D1: Building robust learning systems across complex organisations: Jönköping and IHI case studies


Friday 23 May 2025 | 10:45-11:45


Format: Presentation


Stream: Science


Content filters: Recommended for those working at system level in QI


Success for health system improvers can be defined as the effectiveness, sustainability and scalability of efforts to improve performance. We can learn from previous efforts around the globe to improve and re-design the performance of small and large health systems. We will show that the challenges and solutions for success for each of these 3 aspirations are different. We will engage participants in a discussion of examples of success and failures that illustrate the core elements of design for effectiveness, scalability and sustainability, and will use the principles of adaptive design to guide participants to success in their efforts to improve health and health care outcomes.


By the end of this session, participants will be able to:



  • Identify and apply approaches to design, improve, research, and learn for system-wide impact at both the organisation and community level

  • Discuss on how to set up a system of improvement work to facilitate learning and progress towards aims

  • Compare and contrast learning system features for improvement work that happens across an organisation versus across a community


Jafet Arrieta Institute for Healthcare Improvement (IHI); USA


Peter Hayhanen Region Jönköping; Sweden


Pierre Barker Institute for Healthcare Improvement (IHI); USA