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  • Improvement Stories
    individuals teams and organizations Improvement Stories Click View All to see all pages Loading Pages first last Profiles in Improvement Azhar Ali IHI Executive Director Middle East and Asia Pacific In this profile IHI Executive Director Azhar Ali talks about the path that led him to IHI and the growing portfolio of IHI s work in the Middle East and Asia Pacific regions that he is overseeing and helping to build Profiles in Improvement Jennifer Lenoci Edwards RN MPH IHI Director Patient Safety In this profile Jennifer Lenoci Edwards IHI Director of Patient Safety talks about the experiences that shaped her passion and dedication to improving safety and the current focus of IHI s work in patient safety which includes safety across the continuum of care engaging patients in safety efforts and supporting health care teams in improving system reliability and enhancing their joy in work Profiles in Improvement Sodzi Sodzi Tettey MD MPH IHI Director of Project Fives Alive Dr Sodzi Sodzi Tettey IHI Senior Technical Director for the Africa Region talks about his work in Ghana with Project Fives Alive including the encouraging results they re seeing in reducing mortality of children under five years of age work that is underpinned by strong technical leadership in QI and IHI s growing portfolio of work in Africa Profiles in Improvement Alide Chase IHI Senior Fellow A former senior vice president at Kaiser Permanente Alide Chase had a pivotal role in crafting the longtime strategic partnership between IHI and Kaiser focused on building improvement capability improving safety and establishing organization wide performance improvement and measurement systems Now recently retired she s looking forward to creating a community among the IHI Senior Fellows and providing strategic guidance to IHI as part of her role as a fellow Profiles in Improvement Leonard L Berry PhD MBA IHI Senior Fellow I m hopeful about the work in health care quality improvement It s a journey without a finish line says IHI Senior Fellow Len Berry whose current work is focusing on how we can improve the service experience of cancer patients and their families Learn more in this profile Profiles in Improvement Trissa Torres MD Senior Vice President IHI In this profile IHI Senior Vice President Dr Trissa Torres talks about her career path and experience how she became interested in population health and the Triple Aim and what led her to IHI Describing her current role at IHI she says Everything I do and support at IHI is tied to our broad goals To accelerate the pace of improvement in health care and to work with partners worldwide to create health for individuals and communities View All Triple Aim Improvement Stories first last Bellin Health A Triple Aim Improvement Story Bellin Health is an example that illustrates the evolution of a health system that began working on the Triple Aim with an enrolled population built skills over time expanded its Triple Aim work to include more populations and eventually became involved with

    Original URL path: http://www.ihi.org/resources/Pages/ImprovementStories/default.aspx (2016-02-01)
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  • Tools
    making them available on IHI org for others to use or adapt in their own organizations Tools Newest tools listed first Click View All to see all pages Loading Pages first last IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy to use method for accurately identifying adverse events harm and measuring the rate of adverse event incidence over time in skilled nursing facilities SNFs IHI Seven Spreadly Sins Improvement teams often make some common missteps when it comes to successfully sharing and spreading improvement ideas in their organizations IHI s Seven Spreadly Sins infographic give teams practical tips for overcoming challenges that impede successful spread Improvement Project Roadmap Improvement teams often need a roadmap for applying the science of improvement to the project management tasks associated with their improvement efforts This step by step tool provides a list of essential tasks organized by five key components in all improvement efforts that team leaders sponsors and others can use to guide their work Patient Experience Data Self Assessment The Patient Experience Data Self Assessment Tool and corresponding Answer Key challenges knowledge and common assumptions about what the data actually means The tool can be used to expand your current knowledge on using patient experience data effective Patient Care Experience Observation Exercise The purpose of this exercise is to learn about and understand the experience of care in your organization from the patient and family perspective using observations of care processes to inform improvements to the care experience The exercise may be used in any care setting Behavioral Health Integration Capacity Assessment Tool This tool is designed to assist behavioral health organizations in evaluating their ability to implement integrated care specifically processes related to three approaches

    Original URL path: http://www.ihi.org/resources/Pages/Tools/default.aspx (2016-02-01)
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  • Publications
    and directed by the US government can take on the challenge of the Triple Aim for a Native American population Bellin Health A Triple Aim Improvement Story Bellin Health is an example that illustrates the evolution of a health system that began working on the Triple Aim with an enrolled population built skills over time expanded its Triple Aim work to include more populations and eventually became involved with a multistakeholder group focused on a regional population 10 New Rules to Accelerate Healthcare Redesign This article describes ten new rules that were developed and are being tested by members of the IHI Leadership Alliance as a set of guiding principles to help accelerate their progress toward delivering on the full promise of the Triple Aim The authors also provide brief case examples demonstrating how Alliance member organizations are enacting some of these rules Health Improvement Partnership of Santa Cruz County A Triple Aim Improvement Story This Triple Aim improvement story examines the work of one community pursuing a regional focus to improve population health and the backbone organization that established the Triple Aim as its guiding framework for improving health outcomes of those served by safety net clinics with a focus on vulnerable populations in particular low income childless adults undocumented people and young entrepreneurs all of whom had little or no access to health care Signature Healthcare A Triple Aim Improvement Story By creating a process to improve care for the frail elderly Medicare population with complex needs and by building the supporting infrastructure in primary care Signature Healthcare was successful in decreasing emergency department utilization and reducing acute admissions while maintaining patient satisfaction The organization was a participant in the IHI Triple Aim Community from 2012 to 2014 When the Customer Is Stressed This article uses the example of cancer care to illustrate four guidelines for better design of high emotion services i e those that elicit strong feelings like fear and anxiety identify emotional triggers respond early to intense emotions enhance customers control and hire and rigorously train people who can communicate respectfully Assessing Community Health Needs This article presents four practical ways hospital leaders can improve the linkage between the community health needs assessment process community benefit spending and efforts to improve population health in the communities they serve A Two Way Street What the United States Can Learn from Resource Limited Countries to Improve Health Care Delivery and Reduce Costs This article highlights five key ideas for bidirectional innovation gathered from the experience of health care providers and health system managers in resource limited countries that may have a meaningful impact on health care quality and safety if applied in resource rich countries What s Your Theory Driver Diagram Serves as Tool for Building and Testing Theories for Improvement This article provides a detailed description of the driver diagram an indispensable tool for visually mapping out the theory of change that is the structures processes and norms believed to require change in the system and

    Original URL path: http://www.ihi.org/resources/Pages/Publications/default.aspx (2016-02-01)
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  • IHI White Papers
    Framework for Spread From Local Improvements to System Wide Change A key factor in closing the gap between best practice and common practice is the ability of health care providers and their organizations to rapidly spread innovations and new ideas A Guide to Measuring the Triple Aim Population Health Experience of Care and Per Capita Cost This white paper provides suggested measures for the three dimensions of the Triple Aim accompanied by data sources and examples and describes how these measures might be used along with process and outcome measures for particular projects to create a learning system to achieve the Triple Aim Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care This white paper presents a framework centered on five primary drivers of an exceptional experience of care that hospitals can use to design test and implement changes weaving them into the fabric of daily work to achieve outstanding results Tips on how to get started exemplars from a variety of hospitals and references for further evidence and guidance are also included Care Coordination Model Better Care at Lower Cost for People with Multiple Health and Social Needs This white paper outlines methods and opportunities to better coordinate care for people with multiple health and social needs and reviews ways that organizations have allocated resources to better meet the range of needs in this population The elevated cost of care in this population offers a tremendous opportunity to craft a service delivery plan that meets their needs more effectively at a significantly lower cost Comparing Lean and Quality Improvement This IHI white paper provides detailed descriptions of Lean and the IHI approach to quality improvement including the basic concepts and principles of each approach how they are similar and different in history and approach and for what purposes each approach is the most appropriate Engaging Physicians in a Shared Quality Agenda This white paper presents a framework on which hospital leaders might build a written plan for physician engagement in quality and safety Execution of Strategic Improvement Initiatives to Produce System Level Results This paper describes the essential elements for strategic improvement Will the will to improve Ideas altneratives to the status quo and Execution implementing a portfolio of projects that get results Going Lean in Health Care Lean management principles have been used effectively in manufacturing companies for decades particularly in Japan IHI believes that lean principles can be successfully applied to the delivery of health care High Impact Leadership Improve Care Improve the Health of Populations and Reduce Costs Leaders at all levels in care delivery organizations not just senior executives are struggling with how to focus their leadership efforts and achieve Triple Aim results better health better care at lower cost for the populations they serve High impact leadership is required This white paper presents three interdependent dimensions of leadership that together define high impact leadership in health care new mental models High Impact Leadership Behaviors and the IHI High Impact Leadership Framework Hospital

    Original URL path: http://www.ihi.org/resources/Pages/IHIWhitePapers/default.aspx (2016-02-01)
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  • Case Studies
    Finances In the News Supporters Careers Contact FAQs Topics All Topics A Z Improvement Capability Person Family Centered Care Patient Safety Quality Cost and Value Triple Aim for Populations Education Education Overview Conferences In Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blogs and User Groups Home Resources Case Studies Case Studies Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide Case Studies Page Content Case studies related to improving health care Case Studies Click View All to see all pages Loading Pages first last An Extended Stay A 64 year old man with a number of health issues comes to the hospital because he is having trouble breathing The care team helps resolve the issue but forgets a standard treatment that causes unnecessary harm to the patient A subsequent medication error makes the situation worse leading a stay that is much longer than anticipated Mutiny The behavior of a superior starts to put your patients at risk What would you do The University of Rochester s Dr Paul Griner presents the final installment in a series of case studies for the IHI Open School On Being Transparent You are the CEO and a patient in your hospital dies from a medication error What do you do next The University of Rochester s Dr Paul Griner presents the fourth in a series

    Original URL path: http://www.ihi.org/resources/Pages/CaseStudies/default.aspx (2016-02-01)
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  • Audio and Video
    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 with you they should begin asking What matters to you WIHI Personal Mastery for Transformational Leadership December 17 2015 We might spend our entire working lives striving to become better colleagues and leaders and more effective team members Dr Neil Baker works with health care organizations to enhance leadership and team impact he offers effective ways to interrupt unproductive reactive patterns to get back on the right track WIHI Harnessing Improvement to Reduce Diagnostic Errors and Delays December 1 2015 One in twenty adults suffers a diagnostic error every year How do we take such a formidable analysis and wake up call about patient safety and turn it into opportunity 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 life care preferences make advance care planning more likely to happen and encourage health professionals to gain the necessary skills for such discussions View All Video Content Click View All to see all pages Loading Pages first last IHI National Forum 2014 Keynote Videos Watch videos of keynote presentations at IHI s 26th Annual National Forum in December 2014 freely available on IHI TV AND Is the New OR by Maureen Bisognano and Derek Feeley and A Report from Xanadu by Don Berwick Dr Mike Evans Video An Illustrated Look at Quality Improvement in Health Care This dynamic animated whiteboard video introduces the concepts of quality improvement in health care In the video Dr Mike Evans presents a brief history of QI and touches on system design the Model for Improvement and the familiar challenge What can you do by next Tuesday all in less than nine minutes I ve Been a Patient Since I Was Born In this video patient advocate and IHI faculty member Tiffany Christensen describes the positive impact patient and family advisors can have when they work in partnership with health care professionals Deming s System of Profound Knowledge Part 1 Robert Lloyd the Director of Performance Improvement at IHI uses his trusty whiteboard to dissect the science of improvement In short videos he breaks down everything from Deming s System of Profound Knowledge to the PDSA cycle to run charts Deming s System of Profound Knowledge Part 2 Robert Lloyd the Director of Performance Improvement at IHI uses his trusty whiteboard to dissect the science of improvement In short videos he breaks down everything from Deming s System of Profound Knowledge to the PDSA cycle to run charts View All Video on IHI TV More video is available on IHI TV where you ll find keynote presentations from IHI s National

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/default.aspx (2016-02-01)
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  • Presentations
    History Science of Improvement Innovation People How to Get Involved Finances In the News Supporters Careers Contact FAQs Topics All Topics A Z Improvement Capability Person Family Centered Care Patient Safety Quality Cost and Value Triple Aim for Populations Education Education Overview Conferences In Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blogs and User Groups Home Resources Presentations Presentations Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide Presentations Page Content Presentations Click View All to see all pages Loading Pages first last Prevent Surgical Site Infection for Hip and Knee Arthroplasty Presentation Toolkit This presentation toolkit is designed to help hospitals engage staff in the adoption of the interventions recommended in IHI s How to Guide Prevent Surgical Site Infection

    Original URL path: http://www.ihi.org/resources/Pages/Presentations/default.aspx (2016-02-01)
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  • Posterboards
    Conferences In Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blogs and User Groups Home Resources Posterboards Posterboards Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide Posterboards Page Content Posterboards or storyboards of health care improvement projects Posterboards Click View All to see all pages Loading Pages first last Lessons Learned from Two Super Utilizers After implementing several interventions including building capacity for primary care teams to customize patient care plans this team decreased total annual charges from 600 000 to 3 000 for two patients considered to be super utilizers A Spine Care Model with Demonstrable Cost Savings This storyboard presented at IHI s 25th Annual National Forum describes how HealthPartners brought together key stakeholders from across their system to develop an optimized spine care model to lower the cost of care The model which includes both surgical and non surgical options resulted in a total cost savings of 1 2 million from 2010 to 2011 Storyboards from IHI 15th Annual International Summit on Improving Patient Care in the Office Practice and the Community Storyboards of improvement work on display at IHI s 15th Annual International Summit on Improving Patient Care in the Office Practice and the Community are freely available for all registered IHI org users to view Volume to Value The Challenges Associated with Negotiating Bundled Payments Utilizing

    Original URL path: http://www.ihi.org/resources/Pages/Posterboards/default.aspx (2016-02-01)
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