About
The science of improvement is an applied science that emphasizes innovation, rapid-cycle testing in the field, and spread in order to generate learning about what changes, in which contexts, produce improvements. It is characterized by the combination of expert subject knowledge with improvement methods and tools. It is multidisciplinary — drawing on clinical science, systems theory, psychology, statistics, and other fields.
We start by identifying a clear aim for improvement and a measurement plan, and then immediately begin with small tests of the changes we think will lead to improvement over a short period of time. As these small tests are refined and successfully implemented in the given context, we begin to broaden the testing and scale up of the changes. I.CARE experts are testing and learning alongside our partners as the best path for improvement and implementing changes in a sustainable way emerges. We emphasize starting improvement efforts on a small scale, and leveraging all the generated learning to plan for spread and, later, scale up.
I.CARE’s methodology traces back to W. Edwards Deming (1900-1993), who taught that by adhering to certain principles of management, organizations can increase quality and simultaneously reduce costs. Based on Deming’s work, the Model for Improvement was created by Associates for Process Improvement (API) as a simple, effective tool for bringing about positive change.
I.CARE improvement experts work hand-in-hand with our partners to ensure that all improvement efforts include:
A clear, measurable aim
A measurement framework in support of reaching the aim
A clear description of the ideas (content) and how these ideas are expected to impact the results (the causal pathway from changes to desired outcomes)
A clear description of the execution strategy (what will be done to ensure reliable adoption of the content?)
Dedication to rapid testing (PDSA cycles), prediction, and learning from tests
Understanding, describing, and visualizing systems (e.g., using a process map or value stream map)
Learning from variation and heterogeneity:
• Use of time-ordered data to detect special cause and improvement
• Understanding why results differ by location (ward, organization, etc.)
Application of behavioral and social sciences
OUR VISION
Everyone has the best care and health possible.
MISSION
Improve health and health care worldwide.
An Italian proverb says that “When you come upon a wall, throw your hat over it, and then go get your hat.” At I.CARE, the spirit of this one little saying has inspired many big outcomes.
People who are drawn to I.CARE see beyond walls to the possibilities on the other side. We are inspired and energized by one uniting vision: a future in which everyone has the best care and health possible.
Although the problems are big and daunting, we resolve to approach them with optimism grounded in rigorous science, hard work, and a relentless drive for results.
I.CARE is a recognized innovator, convener, and generous leader, a trustworthy partner, and the first place to turn for expertise, help, and encouragement for anyone, anywhere who wants to change health care profoundly for the better.
OUR VALUES
These operating values are our core principles. They guide the behavior and choices of all staff, faculty, and the board of directors.
Boundarilessness and One Team
- The people of iCARE work as a cohesive unit with common systems, common knowledge, and unconditional teamwork. When it comes to raising the quality of health and health care for all, iCARE sees boundless possibilities. While we see the walls in front of us, we will not rest until we reach the other side.
Inclusiveness and Diversity
- We strive to have an organization that reflects the world we live in and embraces everyone in it, no matter where they come from, no matter what their point of view.
Systems Direct Our Mission
- We believe that every system is perfectly designed to achieve the results it gets, and only through continuous improvement of systems will we make a difference in the quality of health and health care the world over. Results for patients and communities define our success.
Honesty and Transparency
- We work in the daylight. We tell the absolute truth about ourselves and our work, reporting both failures and successes with equal discipline, and seeing the views and opinions outside our organization. We are an institute without walls.
Celebration and Thankfulness
- Our mission is long, and our work is not easy. We take time to look back, as well as forward, to thank each other, and to take pride in what we do.
People Matter
- Whether customers, faculty, the health care workforce, or our own staff, we recognize and value everyone’s knowledge, experience, and input. We interact with everyone with a spirit of cooperation, a sense of humor, and the utmost respect.
Vision and Agility
- We strive for excellent execution of our plans. We anticipate changes in our own work and respond as quickly as the health care systems we serve need us to. Our past work need not be our future work. We are always willing to change.