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  • Spreading Improvement Through Illustration
    in mind we collaborated with Dr Mike Evans to create a new animated whiteboard video about quality improvement in health care In a fast paced entertaining nine minutes Evans covers the history of the improvement movement in health care and introduces the Model for Improvement that guides so much of our work here in Cambridge If you haven t seen the video feel free to abandon this blog post and click the link in this paragraph I like to think of myself as a pretty good writer but I can t compete with a Mount Rushmore of Deming Juran Shewhart and Berwick Why are we so passionate about spreading improvement For those of us who work at IHI and live eat and breathe the mission it s like a little secret that we get to share a secret that helps change lives Does that sound dramatic Well tell that to patients who don t get infections during surgery Tell that to people who don t have to wait to get an appointment for their sudden illness Tell that to my wife who used quality improvement to get out of the house earlier so she wouldn t have to sit in bumper to bumper Boston traffic with our screaming 8 month old daughter The science of improvement can be valuable in your personal life too Improvement was an obvious choice for a video for Dr Evans an Associate Professor of Family Medicine and Public Health at the University of Toronto who has captivated millions with his collection of whiteboard videos He s produced more than 20 YouTube sensations including the wildly popular 23 and ½ hours What is the single best thing we can do for our health The video which was referenced on the TV series Orange Is the New Black has more than 4 4 million views In one week this new quality improvement in health care video has more than 5 000 views It s a good start but we re hoping it s just the tip of the iceberg We hope the video will spread far and wide in the coming weeks and months And that s where we hope you come in Many of you reading this blog post probably already know the secrets of quality improvement But we hope you use this video to help explain the power of improvement to your colleagues bosses and friends Show it at staff meeting Share it on Facebook Set up a screening right before you dig into your holiday dinners However you do it help us spread improvement and make health care a better place for all of us Tags Quality Improvement Improvement Capability Improvement Methods and Tools Blog Home Older 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

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=113 (2016-02-01)
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  • Thinking of Outsourcing? Think Again – You May Be Losing a Valuable Asset
    thirds of the cases the Supporters of Health staff manage come from contacts within the community setting and one third from the hospital Every morning we check in on our most financially vulnerable patients and have the Supporters visit them Gunderson explains They re having frank conversations with patients about their living situation and specific post discharge and health care needs And in many cases they are able to help them get resources and help they need In addition Wake Forest Baptist plans to offer training to all of its Environmental Services EVS employees in what Gunderson describes as early inside the hospital triage Closely linked to the Fabulous Four the EVS employees can provide a network of on the ground in the community trusted intelligence about the care and social needs of patients This can change the power dynamics around the patient For example Annika Archie the first Supporter of Health heard about a woman discharged from the hospital with over 500 in prescriptions an amount that was utterly impossible for her to pay Annika went to the prescribing doctor at the local safety net clinic and requested that the doctor change to generics and switch to a cheaper pharmacy The physician was surprised but happy to make the change knowing the price reduction would make it easier for the patient to take her medications The change to generics resulted in a much more manageable 14 prescription charge Lest this be seen as just an isolated good deed Russell Howerton MD Chief Medical Officer at Wake Forest Baptist and others work closely with a team of analysts to evaluate the success and value of this effort The team tracks every contact with a patient and family aggregates costs by zip code census rather than the standard cost per case method and shares the data with the Supporters of Health team in full transparency As Howerton explains We as a health system are committed to delivering high value care to these complex patients Howerton and Gunderson are in this for the long term They realize that costs may rise initially as Wake Forest Baptist cares for more vulnerable patients and families and faces having to do more However they are confident that over the coming years costs will drop as they all learn to do better by delivering outcomes that matter to patients at a lower cost Better care better neighborhoods better health all while holding onto valued employees many of whom may be part of our most vulnerable populations Tags Quality Cost and Value Cost Containment and Reduction Redesign Processes and Systems Blog Home Older 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 by Carol Gilmore 12 16 2014 6 11 07 AM I recently evaluated a public hospital in a poor area of Buenos Aires Argentina and I was impressed by how this particular hospital had hired and trained a large

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=111 (2016-02-01)
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  • 26th Annual National Forum: General Conference Day Two Recap
    26th Annual Forum was an inspirational one Keynotes from Robin Roberts and Don Berwick left attendees with a fire in their bellies to work continuously to improve heathcare Keynote Robin Roberts and IHI s Pat Rutherford pose the question When you re a patient what matters to you The Blue Shirts still smiling and ready to assist attendees the last day of the conference Attendees relished the last few workshop sessions of the conference and participated in engaging discussions WIHI s Madge Kaplan talks with Bob Wachter about 10 Things Every Hospital Needs to Know to Be Safe Stay tuned for a special podcast edition of this special interest keynote coming December 16th The day ended with a powerful keynote from Don Berwick who inspired attendees to leave the forum and go make an impact in the world Thank you to all who attended the 26th Annual National Forum We can t wait to see you next year Tags National Forum Blog Home Older 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 Follow Me Subscribe Blog Archive 2016 9 January 9 2015 64 December 7 November 6 October 5 September 3 August 10 July 8 June 1 May 6 April 4 March 7 February 4 January 3 2014 50 December 9 November 3 October 3 September 4 August 3 July 9 May 2 April 2 March

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=110 (2016-02-01)
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  • 26th Annual National Forum: General Conference Day One Recap
    Feeley Atul Gawande what more could you ask for Day One of IHI s general conference was a success Blue Shirt Kathryn Brooks greets eager attendees ready to start their day IHI s CEO Maureen Bisognano and Executive Vice President Derek Feeley gave the opening plenary to kick off the General Conference The big theme AND is the new OR The day included several engaging workshops on topics ranging from improving sepsis care to crowdsourcing for quality improvement Atul Gwande wowed attendees with his keynote on end of life care and redesigning care for patients with serious illnesses A picture of health Some attendees even got their workout in during the keynotes Attendees shared what health care topics mattered most to them The day wrapped up with a fun forum celebration Thanks to all who attended day one of the general conference Check back tomorrow to see our recap of the final day of the IHI26Forum Tags No Tags Blog Home Older 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 Follow Me Subscribe Blog Archive 2016 9 January 9 2015 64 December 7 November 6 October 5 September 3 August 10 July 8 June 1 May 6 April 4 March 7 February 4 January 3 2014 50 December 9 November 3 October 3 September 4 August 3 July 9 May 2 April 2 March 12 February

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=109 (2016-02-01)
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  • IHI's 26th Annual National Forum: Monday Recap
    Adams assists attendees bright and early in the morning Health care professionals shared their impressive work at the Scientific Symposium Attendees taking in the scenery and learning how they can identify safety and reliability strategies at Disney and apply them to their own work environment The Leadership Alliance an ambitious group of health care system executives working to drive down cost optimize patient outcomes and experience and improve the health of key patient segments Attendees browse the bookstore so they could continue expanding their quality improvement knowledge well beyond the Forum After hitting the bookstore attendees lined up to have their books signed by Don Berwick IHI s Martha Hayward socializing with guests at the Faculty Reception IHI s CEO Maureen Bisognano at the Welcome Reception The day wrapped up on a delicious note with Dinner and a Demo Improve Health by Learning to Cook Thanks to everyone who joined us for Monday s events Check back tomorrow for a recap of day one of the General Conference In the meantime don t forget to follow Forum activity on Twitter at IHI26Forum Tags National Forum Blog Home Older 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 Follow Me Subscribe Blog Archive 2016 9 January 9 2015 64 December 7 November 6 October 5 September 3 August 10 July 8 June 1 May 6 April 4 March

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=108 (2016-02-01)
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  • IHI's 26th Annual National Forum: Weekend Recap
    below IHI staff members not in their Blue Shirts just yet preparing for Forum attendees to arrive Members of the Guiding Coalition took time to discuss their goal to work collaboratively to support 100 Million people living healthier lives by 2020 National Forum first timers listen intently at orientation IHI s Dr Sodzi Sodzi Tettey presenting at Learning Lab 1 Critical Drivers for Successful Leadership in Quality Improvement Blue Shirt Tam Duong helps attendees navigate their way to new and exciting learning opportunities Colleagues reconnect at the International Attendee Meeting IHI is proud to have attendees from over 50 countries attending the National Forum Every year we gather as a health care community to remember and honor our pat ients friends family members and colleagues who have been lost to adverse events at the Candle Light Vigil held on Sunday night Thanks to everyone who participated in the pre conference over the weekend Check back for recaps from Monday Tuesday and Wednesday and don t forget to engage on Twitter by using the hashtag IHI26Forum Tags No Tags Blog Home Older 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 Follow Me Subscribe Blog Archive 2016 9 January 9 2015 64 December 7 November 6 October 5 September 3 August 10 July 8 June 1 May 6 April 4 March 7 February 4 January 3 2014 50

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=107 (2016-02-01)
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  • Patient Experience: Transformation First
    Public and Patient Engagement makes the case for transforming the patient experience Improvement is not enough When we seek to improve something we are saying that the basics are in place and to our liking Home improvements might be replacement windows new paint or upgrading appliances Taking the analogy further we move up to renovation Again the basic structure remains the same but by adding a second floor or an open concept kitchen perhaps a patio with hot tub we will change the way the house functions These two examples are analogous to what I see happening in health care There are changes improvements and in some cases innovation that really is changing the way the health care system functions What I do not see however is transformation And transformation is what we need because the basic structure is not good I fear we are failing We are failing patients We are failing physicians families caregivers and staff We are failing our citizens For too many years we have had a system built on volume and centered on physicians The transformation we need to demand is a system built on quality and value and centered on patients Patient engagement is becoming a buzz word that risks becoming meaningless Transformation requires movement and profound change We need people to own their health and to understand what the health care system can and cannot do The system cannot make decisions for you That means you need to understand you own life goals needs fears and preferences Patients and family members need to be involved in every level of every health care decision making We need patient experience to move from the very squishy feel good status it has in health care to being the strategy for achieving lower cost higher quality and improved safety We need this now Every moment that goes by I see people worrying in confusion and pain I see early diagnoses becoming late diagnoses I see health care professionals in distress trying to manage an increasing workload with little or no joy in their work I see costs rise and rise with nothing to show for the expense Improvement will move us to excellence but only when we first see transformation Tags Person and Family Centered Care Blog Home Older 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 Follow Me Subscribe Blog Archive 2016 9 January 9 2015 64 December 7 November 6 October 5 September 3 August 10 July 8 June 1 May 6 April 4 March 7 February 4 January 3 2014

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=106 (2016-02-01)
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  • At Wake Forest, Fostering a Culture of Improvement from the Start
    patient care so early in our training I think that is why many of us were initially drawn to QI One of the biggest lessons I ve learned in the past year is that Qi is about more than just implementing interventions and measuring results it s about truly engaging others in a culture of safety and continuous improvement Changing the culture of an entire profession is hard especially when it requires changing attitudes and behaviors that may have developed early on in the professional training I think it s fantastic that Wake Forest and other medical schools have recognized this and are intentionally promoting safety interprofessional collaboration transparency and continuous improvement as critical professional values we should internalize from the start OS Drs Callahan and Mahler how were you able to incorporate this into the curriculum KC SM There s really been great support for this at every level As an institution we have a strong focus on patient safety and the faculty and staff have been trained in patient safety and safe leadership techniques We have an active quality office and total support from our chief quality officer Residents and fellows are being engaged in quality metrics It s time to include the students too The new guidelines on entrustable professional activities from the Association of American Medical Colleges AAMC require that medical students be competent in patient safety and systems improvement at graduation I think it s really the perfect time to include students the school is consciously focusing on the total development of the physician and leadership recognizes its importance Consensus was building over the past couple of years regarding the need to incorporate patient safety and QI into the medical school curriculum A grant from the AAMC and Donaghue Foundation provided the final push needed to develop the curriculum OS Nandini what advice would you share with others who are working to make QI part of the undergraduate learning experience NK I d say go for it There are many different ways to incorporate QI into the educational experience Before we had a QI curriculum at Wake Forest our IHI Chapter essentially operated like a student run QI elective course We d meet once a month to discuss whichever Open School course or activity we d selected for that day and then we d try to apply some of the concepts to our Chapter QI projects For students working to integrate QI into their school s curriculum I have two suggestions first to find a way to document the existing interest in QI among the student body since administrators are often very responsive to student interest and second I d recommend connecting with one or more faculty members who are passionate about QI and can champion your efforts Experienced and committed faculty are a tremendous asset OS Nandini how was your experience representing students in the development of the curriculum NK I was thrilled to have the opportunity to participate It was wonderful to meet

    Original URL path: http://www.ihi.org/education/ihiopenschool/blogs/_layouts/ihi/community/blog/itemview.aspx?List=9f16d15b-5aab-4613-a17a-076c64a9e912&ID=152 (2016-02-01)
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