Improvement Science

The power of existing interventions is not matched by the power of health systems to deliver them to those in greatest need, in a comprehensive way, and on an adequate scale.

                                                                                                                                                             -- Margaret Chan, Director General, WHO

Despite an abundance of evidence-based guidelines and consensus on what should be done, many simple, high-impact interventions capable of saving lives and alleviating suffering are not reaching the people who most need them.
Model for Improvement

Adapted from Associates in Process Improvement, 1996

Much of this implementation gap is related to weak health systems and processes of care delivery. The USAID ASSIST Project is designed to address this challenge, achieving better health outcomes and strengthening health systems in USAID-assisted countries, through improvement science

Improvement science is the application of scientific methods to make processes and systems work better.  The fundamental concept of improvement science is that improvement requires change. If a system is not changed, it can only be expected to continue to achieve the same results. In order to achieve a different level of performance, changes must be made to that system in ways that permit it to produce better results.

An equally important concept is that while improvement requires change, not every change is an improvement. Because not every change makes care better, changes must be tested and studied to determine whether the change improves care quality.

This section of the ASSIST Knowledge Portal provides information on improvement methods and tools and resources for building capacity for improvement to help you make changes to improve your own system of care.

We also invite you to browse our database of improvement stories or submit your own story of how you have improved care. 

 

 

Pilot study of quality of care training and knowledge in Sub-Saharan African medical schools

This study examines the capacity of medical schools in sub-Saharan African countries to teach about the concepts of quality of care and include these concepts in their curriculum.

Pre-service Quality Improvement Module Outline

The purpose of this module is for students in health care professions to attain knowledge, attitudes, and competencies required to continuously improve health care once they are in active service.

Anyone can learn improvement — and here is something to help!

Kim Ethier Stover

Senior Improvement Advisor, USAID ASSIST Project/URC

Silvia Holschneider

Senior Improvement Advisor for Reporting and Deliverables, USAID ASSIST Project

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