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

Joural of Graduate medical education

Dedicated Residency Training Yields Quality, Safety and Hospital Leaders

IHQSE faculty members, Drs. Emily Gottenborg, Jeff Glasheen, and Tyler Anstett, along with IHQSE alumna Dr. Julia Limes, published the first program evaluation of a residency training program focused on Hospital Medicine. The paper describes the University of Colorado’s experience of training over a hundred hospitalist residents over 15 years. Notably, the program found that graduates were highly likely to choose careers in hospital medicine with over 80% holding quality, safety and operational leadership roles.
American Journal of Medical Quality

IHQSE Shows Promise as Only Training Program Associated with Organization-Level Improvements and Publicly Reported Measures

Despite decades of effort to drive quality improvement, many health care organizations still struggle to optimize their performance on quality metrics. The advent of publicly reported quality rankings and ratings allows for greater visibility of overall organizational performance but has not provided a roadmap for sustained improvement in these assessments. In 2012, the Institute for Health care Quality, Safety, and Efficiency was launched, which is an integrated set of quality and safety training programs, with a focus on leadership development and support of performance improvement through data analytics and intensive coaching. After 10 years, the IHQSE has trained nearly 2000 individuals and has been associated with significant improvement in organization-level quality rankings and ratings, offering a framework for organizations seeking systematic, long-term improvement.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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