Counties Manukau Health Library Database & Resource Directory
Innovation and Improvement Clearinghouse
*The Innovation and Improvement Clearinghouse is a Ko Awatea resource supporting health system innovation and improvement.
What's new - Latest MUST Reads
Selected documents and resources
Selected learning opportunities
Innovation and improvement at Counties Manukau Health & Ko Awatea
Innovation hubs (NZ)
Innovation hubs (International)
Spotlight on Innovation and Improvement. Latest MUST Reads
Pocket-size ultrasound devices that cost 50 times less than the machines in hospitals (and connect to your phone). Virtual reality that speeds healing in rehab. Artificial intelligence that’s better than medical experts at spotting lung tumors. These are just some of the innovations now transforming medicine at a remarkable pace.
No one can predict the future, but it can at least be glimpsed in the dozen inventions and concepts below. Like the people behind them, they stand at the vanguard of health care. Neither exhaustive nor exclusive, the list is, rather, representative of the recasting of public health and medical science likely to come in the 2020s.
Every week, medical journals bring us news of astounding scientific discoveries: CRISPR gene editing, or CAR-T cell therapy for cancer. And yet just as frequently we hear, “Why can’t health care be more innovative?” The resolution of this paradox lies in recognizing that when people lament health care’s lack of innovation, they’re referring to how we deliver services to patients. That distinction makes the paradox even starker: “So, you’re telling me that you can reprogram T cells to find and kill cancer cells, but it took four months to get my mother an appointment with a neurologist; she spent two hours in the waiting room; and then she got an exorbitant bill that read, ‘This is not a bill’?”
Improving patient scheduling, service, or billing should not be as hard as harnessing clustered regularly interspaced short palindromic repeats to edit nucleotide sequences. And yet it seems to be. Why is that, and what can we do about it?
Russell Mannion and Huw Davies explore how notions of culture relate to service performance, quality, safety, and improvement
Organisational culture represents the shared ways of thinking, feeling, and behaving in healthcare organisations;
Healthcare organisations are best viewed as comprising multiple subcultures, which may be driving forces for change or may undermine quality improvement initiatives;
A growing body of evidence links cultures and quality, but we need a more nuanced and sophisticated understandings of cultural dynamics;
Although culture is often identified as the primary culprit in healthcare scandals, with cultural reform required to remedy failings, such simplistic diagnoses and prescriptions lack depth and specificity.
This report considers both the leadership approaches and frontline initiatives that underpin improvements in quality. Through 11 case study conversations, it considers some of the frontline work that has contributed to trusts’ improvements in Care Quality Commission ratings. The report also explores the role of trust leaders in providing an enabling, supportive environment in which this work has been possible.
As improvement practice and research begin to come of age, Mary Dixon-Woods considers the key areas that need attention if we are to reap their benefits.
“QI has been advocated in healthcare for over 30 years13; policies emphasise the need for QI and QI practice is mandated for many healthcare professionals (including junior doctors). Yet the question, “Does quality improvement actually improve quality?” remains surprisingly difficult to answer.14 The evidence for the benefits of QI is mixed14 and generally of poor quality. It is important to resolve this unsatisfactory situation. That will require doing more to bring together the practice and the study of improvement, using research to improve improvement, and thinking beyond effectiveness when considering the study and practice of improvement.”
Despite the increasing prevalence of QI [quality improvement] teams, programmes and senior quality executives, there remains little guidance and defined mechanisms for tracking the ROI of QI work. This article presents insights from Life QI into how this can be done based on the literature and their experiences of working with healthcare organisations around the world.
Some key messages include:
Not all returns are financial
Return on Investment (ROI) is the commonly used term for measuring the impact of initiatives that have been invested in. It typically has a financially focused lens with which return is measured. Less commonly understood is the VOI (Value on Investment) concept, first introduced by Gartner (the world’s leading information technology research and advisory company). Gartner propose that a wide range of factors influence value and can play a pivotal role in contributing to an organisation’s performance and can in turn contribute to traditionally financially focused ROI.
VOI encompasses aspects such as staff engagement, staff morale, knowledge sharing, the ability to collaborate, clear processes and systems, customer perceptions and experiences, productivity, and efficiency.
Use a unified progress scoring system
When assessing the impact and trends of a range of improvement projects it is useful to have a universal guide to denote progress towards whatever improvement goal has been set. This allows multiple projects to be rapidly assessed and grouped to easily identify those demonstrating improvement, not yet demonstrating improvement, and those focusing on implementation of proven improvements.
The IHI project progress score scale does just this. As a 10-point scale it allows teams to grade their progress right from ‘intent to participate’ in a project through to ‘outstanding sustainable results’. This article explains the scale in more detail.
Effective use of this scale allows managers and execs to accurately monitor progress of improvement efforts on a project by project basis. Dashboards can be used to track key metrics at the relevant levels within the organisation.
Track at the levels that matter
Some, but a relatively small number of people within the organisation, will be interested in what is happening at the organisation-level. Most people are primarily concerned about what is happening at their more local, divisional or departmental level. So, setup a monitoring infrastructure that provides people with the information relevant to their parts of the organisation.
They will use this to drive further improvement locally and be able to see the impact on their local improvement metrics. The overall ROI/VOI of the organisation’s improvement efforts will be enhanced if those responsible for specific operational areas can monitor and evidence their specific results. With operational responsibility and monitoring structures in place locally, the total effect at the organisational level can be profound.
Writing about Why the Dutch are different, Ben Coates describes how distinctive cultural practices of directness, tolerance and co-operation in the Netherlands are (at least partly) rooted in a history that required different communities to work together to establish and maintain drainage systems to rescue these lowlands from the sea. So perhaps it is not surprising that this is the nation that has cultivated a model of health and social care provision in which professionals work collaboratively in non-hierarchical teams to provide holistic care.
The Dutch have developed a model where health professionals work in non-hierarchical teams to provide holistic care. How does this work and what would it look like in England? Jo Maybin reflects on what happened when this approach was adopted in West Suffolk.
European Observatory on Health Systems and Policies; 2019.
The WHO’s European Observatory on Health Systems and Policies and the OECD have published this substantial piece (400+ pages) that summarises much of the evidence on quality improvement in health care. While focusing on the situation in and across Europe this has much wider relevance. Many of the topics covered will be familiar to those active in safety and quality efforts.
The reports seeks to provide an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. It summarises evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
This book elucidates the concepts behind multiple elements of quality in healthcare policy (including definitions of quality, its dimensions, related activities, and targets), quality measurement and governance and situates it all in the wider context of health systems research. It is designed to help policy-makers prioritize and align different quality initiatives and to achieve a comprehensive approach to quality improvement.
The volume includes the following chapters:
- An introduction to healthcare quality: defining and explaining its role in health systems
- Understanding healthcare quality strategies: a five-lens framework
- Measuring healthcare
- International and EU governance and guidance for national healthcare quality
- Regulating the input: health professions
- Regulating the input – Health Technology
- Regulating the input – healthcare facilities
- External institutional strategies: accreditation, certification, supervision
- Clinical practice guidelines as a quality strategy
- Audit and feedback as a quality strategy
- Patient safety culture as a quality strategy
- Clinical pathways as a quality strategy
- Public reporting as a quality strategy
- Pay for Quality: using financial incentives to improve quality of care
Newsletters and Updates
Grey Matter is compiled by the Ministry of Health Library and provides access to a selection of the most recent NGO, Think Tank, and International Government reports that are relevant to the health context.
Transforming Care: Reporting on Health System Improvement [Commonwealth Fund]
Quarterly newsletter focuses on new models of care and patient engagement.
Health in the news
Health in the news - weekly update [free subscription]
Research Review [NZ]
Research Review is an independent publishing company that harnesses the expertise of New Zealand's leading specialists to select and advise on the most important medical research and the local implications. We condense what's important and bring it to subscribers on a regular basis as a four page summary with a specialist opinion and a web link to the full study. The Reviews keep medical professionals up to date in over 40 interest areas.
Health Systems Evidence database
Maintained by McMaster University this database is a comprehensive, free access point for evidence to support policy makers, stakeholders and researchers interested in how to strengthen or reform health systems or in how to get cost-effective programs, services and drugs to those who need them.
Selected documents and resources
Creating a culture of excellence: how healthcare leaders can build and sustain continuous improvement (KPMG: 2019)
At a time when healthcare faces growing challenges globally, KPMG International set out to learn how leading healthcare organizations around the world are successfully building and sustaining a culture of continuous improvement. As part of this report we have produced a short series of video interviews with a number of international contributors, who share their perspectives and learning.
Quality improvement (BMJ; Health Foundation, 2018 -)
The BMJ and the Health Foundation have launched a joint series of papers exploring how to improve the delivery of healthcare. The series aims to discuss the evidence for systematic quality improvement, provide knowledge and support to clinicians, and ultimately to help improve care for patients.
How do we ensure that innovation in health service delivery and organization is implemented, sustained and spread? (WHO: 2018)
This policy brief (i) reviews the main frameworks and factors that have been identified as supportive for the successful introduction of innovation in service organization and delivery and (ii) illustrates these factors using selected examples of service innovations in European countries.
Improving the quality of health services: tools and resources. Turning recommendations into practice (WHO, 2018)The World Health Organization (WHO) has released this document that compiles together a range of WHO resources with the aim of supporting the implementation of quality improvement approaches to make health services more effective, safe and people-centred. The compilation lists the main quality improvement tools and resources currently used within WHO’s Department of Service Delivery and Safety. However, as is noted, this compendium is not an exhaustive list of quality improvement interventions.
From PES to PDSA: A guide to using the patient experience survey portal for quality improvement (HQSC, 2018)From PES to PDSA outlines how to use the patient experience reporting portal for quality improvement. Written collaboratively with the Commission's quality improvement team, this document breaks down Plan, Do, Study, Act cycles into well-defined steps so you can streamline quality improvement activities within your primary health organisation or general practice.
Embedding a culture of quality improvement (KingsFund, 2017)
This report explores the factors that have helped organisations to launch a quality improvement strategy and sustain a focus on quality improvement. We identified three common themes for successfully launching a quality improvement strategy: having a clear rationale; ensuring staff are ready for change; understanding the implications for the organisation’s leadership team in terms of style and role.
10 IHI Innovations to Improve Health and Health Care (IHI, 2017)
About 10 years ago, IHI established a Research and Development team and a systematic process of 90-day innovation cycles to tackle some of the vexing issues in health care. A new publication, 10 IHI Innovations to Improve Health and Health Care, curates some key ideas that have emerged from this systematic approach, and reshaped how and what IHI has committed itself to over the years — including the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, among others.
Making the case for quality improvement: lessons for NHS boards and leaders ( Kings Fund / Health Foundation, 2017)
This briefing makes the case for quality improvement to be at the heart of local plans for redesigning services. The briefing does this by drawing on existing literature and examples from within the NHS of where quality has been improved and describing how this was done. It describes the potential benefits from investing in quality improvement – including for patients, staff and the financial sustainability of the system.
Embedding quality improvement skills: guides to build improvement capacity and capability (NHS Improvement, 2017)
These guides are for organisations seeking to begin or build on their improvement capacity and capability.
Quality Improvement Essentials Toolkit (IHI, 2017)
IHI’s QI Essentials Toolkit includes the tools and templates you need to launch and manage a successful improvement project. Each of the ten tools in the toolkit includes a short description, instructions, an example, and a blank template.
BMJ Quality Improvement Series (BMJ, 2018)
The BMJ has, in conjunction with The Health Foundation, launched a joint series of paper on how to improve the quality of healthcare delivery.
What we know about designing an effective improvement intervention (but too often fail to put into practice) [BMJ Quality & Safety, 2017)
Care Redesign Guide [IHI, 2017]
Using communications approaches to spread improvement [Health Foundation]
Findings from a survey of healthcare delivery innovation centers [Commonwealth Fund]
The Art of Making Change - theories, approaches, tools and techniques for creating meaningful change [Leadership Centre, 2015]
A guide to quality improvement methods [HQIP, 2015]
Quality improvement made simple: what everyone should know about healthcare quality improvement [Health Foundation, 2016]
Evidence scan: Quality improvement training for healthcare professionals [Health Foundation, 2016]
Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture [AHRQ]
This document contains references to Web sites that provide practical resources hospitals can use to implement changes to improve patient safety culture and patient safety.
Experience Based Co-Design Toolkit [Kings Fund]
Health Service Co-Design Toolkit [Waitemata DHB, NZ]
Creative Approaches to Problem Solving: Methods Toolkit - [Q Improvement]
A fabulous free toolkit of 25 methods for creative problem solving. There are many of Helen Bevan's favourite tools here, all well explained & organised by objectives
Stewarding regional health transformation: a guide for changemakers [ReThink Health, 2015]
Performance Improvement Framework [NZ State Services Commission]
Who's who in healthcare sustainability? [Counties Manukau Health]
Kings Fund Reading Lists
Contain selected references on a wide range of healthcare topics
Selected learning opportunities
Exciting programme of courses, workshops and learning events hosted by Ko Awatea
Ko Awatea LEARN
LEARN is an interprofessional educational community that gives healthcare professionals the skills they need to become change agents in health care improvement. We’re talking about skills like quality improvement, patient safety, communication, leadership, and patient-centered care. Leaders are looking for these skills, and patients expect providers to have them.
Improving Together is a national learning programme that focusses on quality improvement for people delivering education, social services and health services. You can find out how improvement methodologies accelerate learning and innovation, and how it can be applied to improve the quality of social service delivery in New Zealand.
Improvement Knowledge and Skills Guide [ HSE, Ireland]
This guide will help to support the ongoing learning and professional development of all staff both clinical and non-clinical by providing a list of improvement knowledge and skills which can help to educate, train and guide staff on how to deliver improvement in the health service.
LEAN Thinking is a methodology that will help you improve quality of care, increase efficiency of processes, and identify and eliminate waste. LEAN Thinking evolved in the manufacturing industry but is now routinely applied in the health sector. This course introduces the LEAN methodology and a number of associated tools to implement the methodology in your work environment.
Lifehack Resource Library
Guidelines and workshops to support design thinking to support better health outcomes. Lifehack is a space where people can come together to develop new approaches, projects and ventures, with young people at the centre of the process. We bridge backgrounds, skill sets and place, and empower young people and communities to redefine their own version of success. In short, Lifehack is the R&D ground for Youth Wellbeing interventions.
The School for Change Agents
Develop the skills to make a difference and create change in your organisation on this course targeted at health and care staff.
IHI Open School Video Library (videos)
The growing library of freely available IHI Open School videos is one way to learn from health care leaders and experts from around the world as they share bite-sized pearls of knowledge and advice. In the newly reorganized IHI Open School Video Library, browse by topics such as improvement capability; patient safety; person- and family-centered care; Triple Aim for populations; quality, cost, and value; and leadership.
Health Improvement Scotland QI Global Webex series
Hour long webinars from global leaders in health care transformation and innovation.
Exceptional talks sharing ideas on risk, culture, human performance, teams and leaders.
TedMed talks (videos)
TEDMED is the independently owned and operated health and medicine edition of the TED conference, dedicated to “ideas worth spreading.” TED Talks have been viewed online over two billion times around the world.
"TEDMED convenes and curates extraordinary people and ideas from all disciplines both inside and outside of medicine in pursuit of unexpected connections that accelerate innovation in health and medicine".
Stanford Centre for Professional Development: Innovation and Entrepreneurship Series
View online, without charge, webinars, seminars, and lectures presented by Stanford faculty, industry experts, and senior researchers.
see also Institute of Design at Stanford
A range of free resources, and learning experiences to develop design thinking. Includes a virtual "90 minute crash course in design thinking".
Leadership in Healthcare: a Clearinghouse of Resources for Health Professionals
Curated by the Counties Manukau health Library
Research Review [NZ]
Health Improvement and Innovation Digest -
NZ Ministry of Health Library roundup of literature, research, tools and case studies
Health Roundtable Roundup
Ko Awatea Newsletter
On the Radar [ACSQHC)
Health Quality & Safety Commission e-update
Follow (via twitter)
Counties Manukau Health [NZ]
Counties Manukau Health Library [NZ]
Health Quality and Safety Commission [NZ]
Health Research Council New Zealand [NZ]
Healthcare Improvement Scotland
Institute for Healthcare Improvement (IHI)
Ministry of Health (NZ)
National Institute for Health Innovation [NZ]
Nursing Review New Zealand [NZ]
NZ Doctor [NZ]
Quality Watch [UK]
Research Review NZ [NZ]
The King's Fund
Innovation and improvement at Counties Manukau Health & Ko Awatea
Ko Awatea newsletter - subscribe
Health Transformation series
Creating Systems (Healthcare Transformation Book 1)
by David Galler , Jonathon Gray , Muir Gray [Kindle edition]
September 2015 LINK
Population Medicine (Healthcare Transformation Book 2)
by Jonathon Gray, Karina McHardy, Muir Gray [Kindle edition]
June 2015 LINK
Creating Culture (Healthcare Transformation Book 3)
by Geraint Martin, Jonathon Gray, Mataroria Lyndon, Lynne Maher, Muir Gray [Kindle edition]
September 2015 LINK
Knowledge Management (Healthcare Transformation Book 4)
by Muir Gray , Jonathon Gray, Eli Rotenberg, Clare Nelson, Peter Murgatroyd & Lynne Armstrong [Kindle edition]
April 2017 LINK
Ko Awatea White papers:
White Paper 1 – A Case for Change – Moral Obligation and Pursuit of Quality
White Paper 2 – Establishing an Independent Commentator Panel
White Paper 3 – The Ko Awatea Leadership Academy
Ko Awatea Campaign Publications
20,000 Days Campaign: from small revolutions to big change
An evaluation of CMDHB 20,000 days campaign
20,000 Days and Beyond Evaluation of CMDHB’s Quality Improvement Campaign A report for Counties Manukau District Health Board
Target CLAB Zero: National Collaborative to Prevent Central Line Associated Bacteraema: Final report
Handle the Jandal: a report assessing social mobilisation and community organising in the Counties Manukau District Health Board, with Ko Awatea, Health System Innovation and Improvement
Health system inprovement guides
Development of a collaborative and integrated medication management service for patients at high risk of medication related harm at discharge using an electronic Assessment of Risk Tool (ART) [SMOOTH* COLLABORATIVE (*Safer Medication Outcomes On Transfer Home)]
Feet for life [ Feet for Life is a multidisciplinary collaborative project that has improved access to podiatry services for diabetic patients receiving dialysis in Counties Manukau by incorporating podiatry care into dialysis units ]
Folau I Lagi-Ma – Journey to Wellness [An innovative new model of selfmanagement support that integrates occupational therapy and peer support into primary care to help people living with long-term conditions]
Evaluations and Joint Publications
Co-design programme evaluation and case studies 2015–16. Prepared for the Health and Safety Quality Commission. 2016.
Co-design Programme 2015-2016: Report of the evaluation survey and interviews
Case Study: Safe, effective and efficient discharge (SEED) team (Central PHO)
Case Study: ED patient experience from the front door to seeing the first treating clinician (MidCentral DHB)
Case Study: Severe nausea and vomiting in pregnancy (SNVP) - 'suffering in silence' (MidCentral DHB)
Case Study: Spiritual care at end of life for refugee communities (MidCentral DHB)
Case Study: A review of the patient experience when accessing head and neck cancer services (Nelson Marlborough DHB)
Case Study: Radiology service improvement initiative (Nelson Marlborough DHB)
Case Study: 'Through the eyes of children' (Nelson Marlborough DHB)
Ko Awatea [NZ]
Counties Manukau Health's centre for innovation and improvement
Health Improvement and Innovation Resource Centre (HIIRC) [NZ]
* ceased operation 1 July 2015. Archive only.
Improvement and innovation is occurring throughout New Zealand’s health care system. The HIIRC supported this by providing: an extensive knowledge library of literature directories of individuals and organisations access to improvement projects, tools and initiatives the latest news, events and innovations. Whilst the site is no longer being updated the Ministry of Health library continues to curate and disseminate the Health Improvement and Innovation Resource Centre Digest .
Health Innovation Hub [NZ]
Confidentially and alongside the clinicians, we provide industry with access to clinicians and their new ideas. We also provide innovative clinicians with advice on product design and health innovation funding options.
Health Quality and Safety Commission [NZ]
The Health Quality & Safety Commission works with health professionals, patients and consumers across health and disability services to improve the quality and safety of care. A range of resources including: Open Book - reports to alert providers to the key findings of adverse event reviews. The reports emphasise the changes implemented to stop the event happening again.
See also District health board quality accounts for details of strategies, project and outcomes for each DHB.
Health Research Council of New Zealand [NZ]
The HRC supports research that has the potential to improve health outcomes and delivery of healthcare, and to produce economic gain for New Zealand.
Health Roundtable [NZ / Aus.]
We are a non-profit membership organisation of health services across Australia and New Zealand. We exist to:
Provide opportunities for health executives to learn how to achieve Best Practice in their organisations
Collect, analyse and publish information comparing organisations and identifying ways to improve operational practices
Promote interstate and international collaboration and networking amongst health organisation executives
Members are provided with a wide range of documents and presentations that identify innovations in health care practice, as well as comparative information and meeting notes. Any staff member from a member health service can access these reports by registering for access with their health service email address.
89 health service organisations across Australia and New Zealand are currently members of The Health Roundtable. Many health service members have multiple facilities. A total of 155 facilities currently provide data for comparative analysis.
NZ Innovation Council [NZ]
NZ Innovation Council provides innovators, entrepreneurs and business people with access to innovation experts, forums, events and resources nationwide via our online hub.
Telehealth Resource Centre [NZ]
Brings together information about the various regulations and guidelines that apply to telehealth as well as explaining services the centre provides like free on-site visits and education workshops. Includes case studies and resources to support implementation.
Innovation hubs (international)
International Society for Quality in Health Care (ISQua)
ISQua's mission is to inspire, promote and support continuous improvement in the safety and quality of health care worldwide.
WHO Patient Safety portal
"Adverse events may result from problems in practice, products, procedures or systems. Patient safety improvements demand a complex system-wide effort, involving a wide range of actions in performance improvement, environmental safety and risk management, including infection control, safe use of medicines, equipment safety, safe clinical practice and safe environment of care"
World Innovation Summit for Health (WISH)
A global healthcare community dedicated to capturing and disseminating the best evidence-based ideas in healthcare, providing global solutions that will save both lives and much needed resources.
Australian Centre for Health Innovation [Aus.]
The Australian Centre for Health Innovation (CHI) connects diverse health, policy and industry communities to more effectively address the changing needs of healthcare and improve patient experience.
Australian Commission on Quality and Safety in HealthCare [Aus.]
The Australian Commission on Safety and Quality in Health Care (the Commission) was created by Health Ministers in 2006, and funded by all governments on a cost sharing basis, to lead and coordinate health care safety and quality improvements in Australia.
Australian Institute of Health Innovation [Aus.]
We are leading researchers investigating many aspects of health care. We are a major national resource for many people whose work is intrinsic to strengthening health systems, organisations and services.
ACI: NSW Agency for Clinical Innovation - see also the ACI Innovation Exchange [Aus.]
The Agency for Clinical Innovation (ACI) works with clinicians, consumers and managers to design and promote better healthcare for NSW.
Clinical Excellence Commission [Aus.]
The Clinical Excellence Commission (CEC) is responsible for leading safety and quality improvement in the NSW public health system. It was established in 2004 to promote and support improved clinical care, safety and quality across NSW.
Australasian Association for Quality in Health Care [Aus.]
It is a member-driven, not-for-profit organisation served by a volunteer Council comprised of representatives from all Australian States and Territories and New Zealand.
Health Issues Centre [Aus.]
We support and inform consumers and the health sector to partner for health care improvements.
Formed initially as a subsidiary of the UK Improvement Foundation, the Improvement Foundation (Australia) Ltd was established in Adelaide in 2006 as a not-for-profit organisation. We provide expertise in the development and delivery of quality improvement techniques, such as the Collaborative methodology, to bring about small and large system change. We support improvement work by providing specialist change management advice, and leading edge IT systems, which enable robust measurement of improvement efforts.
1000 Lives Improvement [NHS Wales]
The national improvement programme, supporting organisations and individuals, to deliver the highest quality and safest healthcare for the people of Wales.
Advancing Quality Alliance (AQuA)
Is a NHS health and care quality improvement organisation who are at the forefront of transforming the safety and quality of healthcare.
AHSN NetworkThere are 15 Academic Health Science Networks (AHSNs) across England, established by NHS England in 2013 to spread innovation at pace and scale – improving health and generating economic growth. Each AHSN works across a distinct geography serving a different population in each region.
BMJ Quality Improvement Reports
A new searchable repository of global quality improvement evidence and best practice. It aims to help healthcare professionals improve healthcare by providing a new structured format for healthcare professionals to document innovations and excellence in care.
We are a global independent network of researchers, professionals, patients, carers, and people interested in health.
Haelo is an innovation and improvement centre which hosts improvement experts, clinicians, improvement fellows and researchers. We are a joint venture between Salford Royal NHS Foundation Trust, Salford Clinical Commissioning Group and Salford City Council. The primary purpose of Haelo is to improve population health and healthcare for Salford residents; however we believe this is only possible if we invest in learning partnerships with like-minded providers which centre on shared ambitions for excellence, inclusion and learning.
Healthcare Improvement Scotland [UK]
We produce a range of resources from evidence based reports to best practice and improvement guides. All our resources are designed to support healthcare improvement.
Healthcare Quality improvement Partnership [UK]
The Healthcare Quality Improvement Partnership (HQIP) was established in April 2008 to promote quality in healthcare, and in particular to increase the impact that clinical audit has on healthcare quality in England and Wales.
The Health Foundation [UK]
The Health Foundation is an independent charity working to improve the quality of health care in the UK. We are here to support people working in health care practice and policy to make lasting improvements to health services. We carry out research and in-depth policy analysis, run improvement programmes to put ideas into practice in the NHS, support and develop leaders and share evidence to encourage wider change.
see also Improvement Research Institute [UK]
The Health Innovation Assessment Portal (HIAP-Scotland)
The Health Innovation Assessment Portal (HIAP-Scotland) to encourage prospective providers of new and/or innovative products and solutions to put them forward. This will allow NHSScotland to assess how the solution might support NHSScotland's strategic aims, and what the associated costs and benefits would be
Health Quality Improvement Partnership [UK]
The Healthcare Quality Improvement Partnership (HQIP) is an independent organisation led by the Academy of Medical Royal Colleges, The Royal College of Nursing and National Voices. We were established in April 2008 to promote quality in healthcare, and in particular to increase the impact that clinical audit has on healthcare quality improvement.
Improvement Research Institute [UK]
The University of Cambridge has been chosen to establish and run a new improvement research institute, the first of its kind in Europe. Led by Mary Dixon-Woods, RAND Professor of Health Services Research and Wellcome Trust Investigator at the University of Cambridge, the institute will work closely with a wide range of partners across the UK. The Health Foundation will support the institute by providing in the region of £40m over a period of 10 years
Institute of Global Health innovation [UK - Imperial College London]
The Institute of Global Health Innovation (IGHI) works to design & diffuse high impact global healthcare innovations and to reduce health inequalities worldwide.
NHS Improvement [UK]
NHS Improvement works to improve health outcomes across England by providing improvement and change expertise.
see also the NHS Improvement directory : A list of websites that provide online improvement tools, resources or networks on health and social care.
NHS Right Care [UK]
The primary objective for Right Care is to maximise value: the value that the patient derives from their own care and treatmentthe value the whole population derives from the investment in their healthcare.
NHS Scotland, Quality Improvement Hub [UK]
Includes a section on quality and efficieny supporting the business case for safety.
The Nuffield Trust [UK]
The Nuffield Trust is an authoritative and independent source of evidence-based research and policy analysis for improving health care in the UK.
Ajoint research programme of the Nuffield Trust and the Health Foundation monitoring how the quality of health and social care is changing over time. Highlights areas where improvement is possible.
Royal College of Emergency Medicine QI Resources [UK]
This page collates some of the most useful quality improvement resources for EDs.
Scottish Health Innovations Ltd. [UK]
Scottish Health Innovations Ltd works in partnership with NHSScotland to protect and develop new innovations that come from healthcare professionals.
Scottish Patient Safety Programme [UK]
National initiative that aims to improve the safety and reliability of healthcare and reduce harm, whenever care is delivered.
NHS Scotland Quality Improvement Hub [UK]
Contains resources, case studies, and networks for knowledge sharing.
Scottish Patient Safety Programme [UK]
The Scottish Patient Safety Programme (SPSP) is a unique national programme that aims to improve the safety and reliability of healthcare and reduce harm, whenever care is delivered.
The King's Fund [UK]
The King's Fund is an independent charity working to improve health and health care in England. We help to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate.
THIS.Institute - The Healthcare Improvement Studies Institute [UK]
At THIS Institute we have an important goal: To strengthen the evidence-base for improving healthcare. Creating an evidence-base that supports replicable and scalable improvements to healthcare delivery and patient experiences. Working in partnership with patients and NHS staff throughout the UK, we’re boosting research activity to provide more clarity on what works in improving healthcare, what doesn’t, and why.
100 Million Healthier Lives [US]
100 Million Healthier Lives is an unprecedented collaboration of change agents who are fundamentally transforming the way we think and act to improve health, wellbeing and equity.
SCALE 1.0: Becoming Communities of Solutions SCALE 1.0: The first phase of Spreading Community Accelerators through Learning and Evaluation (SCALE 1.0, January 2015 – January 2017) supported 24 communities across 21 states in the U.S. to accelerate their community transformation journey toward a Culture of Health. These 24 communities, who worked on a variety of health, wellbeing, and equity topics, went on to support 43 additional communities in a program called Pathway to Pacesetters.
Key lessons learned in SCALE 1.0 can be found in the following 5 synthesis reports:
1.Overview of SCALE & a Community of Solutions
2.Foundations of a Community of Solutions
3.Engaging Community Residents with Lived Experience
4.Leading for Abundance: Approach to Generative Sustainability
5.Using Improvement Methods & Design Thinking to Guide Action
Agency for Healthcare Research & Quality (AHRQ) [US]
The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used.
see also AHRQ Innovations Exchange
The Innovations Exchange is expanding efforts to scale up and spread innovations by sponsoring three Learning Communities (LCs) focused on the following high-priority topic areas: “Advancing the Practice of Patient- and Family-Centered Care in Hospitals,” “Reducing Non-Urgent Emergency Services,” and “Promoting Medication Therapy Management for At-Risk Populations.”
Centre for Health Care Innovation [US: Penn Medicine]
The Penn Medicine Center for Health Care Innovation facilitates the rapid, disciplined development, testing and implementation of new strategies to reimagine health care delivery for dramatically better value and patient outcomes.
The Center for Health Organization Transformation
The Center for Health Organization Transformation, or CHOT, is an industry-university cooperative research center (I/UCRC) funded by the National Science Foundation and health organizations to conduct research supporting major management, clinical, and information technology innovations in healthcare.
Healthy Mendocino Promising Practices Database
The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life. The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Institute for Health Care Improvement [IHI] [US]
The Institute for Healthcare Improvement (IHI), an independent not-for-profit organization based in Cambridge, Massachusetts, is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide.
Institute for Healthcare Optimization [US]
An independent not-for-profit 501(c)(3) research, education and service organization focused on bringing the science and practice of operations management to healthcare delivery.
The Commonwealth Fund [US]
The Commonwealth Fund is a private foundation that aims to promote a high performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults.
Mayo Clinic's Centre for Innovation [US]
Mayo Clinic's Center for Innovation fuses design principles with the scientific method to uncover human needs in the health care environment, which include empathy, creativity, systems thinking and a human-centered focus.
National Academies of Sciences, Engineering and Medicine: Health and Medicine Division [US]
HMD’s aim is to help those in government and the private sector make informed health decisions by providing evidence upon which they can rely.
National Patient Safety Foundation [US]
The National Patient Safety Foundation’s vision is to create a world where patients and those who care for them are free from harm. A central voice for patient safety since 1997, NPSF partners with patients and families, the health care community, and key stakeholders to advance patient safety and health care workforce safety and disseminate strategies to prevent harm.
Network for Regional Healthcare Improvement [US]
The Network for Regional Healthcare Improvement (NRHI) is a national organization representing over thirty member Regional Health Improvement Collaboratives (RHICs). These multi-stakeholder organizations are working in their regions and collaborating across regions to transform the healthcare delivery system and achieve the Triple Aim: improving the patient experience of care, including quality and satisfaction; improving the health of populations; and reducing the per-capita cost of healthcare.
ReThink Health [US]
We work with visionary leaders to transform health at the regional level – their neighborhoods, cities, counties, or states. Our hope is that by demonstrating regional success, we inspire transformation across the country.
The Beryl Institute
The Beryl Institute is the global community of practice and premier thought leader on improving the patient experience in healthcare. *Full text access to resources is limited to Beryl Institute members.
Choosing Wisely [US]
Choosing Wisely aims to promote conversations between clinicians and patients by helping patients choose care that is: Supported by evidenceNot duplicative of other tests or procedures already receivedFree from harmTruly necessary.
Planetree, Inc. is a mission based not-for-profit organization that partners with healthcare organizations around the world and across the care continuum to transform how care is delivered
Accreditation Canada: Leading Practices Database
Leading Practices Database is proud to serve as the new location for innovative practices from the former Health Council of Canada Health Innovation Portal. The Leading Practices Database fosters inter-organizational learning and harvesting of new ideas. It includes nearly 1,000 practices recognized as being particularly innovative and effective in improving quality.
Canadian Foundation for Healthcare Improvement
A not-for-profit organization funded by the Government of Canada, dedicated to accelerating healthcare improvement. CFHI plays a unique, pan-Canadian role in supporting healthcare delivery innovation. We help teams from different jurisdictions work together on common improvement priorities, providing opportunities to share and implement evidence-informed solutions across regions, provinces and territories.
Canadian Health Human Resources Network Innovations Portal
CHHRN partnered with the Health Council of Canada to initiate and populate a health human resources (HHR) innovations portal to showcase innovative approaches to health human resource issues.
Canadian Patient Safety Institute
The Canadian Patient Safety Institute (CPSI) is a not-for-profit organization that exists to raise awareness and facilitate implementation of ideas and best practices to achieve a transformation in patient safety.
The Change Foundation
An independent health policy think tank, The Change Foundation is changing the debate, practice and experience in Ontario health care, prompting system-wide, patient-centred improvements.
The Ubora Institute
Africa’s first institute dedicated to the use of improvement science to achieve the best in health and health care for the people of Africa. Launched in February 2016, Ubora, which means “excellence” in Swahili, has already lined up work in partnership with IHI to support health systems in Ghana and Liberia.
Who's who in healthcare sustainability?
(PDF, 77.5 KB)
A summary of sustainability organizations/networks compiled by Debbie Wilson, Sustainability Officer, Counties Manukau Health
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This page was last updated at 10:27AM on December 11, 2019.