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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.
Cross-Cultural Challenges: Improving the Quality of Care for Diverse Populations
Dr. Robert Like, the director of a medical school center cultural diversity training center, explains why cultural competence is important to improve access to care and reduce disparities – and how health care providers can work toward it.
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults
The primary aim of the IHI innovation project described in this report was to assess the use of predictive analytics, specifically machine learning, to improve patient safety through emerging and existing approaches to predict risk, such as technologies and decision support tools. Specific attention was given to how predictive analytics and machine learning can assist in monitoring patient deterioration in the home setting for adults ages 18 and older.
Effective Quality Planning
Quality planning is the essential first step of IHI's Whole System Quality approach to overall quality management. This article describes effective quality planning that engages multidisciplinary health care leaders in clearly defining the systemwide quality goals, sets priorities, responds to external evaluations of performance, ensures there are sufficient resources to meet the goals, and leverages existing data systems to identify aligned opportunities for improvement.
Run Chart Tool
Run charts are graphs of data over time and are one of the most important tools for assessing the effectiveness of change.
Quality Improvement Essentials Toolkit
Download these ten essential quality improvement tools to help you with your improvement projects, continuous improvement, and quality management, whether you use the Model for Improvement, Lean, or Six Sigma.
How to Improve
Learn about the fundamentals of the Model for Improvement and testing changes on a small scale using Plan-Do-Study-Act (PDSA) cycles.
Avoiding "Drift" into Harm
This article presents specific steps leaders can take to reinforce effective patient safety practices and address workarounds that may unintentionally result in harm.
Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care
This book is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, high-quality systems of care in partnership with patients.
Improving Health Equity: Guidance for Health Care Organizations
The eight health system teams that participated in the Pursuing Equity initiative share strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources for improving health equity.
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.
Framework for Effective Board Governance of Health System Quality
This white paper presents an actionable framework with the core processes needed for effective board governance of all dimensions of health system quality; an assessment tool; and support guides for three central knowledge areas for trustee oversight of quality.
Achieving Hospital-wide Patient Flow
This white paper guides health care leaders and quality improvement teams through an in-depth examination of a system-wide view of patient flow within (and outside) the hospital, including high-leverage strategies and interventions to achieve hospital-wide patient flow.
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.
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.
A Framework for Safe, Reliable, and Effective Care
The framework described in this white paper brings together the strategic, clinical, and operational concepts that are critical to creating a "system of safety" that achieves safe, reliable, and effective care.
A histogram is a special type of bar chart used to display the variation in continuous data like time, weight, size, or temperature.
A scatter diagram is a graphic representation of the relationship between two variables. Scatter diagrams help teams identify and understand cause-effect relationships.
A flowchart is a graphic representation of the sequence of steps in a process.
A Pareto chart helps identify the few, most important factors that contribute to an effect and, therefore, warrant the most attention.
Cause and Effect Diagram
A cause and effect diagram is a graphic tool used to explore and display the possible causes of a certain effect.
Plan-Do-Study-Act (PDSA) Worksheet
The Plan-Do-Study-Act (PDSA) Worksheet is a useful tool for documenting a test of change; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA).