How to Improve | IHI - Institute for Healthcare Improvement

The Model for Improvement,* developed by Associates in Process Improvement, is a simple, yet powerful tool for accelerating improvement. This model is not meant ... Pleasewaitwhileyouarebeingredirected... ThissiteisbestviewedwithInternetExplorerversion8orgreater.CheckyourbrowsercompatibilitymodeifyouareusingInternetExplorerversion8orgreater. LogIn/Register Extranet EducationPlatform NewsletterSignUp NewsletterSignUp Blog Careers Donate Home AboutUs Topics Education Resources Regions EngagewithIHI MyIHI Home AboutUs Vision,Mission,Values EquityIsOneofIHI'sValues History ScienceofImprovement Innovation People HowtoGetInvolved IntheNews Finances Careers Contact KnowledgeBase Topics AllTopicsA-Z COVID-19 HealthEquity ImprovementCapability JoyinWork Leadership PatientSafety Person-/Family-CenteredCare TripleAimforPopulations ValueManagement Education EducationOverview IHIForum IHIPatientSafetyCongress Conferences In-PersonTraining VirtualTraining CertifiedProfessionalinPatientSafety(CPPS) IHIOpenSchool Resources ResourcesOverview HowtoImprove Measures Changes ImprovementStories Tools Publications IHIWhitePapers AudioandVideo CaseStudies Regions RegionsOverview Africa Asia-Pacific Europe LatinAmerica MiddleEast NorthAmerica EngagewithIHI EngagewithIHIOverview CustomizedServices Initiatives MembershipPrograms FellowshipPrograms StrategicPartnerships IndustryPartnerships Blog UserGroups Home / Resources / HowtoImprove HowtoImprove Resources Resources HowtoImprove Measures Changes ImprovementStories Tools Publications IHIWhitePapers AudioandVideo CaseStudies IHILRWide HowtoImprove PageContent​​​IHIusestheModelforImprovementastheframeworktoguideimprovementwork. TheModelforImprovement,*developedby AssociatesinProcessImprovement,isasimple,yetpowerfultoolforacceleratingimprovement.Thismodelisnotmeanttoreplacechangemodelsthatorganizationsmayalreadybeusing,butrathertoaccelerateimprovement. LearnaboutthefundamentalsoftheModelforImprovementandtestingchangesonasmallscaleusingPlan-Do-Study-Act(PDSA)cycles. Introduction FormingtheTeam SettingAims EstablishingMeasures SelectingChanges TestingChanges ImplementingChanges SpreadingChanges *Source:LangleyGL,MoenR,NolanKM,NolanTW,NormanCL,ProvostLP. TheImprovementGuide:APracticalApproachtoEnhancingOrganizationalPerformance (2ndedition).SanFrancisco:Jossey-BassPublishers;2009. **For permissionrequeststousetheModelforImprovementfigureand/orrelatedcontent,pleasecontactthebookpublisher,Jossey-Bass(Wiley).  VisittheImprovementCapabilityTopicpage>>  Video:AnIllustratedLookatQualityImprovementinHealthCare       UpcomingPrograms first < > last ChiefQualityOfficerProfessionalDevelopmentProgram BeginsJanuary12,2022|Onlineandinperson Healthcareorganizationsneeddedicatedleaderstoachievesystem-widequality.Willyoubeoneofthem?Ifyoualreadyhavetop-levelresponsibilityforqualityimprovement,attendthisnewprofessionaldevelopmentcoursefromIHI. ImprovementAdvisorProfessionalDevelopmentProgram BeginsFebruary17,2022|Boston,MA TheInstituteforHealthcareImprovement(IHI),inconjunctionwithAssociatesin ProcessImprovement(API),offerstheImprovementAdvisorProfessionalDevelopmentProgramtohelpindividualsinthiscriticalrolebuildandhonehigh-levelimprovementskills.Thisrichly-packed,10-monthprogramisan“allteach,alllearn”experience. PatientSafetyExecutiveDevelopmentProgram March17,2022|Boston,MA Withtoday’sshrinkinghealthcarebudgetsandgrowingfocusoncosts,ithasneverbeenmoreimportanttohavearobustsafetyplan.Maintainingapowerfulsafetyprogramisessentialtothelong-termhealthofyourdepartment,organization,orhealthcaresystem—andtoensuringthatyourpatientsreceivethesafeandreliablecaretheydeserve.Topositionyourorganizationforsuccess,attendIHI’sPatientSafetyExecutiveDevelopmentProgram. BreakthroughSeriesCollege March22,2022|Boston,MA LearntheInstituteforHealthcareImprovement's(IHI)CollaborativemethodduringIHI'sBreakthroughSeriesCollegeprofessionaldevelopmentprogram. MovingQualityImprovementfromTheorytoAction March22,2022|OnlineCoursewithCoaching Ifyouhaveidentifiedanopportunityforimprovement—whetheritisaprocessinyoursystem,outcomesforyourcustomers,oryourowndailywork—thisonlinecoursewithcoachingwillhelpyouputyourideasintoaction.RegisternowforIHI'sMovingQualityImprovementfromTheorytoActiononlinecourse. RelatedIHIWhitePapers first< >last AFrameworkforSpread:FromLocalImprovementstoSystem-WideChange Akeyfactorinclosingthegapbetweenbestpracticeandcommonpracticeistheabilityofhealthcareprovidersandtheirorganizationstorapidlyspreadinnovationsandnewideas. ComparingLeanandQualityImprovement ThisIHIwhitepaperprovidesdetaileddescriptionsofLeanandtheIHIapproachtoqualityimprovement,includingthebasicconceptsandprinciplesofeachapproach,howtheyaresimilaranddifferent(inhistoryandapproach),andforwhatpurposeseachapproachisthemostappropriate. EngagingPhysiciansinaSharedQualityAgenda Thiswhitepaperpresentsaframeworkonwhichhospitalleadersmightbuildawrittenplanforphysicianengagementinqualityandsafety. ExecutionofStrategicImprovementInitiativestoProduceSystem-LevelResults ThispaperdescribestheessentialelementsforstrategicimprovementWill(thewilltoimprove),Ideas(altnerativestothestatusquo),andExecution(implementingaportfolioofprojectsthatgetresults). PlanningforScale:AGuideforDesigningLarge-ScaleImprovementInitiatives Thiswhitepapermaybeusedasapreparationtoolbythosethatareplanningtotakeeffectivehealthcarepracticesfromonesettingorisolatedenvironmentandtomakethemubiquitousacrossahealthcaresystem,region,state,ornation. SevenLeadershipLeveragePointsforOrganization-LevelImprovementinHealthCare(SecondEdition) AspartofIHI'sworkofsupportingandencouragingleadersofinnovativehealthsystems,thiswhitepaperpresentswhatwebelievetobesomeimportantleveragepointsforleaderswhowanttoachievedramatic,system-levelperformanceimprovement. SustainingImprovement Thiswhitepaperpresentsaframeworkthathealthcareorganizationscanusetosustainimprovementsbyfocusingonthedailyworkoffrontlinemanagers,supportedbyasystemofstandardtasksandresponsibilitiesformanagersatalllevelsoftheorganization. TheBreakthroughSeries:IHI’sCollaborativeModelforAchievingBreakthroughImprovement IHIdevelopedtheBreakthroughSeriestohelphealthcareorganizationsmakebreakthroughimprovementsinqualitywhilereducingcosts. WholeSystemMeasures Thiswhitepaperdescribesandpromotestheuseofasystemofmetrics,calledtheWholeSystemMeasures,tomeasuretheoverallqualityofahealthsystemandtoalignimprovementworkacrossahospital,grouppractice,orlargehealthcaresystem. HowtoImprove Introduction FormingtheTeam SettingAims EstablishingMeasures SelectingChanges TestingChanges ImplementingChanges SpreadingChanges FeaturedContent first< >last QualityImprovementEssentialsToolkit Downloadthesetenessentialqualityimprovementtoolstohelpyouwithyourimprovementprojects,continuousimprovement,andqualitymanagement,whetheryouusetheModelforImprovement,Lean,orSixSigma. ComparingLeanandQualityImprovement ThisIHIwhitepaperprovidesdetaileddescriptionsofLeanandtheIHIapproachtoqualityimprovement,includingthebasicconceptsandprinciplesofeachapproach,howtheyaresimilaranddifferent(inhistoryandapproach),andforwhatpurposeseachapproachisthemostappropriate. TheModelforImprovement(Part1) RobertLloyd,theDirectorofPerformanceImprovementatIHI,useshistrustywhiteboardtodissectthescienceofimprovement.Inshortvideos,hebreaksdowneverythingfromDeming'sSystemofProfoundKnowledge,tothePDSAcycle,toruncharts. TheScienceofImprovementonaWhiteboard! Dr.RobertLloyd,VicePresidentattheInstituteforHealthcareImprovement,explainsthekeyelementsoftheScienceofImprovementusingawhiteboardintheseshortvideos. Plan-Do-Study-Act(PDSA)Worksheet ThePlan-Do-Study-Act(PDSA)Worksheetisausefultoolfordocumentingatestofchange;developedbytheInstituteforHealthcareImprovement(Cambridge,Massachusetts,USA). ProjectPlanningForm TheProjectPlanningFormisausefultoolforplanninganentireimprovementproject,includingalistingofallofthechangesthattheteamistesting,allofthePlan-Do-Study-Act(PDSA)cyclesforeachchange,thepersonresponsibleforeachtestofchange,andthetimeframeforeachtest. TakeaFreeQICourse Learnthefundamentalsofimprovementwiththisonlinecourse,freewithregistrationonihi.org: QI102:HowtoImprovewiththeModelforImprovement ThecurrentbrowserdoesnotsupportWebpagesthatcontaintheIFRAMEelement.TousethisWebPart,youmustuseabrowserthatsupportsthiselement,suchasInternetExplorer7.0orlater. ​FreeVideos Learnmoreaboutthefundamentalsofimprovementinthesefreevideos. TheScienceofImprovement...onaWhiteboard! IntroductiontotheModelforImprovement BuildingSkillsinDataCollectionandUnderstandingVariation UsingRunandControlChartstoUnderstandVariation