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. 

 

 

Improving TB screening at Nine TB Diagnostic Treatment Units: Tested Changes and guidance from Uganda

In Uganda, ASSIST worked with the MOH and implementing partners to build the capacity of health workers to be able to screen, diagnose, and manage TB to improve TB care services using the continuous quality improvement (QI) model as well...

Improving Quality of TB Data at Nine TB Diagnostic Treatment Units: Tested Changes and Guidance from Uganda

In Uganda, ASSIST worked with the MOH and implementing partners to build the capacity of health workers to be able to screen, diagnose, and manage TB to improve TB care services using the continuous quality improvement (QI) model as well...

Network for Improving Quality of Care for Maternal, Newborn and Child Health-Quality Talks Podcast

Quality Talks is the podcast of the Network for Improving Quality of Care for Maternal, Newborn and Child Health. Quality Talks are stories of healthcare professionals who are experienced in running and managing quality of care initiatives...

High-quality health systems in the Sustainable Development Goals Era

Health care in middle and low income countries has greatly improved in the past several decades, but changing health needs, growing public expectations and new health goals are rasing the bar for health systems to produce better health...

Indian Pediatrics Special Issue: Better Healthcare Through Quality Improvement

This special issue of Indian Pediatrics (September 2018; Volume 55: Number 9) highlights mechanisms that can support health care providers in using various quality improvement (QI) approaches and showcases some of the improvement projects...

The USAID ASSIST Project’s approach to improving health care in low- and middle-income countries

The objective of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project is to improve the quality and outcomes of health care and other services by enabling host country providers and managers to apply the science of...

Leading health care improvement: What leaders need to know to act. Lessons from East and West Africa

Online

Wednesday, September 12th, 9:00-10:00 a.m. ET (Washington, D.C.)

On Wednesday, September 12 we hosted the final webinar of our ASSIST Legacy Webinar Series.

Materiales para vigilancia neurodesarrollo infantes Nicaragua

Spanish El paquete pedagógico es una herramienta para el desarrollo de competencias en el personal de las instituciones prestadoras de servicios de salud y en los estudiantes de las que son formadoras de recursos humanos para el sector...

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