A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough Series

Qual Manag Health Care. 1998 Sep;6(4):1-13. doi: 10.1097/00019514-199806040-00001.


The article describes the Breakthrough Series, a collaborative improvement model developed by the Institute for Healthcare Improvement. The model adapts and applies existing knowledge to multiple, similar sites to accomplish common aims. It has been used to address several of the most pressing issues in health care today. The article outlines key elements of the Breakthrough Series to provide a framework for future collaborative improvement efforts.

MeSH terms

  • Cooperative Behavior
  • Humans
  • Learning
  • Models, Organizational*
  • Organizational Innovation
  • Organizational Objectives
  • Process Assessment, Health Care
  • Staff Development
  • Total Quality Management / methods*
  • Total Quality Management / organization & administration
  • United States