This article describes the building blocks of a value-management system in health care. The approach that IHI co-developed includes a simplified method to understand quality, cost, and workforce capacity on a weekly basis; a visual management system to present and analyze this data regularly; and daily, point-of-care communication to support continuous improvement.
October 12, 2017 | Often, what goes around really does come around. And that's been a good thing for an initiative focused on housing chronically homeless individuals along with high numbers of US veterans who are living on the streets.
The authors propose measuring quality from the patient’s perspective as an expression of his or her personalized health needs. The Personalized Perfect Care Bundle combines several distinct measures into one and is scored as “all-or-none,” with the patient’s care being counted as complete if he or she has met all of the quality measures for which he or she is eligible.
A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. This article finds a high frequency of blame in a random sample of safety incident reports in the UK, suggesting that there are still opportunities to shift toward a more systems-focused, blame-free culture in health care.
Engaging practice facilitators — individuals trained to build the improvement skills of ambulatory care teams — is an increasingly attractive approach, supported by a growing body of evidence that these facilitators are highly effective. This article lays out a framework to guide practice facilitators in building improvement capacity.
The article gives an overview of how five early-adopter US health systems — working in partnership with IHI and The John A. Hartford Foundation as part of the Creating Age-Friendly Health Systems initiative — are testing prototype models for age-friendly care using continuous improvement efforts to streamline and enhance new approaches to geriatric care.
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.
A power imbalance often still exists in the patient-provider relationship, particularly when high-stakes health decisions have to be made. This article explores this dynamic, likening it to “hostage bargaining syndrome” — that is, the patient behaves as if negotiating for their health from a position of fear and confusion -- and suggests ways to counteract this behavior.
September 28, 2017 | Burnout in health care is a big and complex topic, and joy in work doesn't happen overnight, but we're in it for the long haul.
The vast majority of Americans are having positive experiences with the health care system, but 21 percent of adults report having personally experienced a medical error, according to a new national survey released today by the IHI/NPSF Lucian Leape Institute and NORC at the University of Chicago. The survey further finds that, when errors do occur, they often have lasting impact on the patient’s physical health, emotional health, financial well-being, or family relationships.
The Institute for Healthcare Improvement, newly merged with the National Patient Safety Foundation (NPSF), and thousands of physicians, nurses, quality leaders, administrators, front-line staff, researchers, public health and community leaders, quality and safety professionals, patients and patient advocates, and students sharing new approaches to improving the health and health care of patients and communities.
A pioneer in the use of medical simulation and a team that introduced a hospital-wide, automated hand hygiene monitoring program have been chosen to receive the 2017 IHI/NPSF Lucian Leape Institute Medtronic Safety Culture & Technology Innovator Awards. The awards will be conferred on September 28 at the 10th Annual IHI/NPSF Lucian Leape Institute Forum & Keynote Dinner in Newton, Massachusetts.
September 15, 2017 | What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety?
The Institute for Healthcare Improvement (IHI), which merged with the National Patient Safety Foundation (NPSF) in May, has received support from Pacira Pharmaceuticals, Inc., to develop a tool to help reduce harm to patients from the over administering of opioids to treat acute pain. The tool will specifically address patients being treated in inpatient and emergency department settings.
As part of the National Patient Safety Foundation’s (NPSF) recent merger with the Institute for Healthcare Improvement (IHI), IHI today announced the appointment of four former NPSF Board members to the IHI Board of Directors. New members of the IHI Board include Ann Scott Blouin, RN, PhD, FACHE, Executive Vice President, Customer Relations, The Joint Commission; Gerald B. Hickson, MD, Senior Vice President, Quality, Safety, & Risk Prevention, Joseph C. Ross Chair in Medical Education and Administration, Vanderbilt University Medical Center; Mary Beth Navarra-Sirio, RN, MBA, Principal, Sirio2 Healthcare Innovations; and Sam R. Watson, MSA, CPPS, Senior Vice President, Patient Safety and Quality, Michigan Health & Hospital Association (MHA) Keystone Center. In addition, current board member, Michael Dowling, President and Chief Executive Officer, Northwell Health, assumes the role of IHI Board Chair, previously held by Gary S. Kaplan, MD, Chairman and CEO, Virginia Mason Health System.
Members of the Institute for Healthcare Improvement (IHI) Leadership Alliance are convinced that with or without formal changes in federal law, health care organizations must act to improve care and reduce health care costs. That’s why leaders from more than 40 health systems across the US and Canada have been working together to develop fresh ideas and to keep the momentum going on improving quality in health care.
September 15, 2017 | What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety? This WIHI discusses some of the latest thinking on more effectively engaging boards in quality and safety.
Building on the work of a successful 18-month demonstration project, today the Institute for Healthcare Improvement (IHI) and Brazil’s Hospital Israelita Albert Einstein (HIAE) announced they have received $1.5 million in funding from Merck for Mothers* for a continuation of Projeto Parto Adequado (PPA), which encourages vaginal birth among low-risk women in public and private hospitals in Brazil.
August 24, 2017 | You may have a lot of solid data pointing to outcomes disparities in your health system by race, ethnicity, and other factors. What does health equity look like in your community and where you work? In what ways is your organization making health equity a strategic priority?