QI 104: The Life Cycle of a Quality Improvement Project
The first three IHI Open School quality improvement courses introduced you to the fundamentals of improving health care. In this course, you’re going to see how people in real health care settings actually use these methodologies to improve care.

You’ll start by learning the four phases of an improvement project’s “life cycle”: innovation, pilot, implementation, and spread. Next, you’ll delve deeper into the theory of spreading change — both the foundational work by sociologist Everett Rogers and IHI’s Framework for Spread. Finally, you’ll follow a detailed case study about how an organization used the methodologies you're studying to improve patient care at the bedside throughout Central Texas.

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Estimated Time of Completion: 1 hour 30 minutes
Type of Activity: Knowledge
Release Date: 12/23/2009
Last Update Date: 1/15/2015
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Course Objectives
After completing this course, you will be able to:
1. Describe the four phases of an improvement project.
2. Explain how an improvement project moves through its four main phases.
3. List sociologist Everett Rogers’ five attributes of innovations that spread, and apply them to an improvement project.
4. Identify and describe the components of IHI’s Framework for Spread.
5. Use the Framework for Spread to plan a simple spread project.
Contributors
Author(s):
Sue Butts, Improvement Advisor, Butts-Dion Consulting, Inc. View Profile
Editor(s):
Laura Fink, Managing Editor, Institute for Healthcare Improvement View Profile
Jane Roessner, PhD, Writer, Institute for Healthcare Improvement View Profile
Reviewer(s):
Lloyd Provost, MS, Statistician, Associates in Process Improvement View Profile
Marie Schall, MA, Senior Director, Institute for Healthcare Improvement View Profile
Richard Scoville, PhD, Improvement Advisor/Consultant, Institute for Healthcare Improvement View Profile
Mary Viney, RN DNP CPHQ, Vice President Perfromance Improvement & Experience, Seton Healthcare Family View Profile
Continuing Education
Certified Professionals in Healthcare Quality 1.00 Credit hours
Certified Professionals in Healthcare Quality 1.50 Credit hours
General Attendance 1.00 Credit hours
General Attendance 1.50 Credit hours
International General 1.00 Credit hours
International General 1.50 Credit hours
Nursing Contact Hours 1.00 Credit hours
Nursing Contact Hours 1.50 Credit hours
Pharmacist CPE 1.50 Credit hours UPN# 0822-0000-15-164-H05-P
US Physician CME 1.00 Credit hours
US Physician CME 1.50 Credit hours

In support of improving patient care, the Institute for Healthcare Improvement is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

This activity has been approved by the National Association for Healthcare Quality for CPHQ CE credit.
Requirements
You must be a registered IHI.org user to take this course.
You must complete all the lessons within this course and achieve a minimum score of 75% in order to receive credit for the course.