Improvement Tools
View improvement tools from the Institute for Healthcare Improvement, the Agency for Healthcare Research and Quality, and other resources. You can browse the tools by topic, using the menu below.
All Series
- Overall Health Care Quality
- Heart Attack Care
- Heart Failure Care
- Pneumonia Care
- Surgical Care Improvement
- Patient Experiences
- Patient Safety
- Readmission Rates
Infection Prevention Plus Measures Toolkit
The purpose of this toolkit is to make references, product information and associated tools readily accessible, in order to support infection prevention and control staff in the implementation of interventions that are in addition to the IHI infection prevention bundle measures.
(Source: Kaiser Permanente)
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Interact II -- Interventions to Reduce Acute Care Transfers
This site provides tools and educational resources designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents in skilled nursing facilities with the goal of improving care and reducing the frequency of potentially avoidable transfers to the hospital.
(Source: Florida Atlantic University)
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Interdisciplinary Patient/Family Education Record, Congestive Heart Failure:
This tool is used to document education about care after discharge that is provided to patients with congestive heart failure and their families.
(Source: Cleveland Regional Medical Center)
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MRSA Screening Policy and Procedure
This Infection Control Policy provides instructions for conducting patient screening for methicillin-resistant Staphylococcus aureus (MRSA) and details procedures for managing positive MRSA cultures.
(Source: St John's Regional Health Center)
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Oregon Heart Failure GAP Project
The Oregon Heart Failure GAP (Guidelines Applied in Practice) Toolkit contains a variety of tools, some for clinicians treating patients suffering from heart failure, and others for heart failure patients themselves.
(Source: American College of Cardiology - Oregon Chapter)
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Organizational Performance Assessment Toolkit--Improving Communication, Improving Care
This toolkit helps health care organizations assess the effectiveness of their communication with patients, focusing on common problems such as cultural, language, and health literacy gaps. It provides a comprehensive evaluation, with surveys of patients, clinicians, non-clinical staff, and leadership as well as an organizational checklist.
(Source: American Medical Association's Ethical Force Program)
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Patient- and Family-Centered Care Organizational Self-Assessment Tool
This self-assessment tool enables organizations to understand the range and breadth of elements under patient- and family-centered care and to assess where they are against the leading edge of practice.
(Source: Institute for Healthcare Improvement and National Initiative for Children's Healthcare Quality)
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Physician Admission Orders, Congestive Heart Failure
This form is used to indicate physician admission orders for patients with heart failure
(Source: Cleveland Regional Medical Center)
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Physician Discharge Orders, Congestive Heart Failure
This form is used to indicate the physician's discharge orders for patients with congestive heart failure.
(Source: Cleveland Regional Medical Center)
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Physicians Attest to Benefits of Quality Measurement and Improvement Tools (DVD)
A DVD, "Putting Quality into Practice: Physicians in Their Own Voices," features the perspectives of physicians who have adopted quality measurement and improvement tools. The doctors speak candidly about why they decided to measure their performance, and how the information empowered them to improve the care they provide to patients.
(Source: The Commonwealth Fund)
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Pittsburgh Regional Health Initiative Readmissions Briefs
The PRHI Readmission Briefs seek to answer questions about the use of readmission rates as a measure of the quality and efficiency of care. They address:
1. What is the "right" time frame for defining a potentially avoidable readmission? For how many days past discharge is a readmission potentially preventable, and how does this vary by condition?
2. To what extent are readmissions likely to be related to an initial admission and to what extent does this vary across diagnoses?
3. To what extent are readmissions within the domain of hospital control?
4. Are there patterns of admissions and readmissions that can help clinicians flag, and then prevent, unnecessary hospitalizations?
(Source: Pittsburgh Regional Health Initiative)
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Pneumonia Collaborative Framework
This document provides a framework for change to assist quality improvement teams using the Institute for Healthcare Improvement (IHI) collaborative methodology. It contains a charter, change package, and measurement strategy assimilated by the National Pneumonia Project with special input by the National Pneumonia Expert Panel and Qualis Health.
(Source: Oklahoma Foundation for Medical Quality)
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Pneumonia Severity Index Calculator
This program is an interactive tool to assist clinicians in determining the most appropriate care for newly diagnosed cases of community-acquired pneumonia (CAP) at the point of care. It will help calculate the severity index of a pneumonia patient. The output includes mortality rates and pneumonia class types. Features include: 1) Application downloads for the Palm and Pocket PC 2) Installation instructions 3) Feedback and help.
(Source: Agency for Healthcare Research and Quality)
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Pneumonia Tip Sheet
This fact sheet guides a patient through the questions they should be asking their doctor and nurses about pneumonia.
(Source: Oklahoma Foundation for Medical Quality)
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Preliminary Discharge Instructions, Heart Failure
This is a generic discharge instructions tool, which includes all important elements for patients with congestive heart failure. The tool is given to heart failure patients upon admission and used to document important general discharge instructions.
(Source: Baystate Medical Center)
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Project Planning Form
Used by hundreds of health care organizations in the Institute for Healthcare Improvement's Breakthrough Series, the Project Planning Form is a useful tool for planning an entire improvement project, including a listing of all of the changes that the team is testing, all of the Plan-Do-Study-Act (PDSA) cycles for each change, the person responsible for each test of change, and the time frame for each test. The form allows a team to see at a glance the overall picture of the project
(Source: Institute for Healthcare Improvement)
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Road Map for Quality Improvement--A Guide for Doctors
The Road Map for Quality Improvement: A Guide for Doctors presents the essentials of quality improvement in an brief and accessible format. Topics include:
What is quality improvement?
Why should physicians learn about quality improvement?
Measurement
Building an improvement team
Testing changes and continuous quality improvement
Transforming culture
(Source: Manoj Jain, M.D., M.P.H., Infectious Disease PhysicianMemphis, Tennessee, USA)
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Sample Business Case for Reducing Ventilator-Associated Pneumonia
This document provides a sample business case for reducing ventilator-associated pneumonia.
(Source: Safe & Sound: An Arizona patient safety initiative through the Arizona Hospital and Healthcare Association)
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Self-Assessment Tools for Evaluating Patient- and Family-Centered Practices
These in-depth self-assessment inventories provide detailed questions for interdisciplinary patient / family teams in hospitals and outpatient settings. They provide a way to assess patient- and family-centered care in a hospital, clinical area, or practice, and to develop a plan to advance the practice of patient- and family-centered care.
(Source: Institute for Family-Centered Care)
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Smoking Cessation Package
Informative materials to support smoking cessation for heart failure, acute myocardial infarction, and pneumonia projects. The packet includes infectious diseases chart sticker, documentation sticker, poster, pocket card, follow-up mailer and indicator logic.
(Source: Primaris, QIO of Missouri)
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STate Action on Avoidable Rehospitalizations (STAAR) How-to Guide--Creating an Ideal Transition Home
Section One highlights four key changes to create of an ideal transition home and specifies changes that can be tested. Key references and links to resources are included.Section Two outlines a practical step-by-step sequence of activities to assist staff in testing and adapting many of the proposed changes described in Section One. Section Three includes a bibliography, annotated list of resources, and worksheets. Section Four includes case studies of two hospitals that implemented many of the key changes highlighted in this guide.
(Source: Institute for Healthcare Improvement and The Commonwealth Fund)
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STate Action on Avoidable Rehospitalizations (STAAR)--A Compendium of Promising Interventions
This document provides information regarding current best programs and practices to reduce rehospitalizations.
(Source: Institute for Healthcare Improvement and The Commonwealth Fund)
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STate Action on Avoidable Rehospitalizations (STAAR)--A Survey of the Published Evidence
This document is a survey of the published literature regarding the effective interventions to reduce avoidable rehospitalizations.
(Source: Institute for Healthcare Improvement and The Commonwealth Fund)
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Stepping Stones -- Bridging Healthcare Gaps
This video describes an approach taken in Washington State's Whatcom County--involving a hospital, the state's QIO, and community providers--to improve care transitions and avoid rehospitalizations.
(Source: Qualis Health)
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Strategies for Leadership--Patient- and Family-Centered Care Toolkit
The toolkit contains downloadable resources, including a teaching video, video discussion guide, resource guide, and hospital self-assessment tool, to help hospitals become more patient- and family-focused in their care practices.
(Source: American Hospital Association and Institute for Family-Centered Care)
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