Online teaching videos from the Institute of Healthcare Improvement

Robert Lloyd, Vice President at the Institute For Healthcare Improvement, uses his trusty whiteboard to dissect the science of improvement. In these short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.

Click, sit back, and enjoy the learning.  Want written instructions and templates for many of these tools? Download IHI's QI Essentials Toolkit — it's free.


The Model for Improvement (Part 1) 2:55

The Model for Improvement gives us the foundation and the framework for doing improvement work. This video presents the three main questions to design any improvement project. This video also introduces how the PDSA (Plan, Do, Study, Act) cycle integrates with the three main questions.

The Model for Improvement (Part 2) 3:01

This video shows an example of how to use the Model for Improvement as well as the PDSA cycle (see video Model for Improvement Part 1 for details). The case discussed is about improving patient satisfaction in an OPD clinic.

PDSA Cycles (Part 1) 4:46

This video uses a real-life example (commuting to work) to explain what the PDSA (Plan, Do, Study, Act) cycle is and how we use in our everyday life as well as how to use it for quality improvement at your practice or PCN level.

PDSA Cycles (Part 2) 3:49

This video shows an example of how to use the PDSA cycle (see video PDSA Cycle Part 1 for details) for quality improvement in healthcare. The case discussed is about improving discharge planning in a hospital setting.

Run Charts (Part 1) 7:29

This video shows how to make a run chart to understand the variation in any process over time. On the X-axis, you can have data in chronological order (e.g. Monday, Tuesday, Wednesday). And on the Y-axis, you have your measure (e.g. a percentage, a count, money). Data is collected and plotted in chronological order. Then connect the dots with a line, and interpret the chart.

Run Charts (Part 2)

This video shows an example of how to use a Run chart (see video Run Chart Part 1 for details) to reduce the presenter's commute. It introduces concepts such as median, variation and trends when interpreting run charts.

Driver Diagram

It's essential to define at which level you're trying to work in (e.g. a practice, a PCN, a county-wide project). The driver diagram is a pictorial display of a system. This video describes how to break down the system by identifying both Primary and Secondary drivers for your aim.

Flowcharts (Part 1)

This video describes different types of diagrams (sequential tasks to achieve an aim) using a morning routine as an example. Firstly, a "high-level blocks flowchart" to establish priorities. Secondly, a "detailed flowchart" - here, the presenter introduces the basic symbols used in most diagrams and explains how to build one.

Flowcharts (Part 2)

This video describes a new set of diagrams (sequential tasks to achieve an aim) using as an example the process of developing an educational programme. Firstly, using a "supplier-customer chain" diagram to identify all the steps involved in a process and the members involved in the chain. Secondly, a "swim lane" diagram clarifies the progression and the steps of a process. Lastly, a "cost-added vs value-added" diagram.