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.

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.

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.

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.

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.

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.

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.

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).

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.