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  • Improvement Blog
    have had the good fortune t read full post Tag s Palliative Care Disease Management Changes Patient Family Member Patient Family Centered Care End of Life Care The Conversation Project Conversation Ready Person and Family Centered Care Sepsis Constructively Disgruntled Finding the Most Effective Patient and Family Advisors Posted by John Gauthier on Monday Apr 28 2014 IHI Lead for Public and Patient Engagement Martha Hayward is faculty for the IHI Expedition on Patient and Family Advisors Getting the Most Out of Your Partnership In this interview with IHI project assistant Sarah Konstantino she talks about the keys to identifying the most effective patient and family advisors Q Why is it so important to have patient and family advisors I am really glad you asked me that question because most people jump to the idea that the most important thing is having read full post Tag s Engage Patients and Families in Care Engage Patients and Families in Improvement Person and Family Centered Care Patient Family Member Family caregivers and caregiving all aspects Family Health Team Patient Family Centered Care Patient Engagement Senior Leader Administrator Always at the Center Posted by Caitlin Littlefield on Friday Oct 04 2013 By John Gauthier Communications Coordinator IHI Always Events have been part of the movement to put patients at the center of their care since the beginning On WIHI we put our listeners at the center of the discussion with their great questions and observations about the everyday work of improving health care The September 26 WIHI was no exception Almost a thousand listeners tuned in and they contributed a wealth of knowledge Our guests Cherry Shogren of UnityPoint Health in read full post Tag s WIHI WIHI Archive Always Events SMART Patient Family Centered Care New Healthcare Executive Article What does it take to be Conversation Ready Posted by Caitlin Littlefield on Thursday Jun 27 2013 Kelly McCutcheon Adams LICSW Director IHI Two years ago at a medical appointment the medical assistant asked me if I have any medication reactions This was different than asking at prior appointments about medication allergies so I gave a different answer yes my brain gets nutty if I take cough syrup with guaifenesin in it Since that day every time I show up at a medical appointment at any doctor s office in my community at the walk in clinic or at the emergency depar read full post Tag s Conversation Ready Patient Safety Quality Patient Family Centered Care Once a Teacher Posted by Jo Ann Endo on Friday Mar 29 2013 It doesn t matter how many times I see the video of Mrs Rosie Bartel It kills me every time In the video Rosie describes how after she had what she thought would be a routine knee replacement surgery three years ago she was told she had contracted a methicillin resistant Staphylococcus aureus MRSA infection Sixteen surgeries later the most recent in February the effects of the infection have led to a series of

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:8d8c9a5a-c904-40b1-8942-ba6314cdeb5f (2016-02-01)
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  • Improvement Blog
    patient experience D read full post Tag s Quality Improvement Quality Cost and Value Person and Family Centered Care Cost Containment and Reduction Communication 4 Ways to Improve the Joint Replacement Hospital Discharge Process Posted by Kimberly Mitchell on Thursday Oct 22 2015 Experts predict that the number of primary total knee replacements will increase 673 percent by 2030 How can health systems improve outcomes for patients receiving joint replacements while also controlling costs One way is to discharge patients home instead of to a skilled nursing facility after surgery In this post Dawn Scott Clinical Services Director at Franciscan St Francis a participant in IHI s Joint Replacement Learning Community offers tips for increasing the likelihood of a home read full post Tag s Quality Improvement Quality Cost and Value Person and Family Centered Care Cost Containment and Reduction Communication Discharge Planning Moving from the Medical Home to the Medical Neighborhood to Better Serve Patients with Complex Needs Posted by Kimberly Mitchell on Thursday Oct 15 2015 The Integrated Care Program at Colorado s Mountain Family Health Centers MFHC aims to not only strengthen clinical care quality but also to make community services such as education skills training reliable transportation and legal services more accessible in order to raise both the physical and mental well being of Medicaid patients with complex needs In this post MFHC s former Medical Director of Integrated Care Ken Davis CEO Ross Brooks and Integrated Care Consultant Jerry Evans read full post Tag s Triple Aim for Populations Medical Home Primary Care Cost Containment and Reduction Collaboratives Population Health Behavioral Health How to Improve the Health of Patients with Complex Care Needs Posted by Kimberly Mitchell on Monday Jun 22 2015 To prevent unnecessary hospitalizations and ED visits for patients with complex care needs San Francisco Health Network SFHN has established interdisciplinary complex care management teams in which they embed nurse care managers health coaches social workers and others in primary care health centers to provide additional wraparound services for patients Elizabeth Davis MD Medical Director of Care Coordination for SFHN Primary Care describes how program patients hospital days droppe read full post Tag s Triple Aim for Populations Chronic Condition Cost Containment and Reduction Data Reporting and Analysis Collaboratives IHI Breakthrough Series model Engage Patients and Families in Care Population Health Primary Care Better Health and Lower Costs for People with Complex Chronic Conditions in Louisiana Posted by Kimberly Mitchell on Monday May 18 2015 Louisiana has a high prevalence of chronic diseases such as hypertension diabetes chronic kidney disease and cardiovascular disease With a common vision to improve primary care delivery for patients with complex chronic conditions Blue Cross Blue Shield of Louisiana and the Louisiana Department of Health and Hospitals Office of Public Health formed the Louisiana Alliance for Better Health LABH Primary care physician Ross Hamic MD is a core team member for LABH s participation in IHI s read full post Tag s Triple Aim for Populations Chronic Condition

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:2f20a3ba-f831-4d44-9946-cbffef2f3220 (2016-02-01)
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  • Improvement Blog
    you must demonstr read full post Tag s Equitable Care Delivery Disparities Health Equity health literacy Leadership Weathering Blizzards Wild Fires and Racial Disparities with Big Data Posted by Kimberly Mitchell on Thursday Dec 03 2015 Many quality improvers know that data should help you understand your performance over time But what if your data could show you the future In this blog post Andrey Ostrovsky MD a practicing physician and social entrepreneur and Lynne Chase Massachusetts Program Director of The New England Quality Innovation Network Quality Improvement Organization explain how analytics are helping health systems improve outcomes for patients in crises and transition from fee for service care into valu read full post Tag s innovation Health Equity Quality Improvement Data and Measurement To Risk Adjust or Not to Risk Adjust Yes Posted by John Gauthier on Monday May 05 2014 Amy Reid is a Senior Research Associate on the Results and Evaluation team at IHI and Don Goldmann MD is IHI s Chief Scientific and Medical Officer Reid and Goldmann are members of IHI s Diversity and Inclusion Council and are passionate about health equity In the United States the National Quality Forum NQF is considering when and how to use risk adjustment for sociodemographic factors to assess quality of care while balancing the need to make health inequities visible and hold the heal read full post Tag s Triple Aim The Best Care for the Whole Population at the Lowest Cost Triple Aim for Populations Health Equity equity Equitable Care Delivery Mobile Health Map innovation innovation with value in healthcare Why What Matters to You Should Matter in Healthcare Posted by John Gauthier on Friday Mar 07 2014 A guest post by Jennifer Bennet Executive Director for The Family Van As IHI s Maureen Bisognano has been saying of late we need to flip healthcare from What s the Matter with you to What Matters to You While I am in complete agreement with her our healthcare system has a lot of catching up to do When we highlight the stories of our successes the times where our patients not only survived but thrived what mattered to them were relationships Why are community health workers so succes read full post Tag s Disparities Equitable Care Delivery Health Equity Mobile Health Map Access Community community based access and care for underserved populations community coalitions community collaboratives program integrity Community Engagement MobileClinics Day 1 Photos from Boston Posted by John Gauthier on Thursday Mar 06 2014 We kicked off the first stop of our mobile health tour in Mattapan MA Morning Star Baptist Church hosted today s event We began with some powerful words as Bishop John Borders taught us about the Power of Five a focus on the full picture of health The church community is focused on improving their spiritual gifts relationship with God financial health physical health and social stability As a community they are committed to making improvements as a group even losing a collective

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:1dee147a-1139-4985-bd1e-6bb3b6f5da66 (2016-02-01)
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  • Improvement Blog
    t have to do this all at once Take small steps Don t try to eat the whole elephant eat the elephant one read full post Tag s Triple Aim for Populations Population Health Community Moving from the Medical Home to the Medical Neighborhood to Better Serve Patients with Complex Needs Posted by Kimberly Mitchell on Thursday Oct 15 2015 The Integrated Care Program at Colorado s Mountain Family Health Centers MFHC aims to not only strengthen clinical care quality but also to make community services such as education skills training reliable transportation and legal services more accessible in order to raise both the physical and mental well being of Medicaid patients with complex needs In this post MFHC s former Medical Director of Integrated Care Ken Davis CEO Ross Brooks and Integrated Care Consultant Jerry Evans read full post Tag s Triple Aim for Populations Medical Home Primary Care Cost Containment and Reduction Collaboratives Population Health Behavioral Health Effective Clinician and Leadership Engagement in Population Management Posted by Kimberly Mitchell on Wednesday Oct 07 2015 One thing that is clear despite the ambiguity of the current health care environment you have to engage your clinicians and leaders says Barbara Klick RN MBA Chief Operating Officer at Fairview Physician Associates Network in Minneapolis Minnesota and a recent participant in IHI s Population Management Executive Development Program In this blog post she shares some lessons learned about engaging clinicians and leaders in Fairview s population management journey Most people would agree read full post Tag s Accountable Care Organization Population Health Engage Physicians in Improvement Leadership Triple Aim for Populations 3 Population Health Tips from a Triple Aim Early Adopter Posted by Kimberly Mitchell on Wednesday Aug 12 2015 The Primary Care Coalition PCC in Montgomery County Maryland has been pursuing the Triple Aim since 2007 as one of the original IHI Triple Aim prototype communities Even with or perhaps because of their years of experience they continue to gain new insights about how to approach their efforts to improve population health In this blog post Leslie Graham PCC Chief Executive Officer and Barbara Eldridge Manager of Quality Improvement and Outcomes describe some of their lessons learned read full post Tag s Triple Aim for Populations Population Health Primary Care Person and Family Centered Care Improving Population Health and Health Equity Are Not One and the Same Posted by Kimberly Mitchell on Tuesday Jul 14 2015 The IHI Innovation team is working to identify and test high leverage approaches for hospitals and health systems to work with their communities to improve outcomes for the entire population and distribute those outcomes for all Mara Laderman MSPH is a Senior Research Associate on IHI s Innovation Team and John Whittington MD is an IHI Senior Fellow and Lead Faculty for the Triple Aim at IHI Improving population health does not always mean better outcomes for all In their seminal pape read full post Tag s Population Health Equitable Care Delivery Innovation and Idea

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:2d5ff3df-6ff2-4461-a8ed-35c256cfe46e (2016-02-01)
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  • Improvement Blog
    Reduction Regional Improvement North America Canada On the Move for Patients Who Need Us Most Posted by Kimberly Mitchell on Tuesday Jul 15 2014 I am moved by the story from each organization a story of deep caring for their most complex patients a story of desire to build care systems that better meet their needs a story of humility in the face of the challenges their patients face and that they face in caring for them says IHI Director Cory Sevin about the organizations participating in the Better Health and Lower Costs for Patients with Complex Needs Collaborative The Better Health and Lower Costs for Patients with Complex Nee read full post Tag s Triple Aim The Best Care for the Whole Population at the Lowest Cost Person and Family Centered Care Collaboratives IHI Breakthrough Series model Large Scale Improvement To Risk Adjust or Not to Risk Adjust Yes Posted by John Gauthier on Monday May 05 2014 Amy Reid is a Senior Research Associate on the Results and Evaluation team at IHI and Don Goldmann MD is IHI s Chief Scientific and Medical Officer Reid and Goldmann are members of IHI s Diversity and Inclusion Council and are passionate about health equity In the United States the National Quality Forum NQF is considering when and how to use risk adjustment for sociodemographic factors to assess quality of care while balancing the need to make health inequities visible and hold the heal read full post Tag s Triple Aim The Best Care for the Whole Population at the Lowest Cost Triple Aim for Populations Health Equity equity Equitable Care Delivery Mobile Health Map innovation innovation with value in healthcare Portraits of Health Reflecting on IHI s MobileClinics Tour Posted by John Gauthier on Wednesday Mar 19 2014 Nigel Deen is a Research Assistant Innovation at the Institute for Healthcare Improvement Last week members of IHI s Diversity and Inclusion Council traveled along the East Coast highlighting the positive impact mobile health clinics have in their respective communities At each stop we were amazed by the stories the shared experiences and the partnerships that these clinics have built within their communities The tour proved to be a lens into work that has spanned decades work that e read full post Tag s Mobile Health Map Disparities Equitable Care Delivery equity Population based management Medicare Public Health Triple Aim The Best Care for the Whole Population at the Lowest Cost Community community based access and care for underserved populations MobileClinics Day 3 Photos from Washington DC Posted by John Gauthier on Monday Mar 10 2014 The Mobile Health Tour arrived in Washington DC late Saturday night After a few days on the road we were starting to feel a bit tired but the DC mobile clinics provided the energy boost we needed TownHall Education Arts Recreation Campus located in Southeast DC is a home away from home for the many underserved children and adults of East of the River enabling them

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:495d4140-1bd7-4a73-99a4-261901f7db6e (2016-02-01)
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  • Improvement Blog
    families and friends You don t have to do this all at once Take small steps Don t try to eat the whole elephant eat the elephant one read full post Tag s Triple Aim for Populations Population Health Community Don t Go It Alone How to Get the Most Out of Any Conference Posted by Kimberly Mitchell on Tuesday Dec 15 2015 Camille Graham MD is the executive community physician leader for Cincinnati Children s Hospital and Medical Center She s attended IHI s Annual Summit on Improving Patient Care in the Office Practice and the Community for the last four years In this post she shares her tips for taking full advantage of attending a conference with colleagues Follow Dr Camille Graham at ccgrahammd on Twitter Improving health and health care is tough No one person no matter how dedicated or passionate ca read full post Tag s Summit Office Practice and Community Community Quality Improvement Improvement Capability Patient Safety Health Care Isn t Enough Using Community Partnerships to Address Social Determinants of Health Posted by Kimberly Mitchell on Thursday Nov 19 2015 IHI Director Cory Sevin first experienced the powerful influence of social determinants of health decades ago when she worked as a community based public health nurse In this post she describes how health care has come full circle as she s learning about innovative partnerships between health care providers and their communities Sevin is faculty at the IHI National Forum where she is co teaching Learning Lab L24 Health System Design to Impact Social Determinants of Health on Sunday Decem read full post Tag s Triple Aim for Populations Community CHNAs and Beyond Hospitals and Community Health Improvement Posted by Kimberly Mitchell on Friday May 15 2015 To manage true population health hospitals and health systems must partner with a broad spectrum of stakeholders who share ownership for improving health in our communities writes Catherine Craig MPA MSW She is faculty for the IHI webinar series that begins on July 30 Beyond the CHNA Hospitals and the Community Health Improvement Process There is a flurry of education around community health needs assessments CHNAs with US hospitals working to meet the recent IRS requirements The c read full post Tag s Triple Aim for Populations Equitable Care Delivery Population Health Hospital Community QI Outside the Hospital Improving Care for Home and Community Based Service Providers Posted by Kimberly Mitchell on Wednesday Apr 22 2015 By Andrey Ostrovsky MD Care at Hand CEO and Lori O Connor RN Director of Nursing Elder Services of Merrimack Valley Health care is changing rapidly For health care organizations to adapt to external changes they need to effectively improve internally While quality improvement QI is well known to medical providers it is less commonly used in the non medical part of the health care system that focuses on functional supports Home and community based service HCBS providers do some o read full post Tag s Quality Improvement Geriatrics Community Home Care

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:86b58b13-a93b-41de-97da-8e217b67cf01 (2016-02-01)
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  • Improvement Blog
    Centered Care WIHI The Conversation Project It s Always Too Soon Until It s Too Late Having End of life Conversations in Your Twenties Posted by Kimberly Mitchell on Wednesday Apr 15 2015 Mandy Ferguson is Project Coordinator for The Conversation Project at IHI When I tell most of my friends about my job at The Conversation Project I can see their eyes glaze over They immediately assume as I once did that this project making sure that everyone s wishes for end of life care are both expressed and respected is for the old and frail Unless they ve had a direct experience with the death of a close family member or friend my twenty something peers don t think this initiative read full post Tag s The Conversation Project End of Life Care There s a Hole in the Bucket Posted by Kimberly Mitchell on Friday Mar 13 2015 Kelly McCutcheon Adams is Director at IHI for the Conversation Ready seminar In this blog post she describes the many opportunities for improving how health care providers receive record and respect every patient s end of life wishes A colleague recently asked me in my role as the director of the Conversation Ready work at IHI what I saw as the biggest challenge of delivering appropriate end of life care Is it a Patients not having the right conversation and documents executed b Provid read full post Tag s Person and Family Centered Care The Conversation Project End of Life Care Engage Patients and Families in Care Person Centered Care Bringing End of Life Conversations Home Posted by Kimberly Mitchell on Wednesday Jan 14 2015 Being part of IHI s Conversation Ready Community gave me a much better understanding of what we need to do in elder services to make care more coordinated and begin to initiate end of life conversations with older adults says Kim Flowers a social worker with the Elder Services of the Merrimack Valley ESMV in Lawrence Massachusetts and panelist at the Conversation Ready Seminar ESMV a community based elder services home care program was the only non hospital participant in IHI s recen read full post Tag s The Conversation Project Conversation Ready End of Life Care Engage Patients and Families in Care Person and Family Centered Care IHI s Ten Picks from 2014 Posted by Kimberly Mitchell on Friday Dec 19 2014 Over the course of a year most of us couldn t even begin to count how many articles we ve read videos we ve watched or audio programs we ve listened to Here at IHI where a big part of our mission is all teach all learn and sharing improvement content choosing to highlight just ten things from 2014 is almost impossible But we did it Here humbly and in no particular order are some of our top picks of material that taught us and moved us and that we think will continue to resonate i read full post Tag s

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:bda1f801-6de4-4229-896f-85385bf68679 (2016-02-01)
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  • Improvement Blog
    process For six years I served as the Chief Operating Officer at Dana Farber Cancer Institute and during t read full post Tag s Person and Family Centered Care Engage Patients and Families in Improvement Redesign Processes and Systems Leadership Like Magic Every system is perfectly designed Posted by Kimberly Mitchell on Friday Aug 21 2015 The quotation Every system is perfectly designed to get the results it gets has been popularized in the health care improvement world yet most don t know to whom the quote should be attributed In a recent blog post Earl Conway and Paul Batalden IHI Senior Fellow and Founding Chair of the IHI Board of Directors clarify its origins This content originally appeared on the Patient Safety read full post Tag s Improvement Capability Quality Improvement Improvement Methods and Tools Systems Thinking Reliable Processes Redesign Processes and Systems What s Your Game Changer Posted by Kimberly Mitchell on Monday Aug 03 2015 In the following post IHI Director of Communications and WIHI host Madge Kaplan describes some of the disruptive innovations that have inspired her in the last year The July 9 WIHI featured Dr Sanjeev Arora passionately telling us about Project ECHO which enables specialists to share their expertise with caregivers all over the globe so that patients anywhere can receive the best care I confess that I didn t fully appreciate the significance of the model until I started planning the WIHI read full post Tag s WIHI WIHI Archive Quality Improvement Innovation and Idea Generation Redesign Processes and Systems What Are Always Events Posted by Kimberly Mitchell on Wednesday Jul 08 2015 Always Events are those aspects of the patient experience that are so important to patients and families that health care providers must aim to perform them consistently for every patient every time In the following primer IHI Vice President Pat Rutherford explains the basics about Always Events Clinicians and staff in all clinical settings seek to understand and provide compassionate care to meet the comprehensive needs values and preferences of the patients they serve Yet in the busy wo read full post Tag s Person and Family Centered Care Engage Patients and Families in Improvement Reliable Processes Redesign Processes and Systems Always Events Care Experience Learning Collaborative Fuels Efforts to Build Disability Competent Care Posted by Kimberly Mitchell on Friday May 29 2015 Rancho Los Amigos Rehabilitation Center in Downey California used the lessons learned from the Disability Competent Care Learning Community DCCLC to better meet the needs of their patients The DCCLC is a CMS funded initiative supported through a contract with The Lewin Group and the Institute for Healthcare Improvement In this interview Charmaine Dorsey Rancho s Director of Continuum of Care talks with Gilbert Salinas Rancho s Chief Clinical Officer and former IHI Fellow to describe read full post Tag s Improvement Capability Quality Improvement Improvement Methods and Tools Redesign Processes and Systems Engage Patients and Families in Improvement Engage Front Line Staff in Improvement Person

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/viewblog.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&filter=byTags:a13d1326-8ca9-4821-9463-48efdc7e8e51 (2016-02-01)
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