Collaborative Improvement

One of URC’s most significant advances is adapting collaborative improvement to the realities of resource-constrained settings. Originally developed by the Institute for Healthcare Improvement for application in industrialized countries, this approach brings together improvement teams from different health facilities and different levels of the health system, supporting them to work together to improve particular aspects of the system. The teams share their experiences as they test changes for improvement.

Adapting Collaborative Improvement Method to Low and Middle Income Countries

Collaborative improvement at work

URC’s collaborative improvement work emphasizes peer-to-peer learning and local adaptation of interventions. We have achieved large-scale spread of evidence-based care models in more than 15 countries. In Ecuador, for example, we helped the Ministry of Health build an improvement collaborative that used “waves” of learning to improve antenatal care in 85 hospitals across 12 provinces.

URC has found that intentionally disseminating a tested package of interventions and mobilizing teams who have successfully implemented them to train their peers leads to faster results. This is especially true in environments with limited human and other resources. Visit our Health Care Improvement and ASSIST project pages to learn more.

Subsequent Waves Achieve Faster Results