The Improvement Quotient

A Blog by NICHQ

  • Why I Participate: By Parent Partner Malorie Thurman

    Posted July 02, 2015 by Malorie Thurman

    Malorie Thurman, a mother of three, says she joined the Texas Ten Step Star Achiever Breastfeeding Learning Collaborative as a parent partner as a way to see that mothers are given the best possibility to experience the outcome they desire with their delivery. "This was my opportunity to give back to those who had been so helpful to me and my family. It is a wonderful feeling knowing you have been an intricate part of such amazing changes that will impact so many people in and around your community."

    Read more... Comments (0)
  • Good Things Come in Small Changes

    Posted June 30, 2015 by Elissa Faro, PhD

    Testing ideas is not a new concept—we’ve all employed the process of trial and error at some point. A small test of change, however, is the framework for efficient trial and learning, as opposed to trial and error. It involves starting with a plan, including predictions about the outcomes of the test, testing the change while collecting data, studying the results and using what is learned to plan the next test.

    Read more... Comments (0)
  • New Guide for Improving Sickle Cell Disease Treatment in the ED Helps Close Disparity Gaps

    Posted June 25, 2015 by NICHQ

    Sickle cell disease patients wait in excruciating pain longer than they have to for treatment. Guidelines do exist, but they have not been consistently implemented, particularly in acute care settings. Our new guide was designed to help providers bridge this gap.

    Read more... Comments (0)
  • Hospital Breaks Barriers for Cesarean Section Couplet

    Posted June 23, 2015 by Kristie Velarde

    Incorporating system-level changes at hospitals to stop the separation of mother and baby post C-section has been a particularly challenging area for hospitals. But with months of coaching from NICHQ about how to implement system changes under their belt, nurses at Good Samaritan Hospital Medical Center knew a recent scenario was an opportunity for change.

    Read more... Comments (0)
  • Viewpoint: A Novel Method for Tackling Complex Population Health Problems

    Posted June 17, 2015 by NICHQ

    In a Viewpoint published in JAMA Pediatrics, NICHQ authors illustrate how collaborative improvement and innovation networks (CoIINs) can be implemented to achieve results in a population health context.

    Read more... Comments (0)
  • Strengthening and Leveraging Preconception and Interconception Health

    Posted June 15, 2015 by NICHQ

    In a blog post co-authored by NICHQ's IM CoIIN Project Director Elaine Fitzgerald, read about how national partnerships are elevating the work of promoting women's health before (preconception) and in between (interconception) pregnancies.

    Read more... Comments (0)
  • A Look Back at 4 Years of Improving Sickle Cell Disease Care at a Systems Level

    Posted June 11, 2015 by NICHQ

    From 2011 to 2015, NICHQ served as the National Coordinating and Evaluation Center for the Sickle Cell Disease Newborn Screening Program (SCDNBSP). NICHQ convened grantee teams and collaborated with them to focus on areas of similarity (acute care; care coordination/medical home; screening and follow up; self-management; and transition of care) to achieve breakthrough improvements in care for children and adults with SCD.

    Read more... Comments (0)
  • Fire Chief Puts Baby Skin-to-Skin

    Posted June 09, 2015 by NICHQ

    One nurse at Champlain Valley Physicians Hospital has taken spreading evidence-based maternity care practices to a new level—well, more accurately, a new place: a home delivery.

    Read more... Comments (0)
  • Investigating a Possible Link Between Substance Abuse and Infant Mortality

    Posted June 04, 2015 by Rachel Kremen

    Washington state is known for having a low rate of infant mortality—fifth lowest in the U.S. But the state is still actively working on reducing infant mortality even further. In fact, leaders in the state are developing an interesting strategy that targets substance abuse.

    Read more... Comments (0)
  • A Positive Step Toward Exclusive Breastfeeding Rate Improvement

    Posted June 02, 2015 by NICHQ

    A recent study published by Pediatrics highlights that the percentage of hospitals distributing formula to breastfeeding mothers at time of discharge has decreased significantly in recent years, a positive sign toward hospitals embracing evidence-based maternity care practices that support a mother’s choice to breastfeed.

    Read more... Comments (0)
  • Best Fed Beginnings Hospital Still Making Headlines: MUSC Opens First Milk Bank in South Carolina

    Posted May 29, 2015 by Cindy Hutter

    Best Fed Beginnings alumni hospital Medical University of South Carolina (MUSC) has launched a milk bank in South Carolina. The milk bank will provide breast milk to very low birth-weight babies (weighing less than 3.3 pounds) in neonatal intensive care units throughout the state.

    Read more... Comments (0)
  • How One Mom is Raising the Profile of Sickle Cell Disease

    Posted May 27, 2015 by Cindy Hutter

    Tammy Smith’s daughter, Precious, often got sick as a baby and she cried—a lot. It wasn’t until Precious became so sick and nearly died that Tammy took her to a different hospital for treatment and learned that Precious had sickle cell disease (SCD). Fast forward 30 years and Tammy is making sure other families don’t have the same experience that she and her daughter had.

    Read more... Comments (0)
  • Inspiring Video: How States Are Reducing Infant Mortality Rates

    Posted May 21, 2015 by Cindy Hutter

    In this new video from the IM CoIIN project, you can hear success stories and strategies being used to reduce infant mortality and eliminate racial disparities in cities, counties and towns across the US.

    Read more... Comments (0)
  • Keeping the Donations Flowing Past the Halfway Mark

    Posted May 19, 2015 by NICHQ

    Your support allows us to continue our multi-sector, multidisciplinary work to reduce infant mortality and improve birth outcomes in the United States. While we hope you will take our $50 challenge and donate to our campaign, we would be remiss if we didn’t shine a light on some of the other great organizations within “The Next 10” campaign working on global infant health initiatives.

    Read more... Comments (0)
  • Making Breastfeeding Support a Community Affair

    Posted May 14, 2015 by Kristen Holmstrand

    In Plattsburgh, a small town in upstate New York, creating a support group for breastfeeding mothers may have been driven by the local hospital, but it quickly became the community's baby.

    Read more... Comments (0)
  • High-Profile Coverage for a High-Passion Concern

    Posted May 11, 2015 by Lauren A. Smith, MD, MPH

    We are excited and galvanized by our progress so far in reducing infant mortality and hope you will help us spread awareness about this critically important issue. I invite you to participate, learn, share and donate through the Huffington Post fundraising campaign. Our eyes are on the prize of reducing infant mortality and eliminated disparities in infant mortality.

    Read more... Comments (0)
  • Putting Unsafe Sleep Marketing to Bed

    Posted May 08, 2015 by Tricia Finnerty

    It's vitally important that parents and other infant caregivers receive consistent and accurate messaging on safe sleep—from their healthcare providers, their support systems, state agencies and what they see in media and retail. But unfortunately, expectant families receive a lot of mixed messages.

    Read more... Comments (0)
  • A First Response to Safe Sleep Habits

    Posted May 06, 2015 by NICHQ

    Thousands of infants die each year in unsafe sleep conditions. Sadly, the majority of sleep related deaths are preventable. One innovative and successful approach to reduce this tragedy is to train law enforcement, fire rescue squads and other first responders to educate families about safe sleep habits.

    Read more... Comments (0)
  • Advice from One MD to Another on Supporting Breastfeeding

    Posted May 01, 2015 by Todd Wolynn, MD, IBCLC, MMM

    I’m often asked how I, a man, got involved in breastfeeding medicine. The truth is: I just happened to be in the right place at the right time. And that experience made me the right person.

    Read more... Comments (0)
  • Why I Participate: By Parent Partner Lilia Rodriguez

    Posted April 28, 2015 by Lilia Rodriguez

    Prior to our daughter, Selah, being born in 2013, I had many visits to the doctor’s office with concerns about medical issues. I was told we would have to wait and see how the delivery went: “You may require a scheduled C-section.” The first thought that raced through my mind was: I want to be alert to breastfeed my baby.

    Read more... Comments (0)
  • How to Cope with Change Fatigue

    Posted April 24, 2015 by Cindy Hutter

    Here at NICHQ, we’re in the improvement business. That means we help a lot of people experience a great deal of change. Whether imposed or chosen, however, frequent change efforts can sometimes lead to change fatigue.

    Read more... Comments (0)
  • A New Day Aborning for Childbirth

    Posted April 21, 2015 by Jeannette T. Crenshaw, DNP, RN, LCCE, IBCLC, NEA-BC, FAAN

    Because safe and healthy birth sets the stage for successful breastfeeding, we also need focus in a similar way on the actions everyone can take to promote safe and healthy birth.

    Read more... Comments (0)
  • Join Team NICHQ

    Posted April 17, 2015 by Cindy Hutter

    What makes someone the right candidate to work at NICHQ? We look for excellent people with a passion for improving children’s health who live NICHQ’s values of being agile, bold, innovative, team oriented and fun. If that sounds like you, we encourage you to view our current job openings.

    Read more... Comments (0)
  • LARC Accessibility, Knowledge Key for Better Interconception Care

    Posted April 15, 2015 by Rachel Kremen

    Contraception is often the last thing on a woman’s mind right after her baby is born. But increasing maternal access to long-acting reversible contraception (LARC) immediately after delivery could have a positive impact on the health of the newborn and future siblings.

    Read more... Comments (0)
  • The Secret to Increasing Hospital Breastfeeding Rates

    Posted April 09, 2015 by Emily Trask

    As hospitals work to increase exclusive breastfeeding rates, they are often challenged by staff members who are resistant to new processes and workflows. Several hospitals are successfully overcoming this obstacle by fostering staff change agents who are involved in the decisions on changes to existing workflows.

    Read more... Comments (0)
  • What’s Behind NYC's Drastic Decrease in Infant Mortality Rates?

    Posted April 07, 2015 by Cindy Hutter

    The saying, "if you can make it here you can make it anywhere," of New York City, holds true for even its youngest members. New York City’s infant mortality rate - 4.6 deaths per 1,000 live births in the first year of life - is nearly 30 percent lower than the US rate. What’s the city’s secret?

    Read more... Comments (0)
  • Making the Case for Using an Internal PTF for Medical Homes

    Posted April 03, 2015 by Cindy Hutter

    In our new white paper, Cultivating Internal Change Agents for Medical Home Transformation, learn about an innovative approach to training internal practice transformation facilitators (PTFs) for medical home implementation efforts.

    Read more... Comments (0)
  • 8 Strategies for Surviving Team Turnover

    Posted April 01, 2015 by Cindy Hutter

    Team member turnover is unavoidable. People leave organizations, go on maternity leave or have periods when they downgrade their participation to focus on something else. Yes, it is stressful, but it doesn’t mean your improvement work comes to a halt. You can set your team up to survive member transitions with these eight strategies.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Eliminating Disparities: from Intent to Action

    Posted March 25, 2015 by Charles Homer, MD, MPH

    In recent months, our nation has experienced an escalation of difficult “conversations” about the persistence of racism, the injustices of income inequality, and the harm that discrimination inflicts on us all. Perhaps more than anywhere else, these issues are inescapable in our healthcare system and manifest themselves in the health outcomes of our children.

    Read more... Comments (0)
  • Patient Passports Bring Us One Step Closer to a Patient-Centered Healthcare System

    Posted March 19, 2015 by Cindy Hutter

    NICHQ’s Chief Financial Officer and ardent patient engagement advocate, Tom Dahlborg, MSM, has written extensively about the need for patient-centered care. Dahlborg represents NICHQ on the National Quality Forum’s patient and family engagement action team. The team recently released a Patient Passport tool that encourages better patient engagement with providers.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Snowballs Used to Be Cool

    Posted February 26, 2015 by Jack Maypole, MD

    Boston’s historical snowfall has crippled transit systems, stressed overtaxed social support networks and created insurmountable challenges for all. But, most especially, it has created substantially more difficult—and at times potentially dangerous—conditions for parents of medically complex children who have marginal access to care in the best of times.

    Read more... Comments (0)
  • How to Start a Community Healthy Weight Clinic

    Posted February 17, 2015 by Cindy Hutter

    The Holyoke Health Center’s Healthy Weight Clinic is changing lives. In a recent 5-month group session, nearly 50 percent of the participants decreased their BMI. We recently sat down with the center’s director, Vincent Biggs, MD, to get tips for starting and running a healthy weight clinic.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Breastfeeding Success Depends On Support During Pregnancy As Much As After

    Posted February 09, 2015 by Pamela Berens, MD

    Most new moms have heard the message that breastfeeding is best for the health of their baby. Unfortunately, successfully meeting a breastfeeding goal isn’t always as easy as deciding to breastfeed. Having ongoing education about breastfeeding during pregnancy can help just as much as post pregnancy, yet it is often not emphasized enough.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Find Success and Mirror It - Can It Be That Simple?

    Posted December 12, 2014 by Elissa Faro, PhD

    Childhood malnutrition. Infant mortality. Childhood obesity. Health inequalities and disparities. These are just some of the most demanding problems facing those who work to improve child health. However, these big issues are often seemingly intractable. How do you move the needle when previous efforts have yielded such meager results? One answer may lie in the concept of positive deviance.

    Read more... Comments (0)
  • Managing the Universe of Special Healthcare Needs

    Posted November 17, 2014 by Katrina McCarty, MPA

    A vast universe of symptoms, medications, complications, specialists and tests constantly surround my friend Julie. She is 38 and has Type 1 diabetes (T1D), which she was diagnosed with at age 10. Her quest for a long and prosperous future of good health is both harrowing and inspiring.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Contradicting Assumptions About Infant Mortality Rates: How Far Upstream?

    Posted November 04, 2014 by Charles J. Homer, MD, MPH

    Learning often begins when facts contradict our assumptions. While attending the kickoff summits of the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality in July, I became aware of at least two facts that contradicted my previous assumptions: (1) that infant mortality rates for non-Hispanic blacks are higher in the upper Midwestern states than they are in the deep South and (2) that the declines in infant mortality in several southern states over the past decade have been steeper than anywhere else in the country.

    Read more... Comments (0)
  • Patient Engagement, Partnerships and Puppies

    Posted October 27, 2014 by Tom Dahlborg, MSM

    I was recently invited to host the World Congress Patient Engagement Summit in Boston. The event promised to “leave behind theory and bring about actionable change with actionable solutions to engage patients and move the needle on clinical outcomes and community health.” And, it lived up to this billing.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Improvements in Maternity Care Practice Are Not Easy

    Posted September 22, 2014 by Lori Feldman-Winter, MD, MPH

    As NICHQ’s faculty chair for Best Fed Beginnings, a national initiative that supports hospitals seeking Baby-Friendly designation, I am frequently exposed to pushback regarding the improvements required for a hospital to achieve this designation. Recently, an article published in the Washington Post portrayed Baby-Friendly practices as a problematic set of policies that “force” a new mother to breastfeed against her wishes. Nothing could be farther from the truth.

    Read more... Comments (0)
  • Living the Life of a Sickle Cell Warrior

    Posted September 15, 2014 by Fatima Oyeku

    In support of National Sickle Cell Awareness Month, NICHQ invited Fatima Oyeku, a woman living with sickle cell disease, to share her perspective. “Maybe I'm just being overly optimistic, but I honestly think SCD could be eradicated if more people knew their trait status and have the opportunity to make an informed decision about having children,” she says.

    Read more... Comments (0)
  • Why I Struggled to Find My Breastfeeding North Star

    Posted August 27, 2014 by Katrina McCarty, MPA

    As a new mom, I found myself searching for a true guiding presence as I tried to make decisions about caring for my daughter and myself. I knew I wanted to breastfeed her and I assumed it would be easy. I assumed the stars would align and she and I would be deliriously connected and she would be nourished. I assumed a hungry baby and a food source were enough. Not quite.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Communicate, Collaborate and Innovate to Reduce Infant Mortality

    Posted July 02, 2014 by Peter Gloor, PhD

    Compared to other Western countries, infant mortality in the US is shockingly high. High infant mortality is a social problem that can only be solved through massive collaboration and out-of-the-box innovation.

    Read more... Comments (0)
  • Overcoming the Epidemic of Compassion Fatigue

    Posted June 05, 2014 by Lauren Smith, MD, MPH

    Given the many priorities and important issues that are competing for our collective attention, how do we break through the cacophony of dire statistics and grave warnings about so many “epidemics?"

    Read more... Comments (0)
  • Let the Wild Rumpus Start! Your Ideas Wanted!

    Posted May 16, 2014 by Marianne McPherson, PhD, MS

    There’s no time like the present. We're collecting your wildest, craziest ideas for how we might improve children’s health together.

    Read more... Comments (0)
  • Collective Impact: Coloring a New Vision of Collaboration

    Posted May 07, 2014 by Marianne McPherson, PhD, MS

    The concept of collective impact is in NICHQ's DNA. All of our work is in some way about bring together participants from difference sectors committed to a common agenda to solve complex social problems. Until recently, we didn't have the benefit of the language or framework.

    Read more... Comments (0)
  • 10 Steps for Benching Bullying

    Posted April 22, 2014 by Tom Dahlborg, MSM

    There are many broader influences that affect children’s health outside of the clinical setting. This certainly includes the bullying that happens on our ball fields that can lead to physical injury, social problems, emotional problems, mental health problems (e.g., depression, anxiety), and even death. Not to mention bullying can turn children off from physical activities and this can potentially lead to obesity. As an organization that aims for all children to achieve their optimal health, there is much work to be done…together.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Breaking the Food Reward Chain

    Posted March 20, 2014 by Cindy Hutter, MBA

    If we really want to improve children’s health, we need to focus not just on improving the quality of care children receive when they go to the doctor’s office; we need to change all influences that affect a child’s health. This includes modeling and practicing healthy behaviors at home, in school and in the community.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Systems Level Healthcare Improvement Starts with Individual Relationships

    Posted February 24, 2014 by Tom Dahlborg, MSM

    Want to improve the healthcare system from a systems perspective? Develop systems which allow for time, continuity, relationship, trust, authentic sharing, the telling and hearing of the patient’s whole story at each healthcare encounter. Create system change which positions clinicians to use tools such as emotional intelligence and motivational interviewing to ensure optimal sharing and comprehension.

    Read more... Comments (0)
  • Taking a Bite Out of Mixed Food Messaging

    Posted February 20, 2014 by Cindy Hutter, MBA

    When I first saw McDonald’s Olympic themed advertising that shows Olympians biting their metals contrasted with good looking, fit, young adults biting into chicken nuggets with the tagline, “The greatest victories are celebrated with a bite,” the marketing professional in me thought that was very clever. The parent and healthcare professional in me were horrified.

    Read more... Comments (0)
  • What Rosie Revere, Engineer Teaches Me About Innovation

    Posted February 19, 2014 by Marianne McPherson, PhD, MS

    I’ve been thinking about innovation a lot lately, in large part due to a renewed commitment at NICHQ to be a hub for creating and spreading innovations. I am so excited about this commitment because I know that new ideas and new approaches—and building them together—will help create a world in which all children achieve their optimal health.

    Read more... Comments (0)
  • The Secret Ingredient to Fixing Systems Problems

    Posted February 12, 2014 by Cindy Hutter, MBA

    The mantra in quality improvement is “every system is perfectly designed to get the results it gets.” Regardless of your system of choice—your workplace, your home, your community—you’ll need knowledge to improve the system and get the results you want. It’s impossible to be a change agent without being a knowledge seeker first.

    Read more... Comments (0)
  • Bravo CVS! Now It’s Time for More Health Advocates (You) to Step Up

    Posted February 05, 2014 by Cindy Hutter, MBA

    Just as peer pressure is what gets many young people to start smoking, peer pressure is what it is going to take to get other cigarette retailers to stop. Let’s start loading on the pressure.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • 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.

    Read more... Comments (0)
  • Beyond Bullying

    Posted January 10, 2014 by Tom Dahlborg, MSM

    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.

    Read more... Comments (0)
  • When Did Breastfeeding Become a Choice?

    Posted January 09, 2014 by Jennifer Ustianov, RN, BSN, IBCLC

    I know the tides are beginning to turn. Recent reports show breastfeeding rates are increasing in the US. The journey back to a more supportive breastfeeding culture has begun in this country. But I wonder whether there is more we can do to accelerate this process, so that from this generation forward there is no question and no need to choose.

    Read more... Comments (0)
  • 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?

    Read more... Comments (0)
  • 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!

    Read more... Comments (0)
  • Removing the Burden of Care Coordination

    Posted January 06, 2014 by Cindy Hutter, MBA

    I had never heard of the concept of a medical home before coming to NICHQ, but I’ve now seen what is possible in a patient-focused system where primary care physicians and specialists coordinate to deliver high-quality healthcare. In situations like mine, where there are no established protocols to follow, the need for a medical home is most critical—and paradoxically, most lacking.

    Read more... Comments (0)
More

Archive

Tagcloud

breastfeeding safe birth Ten Steps Texas Ten Step quality improvement small tests PDSA sickle cell disease SCD acute care disparities infant health skin-to-skin contact mother-baby couplet collective impact population health preconception interconception health National Coordinating and Evaluation Center Newborn Screening Program infant mortality substance abuse CoIIN breast milk formula milk bank crisis patient and family engagement video Huffington Post fundraising campaign safe sleep first responders SIDS SUID QI tips team turnover fatigue burnout Lamaze NICHQ ASTHO LARC quality care system design NYC patient engagement patient tools patient transformation facilitator medical home improvement collaboration healthcare health system health equity innovation design thinking learning collaborative best practices leadership engagement buy in CYSHCN medically fragile chronically ill cartoon obesity healthy weight clinic nutrition counceling healthy weight plan Baby-Friendly sickle cell diease treatment protocol prenatal education family engagement family health partner positive deviance diabetes public health evaluation Best Fed Beginnings maternity care healthy start Childrens Health Collaborative Improvement and Innovation Network Health Outcomes Measurement Cross-Sector Collaboration Improvement Science Knowledge Sharing Bullying Child Health Healthy Living Mental Health Prevention Childhood Obesity Health Disparities Quailty Improvement Systems Change Systems Design Advocacy Health Policy autism ASD