort to improve equity in health and care. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care.

Thriving Together: A Springboard for Equitable Recovery and Resilience in Communities across America

This guide highlights numerous actions that communities, organizations, businesses, governments, and funders can take in the wake of COVID-19 and other related threats to the US — to create the vital conditions that all people and places need to thrive.

A Data-Driven Approach to Addressing Racial Disparities in Health Care Outcomes

This article describes lessons from Brigham Health in Boston to develop a robust data infrastructure to understand the differential impact of COVID-19 on patients and staff.