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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.
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 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 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: Using Improvement Science to Accelerate Community Transformation
This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), provides practical guidance on how to use improvement methods and tools in community-based settings to advance health, well-being, and equity.
A Guide for Health Systems to Save Lives from “Deaths of Despair” and Improve Community Well-Being
This guide provides recommendations and guidance for health care systems to improve mental health and well-being in the communities they serve, focusing specifically on saving lives from deaths of despair (i.e., deaths due to drugs, alcohol, and suicide).
Accelerating Population Health Improvement
This article describes how applying improvement methods to population health improvement efforts could help close equity gaps.
Assessing Community Health Needs
This article presents four practical ways hospital leaders can improve the linkage between the community health needs assessment process, community benefit spending, and efforts to improve population health in the communities they serve.
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.
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.
Can the Accountable Care Organization Model Facilitate Integrated Care in England?
Accountable care organizations (ACOs) in the US, in which groups of providers are responsible for the helath outcomes of a designated population, are regarded as having the potential to foster collaboration across the continuum of care. This article contends that ACOs could have a similar role in England’s National Health Service (NHS), provided that the differences in context are taken into consideration before implementing a similar model, adapted to suit the NHS’s strengths.
Creating Age-Friendly Health Systems: A Vision for Better Care of Older Adults
This article describes the background, evidence-based changes, and testing, scale-up, and spread strategy that are part of the design of the Creating Age-Friendly Health Systems initiative to improve care for older adults.
Creating Age-Friendly Health Systems: How to Meet the Needs of a Growing Population of Older Adults
This article explains an emerging care model for older adults focused on the “4Ms” of Age-Friendly Health Systems — What Matters, Mobility, Medications, and the Mentation of older adults — that is in the testing phase at five health systems, as part of the Creating Age-Friendly Health Systems initiative led by IHI.
Cross-Continuum Collaboration in Health Care: Unleashing the Potential
This articles proposes enabling factors for successful cross-continuum collaboration to ensure that relevant post-acute and primary care, as well as community services and supports, are available in a coordinated fashion to meet the needs of patients across the care continuum.
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.”
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.
Guide for Developing an Information Technology Investment Road Map for Population Health Management
This article proposes an organized approach with specific steps to help health care organizations invest in population health management information technology, to enhance their chances for a successful transition from volume-based to value-based care.
Healthy Shelby: A Triple Aim Improvement Story
This Triple Aim improvement story examines the work of the Healthy Shelby Initiative in Tennessee, a community pursuing a regional focus to improve population health by linking public health, hospitals, health care providers, social service providers, academic institutions, the faith community, local government, and funders to work together to tackle some of the county’s most critical health problems: infant mortality, chronic disease management, and end-of-life care.
Improving the Health of Populations
With the rapid growth of accountable care organizations, health care delivery organizations are expanding their scope of accountability and changing how they identify and define their immediate goals and longer-term aspirations. Yet the terms to describe this approach — “population health” and “population management” — are often used interchangeably. This article makes the case that a common language is needed, provides clarification around terminology, and offers five questions for health care leaders to explore.
Integrating Behavioral Health in the Emergency Department and Upstream
This IHI Innovation Report discusses barriers to integrating behavioral health in the ED, and presents five drivers (emerging from six key themes from existing approaches) that form the building blocks of a theory of change for making improvements in this area.
Population Health: Creating a Culture of Wellness
This book offers an educational foundation for both professionals and students on the need for population health management has never been more eminent.
Postal Service “Call & Check Visits” for Isolated, Frail Elderly in the Community
This case study from the IHI/Commonwealth Fund International Program for US Health Care System Innovation describes the "Call & Check Visits” program developed by Jersey Post in Jersey, British Channel Islands, in which postal service workers check on isolated, frail elderly residents in the community, deliver prescription refills, remind clients of upcoming medical visits, and ask about their health and social needs.
Pursuing the Triple Aim: The First Seven Years
The concept of the Triple Aim is now widely used, because of IHI’s work with many organizations and also because of the adoption of the Triple Aim as part of the national strategy for US health care. Drawing on IHI's seven years of experience, this article describes the three major principles that guided the organizations and communities working with IHI on the Triple Aim.
Signature Healthcare: A Triple Aim Improvement Story
By creating a process to improve care for the frail elderly Medicare population with complex needs, and by building the supporting infrastructure in primary care, Signature Healthcare was successful in decreasing emergency department utilization and reducing acute admissions while maintaining patient satisfaction. The organization was a participant in the IHI Triple Aim Community from 2012 to 2014.