Welcome
Mom and Me
IHI Board of Directors
James Anderson
Cincinnati Children’s Hospital
Medical Center (ret.)
Maureen Bisognano
Institute for Healthcare
Improvement
Michael Dowling
Secretary-Treasurer
North Shore-LIJ Health
System
Jennie Chin Hansen
Helen Haskell
Brent James, MD, MStat
American Geriatrics Society
Mothers Against
Medical Errors
Intermountain
Healthcare
Elliott Fisher, MD, MPH Terry Fulmer, PhD, RN, FAAN A. Blanton Godfrey, PhD
North Carolina State University
The Dartmouth Institute for
Health Policy and Clinical
Practice
Northeastern University
Gary Kaplan, MD
Chair
Arnold Milstein, MD, MPH
Dennis O’Leary, MD
Pacific Business Group on
Health
The Joint Commission (ret.)
Virginia Mason
Medical Center
Rudolph Pierce, Esq.
Mark D. Smith, MD, MPA
Nancy Snyderman, MD, FACS
Goulston & Storrs (ret.)
California Healthcare
Foundation
NBC News
Diana Chapman Walsh, MS, PhD
Vice Chair
Wellesley College (ret.)
Our Mission
To improve health and health care worldwide.
Our Vision
Everyone has the best care and health possible.
Who We Are
IHI is a leading innovator in health and health care
improvement worldwide, joining forces with the IHI
community to spark bold, inventive ways to improve
the health of individuals and populations.
What We Want to Accomplish
Together, with visionaries, leaders and
frontline practitioners around the world,
we seek and achieve vital science-based
improvements in health and health care.
Where We Work
We work globally
because countries are
interdependent in terms
of health and health care,
innovations can arise anywhere,
and everyone has something to
teach and something to learn.
How We Work
(Will, Ideas, Execution)
With the IHI community, we
motivate and build the will for
change, identify and test
innovative models of care, and
ensure the broadest possible
adoption of proven practices
that improve individual and
population health.
IHI’s Work: Five Key Areas
The way we work…
Goal: Build reach and will
to accelerate the pace of
improvement worldwide
Goal: Offer programming
to transfer knowledge and
build improvement capability
Goal: Harvest, create,
and test bold, innovative
ideas and new models
of care that support our
strategic initiatives
Goal: Leverage strategic
partnerships and key initiatives
to achieve ambitious
improvement goals
Where we work…
North America
Latin America
Africa
Middle East
Asia Pacific
Europe
2014 – Looking Ahead
An Innovator
A Convener
A Partner
A Driver of Results
Quality, Cost, and
Value
Patient Safety
Triple Aim for
Populations
Person- and
Family-Centered Care
Improvement Capability
QI + Joy in Work
North America
Latin America
Europe
Middle East
Africa
Asia Pacific
On Breaking One’s Neck
Arnold Relman is Professor Emeritus of Medicine and Social Medicine at Harvard Medical School and a former Editor in Chief of The
New England Journal of Medicine. He is the author of A Second Opinion: Rescuing America’s Health Care
“On Breaking One’s Neck” by Arnold Relman. The New York Review of Books. Feb. 6, 2014.
http://www.nybooks.com/articles/archives/2014/feb/06/on-breaking-ones-neck/
On Breaking One’s Neck
“Attention to the masses of data generated by laboratory and imaging studies
has shifted their focus away from the patient. Doctors now spend more time with
their computers than at the bedside. That seemed true at both the ICU and
Spaulding. Reading the physicians’ notes in the MGH and Spaulding records, I
found only a few brief descriptions of how I felt or looked, but there were
copious reports of the data from tests and monitoring devices. Conversations
with my physicians were infrequent, brief, and hardly ever reported.”
“What personal care hospitalized patients now get is mostly from nurses.
In the MGH ICU the nursing care was superb; at Spaulding it was
inconsistent. I had never before understood how much good nursing care
contributes to patients’ safety and comfort, especially when they are very
sick or disabled. This is a lesson all physicians and hospital
administrators should learn. When nursing is not optimal, patient care is
never good.”
“The growing national shortage of primary care physicians allows for
fragmentation, duplication, and lack of coordination of medical services.”
“On Breaking One’s Neck” by Arnold Relman. The New York Review of Books. Feb. 6, 2014.
http://www.nybooks.com/articles/archives/2014/feb/06/on-breaking-ones-neck/