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Home-based Acute Care: Getting Started Guide
West Health Institute and the Institute for Healthcare Improvement collaborated to identify hospital-alternative care pathways for unplanned acute events for older adults, seeking the most efficient and effective ways to treat older patients in their own homes. This resource provides guidance for organizations seeking to design and implement home-based clinical and operational acute care models for older adults.
Getting Serious about Producing Health: The Ten Teams Challenge
In this article, Dr. Don Berwick makes the case that every US hospital and integrated health system with the means to do so should immediately establish and support Ten Teams, focused on 10 social influences on health in the region served by the organization.
Preventing Health Care Workforce Suicide
Based on available literature and consensus among leading suicide prevention experts, this article highlights three key areas of mental health that all health care leaders need to prioritize: reduce stigma, increase access to mental health services, and address job-related challenges.
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.
Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation
This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US.
Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative
This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.”
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.
Rethinking Herd Immunity: Managing the COVID-19 Pandemic in a Dynamic Biological and Behavioral Environment
This article presents a potential framework for enumerating and estimating community-wide immunity to COVID-19 with use of data reportable to local county public health authorities in order to create more localized, tailored responses.
An Integrated Approach to Quality
This article describes how whole system quality, an integrated organization-wide approach to quality, can help health care leaders build more responsive and resilient health systems.
Making Healthcare Safe
Written by Lucian Leape, a pioneer of the patient safety movement, this book describes how patient safety became recognized as an important problem, the underlying science, and the efforts to implement changes.
Working with Community Partners to Improve Health
This article distills five critical takeaways to guide health care leaders in working with community partners to improve health.
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.
Leveraging National Nursing Home Huddles for Rapid COVID-19 Response
This article describes the use of daily 20-minute huddles with nursing home staff across the US to rapidly identify and implement best practices to reduce COVID-19-related morbidity, mortality, and transmission.
Accelerating Population Health Improvement
This article describes how applying improvement methods to population health improvement efforts could help close equity gaps.
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.
Prioritizing People and Rapid Learning in Times of Crisis: A Virtual Learning Initiative to Support Health Workers During the COVID‐19 Pandemic
This article reports on an initiative set up within Africa's Western Cape provincial Department of Health early in the COVID-19 pandemic to facilitate collective learning and support for health workers and managers across the health system. Strategies and three transformational actions that protect staff are shared.
Accelerating Global Improvements in Health Care Quality
Many lower-resourced countries, historically focused on expanding access to essential health services, now place a similar priority on higher quality. In this Viewpoint, the authors describe how universal health coverage, a key Sustainable Development Goal, is meaningful only if the access it ensures is to effective and safe health services.
Building an Equitable System for Postsecondary Education Transition and Success
Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.
Building Health-Creating Systems
In this article, IHI CEO Kedar Mate describes five key features of health-creating systems. He also suggests that health care leaders can use quality as the compass for building such systems.