Capabilities for Improvement

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Introducing iHQ

iHQ is the first institute fully dedicated to Healthcare Quality in India and wish to be a leader in learning, teaching and research of the Healthcare Quality Sciences.We are mindful of the weight of the responsibility of being a pioneer organization and recognise that it is a challenge to provide world -class programs at a affordable cost.

The Institute for Healthcare Quality is a 'institution for collaboration'. We are not in the healthcare education business but in the healthcare transformation business. IHQ programs interface learning and practice through evidence based practice and improvement science ; in a sense the former is the implementation of evidence and the later the evidence of implementation. We bring healthcare professionals and healthcare organizations together to inspire, to learn , to share and act synergistically in improving the health and quality of life of patients and communities.

Brief History of Healthcare Quality in India.

Indian healthcare has had a weak legacy regarding the practice and education in healthcare quality. The field of healthcare quality is not new . It has been around as a distinct displine atleast from the 1960s following the work of Dr Avedis Donabedian. Evaluation and regulative initiatives date back even further to the work of Dr Ernest Codman and the formation of the joint commision. However, this era popularly known as Quality Assurance , saw little activity in India and did not result in any systematic,sustainable or nation- wide initiatives: Till date there have been no institute dedicated to healthcare quality , no graduate level programs in healthcare quality no journals dedicated to healthcare quality , no national society or association of healthcare quality in india.

The mid 80s saw the paradigm shift in healthcare quality. Drs Paul Batalden, Donald Berwick and Brent James along with others at the Institute for Healthcare Improvement in Boston assured in the era of continous improvement. By 1996 Mr Vinod Sahney then at detroits Henry Ford Health System , under the auspices of the Hinduja Foundation and IIM Ahemedabad introduced the modern methods to the leadership of indian healthcare. This however did not evoive into a movement. Most organizations lacked inhouse capability and thus opted for ISO9000 systems. Hinduja hospital, mumbai became the first hospital to be certified. Madurai Meenakshi Mission in Madurai ventured into continous improvement and the development of a diploma program in healthcare quality along with maduri kamaraj university .

By the turn of the millenium , encouraged by some healthcare leaders , financial rating agencies such as CRISIL developed Rating Systems as a means of accreditation. Thus there were attempts to create assessment regimes but still not any intiative to create capabilities for improvement. Further, the financial agencies locus standi in healthcare was always in question and therefore met with limited sucess.

For many years, the Indian Merchant Chambers encouraged healthcare organizations to apply for their Jamanlal Bajaj Award, but there were no takers . Similarly the publication of the IOM reports had minmal impact on the policies and practices in indian healthcare , as at that time there were still no studies on patient safety from the developing countries.

In 2001 the Hinduja Hospital mumbai once again stepped forward, this time to launch a formal system of clinical audit and a faculty division of quality improvement. The initiative however was often colored by power struggles between the managment and the medical staff.

However, the launch of the 100K Lives camapaign by IHI , in 2003 three hosipitals the Hinduja hospital Mumbai , Amrita Cochin and Apollo Indraprastha in Delhi participated. The impact of this participation is not known.



iHQ's Vision for Indian Healthcare:

The nation must envision a healthcare system where patients and care givers share greater oppertunity, meaning and achievement in the healing process, by empowering the conscience of equity, by preserving the compassion of proffesionals and by celebrating the effectiveness of systems change or the science of quality.

Patient centerdness is the pivotal virtue of healthcare. All other virtues hinge on it. The systemic prioritization of the patient is the key to individual, professional and organizational learning; for individual, professional and organizational survival.

iHQ's Vision Statement:

A national infrastructure for transformation of Indian healthcare system by being a source of motivation for healthcare professionals and organizations in India, by serving as a catalyst for systemic innovation and collaboration. A resource for innovation in healthcare education. Contribute to the theory and practice of global quality. To be a learning organization and remain responsive to the needs of society.

iHQ's Mission Statement:

iHQ's mission is to be the 'centre of the quality movement in india', a focal point for dialogue , collaboration . iHQ will provide innovative training. We facilitate collaborative. We engage with healthcare education institutions to develop faculty and curriculums in healthcare quality and patient safety.iHQ works closely with healthcare professionals, organizationa and academia to continuously improve quality of healthcare.