When patients and their clinical teams work as partners, there’s a greater likelihood of better outcomes for patients and greater satisfaction for health care providers, many of whom have been suffering high rates of burnout in recent years. Institute for Healthcare Improvement President and CEO, Derek Feeley, chose this theme today to open up the 2017 IHI National Forum on Quality Improvement in Health Care. Feeley addressed nearly 5,500 health care professionals, health leaders, students, patient advocates, and community improvers.
In this essay, Don Berwick considers moral choices physicians face personally, organizationally, and globally and exhorts them to understand that the health of humanity depends on their speaking out against the social injustice of overpricing drugs and services, mass incarceration, and the lack of environmental responsibility.
The IHI/NPSF Lucian Leape Institute, in partnership with the independent research institution NORC at the University of Chicago, recently conducted a public opinion survey of 2,500 US adults representing a cross-section of the population. When asked about patient safety, 41 percent of adults in the United States have some experience with medical error, either directly or indirectly. What lessons does this information offer to our leaders in Washington?
There are 380 pregnancy medical homes in 94 of North Carolina’s 100 counties. According to Community Care of North Carolina, the nonprofit group hired by the state to oversee the program, 94 percent of obstetrical practices that serve the Medicaid population participate in the program.
Today’s doctors face moral choices all the time, including those that challenge their personal honesty, the organizations they work for and the society they live in, says Donald M. Berwick, MD.
December 7, 2017 | Victor Montori argues that it is time for providers to look up from strict protocols and guidelines long enough to get curious about their patients' lives and begin to minimize barriers to better health, not add to them.
This report assesses the state of patient safety in health care, advocating for a total systems approach across the continuum of care and establishment of a culture of safety, and calling for action by government, regulators, health professionals, and others to place higher priority on patient safety improvement and implementation science.
This document examines best practices for using root cause analysis (RCA) to improve patient safety, and includes guidelines to help health professionals standardize the RCA process and improve the way they investigate medical errors, adverse events, and near misses.
The Institute for Healthcare Improvement (IHI) released guidelines to help standardize the ways in which primary care practitioners activate referrals to specialists and then keep track of the information over time. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era is the work of an expert panel convened to examine current obstacles to a high quality, safe referral process and offer improvement strategies.
The recommendations outlined in this publication are designed to help standardize the ways in which primary care practitioners activate referrals to specialists, and then keep track of the information over time. It describes a nine-step, closed-loop process in which all relevant patient information is communicated to the correct person through the appropriate channels and in a timely manner.
November 21, 2017 | Is "hostage" the right way to describe how patients and family members sometimes feel when they're trying to get the care they need?
The continuing evidence of preventable deaths due to medical error has led to recent calls to improve measurement of safety in hospitals. This need can be adequately addressed by harnessing health information technology.
Discharge to Assess (D2A) (also referred to as "flipped discharge") is a redesign of the care process at Sheffield Teaching Hospitals in the UK that involves assessing a patient’s needs after discharge in the patient’s own home rather than in the hospital. Activities that traditionally happen at the end of a hospital admission are instead performed successfully and safely at home, thus enabling patients who are medically ready to go home earlier and spend less time in the acute care setting.
November 9, 2017 | The health care quality improvement movement has rallied around some significant innovations over the years, many of which have had a lasting impact.
This tool is intended to be used as a starting guideline for individuals in the health care delivery context as they work to identify key areas of focus on racial justice and health equity, serving as a resource to begin conversations with teams within the organization toward developing a deeper understanding of structural racism and its impact on achieving health equity.
This article explains an emerging care model for older adults focused on the “4Ms” of Age-Friendly Health Systems — What Matters, Mobility, Medications, and the Mentation of older adults — that is in the testing phase at five health systems, as part of the Creating Age-Friendly Health Systems initiative led by IHI.
This curated publication highlights 10 ideas that have emerged from IHI's systematic 90-day innovation approach, including reflections on the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, and other frameworks and fresh thinking that have been replicated around the world.
October 26, 2017 | These days, no one thinks twice about getting a mole removed or undergoing cataract surgery outside of a hospital. Upwards of 20 million outpatient procedures are performed in the US each year. As those numbers rise, so do concerns about safety.
This white paper guides health care leaders and quality improvement teams through an in-depth examination of a system-wide view of patient flow within (and outside) the hospital, including high-leverage strategies and interventions to achieve hospital-wide patient flow.
This article proposes quality improvement and implementation initiatives in health care, regardless of scope and resources, can be enhanced by applying epidemiological principles adapted from Bradford Hill Criteria to strengthen evidence of effectiveness.