IHI White Papers - Institute for Healthcare Improvement

IHI's Innovation Series white papers were developed to further our mission of improving the quality and value of health and health care. Pleasewaitwhileyouarebeingredirected... ThissiteisbestviewedwithInternetExplorerversion8orgreater.CheckyourbrowsercompatibilitymodeifyouareusingInternetExplorerversion8orgreater. 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NewestIHIWhitePapers LoadingPages.... first < > last Telemedicine:EnsuringSafe,Equitable,Person-CenteredVirtualCare Thiswhitepaperdescribesaframeworktoguidehealthcareorganizationsintheireffortstoprovidesafe,equitable,person-centeredtelemedicine.Theframeworkincludessixelementstoconsider:access,privacy,diagnosticaccuracy,communication,psychologicalandemotionalsafety,andhumanfactorsandsystemdesign. WholeSystemQuality Thiswhitepaperdescribesamoreholisticapproachtoqualitymanagementthatintegratesqualityplanning,qualitycontrol,andqualityimprovementactivitiesacrosstheorganization,supportedbyleadershippracticesthatfosteracultureoflearning. ImprovingBehavioralHealthCareintheEmergencyDepartmentandUpstream Thiswhitepaperprovidesactionableguidanceforhospitalemergencydepartmentsandtheircommunitypartnerstocreateacompassionate,seamless,andeffectivesystemofcareformentalhealthandsubstanceusedisorderpatientswhopresenttotheED. FrameworkforEffectiveBoardGovernanceofHealthSystemQuality Thiswhitepaperpresentsanactionableframeworkwiththecoreprocessesneededforeffectiveboardgovernanceofalldimensionsofhealthsystemquality;anassessmenttool;andsupportguidesforthreecentralknowledgeareasfortrusteeoversightofquality. IHIPsychologyofChangeFramework Thiswhitepaperisaguideforallleadersinterestedinunderstandingtheunderlyingpsychologyofchangeandleveragingitspowertoimpactqualityimprovementefforts:toachievebreakthroughresults,sustainably,atscale. ViewAll AllIHIWhitePapers Click"ViewAll"toseeallpages LoadingPages.... first < > last "ConversationReady":AFrameworkforImprovingEnd-of-LifeCare(SecondEdition) Thiswhitepaperpresentsaframeworkbuiltonfivecoreprinciplestohelphealthcareorganizationsandcliniciansdevelopreliableprocessestoengagepatientsinconversationsabouttheirwishesforend-of-lifecare,stewardthatinformation,andproviderespectfulend-of-lifecarethatisconcordantwithpatients’statedgoals,values,andpreferences. AFrameworkforSafe,Reliable,andEffectiveCare Theframeworkdescribedinthiswhitepaperbringstogetherthestrategic,clinical,andoperationalconceptsthatarecriticaltocreatinga"systemofsafety"thatachievessafe,reliable,andeffectivecare. AFrameworkforSpread:FromLocalImprovementstoSystem-WideChange Akeyfactorinclosingthegapbetweenbestpracticeandcommonpracticeistheabilityofhealthcareprovidersandtheirorganizationstorapidlyspreadinnovationsandnewideas. AGuidetoMeasuringtheTripleAim:PopulationHealth,ExperienceofCare,andPerCapitaCost ThiswhitepaperprovidessuggestedmeasuresforthethreedimensionsoftheTripleAim,accompaniedbydatasourcesandexamples,anddescribeshowthesemeasuresmightbeusedalongwithprocessandoutcomemeasuresforparticularprojectstocreatealearningsystemtoachievetheTripleAim. AchievinganExceptionalPatientandFamilyExperienceofInpatientHospitalCare Thiswhitepaperpresentsaframeworkcenteredonfiveprimarydriversofanexceptionalexperienceofcarethathospitalscanusetodesign,test,andimplementchanges,weavingthemintothefabricofdailyworktoachieveoutstandingresults.Tipsonhowtogetstarted,exemplarsfromavarietyofhospitals,andreferencesforfurtherevidenceandguidancearealsoincluded. AchievingHealthEquity:AGuideforHealthCareOrganizations Thiswhitepaperpresentsaframeworkforhealthcareorganizationstoimprovehealthequityinthecommunitiestheyserve,guidanceformeasuringhealthequity,acasestudyofoneorganizationthathasstrategicallyintegratedhealthequitythroughoutitssystem,andaself-assessmenttoolfororganizationstogaugetheircurrentfocusonandeffortstoimprovehealthequity. AchievingHospital-widePatientFlow Thiswhitepaperguideshealthcareleadersandqualityimprovementteamsthroughanin-depthexaminationofasystem-wideviewofpatientflowwithin(andoutside)thehospital,includinghigh-leveragestrategiesandinterventionstoachievehospital-widepatientflow. CareCoordinationModel:BetterCareatLowerCostforPeoplewithMultipleHealthandSocialNeeds Thiswhitepaperoutlinesmethodsandopportunitiestobettercoordinatecareforpeoplewithmultiplehealthandsocialneeds,andreviewswaysthatorganizationshaveallocatedresourcestobettermeettherangeofneedsinthispopulation.Theelevatedcostofcareinthispopulationoffersatremendousopportunitytocraftaservicedeliveryplanthatmeetstheirneedsmoreeffectivelyatasignificantlylowercost. ComparingLeanandQualityImprovement ThisIHIwhitepaperprovidesdetaileddescriptionsofLeanandtheIHIapproachtoqualityimprovement,includingthebasicconceptsandprinciplesofeachapproach,howtheyaresimilaranddifferent(inhistoryandapproach),andforwhatpurposeseachapproachisthemostappropriate. EngagingPhysiciansinaSharedQualityAgenda Thiswhitepaperpresentsaframeworkonwhichhospitalleadersmightbuildawrittenplanforphysicianengagementinqualityandsafety. ExecutionofStrategicImprovementInitiativestoProduceSystem-LevelResults Thispaperdescribestheessentialelementsforstrategicimprovement:Will(thewilltoimprove),Ideas(altnerativestothestatusquo),andExecution(implementingaportfolioofprojectsthatgetresults). FrameworkforEffectiveBoardGovernanceofHealthSystemQuality Thiswhitepaperpresentsanactionableframeworkwiththecoreprocessesneededforeffectiveboardgovernanceofalldimensionsofhealthsystemquality;anassessmenttool;andsupportguidesforthreecentralknowledgeareasfortrusteeoversightofquality. GoingLeaninHealthCare Leanmanagementprincipleshavebeenusedeffectivelyinmanufacturingcompaniesfordecades,particularlyinJapan.IHIbelievesthatleanprinciplescanbesuccessfullyappliedtothedeliveryofhealthcare. High-ImpactLeadership:ImproveCare,ImprovetheHealthofPopulations,andReduceCosts Leadersatalllevelsincaredeliveryorganizations,notjustseniorexecutives,arestrugglingwithhowtofocustheirleadershipeffortsandachieveTripleAimresults—betterhealth,bettercare,atlowercost—forthepopulationstheyserve.High-impactleadershipisrequired.Thiswhitepaperpresentsthreeinterdependentdimensionsofleadershipthattogetherdefinehigh-impactleadershipinhealthcare:newmentalmodels,High-ImpactLeadershipBehaviors,andtheIHIHigh-ImpactLeadershipFramework. HospitalInpatientWasteIdentificationTool TheHospitalInpatientWasteIdentificationToolprovidesasystematicmethodforhospitalfrontlineclinicalstaff,membersofthefinancialteam,andleaderstoidentifyclinicalandoperationalwasteandsubsequentlyprioritizeandimplementwastereductioninitiativesthatwillresultincostsavingsfortheorganization. IdealizedDesignofPerinatalCare Reviewsofperinatalcarehaveconsistentlypointedtofailuresincommunicationamongthecareteamanddocumentationofcareascommonfactorsinadverseeventsthatoccurinlaboranddelivery.ThiswhitepaperprovidesdetailaboutIHI'sIdealizedDesignprocessandexaminessomeoftheinitialworkoftheIdealizedDesignofPerinatalCareinnovationproject. IHIFrameworkforImprovingJoyinWork Withburnoutandstaffturnoverinhealthcarecontinuingtoriseatalarmingrates,thiswhitepaperdescribesfourstepsleaderscantaketoimprovejoyinwork;aframeworkwithninecriticalcomponentsforensuringajoyful,engagedworkforce;keychangeideas;andmeasurementandassessmenttools. IHIGlobalTriggerToolforMeasuringAdverseEvents(SecondEdition) ThiswhitepaperprovidesinformationonthedevelopmentandmethodologyoftheIHIGlobalTriggerTool,enablingtheabilitytoaccuratelyidentifyadverseeventsandmeasuretherateofadverseeventsovertime. IHIInnovationSystem DrawingonIHI'snearly30yearsofexperiencewithinnovation,thiswhitepaperprovidesadetaileddescriptionofIHI’sinnovationsystem,including90-DayLearningandTestingCycles,anddescribeshowahealthcareorganizationmightcreateitsowninternalinnovationsystemthatfocusesonimprovinghealthcaredelivery. IHIPsychologyofChangeFramework Thiswhitepaperisaguideforallleadersinterestedinunderstandingtheunderlyingpsychologyofchangeandleveragingitspowertoimpactqualityimprovementefforts:toachievebreakthroughresults,sustainably,atscale. ViewAll MorePublications LoadingPages.... first < > last AddressingPushbackonHealthEquity Thisarticleprovidesguidanceforhealthcareleaderstoeffectivelyprepareforandaddresspushbackonhealthequity,includingusingdataandstoriestoharnesscuriosityasanantidotetofearandresistance. GettingGrounded:BuildingaFoundationforHealthEquityandRacialJusticeWorkinHealthCareTeams Thisarticleproposesathree-prongedapproachforequityimprovementteamstobuildastrongfoundationtoeffectively,collaboratively,andauthenticallydismantleracisminhealthcare. BlendingParticipatoryActionSynthesisandMeta-Ethnography:AnInnovativeApproachtoEvaluatingComplexCommunityHealthTransformation Thisarticledescribesaninnovativeparticipatoryapproachtoevaluationofacommunitytransformationinitiative,the100MillionHealthierLivesSCALE(SpreadingCommunityAcceleratorsthroughLearningandEvaluation)initiative,thatinvolvedupto18communitiesacrosstheUS. DevelopingCapacityforLearningCommunitySystems:Experiencesfromthe100MillionHealthierLivesSCALEInitiative Thispaperexploresthecapabilitiesthatcontributetocommunitytransformationandthecommonpathwaysfollowedbycommunitiesinthe100MillionHealthierLivesSCALE(SpreadingCommunityAcceleratorsthroughLearningandEvaluation)initiativeintheirtransformationjourneystowardsa“CultureofHealth.” WhyHealthCareSystemsShouldInvestinMedicalMalls Medicalmallshavethepotentialtoenablehospital-basedsystemstodelivercaremoreeffectively,efficiently,andflexiblyandtohelpaddresshealthcareinequities. ViewAll FeaturedWhitePapers first< >last IHIPsychologyofChangeFramework Thiswhitepaperisaguideforallleadersinterestedinunderstandingtheunderlyingpsychologyofchangeandleveragingitspowertoimpactqualityimprovementeffortstoachievebreakthroughresults,sustainably,atscale. IHIFrameworkforImprovingJoyinWork Withburnoutandstaffturnoverinhealthcarecontinuingtoriseatalarmingrates,thiswhitepaperdescribesfourstepsleaderscantaketoimprovejoyinwork;aframeworkwithninecriticalcomponentsforensuringajoyful,engagedworkforce;keychangeideas;andmeasurementandassessmenttools. AFrameworkforSafe,Reliable,andEffectiveCare Theframeworkdescribedinthiswhitepaperbringstogetherthestrategic,clinical,andoperationalconceptsthatarecriticaltocreatinga"systemofsafety"thatachievessafe,reliable,andeffectivecare. AchievingHealthEquity:AGuideforHealthCareOrganizations Thiswhitepaperpresentsaframeworkforhealthcareorganizationstoimprovehealthequityinthecommunitiestheyserve,guidanceformeasuringhealthequity,acasestudyofoneorganizationthathasstrategicallyintegratedhealthequitythroughoutitssystem,andaself-assessmenttoolfororganizationstogaugetheircurrentfocusonandeffortstoimprovehealthequity. SustainingImprovement Thiswhitepaperpresentsaframeworkthathealthcareorganizationscanusetosustainimprovementsbyfocusingonthedailyworkoffrontlinemanagers,supportedbyasystemofstandardtasksandresponsibilitiesformanagersatalllevelsoftheorganization. ComparingLeanandQualityImprovement ThisIHIwhitepaperprovidesdetaileddescriptionsofLeanandtheIHIapproachtoqualityimprovement,includingthebasicconceptsandprinciplesofeachapproach,howtheyaresimilaranddifferent(inhistoryandapproach),andforwhatpurposeseachapproachisthemostappropriate. AGuidetoMeasuringtheTripleAim:PopulationHealth,ExperienceofCare,andPerCapitaCost ThiswhitepaperprovidessuggestedmeasuresforthethreedimensionsoftheTripleAim,accompaniedbydatasourcesandexamples,anddescribeshowthesemeasuresmightbeusedalongwithprocessandoutcomemeasuresforparticularprojectstocreatealearningsystemtoachievetheTripleAim. IHIGlobalTriggerToolforMeasuringAdverseEvents(SecondEdition) ThiswhitepaperprovidesinformationonthedevelopmentandmethodologyoftheIHIGlobalTriggerTool,enablingtheabilitytoaccuratelyidentifyadverseeventsandmeasuretherateofadverseeventsovertime. TheBreakthroughSeries:IHI’sCollaborativeModelforAchievingBreakthroughImprovement IHIdevelopedtheBreakthroughSeriestohelphealthcareorganizationsmakebreakthroughimprovementsinqualitywhilereducingcosts. ThecurrentbrowserdoesnotsupportWebpagesthatcontaintheIFRAMEelement.TousethisWebPart,youmustuseabrowserthatsupportsthiselement,suchasInternetExplorer7.0orlater.