IHI Open School Triple Aim for Populations Courses
Triple Aim for Populations Courses
An annual IHI Open School Subscription can provide access to all these courses and more.
Overview
You might think we do a pretty good job of providing care to individuals with illnesses and diseases. But it’s important to take a step back and consider the factors contributing to illness. It’s important to realize that things like education, the environment, and wealth (and how it’s distributed) play an enormous role in health outcomes, too. In this course, you’ll learn that to make progress against many of the most important threats to human health, it’s not enough to improve clinical care for one patient at a time. We also have to focus on improving the health of entire populations. The Triple Aim for populations is a three-part aim: better care for individuals, better health for populations, all at a lower cost. This course will explore why each dimension is an essential part of improving health and health care, and how you can promote the Triple Aim in your organization and daily work.
Lesson 1 will introduce you to the concept of population health — a different way of thinking about how and why some of us enjoy healthy lives and others do not.
In Lesson 2, we’ll share strategies for providing excellent care experiences at the individual level and maximizing health care’s impact on overall health.
Lesson 3 will explain why lowering costs of care is an essential component of improving the quality of health care and the health of populations. We’ll step back to show you how organizations and communities are working together to make a difference for the populations they serve — part of which is lowering costs.
Estimated Time of Completion: 2 hours
Lessons
- Lesson 1: Improving Population Health
- Lesson 2: Providing Better Care
- Lesson 3: Lowering Costs of Care
Course Objectives
After completing this course, you will be able to:
- Describe the three components of the IHI Triple Aim for populations.
- Explain the responsibilities of clinicians and health care systems in optimizing population-level outcomes with available resources.
- Understand medical care as one determinant of the overall health of a population, and the relationship of health care quality and safety to population health.
- Provide examples of population-level interventions designed to improve overall health and reduce costs of care.
Continuing Education
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 2 credits for nurses and pharmacists. This activity is approved to award 2 credits toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for 2 CPHQ CE credits.
As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 2 general continuing education credits.
Members of the College of Family Physicians of Canada are eligible to receive Mainpro+ Certified, Certified Assessment, or Non-Certified credits for participation in this activity due to reciprocal agreement with the American Academy of Family Physicians.
The AAFP has reviewed TA 101: Introduction to the Triple Aim for Populations and deemed it acceptable for up to 2.00 Enduring Materials, Self-Study AAFP Elective credit(s). Term of Approval is from 06/20/2024 to 06/20/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Overview
This three-lesson course will explore health disparities — what they are, why they occur, and how you can help reduce them in your local setting. After discussing the current (and alarming) picture, we’ll learn about some of the promising work that is reducing disparities in health and health care around the world. Then, we’ll suggest how you can start improving health equity in your health system and community.
Lesson 1 uses statistics and videos of experts to highlight disparities in health care and health — and to consider what’s causing these gaps to widen among populations.
In Lesson 2, it’s time to examine work that is reducing inequities by better serving people with poor health and inadequate health care. We’ll introduce IHI’s Framework for Health Care Organizations to Achieve Health Equity and give examples of organizations pursuing equity by taking a tour of several successful initiatives. Finally, it’s your turn. You have the opportunity to make a difference in the lives of patients and their communities.
In Lesson 3, we offer several strategies for getting started.
Estimated Time of Completion: 2 hours
Lessons
- Lesson 1: Understanding Health Disparities
- Lesson 2: How Health Care Can Advance Health Equity
- Lesson 3: Your Role in Improving Health Equity
Course Objectives
After completing this course, you will be able to:
- Recognize at least two causes of health disparities in the US and around the world.
- Describe at least three initiatives to reduce disparities in health and health care.
- Identify several ways you can help reduce health disparities.
Continuing Education
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 credits for nurses and pharmacists. This activity is approved to award 1.5 credits toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for 1.5 CPHQ CE credits.
As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.5 general continuing education credits.
Overview
This course will provide you with an overview of value in health care. We’ll start by distinguishing between cost and value, and understanding how both of these concepts relate to quality. We’ll introduce you to the growing problem of health care spending, as well as the health care practitioner’s role in managing these costs. Finally, we’ll explain how to identify and overcome barriers to providing high-value, cost-effective care.
Estimated Time of Completion: 45 minutes
Course Objectives
After completing this course, you will be able to:
- Explain the potential harm of low-value tests and procedures.
- Distinguish between cost and value in health care.
- Define resource stewardship in health care.
- Describe the ethical case for resource stewardship in health care.
- Identify common barriers to resource stewardship and enablers of inappropriate resource use.
Continuing Education
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .75 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .75 credits for nurses and pharmacists. This activity is approved to award .75 credits toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for .75 CPHQ CE credits.
Overview
In this course, we will build skills to counter structural racism and improve health equity. We will examine the ways racism and anti-racism operate in our organizations and systems, with a focus on addressing inequities in health and health care. You will learn strategies for starting or continuing your work in this area individually and collectively. This course largely focuses on the history of anti-Black racism and resistance in the United States. These specific learnings can fuel work to address inequities worldwide so that all people can achieve their full potential.
In Lesson 1, we will begin by defining racism and the way it operates not simply through individuals, but through our organizations, policies, and structures. Then, we will focus on anti-Black racism from the 1600s to today.
In Lesson 2, we will focus on racism and anti-racism in health and health care. We will talk about the history of mistreatment and mistrust between communities and health care providers, as well as other institutions that play a crucial role in health and well-being. We will look at implicit bias and the ways racism can influence our actions without our awareness. And, we will hear about “curb cut thinking” and how we can address inequities facing groups experiencing disadvantage to improve health and health care for all.
In Lesson 3, we offer several strategies for getting started or continuing your work as an individual and in your workplace, school, or community. Finally, we’ll share resources to continue to learn, explore structural and systemic change, and improve health equity and well-being.
Estimated Time of Completion: 1 hour 35 minutes
Lessons
- Lesson 1: Racism and Anti-Racism in the US: History and Context
- Lesson 2: Focus on Health and Health Care
- Lesson 3: What You Can Do Course
Course Objectives
- After completing this course, you will be able to:
- Define anti-racism and four types of racism.
- List ways that structural racism creates and reinforces inequities in the US.
- Name examples of structural and institutional racism in health and health care.
- Define implicit bias and list ways to reduce and mitigate
Continuing Education
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 credits for nurses and pharmacists.
As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.5 general continuing education credits.
Overview
This course provides an overview of conservative prescribing, an approach that encourages health care professionals to ask questions and carefully weigh the risks and benefits of a medication before starting or continuing a prescription. You’ll learn how to prescribe drugs strategically and to recommend non-drug therapy where appropriate. You’ll learn to watch for adverse events and consider long-term, broader health effects. Finally, you’ll learn critical skills to create a shared agenda with patients and families, and to evaluate data to improve the health and quality of life of patients. Although medications can provide great benefits for patients, they can also cause great harm.
Lessons 1 and 2 introduce the concept of conservative prescribing and explore the six domains of conservative prescribing: think beyond drugs, prescribe strategically, watch for adverse effects, use caution with new drugs, engage patients and families, and consider the long term.
Lesson 3 examines drug approval pathways and key features of clinical trial design that play a role in evidence about new drugs. When a medication is approved, information about the drug is shared through different formats, including published studies, clinical guidelines, thought leader opinion articles, and advertising by pharmaceutical companies. A variety of tools can support conservative prescribing, including use of nonpharmaceutical therapy, shared decision making with patients, and collaboration across the care team.
Lesson 4 builds on earlier lessons, offering practical strategies and resources to inform more conservative prescribing.
This content was made possible through grant funding to Brigham and Women’s Hospital and Dr. Gordon Schiff by the Gordon and Betty Moore Foundation. Dr. Schiff was the principal investigator for the project.
Estimated Time of Completion: 1 hour 40 minutes
Lessons
- Lesson 1: Balancing Risks and Benefits
- Lesson 2: Six Domains of Conservative Prescribing
- Lesson 3: Evaluating Evidence for New Medications
- Lesson 4: Strategies and Resources for Better Prescribing
Course Objectives
After completing this course, you will be able to:
- Define conservative prescribing.
- Interpret claims about the risks and benefits of drugs, especially new drugs, based on an understanding of the strengths and limitations of available evidence.
- Describe historical and current examples of serious adverse drug effects.
- Apply the six domains of conservative prescribing to optimize the safety and effectiveness of drug therapy.
Continuing Education
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 credits for nurses and pharmacists. This activity is approved to award 1.5 credits toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for 1.5 CPHQ CE credits.
Overview
While health care leaders increasingly recognize the opportunity to improve the health of the communities they serve, the pathways to do so remain the roads less traveled. In the words of one CEO, “I’m on the bus for population health; in fact, I’m driving the bus. But I need help shifting my core business — all of which focuses on sick care — to focus on health and well-being. I need a roadmap to help me know how to do that.” In this course, we present a roadmap for those involved in setting and operationalizing their organization’s population health strategy. It’s a new way for health care change agents at all stages of their population health journeys to organize efforts and guidance to start making improvements in health, well-being, and equity for patients, populations, and communities.
Estimated Time of Completion: 35 minutes
Course Objectives
After completing this course, you will be able to:
- Identify the four portfolios of population health and list associated activities and examples.
- Describe how to organize your strategy around the four portfolios and equity.
- Explain the uses of tools and tips for accelerating your progress in population health, well-being, and equity.
Please note: Continuing education credits are not available for this course.
An annual IHI Open School Subscription can provide access to all these courses and more.
