In a NEJM Catalyst piece by two Institute for Healthcare Improvement officials, Kedar S. Mate, M.D., chief innovation and education officer, and Jeff Rakover, MPP, senior research associate, write:

“Through years of studying such change management and quality improvement activities, the Research and Development team at the Institute for Healthcare Improvement (IHI) has learned that the missing piece to sustained improvement at the delivery interface has less to do with care model redesign, incentive payments, IT hardwiring, or policy shifts and more to do with rethinking management structure and practice — or, more specifically, using the management system as a substrate to create a culture of transparency, continuous improvement, and frontline engagement.”

To read their article, please hit this link.