IMPROVING OUTCOMES

42% Reduction in Readmission Rate in Medical Patients

IMPROVING OUTCOMES

Reduced no-show rate from 37% to 16% amongst high-risk patients living with HIV.

CREATING THE SCIENCE

Handshake Stewardship Program becomes National Standard for Antimicrobial Stewardship Programs

The Joint Commission

IMPROVING OUTCOMES

48% Reduction in 1-year Mortality in Hip Fracture Patients

IMPROVING OUTCOMES

$2 Million Annual Reduction in Antibiotic Costs

IMPROVING OUTCOMES

$3 Million Annual Savings with Earlier Palliative Care Intervention

The mission of the Institute for Healthcare Quality, Safety & Efficiency is to create healthcare systems that ensure every patient receives the highest quality of care while avoiding harm, minimizing inefficiencies, and developing leaders in quality and safety.


Transformation, Not Just Education

At IHQSE our overarching goal is to fundamentally improve the care provided to patients by developing people, improving care processes and building higher-achieving organizations. 



In other words, our goal is to transform:

to transform

INDIVIDUALS

We develop the capacity of frontline clinicians to drive change.

to transform

PROCESSES

We drive improvements in clinical care processes, leading to better outcomes.

to transform

ORGANIZATIONS

 We help build higher-performing systems through sustained changes.



Results that Matter

Our formula for transformation combines expert training, intensive, tailored coaching, a deep catalog of successful projects to tap into, and a relentless drive for outcomes.

500+ qi/ps projects completed
$200 million in reduced inefficiencies
200K patients impacted
150+ Graduates in Quality or Health System Leadership Positions
2 to 5 improvement in CMS star rating

*IHQSE supported improvement at the University of Colorado Hospital


IHQSE Newsroom


For over a decade, our dedicated faculty have built an integrated set of programs aimed at developing programmatic leaders in quality, creating high-quality, safe and efficient clinical care processes and, ultimately, driving profound organization-level improvements.  Here are just a few of our recent successes. 

For more, please see our
newsroom.

IHQSE Faculty Member Highlights Prevalence of Diagnostic Error in New Study

Diagnostic error is common, morbid, and mortal. IHQSE faculty member, Dr. Katie Raffel, along with Dr. Andrew Auerbach and other experts on diagnostic error, recently published findings from a multicenter retrospective cohort study in which 2500 hospitalized adults who experienced ICU escalation or death were evaluated for diagnostic error. This study adds to a body of literature highlighting the importance of diagnostic safety within hospital medicine.
JGIM

Examining Diagnostic Error During COVID-19 Pandemic

The early COVID-19 pandemic created substantial disruption to healthcare delivery, including changes to diagnostic processes. In this 8-center retrospective cohort study of diagnostic error among patients hospitalized with possible COVID-19, IHQSE Faculty Member Dr. Katie Raffel found that 14% of the 257 patients included experienced delayed, missed or wrong diagnosis, 1/3 of which may have led to harm. Unexpectedly, diagnostic process faults related to policies/procedures related to COVID-19 suspicion itself (such as need for isolation or medical distancing) were not independently associated with error. Instead, diagnostic process faults related to clinical assessment and test ordering/interpretation remained most prominent, similar to other studies of the diagnostic process.

Redesigning the First Prenatal Visit: A Quality Improvement Initiative

Faced with rising maternal mortality, the first prenatal visit is essential but, in many cases, important topics are missed. An IHQSE small grant supported the redesign of the first visit, dividing it into a nurse-led telemedicine visit and an in-person visit with an obstetric clinician. Clinic no-shows dropped (9.9%-4.2%), the topics covered in the first prenatal visit increased (70.0%-95.6%), and improvements were observed for all key themes.
Journal of Hosp medicine

Understanding and Reducing Harm from Diagnostic Errors

Few hospitals have created surveillance programs for diagnostic errors. Fewer have programs to translate those opportunities into improvement efforts to prevent future harm. IHQSE faculty Drs. Katie Raffel and Jeff Glasheen are part of the ADEPT working group funded through an AHRQ grant to build such a program. In this paper the authors share the methodology for building the surveillance program, creating the benchmarking dashboards, understanding the areas of opportunity, and building interventions. The program is live in 16 US hospitals.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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