IHI/Commonwealth Fund International Program for U.S. Health Care Delivery System Innovation, Phase 3


Now in its third phase, this project will identify frontline delivery system innovations from abroad that can be transferred to the U.S. health care system to improve quality, control costs, and increase value. In the first two phases, the Institute for Healthcare Improvement (IHI) and The Commonwealth Fund established an “innovators network” of 15 leading U.S. health care organizations, which identified four problems within their delivery systems and looked for solutions and promising approaches from other countries. Now the project team will test the feasibility of transferring international delivery system innovations to the U.S. Codirected by IHI chief medical and scientific officer Donald Goldmann and Fund vice president Robin Osborn, phase 3 will test four frontline delivery system innovations sourced from abroad and evaluate their transferability to the U.S. The innovations will address the following problems: overuse of low‐value tests and treatments; shortfalls in patients’ and families’ experiences of care; gaps in care coordination across the care continuum; and inadequate support for patients in managing their care. Using the infrastructure established in phase 1 and the knowledge of the solutions gained in phase 2, the 15 network participants will test, evaluate, refine, and spread the selected innovations within their delivery systems, with coaching and technical assistance from the IHI team. The organizations will share lessons and participate in an evaluation protocol. IHI and the Fund will collaborate to disseminate the most effective innovations to health care delivery systems nationwide. This project will engage U.S. health care delivery system leaders, payers, policymakers, and regulators in efforts to transfer effective models from other countries. If successful, these efforts could accelerate transformation in U.S. health care.

Grant Details

Grantee Organization:
Institute for Healthcare Improvement
Principal Investigator:
Donald Goldmann, M.D.
Award Amount:
Approval Date:
November 8, 2016

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