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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.
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.
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 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 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.