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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.
A Guide to Promoting Health Care Workforce Well-Being During and After the COVID-19 Pandemic
This guide provides ideas and lessons learned to improve the well-being of the health care workforce and includes actions that individuals, leaders, and organizations can take to combat health care workforce burnout, fatigue, and emotional distress during the COVID-19 pandemic and beyond.
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being
This paper describes evidence-based and promising practices shown to increase clinician well-being and reduce burnout across six domains, provides examples, and presents principles of organizational action for clinician well-being derived from the IHI Framework for Improving Joy in Work.
Workforce Safety Key to Patient Safety
Health care leaders increasingly recognize that patient safety is not possible without a workforce that is physically and psychologically safe, joyful, and thriving. This article describes three actionable recommendations to improve workforce safety.
Virtual Learning Hour Special Series: Understanding and Addressing Sources of Caregiver Anxiety
September 11, 2020 | Learn about methods to understand and address sources of anxiety among health care professionals during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Fostering Connection and Co-Creation
August 21, 2020 | Fostering connection and co-creation are tools that can help support the well-being of the health care workforce.
Virtual Learning Hour Special Series: Psychological Personal Protective Equipment (PPE)
August 7, 2020 | Psychological PPE, "personal protective equipment" to promote health care workforce mental health and well-being, has become even more essential during the COVID-19 pandemic.
“Psychological PPE”: Promote Health Care Workforce Mental Health and Well-Being
The COVID-19 pandemic is exacerbating existing issues with health care professional burnout and joy in work. Evidence-based recommendations for “psychological PPE” (protection and support for staff mental health and well-being) are intended for use by staff providing care during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Peer Support: Fostering Connection and Destigmatizing Mental Health for Caregivers
July 24, 2020 | Peer support is an effective intervention in the pursuit of care team member well-being and joy in work, and can aid in destigmatizing health-seeking behaviors among caregivers.
Virtual Learning Hour Special Series: Transforming Moral Distress into Moral Resilience
July 10, 2020 | Tools and changes are needed to help caregivers mitigate and recover from moral injury while continuing to work in systems during the COVID-19 pandemic.
Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, health care leaders are working to support staff who are experiencing anxiety, stress, and intense demands. This guide includes actionable ideas that leaders can quickly test during the coronavirus response, and which can build the longer-term foundation to sustain joy in work and well-being for the health care workforce.
WIHI: How to Navigate Power and Enhance Psychological Safety
February 26, 2020 | How can we better understand, and successfully navigate, the power dynamics throughout the health care workforce?
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
January 23, 2020 | With the growing complexity of health care, there's growing concern that health care providers are bearing a lot of the brunt. What role can human factors play in addressing these issues?
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
November 7, 2019 | Hear how one team at Michigan Medicine has implemented IHI's Framework for Improving Joy in Work to achieve sweeping results.
Applying Community Organizing Principles to Restore Joy in Work
Through the process of delving more deeply into the topic of fostering joy in work and reducing burnout, IHI has discovered four lessons from the field of community organizing that are readily applicable to nurture joy in the health care workforce.
Why Focusing on Professional Burnout Is Not Enough
With professional burnout rates in health care at an all-time high, IHI suggests shifting the focus from “burnout” to “joy in work.” This article describes the role of leaders and four proven steps to create joy in work.
WIHI: Mindfulness and Patient Safety
March 8, 2018 | Clinicians are discovering that practicing mindfulness can be restorative in the middle of a hectic day, create mental space to be more tuned into patients, and reduce the likelihood of medical errors.
"What Matters to You?" Conversation Guide for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this resource is intended to help leaders guide conversations with colleagues about “What matters to you?” — Step 1 of the Four Steps for Leaders, described in detail in the IHI White Paper, IHI Framework for Improving Joy in Work.
WIHI: How to Beat Burnout and Create Joy in Work
September 28, 2017 | Burnout in health care is a big and complex topic. We present an action-oriented framework to help leaders and managers more effectively engage with staff to identify what gets in the way of joy in work, and to develop solutions together.
IHI Framework for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this white paper describes four steps leaders can take to improve joy in work; a framework with nine critical components for ensuring a joyful, engaged workforce; key change ideas; and measurement and assessment tools.
Restoring Joy in Work for the Healthcare Workforce
While burnout in the health professions is alarmingly high, restoring joy in work is more than just reducing burnout. This article describes four key steps that leaders can take to restore, foster, and nurture joy in the health care workforce.
WIHI: Joy in Work: An Antidote to Today's Burnout in Health Care
May 5, 2016 | What can make the difference between having the tools and the support to manage new realities in health care vs. being overwhelmed and drained? Plenty. Guests share how they are addressing staff burnout and increasing joy in work for the health care workforce.
Physician-Organization Collaboration Reduces Physician Burnout and Promotes Engagement: The Mayo Clinic Experience
This article describes Mayo Clinic's model which seeks to maximize physician wellness by fostering engagement and mitigating the drivers of burnout. The model provides a path to increase physician satisfaction and meaning in work and to improve organizational effectiveness.
WIHI: Morality Matters: How to Reset the Mission of Quality Improvement
February 18, 2016 | What is the “true north” for the health care quality improvement movement? What are the questions leaders and champions of quality and safety initiatives must periodically ask themselves as a natural part of the process of seeking dramatic change? For IHI’s founder, Don Berwick, the questions, and the answers, are often moral ones.
WIHI: Making the Work of QI Less Draining and More Sustaining
June 5, 2014 | This WIHI features a discussion of ways health care organizations can be mindful of the burden constant change and improvement efforts place on frontline staff.