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

The Laryngoscope

Tonsillectomy Patients: Should they Stay or Should they Go?

IHQSE Certificate Training Program Graduates Dr. Norman Friedman, Renee Crowder and Sarah Derieg developed a set of screening criteria to predict children who would need overnight monitoring after surgery for sleep-disordered breathing. They report that 75% of patients did not have a prolonged oxygen requirement making them candidates for same day surgery. The probability of a prolonged oxygen requirement was only 18% if patients did not have a diagnosis of asthma or a resting pulse oxygen measurement of < 96%. They conclude that all patients who are off oxygen within 3 hours of surgery and pass a sleep room air challenge are safe for discharge to home.
joint commission journal of quality and patient safety

IHQSE Alum Comments on Impact of COVID-19 Pandemic on Handshake Stewardship

Among the myriad impacts that the COVID-19 pandemic had on medicine and patient care, restrictions on face-to-face interactions among practitioners are often overlooked. In a commentary written for The Joint Commission Journal on Quality and Patient Safety, IHQSE alum, Dr. Sarah Parker, explores how collaborative processes like “handshake” antimicrobial stewardship have adapted to the challenge posed by social distancing and increased virtual communication.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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