archive-org.com » ORG » I » IHI.ORG

Total: 1209

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Always Events
    for the development of IHI s Always Events framework This framework provides a strategy to help health care providers identify develop and achieve reliability in person and family centered care delivery processes IHI s Always Event Framework An Always Event is a clear action oriented and pervasive practice or set of behaviors that Provides a foundation for partnering with patients and their families Ensures optimal patient experience and improved outcomes and Serves as a unifying force for all that demonstrates an ongoing commitment to person and family centered care An Always Event must meet four criteria Important Patients and family members have identified the event as fundamental to improving their experience of care and they predict that the event will have a meaningful impact when successfully implemented Evidence based The event is known to contribute to the optimal care of and respect for patients and family members either through research or quality improvement measurement over time Measurable The event is specific enough that it is possible to determine whether or not the process or behaviors occur reliably This requirement is necessary to ensure that Always Events are not merely aspirational but also quantifiable Affordable and Sustainable The event should be achievable and sustainable without substantial renovations capital expenditures or the purchase of new equipment or technology This specification encourages organizations to focus on leveraging opportunities to improve the care experience through improvements in relationship based care and in care processes Video What Is an Always Event IHI faculty Barbara Balik RN explains More on This Topic Loading Pages first last Always Events Getting Started Kit Always Events are aspects of the patient experience that are so important to patients and families that health care providers must perform them consistently for every patient every time IHI created the Always Events Getting Started Kit to help providers at the front lines of care understand what an Always Event is how to select a set of practices for an Always Event initiative and the steps for implementing the initiative A Focus on Always Events The IHI Always Events framework is a strategy to help health care leaders identify develop and achieve reliability in a person and family centered care delivery process This article describes Always Events provides examples and identifies specific leadership actions to support organizations in implementing Always Events Transplant Guardian Angel Always Event The Transplant Guardian Angel program was developed to ensure that patients and families are supported through the transplant surgical process by providing them with accurate real time updates and clinical information thereby reducing anxiety and increasing effective communication between care delivery teams MyStory Always Event MyStory is an interprofessional effort designed to personalize the care provided to pediatric patients and transform the hospital experience for the patients and families by capturing each pediatric patient s story and use the story to personalize the care provided and involve them in care planning and decision making WIHI Recognizing Person and Family Centered Care Always Events at IHI September 26 2013

    Original URL path: http://www.ihi.org/Topics/AlwaysEvents/Pages/default.aspx (2016-02-01)
    Open archived version from archive


  • A Vision for "What Matters to You?"
    workers around the world seek to understand the comprehensive needs and goals of the patients they serve Yet in the busy world of clinical care there are innumerable situations where what really matters to patients and their family members is not understood or addressed In their 2012 New England Journal of Medicine article Dr Michael Barry and Susan Edgman Levitan introduced the concept of asking What matters to you as well as What is the matter in the context of implementing shared decision making Their ambition was to increase clinicians awareness of important issues in their patients lives that could drive customized plans of care IHI believes that What Matters is a simple yet profound concept that is key to creating deeply personal engagements with patients and their family members a deeper understanding of what really matters to them and is the foundation of developing genuine partnerships for co creating health We ve learned about many examples of dramatic positive impact when clinicians inquire more deeply about what is really important to their patients In many cases asking about What Matters has improved the individual s care plan and enhanced the patient s relationship with their health care provider In some cases we ve learned about improved health outcomes What Matters in the Home Health Setting Catherine Mather IHI Senior Project Manager explains the origins of incorporating What matters to you in addition to What s the matter She also tells the stories of Frank and Ethel and how changing how their care providers communicate with them helped improve their overall health What Matters in the Office Practice Setting Christina Gunther Murphy IHI Executive Director describes cards that are used in an office practice to help frame conversations between patients and care providers to address health and health care concerns What Matters in the Hospital Setting Pat Rutherford IHI Vice President shares how understanding deeply personal things about pediatric patients can help improve their care in the hospital She also shares strategies around whiteboard use and medication management to use the concept of What matters to you to improve patient care Changing the Conversation from What s the matter to What matters to you In this video from her 2012 IHI International Summit keynote presentation IHI President and CEO Maureen Bisognano outlines a vision of changing the conversation to find out what matters to patients and their families More on This Topic Loading Pages first last WIHI New Tools and Thinking for Shared Decision Making January 28 2016 If you work in primary care today odds are good that you re seeing patients with multiple chronic conditions Even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health the best laid plans often fall apart WIHI Realizing What Matters to Patients and Families January 14 2016 A few years ago IHI and others began suggesting to providers that instead of routinely asking patients What s the matter

    Original URL path: http://www.ihi.org/Topics/WhatMatters/Pages/default.aspx (2016-02-01)
    Open archived version from archive

  • A Simple Question to Put Patients in the Driver’s Seat
    meals Instead we understood that eating out with his friends was what mattered to Mr Smith So we worked with him on how to adjust his diet the day before the morning of and the evening after ROMEO Club so he did not end up with excess sodium and fluid gain What we learned about Mr Smith followed him throughout the whole continuum of care We first took care of Mr Smith in home health But when his disease eventually progressed we were able to address his needs when he transitioned to hospice care where the team arranged for the ROMEO Club to come to Mr Smith s home and bring him a meal even when he could only take a bite of it After Mr Smith died we offered bereavement support to the members of the ROMEO Club because they were his extended family Convincing the Skeptics There is no skeptic like a nurse who has been practicing for more than 30 years They ve seen it all They re understandably suspicious of anything that might be a flavor of the month gimmick When we first introduced the concept of What matters to you to one nurse in particular we ll call her Julie she crossed her arms and wore a look on her face that said This isn t going to make any difference But we ve learned from IHI s quality improvement methods that you can build a cascade of success by starting with a small test of change Even the most adamant doubters are willing to try a new idea once if only to prove you wrong We invited our clinicians including Julie to test asking What matters to you with one or two patients Julie was working with a woman in her eighties and she decided she would try it during their next visit She said to her patient Before we get started on my list of other questions I want to hear what s important to you What would you like to make sure we address today The patient leaned forward and stared at her for what seemed like a long time Then all of a sudden she burst into tears Surprised Julie said Oh my goodness I am so sorry Are you alright I didn t mean to upset you The woman finally explained that the question initially overwhelmed her She said In 84 years I have never had a single health care provider ask me that question It changed the entire interaction During our next weekly multidisciplinary case conference Julie shared what happened with the group She had become a believer Given her initial skepticism her complete turnaround was particularly profound A Guided Partnership with Patients We ask patients to do or not do all kinds of things But do we always take the time to help them understand how these actions or medications are going to help them reach their goals Are we helping connect the dots to what matters most

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=185 (2016-02-01)
    Open archived version from archive

  • WIHI: Realizing “What Matters” (to Patients and Families)
    WIHI Realizing What Matters to Patients and Families Page Content Date January 14 2016 Featuring Beth Hennessey RN MSN Executive Director of Integrated Care Management Sutter Center for Integrated Care Paula Suter RN MA Director of Clinical Care Sutter Center for Integrated Care Geraldine Marsh Improvement Advisor for Older People s Care NHS Greater Glasgow and Clyde Healthcare Improvement Scotland Jennifer Rodgers Chief Nurse Pediatrics and Neonates NHS Greater Glasgow and Clyde Healthcare Improvement Scotland Christina Gunther Murphy Executive Director Institute for Healthcare Improvement IHI A few years ago IHI and others began suggesting to providers that instead of routinely asking patients What s the matter with you they should begin asking What matters to you Ever since many have been struck by the richness and the value of what they learn when they ask this apparently simple question So much so champions of this concept in the improvement community are now working hard to spread the practice And they re demonstrating how to reliably embed it into routine habits of providing more patient centered care IHI has been tracking these developments and we d like to share what we re finding out with this WIHI We headed out to the West Coast of the US Sutter Health and across the pond NHS Scotland for terrific examples of what s possible when clinicians are genuinely curious about a patient s priorities at any single encounter over the course of an illness or when dealing with a chronic disease Read the related blog post A Simple Question to Put Patients in the Driver s Seat Watch Highlights from the WIHI Broadcast Silverlight web part for playing Audio and Video files Listen to the Audio Broadcast Silverlight web part for playing Audio and Video files Download and subscribe to WIHI podcasts on iTunes Documents Documents WIHI Slides WIHI Resources WIHI Chat Average Content Rating 0 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last WIHI New Tools and Thinking for Shared Decision Making January 28 2016 If you work in primary care today odds are good that you re seeing patients with multiple chronic conditions Even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health the best laid plans often fall apart WIHI Medicare Reimbursement and Meaningful Conversations about End of Life Care November 19 2015 This WIHI explores whether the new US Centers for Medicare Medicaid Services payment options to reimburse practitioners for talking with Medicare recipients about end of

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/WIHIWhatMatters.aspx (2016-02-01)
    Open archived version from archive

  • "Together": Maureen Bisognano, IHI National Forum 2010 Keynote
    Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide Together Maureen Bisognano IHI National Forum 2010 Keynote Page Content Keynote Presentation at IHI 22nd Annual National Forum on Quality Improvement in Health Care December 7 2010 In her keynote speech titled Together IHI President and CEO Maureen Bisognano urges providers to help patients and communities improve their overall health as part of the IHI Triple Aim The full length video of Maureen s speech and videos of other 22nd Annual National Forum keynote speakers are available on IHI TV Watch Video Clip Silverlight web part for playing Audio and Video files Average Content Rating 0 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was an error reporting your complaint More on This Topic Loading Pages first last Healthy Shelby A Triple Aim Improvement Story This Triple Aim improvement story examines the work of the Healthy Shelby Initiative in Tennessee a community pursuing a regional focus to improve population health by linking public health hospitals health care providers social service providers academic institutions the faith community local government and funders to work together to tackle some of the county s most critical health problems infant mortality chronic disease management and end of life care Indian Health Service Chinle Service Unit A Triple Aim Improvement Story This Triple Aim improvement story on the Indian Health Service Chinle Service Unit is

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/BisognanoForum2010KeynoteClip.aspx (2016-02-01)
    Open archived version from archive

  • Session Details
    Available Monday Friday 9am 5pm ET IHI Offering Page Session Details Page Content As your organization strives to improve the value of health care it s important to ask these critical questions A re your patients healthier than they were before surgery or other clinical intervention Are you collecting and using data in ways that help you evolve from a volume based system to a patient centered value system Are you able to leverage individual patient outcome data to provide personalized high quality health care to the patients you serve In short Are you implementing and using patient reported measures to your full advantage Historically health care organizations have defined patient outcomes by the data they gather to meet regulatory requirements or to inform of unanticipated events Many overlook the best source of information regarding the success of a clinical treatment or procedure patients Too often data on the patient s view of her or his own healing and recovery is not collected or gathered in an unreliable way While current efforts to track readmissions and infections are designed to measure harm Patient Reported Measures also commonly known as Patient Reported Outcome Measures are used to improve the value of care by gleaning health information directly from patients Currently the use of Patient Reported Measures PRMs is common in countries around the world and is growing in the U S More than just the latest health care fad PRMs have the potential to help health care providers make more informed decisions and achieve a high quality high value health system To guide organizations along this path the Institute for Healthcare Improvement IHI has designed the web based 5 session program Patient Reported Measures A Key to High Value Health Systems Designed for nurse and physician leaders clinical teams research and

    Original URL path: http://www.ihi.org/education/WebTraining/Expeditions/2016MarchPatientReportedMeasuresAKeytoHighValueHealthSystems/Pages/default.aspx (2016-02-01)
    Open archived version from archive

  • Patient- and Family-Centered Care Organizational Self-Assessment Tool
    and leaders from the front line to the executive office Be sure to also include patient and family advisors in the assessment Review each question and indicate a rating of 1 to 5 for each with 1 being low and 5 being high or indicate Do not know The 1 to 5 rating for each question is discussed by team members as an essential part of the assessment What does being a 5 on this question mean to us How would we know we are a 5 What would it take for us to rate ourselves a 5 consistently Questions with a Do not know response should seek further team discussion such as Why don t we know this How can we find out Why is it important to find out Summarize the findings and then determine next steps What is most important for us to address Where do we have strengths that we need to make sure others see and build on How can we gain more patient and family advice on what to focus on next Documents Patient and Family Centered Care Organizational Self Assessment Tool Featured Content first last Partnering with Patients and Families to Design a Patient and Family Centered Health Care System A Roadmap for the Future This paper provides background information to facilitate the development of an action plan to ensure that sustained meaningful partnerships with patients and families are in place in hospitals and health systems Average Content Rating 2 users Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments by Louise Jenkins 1 17 2016 8 34 27 PM Is there a standard score on this tool when it comes to saying an area is in need Say 3 or below then prioritize those Thanks for input loading Did you find this user comment useful people found this user comment useful Report This by Marco Sosa 1 29 2015 5 31 18 PM Had been used this tool outside USA and traslated in Spanish I m very interested to doing something with it in Colombia South America loading Did you find this user comment useful people found this user comment useful Report This by Hilary Young 6 2 2014 3 51 50 PM interesting loading Did you find this user comment useful people found this user comment useful Report This by Bonnie Lantz 5 20 2014 11 55 28 AM Good overview of what patient family care should encompass Provides basis of assessment and areas for improvement loading Did you find this user comment useful people found this user comment useful Report This by Diann Martin 4 2 2014 6 14 40 PM good form to use as a baseline loading Did you find this user comment useful people found this user comment useful Report This by Tambe Stanley Nkongho 8 3 2013 3 22 18 PM Greetings I like this course I wish to take exam on it loading Did

    Original URL path: http://www.ihi.org/resources/Pages/Tools/PatientFamilyCenteredCareOrganizationalSelfAssessmentTool.aspx (2016-02-01)
    Open archived version from archive

  • Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: A Roadmap for the Future
    A Roadmap for the Future A Work in Progress Institute for Family Centered Care and Institute for Healthcare Improvement unpublished manuscript June 2006 This paper provides background information to facilitate the development of an action plan to ensure that sustained meaningful partnerships with patients and families are in place in hospitals and health systems in community clinics and other ambulatory settings in schools educating the next generation of health care professionals in national associations in federal state and community agencies in foundations and advocacy organizations and among payers The paper was drafted at the request of The Robert Wood Johnson Foundation in preparation for a one day invitational meeting convened by the Institute for Family Centered Care and the Institute for Healthcare Improvement in June 2006 See also Partnering with Patients and Families to Design a Patient and Family Centered Health Care System Recommendations and Promising Practices April 2008 Documents Documents View paper Featured Content first last Patient and Family Centered Care Organizational Self Assessment Tool Use this self assessment tool to assess how your organization is performing in relation to specific components of patient and family centered care or as a basis for conversations about patient centeredness in the organization Average Content Rating 1 user Your comments were submitted successfully Please enter a comment Please login to rate or comment on this content User Comments by Neil Licht co founder this is what i want 1 22 2015 1 02 22 PM How can we and our families clearly define and prevent medical care or steps being taken that we don t want taken What if stuff happens and you aren t there or reachable in time to guide the MD s and other supporters re the care and measures for our loved ones What if we can t speak ourselves while in a medical emergency to tell the medical people what steps we actually want the medical people to take and what we don t want them to do I found a medical directive tool that we all should obtain and use to assure that our wishes for the care we want and its limits tells the Medical Care people or our loved ones exactly what we want we want medically done or not done as treatment steps It s called This is what I want http www thisiswhatiwant info It seems to be a unique yet powerful tool that we should all have as care givers daughters sons or even as parents or aging parents for ourselves and our loved ones to follow when that medical emergency happens Here loading Did you find this user comment useful people found this user comment useful Report This Show More Comments Loading You are about to report a violation of our Terms of Use All reports are strictly confidential Reason Select One Contains profanity or violence Spam Defamatory Illegal Unlawful Copyright Violation Other Please select a reason for this report Add a Note Your comments were submitted successfully There was

    Original URL path: http://www.ihi.org/resources/Pages/Publications/PartneringwithPatientsandFamilies.aspx (2016-02-01)
    Open archived version from archive