42% Reduction in Readmission Rate in Medical Patients


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


Handshake Stewardship Program becomes National Standard for Antimicrobial Stewardship Programs

The Joint Commission


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


$2 Million Annual Reduction in Antibiotic Costs


$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


We develop the capacity of frontline clinicians to drive change.

to transform


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

to transform


 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

Journal of Hosp medicine

Early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study

Diagnostic errors (DE) are a critical but understudied cause of preventable patient harm. While much work has focused on examining the incidence and factors contributing to DEs in ambulatory and emergency room settings, fewer studies have examined the incidence of DEs in hospitals or how they contribute to adverse events during the hospital encounter. IHQSE Faculty, Dr. Katie Raffel, along with other experts on diagnostic error, led an AHRQ-funded study at 31 US hospitals aimed at defining the prevalence and underlying causes of DEs in patients who die in the hospital or are transferred to the ICU after the first 48 hours.

IHQSE Team Develops Intervention to Reduce Unnecessary PT Consults

Physical therapy (PT) in inpatient settings is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care and discharge planning. A team of IHQSE alumni, including faculty members, Dr. Emily Gottenborg and Dr. Moksha Patel, dug into the root causes of unnecessary PT consultations and deployed an intervention that reduced the rate of inappropriate PT consults to less than 10%.

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.

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.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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