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  • Governance Leadership of Safety and Improvement
    highly engaged boards in a trusting partnership can be the source of will for the entire organization As hospitals try to drive rapid improvement boards have an opportunity and a responsibility to make better quality of care the organization s top priority The board s responsibility for ensuring and improving care cannot be delegated to the medical staff and executive leadership ensuring safe and harm free care to the patients is the board s job at the very core of their fiduciary responsibility An activated board in partnership with executive leadership can set system level expectations and accountability for high performance and the elimination of harm and properly conducted this leadership work can dramatically and continually improve the quality of care in the hospital Recommended Resources first last Getting boards on board Engaging governing boards in quality and safety As hospitals seek to drive rapid quality improvement boards have an opportunity and a significant responsibility to make better quality of care the organization s top priority Getting boards on board Leadership engagement key to reaching quality goals Reaching the point where boards drive the health care quality agenda occurs over time through a variety of mechanisms according to quality experts How to Guide Governance Leadership Get Boards on Board This How to Guide recommends that boards of trustees in all hospitals undertake six key governance leadership activities to improve quality and reduce harm in their hospitals Leadership Guide to Patient Safety This white paper presents eight steps that are recommended for leaders to follow to achieve patient safety and high reliability in their organizations Leadership Response to a Sentinel Event Respectful Effective Crisis Management A collection of leadership resources assembled from organizations that experienced and learned from a serious organizational event most often a significant medical error that also describe

    Original URL path: http://www.ihi.org/Topics/GovernanceLeadership/Pages/default.aspx (2016-02-01)
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  • Evidence-Based Care Bundles
    outcomes Start here What Is a Bundle Recommended Resources first last How to Guide Prevent Central Line Associated Bloodstream Infection This How to Guide describes key evidence based care components of the IHI Central Line Bundle which has been linked to prevention of central line associated bloodstream infections describes how to implement these interventions and recommends measures to gauge improvement How to Guide Prevent Obstetrical Adverse Events This How to Guide describes the essentials elements of preventing obstetrical adverse events including the safe use of oxytocin and key evidence based care components in the IHI Perinatal Bundles How to Guide Prevent Ventilator Associated Pneumonia This How to Guide describes key evidence based care components of the IHI Ventilator Bundle which has been linked to prevention of ventilator associated pneumonia Severe Sepsis Bundles The Severe Sepsis Bundles include the Severe Sepsis 3 Hour Rescuscitation Bundle and the 6 Hour Septic Shock Bundle The Severe Sepsis Bundles have been revised in conjunction with the updated 2012 International Guidelines for Management of Severe Sepsis and Septic Shock Using Care Bundles to Improve Health Care Quality This IHI white paper describes the history theory of change design concepts and outcomes associated with the development and use of bundles a small set of evidence based interventions for a defined patient population and care setting and reflects on learning over the past decade Getting Started How to Improve Learn about the Model for Improvement forming the improvement team setting aims establishing measures and selecting and testing changes Go to How to Improve More on This Topic Loading Pages first last Project JOINTS What Factors Affect Bundle Adoption in a Voluntary Quality Improvement Campaign This article examines how hospital adherence to quality improvement QI methods and hospital engagement with a large scale QI campaign Project JOINTS an

    Original URL path: http://www.ihi.org/Topics/Bundles/Pages/default.aspx (2016-02-01)
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  • Catheter-Associated Urinary Tract Infection
    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 Topics Catheter Associated Urinary Tract Infection Catheter Associated Urinary Tract Infection Catheter Associated Urinary Tract Infection Topics Explore this topic in Resources IHI LR Wide Catheter Associated Urinary Tract Infection Page Content Urinary tract infections account for approximately 40 percent of all hospital acquired infections annually with fully 80 percent of these hospital acquired urinary tract infections attributable to indwelling urethral catheters It is well established that the duration of catheterization is directly related to risk for developing a urinary tract infection UTI With a catheter in place the daily risk of developing a UTI ranges from 3 percent to 7 percent Among the ten hospital acquired conditions selected by the Centers for Medicare Medicaid Services catheter associated UTI received a high priority due to its high cost and high volume and because it can be reasonably prevented through application of accepted evidence based prevention guidelines Recommended Resources first last How to Guide Prevent Catheter Associated Urinary Tract Infection This How to Guide describes key evidence based care components for preventing catheter associated urinary tract infections describes how to implement these interventions and recommends measures to gauge improvement Getting Started How to Improve Learn about the Model for Improvement forming the improvement team setting aims establishing measures and selecting and testing changes Go to How to Improve More on This Topic Loading Pages first last Effect of Nonpayment for Preventable Infections in US Hospitals This study examined rates of healthcare associated infections deemed preventable by the Centers for Medicare Medicaid Services such as catheter associated bloodstream infections catheter associated urinary tract infections and

    Original URL path: http://www.ihi.org/Topics/CAUTI/Pages/default.aspx (2016-02-01)
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  • Central Line Infection
    in Resources IHI LR Wide Central Line Infection Page Content Central line associated bloodstream infection CLABSI continues to be one of the most deadly and costly hospital associated infections in the US Many lives have been saved in the past decade due to improvements that resulted in a 58 percent reduction of CLABSI in intensive care patients from 2001 to 2009 However these infections continue to occur and more occur in other areas of the hospital outside the ICU Strategies to prevent these infections include the IHI Central Line Bundle implemented by many hospitals in the US and UK and resulting in dozens achieving more than one year of no CLABSI in their ICU patients Additional strategies have been identified by clinical experts at SHEA and CDC adding to the growing evidence base as we strive to eliminate all of these deadly infections Recommended Resources first last Central Line Insertion Checklist Implementing a central line checklist at the time of insertion will help to ensure a reliable process Compendium of Strategies to Prevent Healthcare Associated Infections in Acute Care Hospitals The Compendium distills current guidelines for the prevention of healthcare associated infections and includes recommendations for implementation in the clinical setting along with metrics and indicators of success How to Guide Prevent Central Line Associated Bloodstream Infection This How to Guide describes key evidence based care components of the IHI Central Line Bundle which has been linked to prevention of central line associated bloodstream infections describes how to implement these interventions and recommends measures to gauge improvement Getting Started How to Improve Learn about the Model for Improvement forming the improvement team setting aims establishing measures and selecting and testing changes Go to How to Improve More on This Topic Loading Pages first last Understanding Bundles An IHI Faculty Conversation

    Original URL path: http://www.ihi.org/Topics/CentralLineInfection/Pages/default.aspx (2016-02-01)
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  • Chronic Care Management
    it difficult to provide good care By changing systems we are closing that gap Hundreds of health care provider organizations have already shown impressive improvements in the health of those they serve Start here The Chronic Care Model identifies six fundamental areas that form a system that encourages high quality chronic disease management Organizations must focus on these six areas as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise To assess your organization s current levels of care with respect to the six components of the Chronic Care Model use the Assessment of Chronic Illness Care Survey Recommended Resources first last Assessment of Chronic Illness Care Survey A simple comprehensive survey tool to assess your organization s current levels of care with respect to the six components of the Chronic Care Model community resources health organization self management support delivery system design decision support and clinical information systems Changes to Improve Chronic Care Organizations must focus on six fundamental areas that form a system that encourages high quality chronic disease management as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise How to Guide Improved Care for Patients with Congestive Heart Failure The goal of this How to Guide is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommended components of care My Shared Care Plan A self management support tool used for long term planned care Partnering in Self Management Support A Toolkit for Clinicians The concepts and tools in this toolkit are intended to give busy clinical practices an introduction to a set of self management activities and changes that support patients and families in the day to day management of chronic conditions Getting Started How to Improve Learn about the Model for Improvement forming the improvement team setting aims establishing measures and selecting and testing changes Go to How to Improve Audio Content Loading Pages first last WIHI How High How Low Shared Decision Making Amidst Shifting Hypertension Guidelines March 13 2014 This WIHI looks to make sense of changing hypertension guidelines and how they impact managing high blood pressure and other conditions in older adults WIHI Topping the Charts in Pediatrics and Adverse Events Reporting February 26 2015 Leaders of the teams behind the winning presentations presented at IHI s 20th Annual Scientific Symposium in December 2014 talk about their work including the most recent data about each improvement endeavor and how new processes and pathways can be sustained View All 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

    Original URL path: http://www.ihi.org/Topics/ChronicCare/Pages/default.aspx (2016-02-01)
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  • CMS Partnership for Patients
    CMS Partnership for Patients Topics Training by IHI For hospitals seeking additional support for their improvement efforts in the Partnership for Patients focus areas IHI offers many virtual and in person training opportunities Upcoming IHI Offerings IHI L 2 Col Top CMS Partnership for Patients Page Content Sponsored by the US federal government s Centers for Medicare Medicaid Services CMS the Partnership for Patients initiative aims to make hospital care safer more reliable and less costly The Partnership for Patients has identified ten core patient safety areas of focus The IHI resources listed on this page can help hospitals make improvements in these key areas Improving Transitions in Care IHI How to Guides for improving transitions from the hospital to reduce avoidable rehospitalizations Hospital to Post Acute Care Settings Hospital to Skilled Nursing Facility Hospital to Clinical Office Practice Hospital to Home Health Care Adverse Drug Events Medication Reconciliation How to Guide Prevent Adverse Drug Events Medication Reconciliation Explore this topic on IHI org High Alert Medication Safety How to Guide Prevent Harm from High Alert Medications Explore this topic on IHI org Catheter Associated Urinary Tract Infections How to Guide Prevent Catheter Associated Urinary Tract Infection Explore this topic on IHI org Central Line Associated Bloodstream Infections How to Guide Prevent Central Line Associated Bloodstream Infection Explore this topic on IHI org Injuries from Falls and Immobility including delirium How to Guide Reducing Patient Injuries from Falls Explore this topic on IHI org Obstetrical Adverse Events Perinatal Elective Induction and Labor Augmentation Safety How to Guide Prevent Obstetrical Adverse Events Pressure Ulcers How to Guide Prevent Pressure Ulcers Explore this topic on IHI org Surgical Site Infections How to Guide Prevent Surgical Site Infection WHO Surgical Safety Checklist Explore this topic on IHI org Venous Thromboembolism VTE Prevention Guide

    Original URL path: http://www.ihi.org/Topics/CMSPartnershipForPatients/Pages/default.aspx (2016-02-01)
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  • Congestive Heart Failure
    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 Topics Congestive Heart Failure Congestive Heart Failure Congestive Heart Failure Topics Explore this topic in Resources IHI LR Wide Congestive Heart Failure Page Content Congestive heart failure CHF is a major and growing public health problem affecting 5 3 million people mostly elderly and is the underlying cause for 12 to 15 million office visits and 6 5 million hospital days each year Because of inadequate treatment discharge guidance and follow up many patients with CHF are caught in a revolving door process that ultimately culminates in deterioration and rehospitalization High rehospitalization rates drive burgeoning costs and also provide a signal that current management approaches to CHF are less than optimal Evidence based treatment approaches offer opportunities to reduce mortality and rehospitalization rates for patients with CHF Recommended Resources first last How to Guide Improved Care for Patients with Congestive Heart Failure The goal of this How to Guide is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommended components of care Transforming Care at the Bedside How to Guide Creating an Ideal Transition Home for Patients with

    Original URL path: http://www.ihi.org/Topics/CHF/Pages/default.aspx (2016-02-01)
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  • Employer-Initiated Improvement
    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 Topics Employer Employer Employer Topics Learn More To learn more about this work including future opportunities to connect with IHI related to employer initiated health improvement contact Lindsay Martin Executive Director of Innovation lmartin ihi org IHI LR Wide Employer Initiated Improvement Page Content With the rising costs of health care both employers and employees have a vested interest in minimizing the costs of care as much as possible while still retaining access to high quality care Employers are in a unique position as purchasers of health care services for their employees to improve health enhance the experience of care and manage per capita cost the IHI Triple Aim The traditional approach to purchasing health care has been isolated and transactional employers and health plans negotiate health plans and providers negotiate and employees receive limited options for health care access This approach focuses on sector specific tactics and presents zero sum gains and losses for the health care system A better approach exists Using System Design to Improve Health and Control Costs By focusing on a system wide initiative aimed at redefining the expectations of each sector without over relying on any one relationship the sectors can work together towards Triple Aim goals We are altering the dynamic of competing interests to identify and capture cost reduction opportunities simultaneously bringing together and building capacity among employers workers unions health plans and health care providers IHI has developed a framework to bring the various stakeholders in the health care purchasing arrangement together in order to achieve

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