Institute for Healthcare Improvement

A Simple Way to Involve Frontline Clinicians in Managing Costs

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.

WIHI: QI Takes on Veteran and Chronic Homelessness

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.

Personalized Perfect Care

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 Framework to Guide Practice Facilitators in Building Capacity

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 Age-Friendly Health System Imperative

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.

When Patients and Their Families Feel Like Hostages to Health Care

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.

New Survey Looks at Patient Experiences with Medical Error

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.

Join IHI for Annual Conference on Improving Health and Health Care

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.

IHI Announces Safety Culture and Technology Innovator Award Recipients

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.

IHI/NPSF Project Seeks to Improve Assessment and Management of Acute Pain

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.

IHI Board of Directors Adds New Members, Appoints New Board Chair

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.

Breaking the Rules and Shaping the Future of Health Care

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.

WIHI: Tuning Up Health System Boards for Patient Safety

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.

IHI and Brazil's Hospital Israelita Albert Einstein Expand Successful Approach to Reduce Unnecessary C-Sections

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.