Welcome

Mom and Me

James Anderson Cincinnati Children’s Hospital Medical Center (ret.) Maureen Bisognano Institute for Healthcare Improvement A. Blanton Godfrey, PhD North Carolina State University Helen Haskell Mothers Against Medical Errors Gary Kaplan, MD Chair Virginia Mason Medical Center Diana Chapman Walsh, MS, PhD Vice Chair Wellesley College (ret.) Dennis O’Leary, MD The Joint Commission (ret.) Brent James, MD, MStat Intermountain Healthcare Rudolph Pierce, Esq. Goulston & Storrs (ret.) Michael Dowling Secretary-Treasurer North Shore-LIJ Health System Terry Fulmer, PhD, RN, FAAN Northeastern University Jennie Chin Hansen American Geriatrics Society Nancy Snyderman, MD, FACS NBC News IHI Board of Directors Elliott Fisher, MD, MPH The Dartmouth Institute for Health Policy and Clinical Practice Arnold Milstein, MD, MPH Pacific Business Group on Health Mark D. Smith, MD, MPA California Healthcare Foundation

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. Our Mission To improve health and health care worldwide.

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: Leverage strategic partnerships and key initiatives to achieve ambitious improvement goals Goal: Harvest, create, and test bold, innovative ideas and new models of care that support our strategic initiatives Goal: Build reach and will to accelerate the pace of improvement worldwide Goal: Offer programming to transfer knowledge and build improvement capability

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 North AmericaLatin AmericaAfricaEuropeMiddle EastAsia Pacific QI + Joy in Work

On Breaking One’s Neck “On Breaking One’s Neck” by Arnold Relman. The New York Review of Books. Feb. 6, 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 “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,