Whole System Measures
This IHI white paper describes and promotes the use of a system of metrics, called the Whole System Measures, to measure the overall quality of a health system and to align improvement work across a hospital, group practice, or large health care system.
Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives
This IHI white paper aims to support those that are planning to take effective health care practices from one setting or isolated environment and to make them ubiquitous across a health care system, region, state, or nation. It is a preparation tool which is meant to guide conversation and thinking prior to the launch of a large-scale improvement effort (i.e., one that seeks to stimulate change in complete, geopolitical areas through mobilization of hundreds or thousands of constituent organizations).
Idealized Design of Perinatal Care
Reviews of perinatal care have consistently pointed to failures of communication among the care team and documentation of care as common factors in adverse events that occur in labor and delivery. They are also prime factors leading to malpractice claims.
The model described in this white paper represents the Institute for Healthcare Improvement’s best current assessment of the components of the safest and most reliable system of perinatal care. The four key components of the model are:
A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost
In 2008 Don Berwick, Tom Nolan, and John Whittington first described the Triple Aim of simultaneously improving population health, improving the patient experience of care, and reducing per capita cost. The Institute for Healthcare Improvement (IHI) developed the Triple Aim as a statement of purpose for fundamentally new health systems that contribute to the overall health of populations while reducing costs. The idea struck a nerve.
Interprofessional Care Coordination: Looking to the Future
The following report shares a series of recommendations from national experts on care coordination from across the health professions convened over a two-year period as part of the NYAM Initiative on Interprofessional Care Coordination, a project Macy has funded since 2011.The recommendations address the issues of how to operationalize effective interprofessional care coordination practice models in new and future health care delivery systems, and how to incorporate interprofessional educational and team training for care coordination into pre-clinical and clinical training.
2013 Conference Recommendations
Transforming Patient Care: Aligning Interprofessional Education with Clinical Practice Redesign outlines a series of recommendations to align healthcare education and practice, providing immediate action steps to link interprofessional education and collaborative care.
The recommendations stem from a January 2013 Macy Conference where leaders in health professions education and healthcare delivery came together to discuss how they might align their efforts.
Macy Foundation Conference on Interprofessional Education
In April 2012, the Josiah Macy Jr. Foundation convened all of its grantees working in IPE.
This monograph provides an overview of the working sessions, panel discussions and summaries of the grantees’ IPE work.
Team Based Competencies: Building a Shared Foundation For Education and Clinical Practice
Conference proceedings from the Team-Based Competencies: Building a Shared Foundation For Education and Clinical Practice conference. The conference took place February 16-17, 2011 in Washington, D.C. and was hosted by the Health Resources and Services Administration (HRSA) and co-sponsored by the Josiah Macy Jr. Foundation, the ABIM Foundation, and the Robert Wood Johnson Foundation.
This report outlines an action plan to solidify team-based competencies and advance interprofessional education.
Educating Nurses and Physicians: Toward New Horizons
In June 2010, the Josiah Macy Jr. Foundation and The Carnegie Foundation for the Advancement of Teaching hosted a workshop/conference in Palo Alto, CA to advance new models for inter-professional education within the nation’s academic health centers. The two foundations believe that if nursing, medical, and other health professions students learn jointly in clinical settings, as graduates they will improve patient outcomes by working more collaboratively, communicating better with each other, and fostering a health care delivery system that assures quality and patient safety.