{
  "abstract": "Background Effective board governance is essential to advancing health system quality. Connecticut Children’s, a non-profit 100% pediatric healthcare system, has integrated the Institute for Healthcare Improvement Framework for Effective Board Governance of Health System Quality (‘IHI Framework’) to better align its Board of Directors (BOD) and Board Quality Improvement Committee (BQIC) around strategic quality goals. Using both the IHI Framework and a structured, principle-based quality improvement (QI) approach, Connecticut Children’s strengthened alignment between frontline improvement work and board-level priorities.Methods In June 2022, Connecticut Children’s BOD completed the IHI Governance of Quality Assessment (GQA). Survey results were used to guide our adoption and implementation of the IHI Framework.Weekly BQIC planning meetings were established to ensure presentations aligned with IHI Framework domains. Progress was tracked via Connecticut Children’s House of Quality (figure 1) and reported annually to foster transparency and accountability.Following a second GQA in June 2024, targeted improvements were made using iterative Plan-Do-Study-Act (PDSA) cycles. To further enhance these PDSAs, a Lean Black Belt project launched in September 2024 to redesign the BQIC workflow. A key outcome was a standardized presentation process, including early presenter engagement, structured preparation meetings, and tools such as a BQIC Presenter checklist (figure 2) and FAQ guide. The project enhanced strategic relevance and consistency of content delivered to the BQIC.Results Between 2022 and 2024, Connecticut Children’s improved on 80% of the 30 IHI Framework elements within the GQA. Anecdotal feedback highlighted increased enthusiasm and ownership of quality outcomes among board members.The IHI Framework is embedded not only in BQIC but across broader governance structures. Connecticut Children’s Performance Improvement Plan initiatives are explicitly linked to the IHI Framework. Additionally, the IHI Framework informs the curriculum of Connecticut Children’s Popik Family Quality and Patient Safety Fellowship, supporting future quality leaders.Conclusion Connecticut Children’s demonstrates how operationalizing the IHI Framework using a QI approach can enhance board engagement, improve information sharing to enhance strategic decision making, and better align decisions with quality goals. The approach is scalable and offers a replicable roadmap for other healthcare organizations aiming to elevate board engagement in quality and patient safety.Abstract 21 Figure 1Framework for effective board governance of health system quality at Connecticut children’sAbstract 21 Figure 2BQIC presenter checklist",
  "authors": [
    {
      "affiliations": [
        "Connecticut Children’s"
      ],
      "name": "Lori Pelletier"
    },
    {
      "affiliations": [
        "Connecticut Children’s"
      ],
      "name": "Dorothy Levine"
    },
    {
      "affiliations": [
        "Connecticut Children’s"
      ],
      "name": "Lauren D Harvey"
    }
  ],
  "title": "20 Improving quality and patient safety presentations at board meetings",
  "uid": "a227e4a8-907d-53b9-8282-fd5bfe581549"
}