2018 National Forum on Quality Improvement in Health Care

Materials and Handouts
Sunday Learning Labs || Monday Learning Labs / Quick Courses / Forum Excursions
A and B Workshops || C Workshops || D and E Workshops
Keynotes || Special Interest Breakfasts

Sunday Learning Labs

SL1: Be Bold: Achieving Your Goals for Safety and Transformation

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Presentation_SL1_Be_Bold_Achieving_Your_Goals_for_

SL2: Addressing Social Determinants of Health

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SL3: Behaviors That Drive Multi-Stakeholder Improvement Efforts

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SL4: Breakthrough Results: Collaboration and Innovation

Presentation_SL04_Breakthrough_REsults

SL5: Designing your Roadmap for Complex Populations

Presentation_SL5_Designing_your_Roadmap_for_Comple

SL6: Enhancing Joy in Work Using Improvement Science

Presentation_SL6_Enhancing_Joy_in_Work_Using_Impro

SL7: Breaking Barriers: Making Community Linkages to Improve Patient Outcomes

Presentation_SL7__Breaking_Barriers_update12.09

SL8: Designing and Managing Community Scale-up efforts

Coming Soon...

SL9: Developing Reliable Processes for Safe Care

Presentation_SL9_Processes_for_Safe_Care_Rooney

SL10: Embedding Health IT Into Your Safety Program

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SL11: Improve Lives & Lower Cost Using Our Lean PI Tools

Presentation_SL11_Improve_Lives_Strong

SL12: Integrate Behavioral Health in the ED and Upstream

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SL13: Joy in Work: Practicalities and Pitfalls

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Presentation_SL_13_Joy_in_Work_Practicalities_and_
Presentation_SL_13_Joy_in_Work_Practicalities_and_

SL14: Implementing a Leadership System Focused on Reliability

Presentation_SL14_Implementing_a_Leadership_System

SL15: Regional Strategies to Collaboratively Measure Affordability

Presentation_SL15_Regional_Strategies_Mariea-Nason

SL16: High Reliability + Value Improvement = Learning Organization

Presentation_SL16_High_Reliability_Value_Improveme

SL17: Reimagining Leadership Development

Presentation_SL17_Reimagining_Leadership_Developme

SL18: Rounding for Safety’s Sake: Family-Centered I-PASS

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SL19: Stop Mortality Reviews and Start Learning

Presentation_SL19_Stop_Mortality_Reviews_and_Start

SL20: This writing workshop will help you get published

Presentation_SL20_This_writing_workshop_will_help_
Presentation_SL20_This_writing_workshop_will_help_

SL21: Creating the Conditions for Intergenerational Well-being

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Presentation_SL21_Well_Being_Legacy_IHI_Learning_L
Tools_Resource_Well_Being_Legacy_IHI_Learning_Lab_

SL22: What Health Care Leaders Can Learn from Amazon

Presentation_SL22_WhatHealthCareLeaders_Compton

SL23: What Really Matters to Individuals with Disabilities?

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SL24: Pathways to Population Health for Health Care

Presentation_P2PH_2018_IHI_Forum_Learning_Lab
Presentation_SL24_Pathways_to_Popukation_Health_fo
Presentation_SL24_Pathways_to_Popukation_Health_fo

Monday Learning Labs / Quick Courses / Forum Excursions

ML1: IHI Framework and the Journey to HRO: Two Stories of Transformation

Presentation_ML01_IHI_Framework_D_Lu
Presentation_ML01_IHI_Framework_T_Kelley

ML2: Figuring Out Flow: How to Ensure Timely Admissions, Treatments, and Discharges

Coming Soon...

ML3: A Community Approach to Improving Mental Health and Wellbeing

Tools_Resource_ML3_A_Community_Approach_to_Improvi
Presentation_ML3_A_Community_Approach_to_Improving

ML4: Practical Tools to Address Social Determinants of Health

Coming Soon...

ML5: Using Lean Concepts and Practical Tools to Fight the Opioid Crisis

Presentation_ML5_Opoids_Eliminate_Harm_Saunders

ML6: Using a High-Value Care Tool to Identify Areas of Improvement

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Presentation_ML06_Using_a_High-Value_Care_Tool_to_

ML7: Lessons on QI from Community-Based Organizations

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Presentation_ML7_Lessons_on_QI_from_Community_Base

ML8: RCA2: See One, Try One, Take One Home

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Presentation_ML08_RCA2_See_One,_Try_One,_Take_One_

ML18: Deprescribing: The Why and How

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Presentation_ML18_Deprescribing_The_Why_and_How_up

ML9: Managing Professionals Who Don’t (or Won't) Improve

Coming Soon...

ML10: Reducing Diagnostic Error in Clinical Settings

Presentation_ML10_Reducing_Diagnostic_Error_in_Cli

ML11: Reducing Patient Wait Time Using a Fixed-Room Nurse Practitioner Model

Presentation_ML11_Reducing_Patient_Wait_Time_Using

ML12: Reducing Variation in Care Delivery While Improving Quality

Presentation_ML12_Reducing_Variation_in_Care_Deliv

ML13: Scaling Up Social Determinants of Health Interventions

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ML14: Should Maternity Care and Substance Use Treatment be Integrated?

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ML15: The Practice of Respect: Preventing Emotional Harms

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ML16: Tools for Transforming Teams and Igniting Change

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ML17: What Happens When I Push This Button?

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Presentation_ML17_What_Happens_When_I_Push_This_Bu

Q1: Psychology of Change: A Human-Centered QI Approach

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Q2: 5 Essential Activities for Leadership Teams

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Q3: Achieving Hospital-wide Patient Flow

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Presentation_Q03_Creating_a_No_Wait_ED_K_Murrell

Q4: Better Quality Through Better Measurement

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Presentation_Q4_Better_Quality_Through_Better_Meas

Q5: Using Value Management Tools to Impact Cost and Quality

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Presentation_Q5_Using_Value_Management_Tools_K_Cor

Q6: Certified Professional in Patient Safety Review Course

Presentation_Q06_Certified_Professional_in_Patient

Q7: Dismantling Institutional Racism in Health Care

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Q8: Engaged Physicians Transform Care

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Q9: Governance and Quality: Building Better Boards

Presentation_Q9_Boards_on_Board_Balik
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Presentation_Q9_Governance_and_Quality_Building_Be
Presentation_Q9_Governance_and_Quality_Building_Be

Q10: How to Be a Brilliant Change Agent

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Q11: Intelligent Kindness: The Foundation of Quality Care

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Q12: Leading Sustainable Change in the Real World

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Q13: Microsystems and Team Coaching = Success and Joy

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Q14: Reducing Diagnostic Errors: A Practical Workshop

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Q15: A Step-by-Step Plan to Build Your Improvement System

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Q16: Engaging everyone to create and sustain quality

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FE1: Marriott World Center: Managing Large-Scale Operations

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Presentation_FE1_Large-Scale_Operations_Nielsen

FE2: Gaylord Palms Resort: Joy in Work and Customer Satisfaction

Coming Soon.

FE3: Central Florida Zoo: Patient Care, Safety, and Engagement

Presentation_FE3_Central_Florida_Zoo_Lenoci-Edward

FE4: Universal Orlando®: Safety and Reliability

Presentation_FE4_Safety_and_Reliability_Griffin

FE5: Orlando Health System: Delivering Great Care with High Reliability

Coming Soon.

FE6: Brad Brewer Golf Academy: Leadership Lessons from the Links

Coming Soon.

FE7: Second Harvest Food Bank of Central Florida: Strategic Planning, Community Engagement, Disaster Preparedness

Coming Soon.

A and B Workshops

SW1: Storyboard Walkaround: Improving Perinatal Care

Presentation_SW1_Prenatal_Care_Shanmugalingam
Presentation_SW1_Prenatal_Care_Harkins
Presentation_SW1_Prenatal_Care_Encarnacion
Presentation_SW1_Prenatal_Care_Buckaloo

SW3: Storyboard Walkaround: Using QI to Solve Complex Social Problems

Presentation_SW3_Using_QI_to_Solve_Social_Problems
Presentation_SW3_Solve_Complex_Problems_Zambrano
Presentation_SW3_Solve_Complex_Problems_Ghee

SW2: Storyboard Walkaround: Innovations in Age-Friendly Care

Presentation_SW2_Age_Friendly_Care_Wells
Presentation_SW2_Age_Friendly_Bernard
Presentation_SW2_Age_Friendly_Care_Cheng

SW4: Storyboard Walkaround: Sepsis

Presentation_SW4_Sepsis_Doskotz
Presentation_SW4_Sepsis_Schroder
Presentation_SW4_Sepsis_Hill
Presentation_SW4_Sepsis_Disbot

A1 / B1: 5 Strategies for Leading Quality at a System Level - (A1) SPOTLIGHT SESSION!

Presentation_A1B1_5_Strategies_for_Leading_Quality

A2 / B2: A New Model to Identify and Deploy Best Practices

Presentation_A2B2_A_New_Model_Kanter

A3 / B3: A Proven Approach to Change Leadership Behavior to Enable an Improvement Culture - (B3) SPOTLIGHT SESSION

Presentation_A3_A_Proven_Approach_to_Change_Leader

A4 / B4: How to evaluate the return on investment from QI

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A5 / B5: Use Actionable Data to Benefit Customers and Staff

Presentation_A5B5_Use_Actionable_Data_Tierney

A6 / B6: Activating Global Health Change Agents for Health Equity

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A7 / B7: High Risk, High Reward: How Team-Based Care Helps the Most Complex Patients

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Presentation_A7B7_High_Risk,_High_Reward_update12.

A8 / B8: Age-Friendly Health Systems: Improving Care for Older Adults

Presentation_A8B8_Age_Friendly_Health_Systems_upda

A9 / B9: Back to Basics: Essential QI Skills

Presentation_A9B9_Back_to_Basics_Macy

A10 / B10: The Lucian Leape Institute’s Journey at the Forefront of Transforming Safety in Health Care

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A11 / B11: Teamwork, Communication, and Data: 3 Keys to Large-Scale Practice Change in Opioid Prescribing

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A12 / B12: Bringing Your Board Beyond "StopLight" Scorecards

Presentation_A12B12_Beyond_Stoplight_Scorecards_Wa

A13 / B13: Building a Culture of Data-Driven Cost and Quality

Presentation_A13B13_Data-Driven_Cost_and_Quality_A

A14 / B14: Engaging Physicians Using Value Measurement Tools

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Presentation_Presentation_A14B14_Engaging_Physicia
Presentation_Presentation_A14B14_Engaging_Physicia

A15 / B15: Can a Conversation Change an Outcome? Can a Conversation Save a Life?

Coming Soon...

A16 / B16: Co-Design an Environment in Which Staff Can Thrive

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A17 / B17: Co-Design Your Way to Better Pregnancy Care

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A18 / B18: Adopting a Cohort-Based, Value-Driven Health Care Model

Presentation_A18B18_Cohort_Based_Value_Driven_Heal

A19 / B19: Workplace Violence Prevention: A Collaborative Approach

Coming Soon...

A20 / B20: Behavioral Health Integration: A Look at Lessons and Barriers

Presentation_A20B20_Behavioral_Health_Integration_

A21 / B21: Storytelling Time: Practical Tips for Converting Clinicians to Value-Based Believers

Presentation_A21B21_Storytelling_Time_Parikh

A22 / B22: Transforming Systems with Alignment & Engagement

Presentation_A22B22_Transforming_Systems_Mashni_up

A23 / B23: Integrate Primary Care for Substance Use Disorder Treatment

Presentation_A23B23_Integrate_Primary_Care_for_Sub

A24 / B24: Using Concurrent Mixed Methods in a National QI Project

Presentation_A24B24_Using_Concurrent_Mixed_Methods

A25 / B25: Co-Producing Health: A Global Perspective

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A26 / B26: Designing High-Impact Value Improvement Projects

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A27 / B27: Creating a Maternal-Child Service Line

Coming Soon...

A28 / B28: Polypharmacy: Pharmacist-Led Deprescribing Programs

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A29 / B29: Create a Culture of Daily Continuous Improvement

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A30 / B30: Don’t Wait: Find and Address Behavioral Health Issues

Presentation_A30B30_Address_Behavioral_Health_Issu

C Workshops

SW5: Storyboard Walkaround: Student Placeholder

Presentation_Campaign_Winner_Sonal_Gagrani
Presentation_Chapter_Winner_Kanwar_Thind
Presentation_Organizing_Winner_Alexa_McWhinnie
Presentation_QI_Winner_Elizabeth_Vincent

C1: A WISH for Seniors: Improving Community Tenure

Presentation_C1_A_WISH_For_Seniors_Goldman

C2: Radical Redesign: Coach-Based Mental Health Care

Presentation_C2_Radical_Redesign_Coach_Cohen

C3: Learning Networks: Co-Producing Outcomes at Scale

Presentation_C3_Learning_Networks_Co-Producing_Out

C4: Assess Burnout, Take Action, Create Joy in Work - SPOTLIGHT SESSION!

Presentation_C4_Assess_Burnout,_Take_Action,_Creat

C5: Improve Outcomes for Moms and Babies Affected by Opioid Use Disorders

Presentation_C5__Improve_Outcomes_for_Moms_and_Bab

C6: Improving Safety in a Volatile System

Presentation_C6_improving_safety_in_a_volatile_sys

C7: Engaging Students as Catalysts in Improvement Work

Presentation_C7_Engaging_Students_Hunt

C8: Finding, Testing, and Scaling Promising Innovations

Presentation_C8_Finding_Testing_and_Scaling_Promis

C9: For Hospitals, Cooperation is the New Competition

Presentation_C9_Cooperation_is_the_New_Competition

C10: From the Ground Up: A Journey to Zero Suicide

Presentation_C10_From_the_Ground_Up-Zero_Suicide_u

C11: Get Creative: QI Meets Design Thinking

Presentation_C11_Get_Creative_QI_Meets_Design_Thin

C12: The Power of Zero: Achieving Audacious Goals

Presentation_C12_The_Power_of_Zero_Achieving_Audac
Presentation_C12_The_Power_of_Zero_Achieving_Audac

C13: Finding and Creating Joy in Work

Presentation_C13_Finding_and_Creating_Joy_in_Work_

C14: High-Impact Leadership: Developing Core Leaders

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Presentation_C14_High-Impact_Leadership_Developing

C15: Integrating Continuous Improvement into EHR Design

Presentation_Presentation_C15_Integrating_Continuo

C16: Nurse Navigators: Improve Patient Transitions to Home, Cut Readmissions, and Save Hospitals Money

Presentation_C16_Improve_Patient_Transitions_to_Ho

C17: Interprofessional Ownership of Lean Improvement

Presentation_C17_Interprofessional_Engagement_Naya

C18: Is Culture Eating Your Safety Strategy for Lunch?

Presentation_C18_Is_Culture_Eating_Your_Safety_Ruo

C19: Is Your Organization Conversation Ready?

Presentation_C19__Organization_Conversation_Ready_

C20: Joy in Work: The Risks and Magic of Small Actions

Presentation_C20_Joy_in_Work_The_Risks_and_Magic_o

C21: Improving Value: Putting a Strategic Focus on Overdiagnosis

Presentation_C21_Improving_Value

C22: Leadership Lessons: From Sports to Health Care

Presentation_C22_From_Sports_to_Health_Care_Delgad

C23: Aligning Stars in the ED: Improve Your CMS Timeliness of Care Measures

Presentation_C23_Aligning_Stars_in_the_ED

C24: Managing behavioral issues in medical settings

Presentation_C24_Managing_Behavioral_Issues_Willia

C25: Exploring Disparities in Readmissions

Presentation_C25_Exploring_Disparities_in_Readmiss

C26: Minnesota Fierce: Tackling Mental Health and Opioids

Presentation_C26_Tackling_Mental_Health_Hemmila

C27: Moving from Reactive to Proactive: How to Anticipate Safety Events

Presentation_C27_How_to_Anticipate_Safety_Events_S

C28: Trading Spaces: Remodeling Acute Care for Seniors

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C29: The Power of Teaching Patients and Families about QI

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Presentation_C29_The_Power_of_Teaching_Bourne

C30: Payer as Partner: A Population Health Model

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D and E Workshops

D1 / E1: Using the Dosing Approach to Build Capability

Presentation_D1-E1_Dosing-presentation-ver7
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Presentation_D1-E1_RLloyd-Q_is_not_a_dept_ver2_5-5
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D2 / E2: Nudging Patients and Providers to Improve Quality - (D2) SPOTLIGHT SESSION

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D3 / E3: Leave the Forum with a "Sticky" Message

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D4 / E4: Reduce Acute Kidney Injury and Improve PSI 10

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D5 / E5: Leadership in a Crisis: The Power of Transparency

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D6 / E6: Physicians and Implicit Racial Bias: Impacts and Solutions

Coming Soon...

D7 / E7: Promoting High-Value, Late-Life Care in the US

Presentation_D7E7_Promoting_High-Value_Salipur

D8 / E8: QI Coach’s Playbook: Tips for Inclusive Teamwork

Presentation_D8E8_QI_Coachs_Playbook_Tips_for_Incl

D9 / E9: Using QI to Advance Social Justice

Presentation_D9E9_Advancing_Social_Justice_Magge

D10 / E10: Achieve the Quadruple Aim Through a Holistic Quality Management System

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D11 / E11: Redesigning Care with Community Health Workers

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D12 / E12: Reducing Readmissions Is a Full Continuum Team Sport

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D14 / E14: Social Determinants of Health in Primary Care

Coming Soon...

D15 / E15: Strategies and Tools to Achieve the Triple Aim

Coming Soon...

D16 / E16: Advancing Safe Care in the Home

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D17 / E17: Illuminating the Amazing, Invisible Transgender Patient

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D18 / E18: The Crisis in Our Hallways: One Health System’s Response

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D19 / E19: How to Balance Clinical Focus and Complex Systems

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D20 / E20: The Quality Coach: Mentoring New Learners in QI

Presentation_D20E20_The_Quality_Coach_Myers

D21 / E21: Actionable Ideas for Advancing Equity: The Role of Health Care

Presentation_D21E21_Actionable_Ideas_Reid

D22 / E22: Tracing Our Way to High Reliability in the Nation’s Capital

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D23 / E23: Here's Proof That US Health Care Is on the Right Track

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D24 / E24: Aim to Prevent: Eliminating Medical Debt by Using Upstream QI

Presentation_D24E24_Eliminating_Medical_Debt_Werne

D25 / E25: Learning from Appreciative Inquiry: What Differentiates Leading Organizations? - (E25) SPOTLIGHT SESSION

Coming Soon...

D26 / E26: Winning Trust for Productive Partner Engagement

Presentation_D26E26_Winning_Trust_Kauffmann

D27 / E27: WMTY: Impacting Patient Experience and Joy in Work

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D28 / E28: Activating Our Rising Leaders: Students and Residents as Engines for Change

Presentation_D28E28_Activating_Our_Rising_Leaders_

Keynotes

K1: Keynote One: Derek Feeley and Jason Leitch

Presentation_2018_IHI_Forum_Keynote_1

K2: Keynote Two: Celine Gounder, Vania Deonizio, Mona Hanna-Attisha, and Maureen Bisognano

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K3: Keynote Three: Gregory Boyle

Presentation does not have slides...

K4: Keynote Four: Donald M. Berwick

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Special Interest Breakfasts

SIB1: Friends of IHI and Global Initiatives

Presentation_SIB1_Friends_of_IHI_Gill

SIB2: Communications for Improvement

Coming Soon...

SIB3: Preparing Personally and Professionally for End-of-Life Care Conversations

Presentation_SIB3_Preparing_Personally_and_Profess

SIB4: Hear Highlights from the IHI/BMJ International Forums in Europe and Asia-Pacific and Learn How to Get Involved

Coming Soon...

SIB5: Changing Culture in a Multicultural World: Quality Improvement in Latin America

Presentation_SIB5_Changing_Culture_Delgado

SIB6: Key Strategies in Improving Quality in Maternal Health

Presentation_SIB6_Key_Strategies_in_Improving

SIB7: 100 Million Healthier Lives: Supporting Health Systems on the Journey to Population Health

Presentation_SIB7_Supporting_Health_Systems_Loehre

SIB8: Nursing Now: A Global Campaign for the Profession

Presentation_SIB8_Nursing_Now_Bisognano

SIB9: Advancing the Mental, Social, and Spiritual Health of the Nation

Presentation_SIB9_Well_Being_Trust_IHI_Special_Int

SIB10: Reducing Disparities in Maternal Mortality: IHI’s Current Efforts in the US

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SIB11: IHI Pathways for Advancing Your Professional Practice in Safety

Presentation_Presentation_SIB_11_Patient_Safety_Tr

SIB12: Current IHI Efforts Addressing the Opioid Epidemic

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SIB13: Understanding What Matters to Patients as People

Presentation_SIB13_PatientWisdom_brief_11.2018

SIB14: IHI Leadership Alliance: Bold Leaders Create Change from the Inside Out

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SIB15: Improving Care for Serious Illness

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