Providers and patients have identified the top 10 health care rules that they say should be changed to improve care quality—and health care executive and managers can take action on the vast majority of them, according to according to a new JAMA viewpoint from the Institute for Healthcare Improvement (IHI).
As the Centers for Medicare & Medicaid Services encourage health care providers to reduce avoidable readmissions, better discharge planning has become a priority for hospitals. When patient transitions are top of mind for hospitals, better care is the result.
The prospect of finding partners to achieve more than one could alone is inspiring, and the prospect of losing oneself in the process is frightening. Collaboration among a litany of health care and community-based organizations (CBOs) has become a popular approach to pursuing health improvements in cities and towns across the United States. Lauren Taylor of Health Affairs Blog dives into what to expect when managing a population health coalition.
While a community-wide approach is also needed to effectively address the opioid crisis, the authors describe some key actions that both providers and organizations can take to begin making a difference, including changing provider prescribing practices.
In this NEJM Catalyst article, several members of the IHI Leadership Alliance write, “Bill or no bill, we still need to move forward and continue our focus on improving health and health care for our patients and our communities while reducing costs” (the IHI Triple Aim).
June 14, 2017 | Learning from failure is an important part of quality improvement in health care. But what can we learn from improvement efforts that languish or stall due to the inglorious nature of the work itself?
Regulations can create a major time suck for staff in healthcare facilities, but digging a little deeper into protocols that hospitals follow rigidly could reveal that some rules are made to be broken. That's the conclusion of Don Berwick, M.D., president emeritus of the IHI, and coauthors from the organization, in a Viewpoint article published in the Journal of the American Medical Association.
Although we are aware of the weaknesses in our system, there is a general lack of urgency in healthcare, and it's concerning. The National Patient Safety Foundation's Lucian Leape Institute, which recently merged with the Institute for Healthcare Improvement, observed in its 2015 report, "Shining a Light: Safer Health Care through Transparency," that harm from medical errors continues at unacceptable levels and the U.S. healthcare system is buckling under the costs of care.
In a recent interview with the Institute for Healthcare Improvement blog, Tejal Gandhi, MD, the new chief clinical and safety officer with IHI, said a total systems approach to patient safety is the future of the movement.
Years of research and initiatives focused on prevention and promoting healthier behaviors have missed the mark because they fail to tackle arguably the single greatest contributor to the chronic disease epidemic—mental illness.
2016 marked the 28th year of an event that has shaped the course of health care quality improvement in profound, enduring ways — IHI's annual National Forum on Quality Improvement in Health Care. This conference is more than a chance to network with nearly 6,000 health care professionals and gain actionable ideas for your organization. It's also an opportunity to play a part in effecting real change in health care quality and safety.
Some patients are learning how to administer their own treatments outside of the health care setting — from pain management, to dialysis, to intravenous antibiotics. This article describes five keys to a successful approach to implementing patient-administered self-care and provides examples of organizations that have established such initiatives.
June 1, 2017 | Technology is everywhere in health care. It's fast, it's efficient, and it can reduce errors. But, technology is not a cure-all. It can make people complacent, introduce new errors, and get in the way of meaningful face-to-face interactions.
For specific procedures and treatments, health care providers can train individuals to administer their own self-care, on their own time, without supervision or dependence on a licensed professional. Patient-administered self-care can occur either in traditional health care facilities or another location of the patient's choosing outside of a facility.
Ellen Goodman, a former longtime Boston Globe columnist, joined forces with IHI, Dr. Atul Gawande, and Andrew Dreyfus, to found The Conversation Project in 2010. The Conversation Project offers tools online to help talk with a loved one before a crisis hits, which makes it easier to communicate with health care providers when there is a crisis.
Dr. Berwick, the former CMS administrator and current senior fellow at the Institute for Healthcare Improvement, spoke to a crowd at the 19th Annual National Patient Safety Foundation Patient Safety Congress Thursday. During the speech he highlighted some missteps in the approach that the patient safety community has taken throughout its improvement journey.
Sponsored by the Student Opioid Coalition – a team of students that organizes projects to reduce the number of opiate-related deaths in Dayton, Ohio – more than 40 students gathered at the Wright State University Boonshoft School of Medicine in late April, to address the opioid epidemic by learning how to administer Naloxone, also known as Narcan, the drug used to treat opioid overdoses.
Health care is personal, especially when it comes to caring for someone as they approach death. However, half of Americans feel they have too little control over end-of-life medical decisions. As the industry moves toward a more holistic approach to care delivery, health care organizations are beginning to rethink how they treat patients and starting to embed end-of-life care plans into the overall approach earlier on, sometimes before people even become ill.
Don Berwick, MD, shared six book recommendations for patient safety leaders during a keynote address at the 19th Annual National Patient Safety Foundation Patient Safety Congress.
Patient safety experts have long urged healthcare executives to create, shape and sustain a culture of safety within their organizations. Now there is a manual to help them do just that and advance their patient safety and workplace safety efforts.