IHI (Institute for Healthcare Improvement) is a non-profit organization headquartered in Boston that works to improve health and healthcare organizations in over 30 countries. Dr. Kedar Mate, President and Chief Executive of IHI, talks about the institute’s mission and how Cincy’s Hive Networks is playing a pivotal role.
You’re very involved with LHNs (Learning Health Networks). Can you explain the concept?
Dr. Mate: IHI works from the axiom All Teach, All Learn. Everyone has something to teach and everyone has something to learn. That thesis was incorporated into LHNs for improving specific health outcomes for patients. LHNs are a marriage of the research community, provider community, and the patient community. All are teaching and learning from each other to improve health outcomes. That 3-part network has been so incredibly critical to the pace and the scale of the work.
What does Hive Networks contribute to the mission?
Dr. Mate: The LHN was essentially an academic model created by Cincinnati Children’s Hospital with help from IHI. We needed a way to push it out to a broader audience. We wanted to make it so that anyone who wanted to start a network like this could. That’s what Hive Networks has pioneered.
Hive has created the data architecture and the community architecture that enables any clinical community to come together more rapidly and to take better care of patients. Hive took us into the realm of “anyone who wants to start a network can have the ability to do so.”
Can you give us an example of how LHNs are succeeding?
Dr. Mate: LHNs in general have made amazing advancements. One example is the LHN for in inflammatory bowel disease (IBD). That network now includes 30,000 patients. That means that almost all kids with IBD are in this network now. The aggregate remission rate for kids with IBD went from an average of 50% to 80% in the last decade. Substantial outcomes for these kids: It means they can go to school, they can go to the prom. Things that weren’t possible before remission.
We also have a network for children born with a rare heart syndrome in which the left side of their heart is not working properly. It requires two surgeries to fix before the child is one years old. What was happening is that some children were dying between the surgeries. What was discovered through the LHN is that there were medications that could be administered between the surgeries that could increase the survival rate by 40%.