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. 

 

 

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...

Improving postpartum care in a large hospital in New Delhi, India

Despite recent progress, the maternal mortality ratio (MMR) in India remains high at 174 per 100 000 live births. Bhagwan Mahavir Hospital (BMH) is a secondary level hospital in New Delhi. In 2013, five women died in BMH’s postpartum ward...

Fifth Global Symposium on Health Systems Research

Liverpool, England
Worldwide

Delivering quality health services: a global imperative for universal health coverage

This document — authored by WHO, OECD and The World Bank — describes the essential role of quality in the delivery of health care services. As nations commit to achieving universal health coverage by 2030, there is a growing...

A multi-faceted regional learning platform to support maternal, newborn and child health improvement efforts in the WHO South-East Asia Region

Sonali Vaid

Quality Improvement Consultant, WHO Collaborating Centre for Newborn Care at the All India Institute of Medical Sciences, New Delhi

By: Dr. Sonali Vaid, Dr. Rajesh Mehta, Dr. Ashok Deorari, and Dr. K. Aparna Sharma


A mother sits with her child in Madhya Pradesh, India. Photo credit: Amit Reddy

USAID ASSIST Project Semi-Annual Performance Monitoring Report FY18

University Research Co., LLC (URC) and its partners have completed 5.5 years of implementation of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project. This report is the eleventh Semi-Annual Performance Monitoring...

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