Quality Improvement

  • Transforming Children's Health Never Ends and for Good Reason

    Posted March 27, 2015 by Charles Homer, MD, MPH

    From its founding, NICHQ was the leading voice articulating the need for improvement in children’s healthcare. Speaking credibly to the academic, professional and policy communities, we emphasized that quality of care was important to child health, and that it needed focused attention. The improvement journey is hard work and it never ends, but we’re in a better place and have the knowledge, people and tools we need to continue improving the lives of children and families in the months and years ahead.

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  • Innovation in the Fight Against Infant Mortality Doesn’t Have to be Scary

    Posted March 16, 2015 by George Dellal, MHA, and Dawn Denno, EdD

    It has been widely documented that the United States lags far behind other developed nations when it comes to infant mortality. Our high infant mortality rate translates to nearly 24,000 babies who won’t live to see their first birthday each year. Despite our country’s best efforts and the millions of dollars spent studying the epidemiology and genetics behind prematurity, educating new parents about safe sleep practices, implementing smoking cessation programs and developing better prenatal care, our infant mortality rate remains tragically, unacceptably high. We owe our mothers better than what we’re providing.

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  • How Delaware Became a Model for States in Preventing Infant Deaths

    Posted March 11, 2015 by Cindy Hutter

    Delaware is capturing the attention of the nation as a source of public health and healthcare innovation. The state’s commitment to examining its infant mortality data, searching for common themes and then creating awareness campaigns to address the unwanted trends is leading to fewer infant deaths.

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  • Improving Statewide Breastfeeding Rates through the Learning Collaborative Model

    Posted March 06, 2015 by Kristen Holmstrand

    NICHQ recently spoke with Veronica Hendrix, LVN, IBCLC, RLC, program coordinator for the Texas Ten Step Program, to get her perspective and advice for other states seeking to expand breastfeeding rates and support.

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  • 8 Tips for Engaging Leaders in Your Project

    Posted March 03, 2015 by Cindy Hutter

    Lack of leadership support is one of the most common reasons that a quality improvement project fails. Whether it is executive, administrative or frontline leadership you are trying to convince, we have eight field-tested tips that will enable your leaders to not only support your project, but also advocate for it.

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  • Breastfeeding Collaboratives Provide Road Map for Long-Term Success

    Posted February 16, 2015 by Kristie Velarde

    Increasing exclusive breastfeeding rates can seem like a lofty goal for some hospitals, particularly when rates hover below 20 percent. Several hospitals participating in NICHQ-led learning collaboratives found a path that not only brought double-digit growth, but also set the stage for Baby-Friendly designation. Now these hospitals are using best practices to sustain breastfeeding rates and improve outcomes in other clinical areas.

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  • Sickle Cell Pain Protocol Reduces Wait Times for Meds and Eases Patient Frustration

    Posted February 13, 2015 by Rachel Kremen

    To improve the care of its sickle cell patients, Boston Medical Center developed a drug protocol that makes it possible to make quick, accurate decisions about acute care. As a result, the average time to first dose of medication for sickle cell patients experiencing a pain crisis dropped from nearly an hour to 22 minutes. ER staff also stopped second-guessing sickle cell patients asking for pain killers.

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  • Why and How to Include the Patient-Family Voice in a Medical Home

    Posted December 23, 2014 by Bonnie Thompson, Mass Family Voices

    As more primary care practices work towards identifying themselves as a medical home, patients and family caregivers can play a vital role in shaping how healthcare is delivered.

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  • Incorporating Quality Improvement in Public Health

    Posted November 11, 2014 by Lloyd Provost, MS

    From my recent experience at the Infant Mortality Summits, a meeting of the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality, it seems that the time is ripe for the widespread growth of quality improvement (QI) strategies in the public health arena.

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  • Stories Matter

    Posted October 20, 2014 by Marianne McPherson, PhD, MS

    In previous blog posts, I’ve often featured a children’s story as the jumping off point for my message. This time, “story” is the message.

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  • A Busy Summer: Building Blocks, Babies and Breastfeeding

    Posted August 15, 2014 by Meghan Johnson, MSc

    August is typically a month for relaxing, vacationing and taking long weekends to enjoy the warm weather. At NICHQ, we get our share of R & R, but August 2014 is also a particularly busy and exciting time! In August, we celebrate National Breastfeeding Month and World Breastfeeding Week (August 1-7), and as part of that, I am excited to help launch NICHQ’s new breastfeeding project with the New York State Department of Health.

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  • What's in a Name

    Posted April 14, 2014 by Charlie Homer

    To more accurately reflect our purpose, we are making a change in our name, from “healthcare” to “health.” NICHQ’s purpose has always been to improve children’s health. That is our passion and now our name is aligned.

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  • Life Lessons from a First Grade Teacher

    Posted March 18, 2014 by Jonathan Small, MBA

    Many years later, the life lessons I learned from my son's first-grade teacher in 1998 are still profoundly influential, especially when viewed through the lens of quality improvement, a framework I learned later in life.

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  • Viewing Health as a System

    Posted March 07, 2014 by Charlie Homer, MD, MPH

    Improvement science teaches us to view outcomes—such as health—as the inevitable product of a system, with the implication that achieving improved outcomes requires changing the system itself. A deep understanding of the system and how it functions can enable smarter decisions about selecting high leverage changes in order to improve system performance.

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  • Have We Turned the Tide on Childhood Obesity?

    Posted March 04, 2014 by Shikha Anand, MD, MPH

    If you’ve read anything about obesity in the lay press over the past week, you already know that there has been a decline in the prevalence of obesity in American preschoolers.This news is both exhilarating and anxiety provoking. Celebrating too early could distract from the fact that there is so much more work to be done, especially for our most vulnerable children.

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  • Far From a Gold Medal Performance

    Posted February 28, 2014 by Jonathan Small, MBA

    We have a long way to go before we get a gold medal in child health outcomes. I suggest we begin in a humble place – with the recognition that, while we may have much to teach other countries, we also have a lot to learn.

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  • What I Learned About Physician Autonomy at the ATM Machine

    Posted January 13, 2014 by Shikha Anand, MD, MPH

    Now that I have the opportunity to work for a quality improvement organization with a vision of ensuring each child achieves his or her optimal health, and to process this information through the lens of my own experiences (personal and professional), my heart still breaks for those children harmed by bullying…AND I see great opportunities for improvement.

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  • Improvement - A Philosophy to Live By

    Posted January 11, 2014 by Meghan Johnson, MSc

    For as long as I can remember, I have been working to make things more organized, effective and efficient. I have spent countless hours organizing and reorganizing things in my life – everything from my son’s toys and games to the storage of our digital photos. It shouldn’t be surprising, then, that I have spent over a decade in project management and just over a year ago, found my way to NICHQ and discovered quality improvement science.

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  • Like Halloween Every Day

    Posted January 08, 2014 by Rachel Sachs Steele, MEd

    I love Halloween. For one day every year, I get to try something new, look totally silly, celebrate fear and play with possibilities, all without the usual external or internal constraints. Can you imagine what life would be like if we had that freedom all the time?

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  • An Improvement Wake-Up Call

    Posted January 07, 2014 by Jonathan Small, MBA

    It never ceases to amaze me what I learn from my children, especially the youngest ones – my eight-year-old twin daughters. I’ve been working in the quality improvement field for longer than they’ve been alive. But now they’re the ones teaching me about it!

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