Solutions that deliver results at scale must be simple and sound. For those pursuing organizational improvement, questions remain: How do we codify our solutions?

How leaders interpret data affects the quality of decision making.

When embarking on any improvement project, there are three critical questions team must ask to guide improvement efforts…

This paper reports on a project to increase enrollment and attendance rates at seven early childhood education (ECE) centres in socio-economically deprived areas of Auckland, New Zealand, between January and June 2014. Participating centres used Breakthrough Series collaborative methodology with the Model for Improvement (Langley et al., 2009) to develop and test change ideas according to local context.

The National Orthopaedic Enhanced Recovery After Surgery (ERAS) Collaborative was launched in November 2013 to implement ERAS protocols for hip and knee total joint arthroplasty (TJA) and fractured neck of femur (NOF) in participating district health boards (DHBs) by December 2014. This paper reports on the results.

Colorectal cancer (CRC) screening helps achieve early diagnosis and better outcomes, yet many patients fail to receive recommended screening. As part of an academic improvement collaborative, 25 primary care practices worked to improve CRC screening and diagnosis. The collaborative effectively engaged teams in a broad set of process improvements with key lessons learned related to barriers, information technology challenges, outreach challenges/strategies, and importance of stakeholder and patient engagement.

Central line-associated bacteraemia (CLAB) is a preventable cause of patient morbidity and mortality in intensive care units. Target CLAB Zero was a national campaign that ran from October 2011 to March 2013 across all New Zealand ICUs (intensive care units). The campaign aimed to reduce the national CLAB rate to less than one incident per 1,000 line days and to establish a national measurement system for CLAB.

A driver diagram is an applicable tool for many contexts, from improving process reliability to redesigning a service to creating new products to generating enhanced user experience.

There seems to be a deep aversion to the idea of standardization in education. I sense it is because when educators think of standardization they think of examples such as “scripted curriculums” and “teacher proofing.” Their reaction may stem from two common beliefs: each student is unique, and each teacher is a craftsman…

Objective: To evaluate the effect of an intervention to improve the quality of data used to monitor the prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus in South Africa.

Changes to South Africa’s prevention of mother-to-child transmission of HIV (PMTCT) guidelines have raised hope that the national goal of reducing perinatal HIV transmission rates to less than 5% can be attained. While programmatic efforts to reach this target are underway, obtaining complete and accurate data from clinical sites to track progress presents a major challenge. We assessed the completeness and accuracy of routine PMTCT data submitted to the district health information system (DHIS) in three districts of Kwazulu-Natal province, South Africa.

In the face of the massive burden created by human immunodeficiency virus/acquired immunodeficiency syndrome and other infectious diseases, developing nations must find ways to rapidly begin treatment for infected persons. Although infusions of personnel, supplies, and diagnostics would make a major contribution to expanding the capacity to treat these diseases, the lack of these resources creates a long-term challenge, and there is a need for additional approaches to spread effective interventions that can leverage existing resources and the much-needed infusions of new resources. This article describes one such approach—applied in several forms in South Africa—that aims to significantly increase the number of patients receiving antiretroviral therapy.