A Year of Progress: 2025 Impact Report Highlights
For more than 30 years, IHI has partnered with health systems, governments, and communities to improve quality, safety, and equity. The 2025 Impact Report reflects how we are advancing that mission today and evolving to meet what comes next. Across six continents, IHI works with leaders and organizations to turn improvement science into measurable results, helping create safer care, healthier populations, and stronger health systems.
How IHI Strengthens the Foundations of Better Healthcare
— Sylvia Trent-Adams
IHI President & CEO
IHI President & CEO
“IHI exists to connect knowledge, people, and action — turning opportunity into measurable improvement. Trust is central to our impact. IHI is trusted because our work is grounded in evidence, co-created with partners, and focused on real-world results.”
Expertise with Global Reach
62 Countries. 6 Continents. One Shared Goal: Better Health and Healthcare.
IHI partners with organizations around the world to design, test, and implement improvements that are practical, measurable, and built for local context.
Select a region to explore examples of IHI’s consulting work around the world.
Africa
Ethiopia National Healthcare Quality Strategy
EthiopiaPartnership with the Ethiopian Federal Ministry of Health, with support from the Bill & Melinda Gates Foundation and Margaret A. Cargill Philanthropies, to foster a culture of quality throughout the Ethiopian health system and reduce maternal and neonatal mortality. Learn More →
Project Fives Alive!
GhanaPartnership with Ghana Health Service and the National Catholic Health Service, funded by the Bill & Melinda Gates Foundation, to reduce under-5 mortality and morbidity in Ghana. Learn More →
Asia–Pacific
National Preterm Birth Prevention Collaborative
AustraliaPartnership with Safer Care Victoria, the Australian Preterm Birth Prevention Alliance, and Women’s Healthcare Australia to safely reduce the rate of preterm and early birth by 20 percent across Australia. Learn More →
Service Delivery Redesign with People and Provider
BangladeshPartnership with the World Bank and MASS Design Group to understand women’s childbirth care-seeking behaviors and design solutions that improve maternal and newborn healthcare facility use. Explore the Project →
Europe
Building a Culture of Improvement
EnglandPartnership with East London NHS Foundation Trust, a provider of community health, mental health, primary care, and specialist services, to teach and embed quality improvement methodology throughout the Trust. Learn More →
Reduce Race-Related Maternal and Neonatal Mortality and Morbidity
EnglandPartnership with the UK’s Health Foundation and NHS Race & Health Observatory to reduce race-related maternal and neonatal mortality and morbidity by designing and testing change packages in four focus areas: postpartum hemorrhage, maternal mental health, preterm births, and gestational diabetes. Learn More →
Health Improvement Alliance Europe
PortugalA collaborative network connecting healthcare leaders across Europe to test new approaches, share learning, and develop improvement models suited to European health systems. Learn More →
Latin America
“Golden Hour” Improvement Science in Action
11 countries across Latin AmericaPartnership with St. Jude Global to increase the percentage of febrile pediatric hemato-oncology patients (PHOPf) who present to the emergency room (or equivalent) and who receive the first dose of antibiotic in less than 60 minutes. Learn More →
Project Type 2 Diabetes Care
ECUADORA year-long partnership with Ecuador’s Ministry of Health and local organizations that improved essential diabetes care processes and increased the percentage of patients with controlled blood glucose by 32 percentage points. Learn More →
Middle East
Strategic Partnership with Hamad Medical Corporation
QatarA multi-year partnership, initiated in 2013, to improve safety and quality throughout Hamad Medical Corporation, with the latest phases of work focusing on value improvement, age-friendly care, and system-wide patient flow. Learn More →
Age-Friendly Health Systems: Saudi Arabia
Saudi ArabiaBreakthrough Series Collaborative in partnership with the Kingdom of Saudi Arabia’s Ministry of National Guard Health Affairs to implement an Age-Friendly Health Systems approach to improving care for older adults.
North America
CareFront: Improving Retention of the Direct Care Workforce
USAA multi-year initiative helping hospitals improve engagement, satisfaction, and retention among direct care workers. Learn More →
Age-Friendly Health Systems
USAA national movement helping healthcare organizations reliably provide evidence-based care centered on the 4Ms for older adults. Learn More →
National Action Plan to Advance Patient Safety
USAA coordinated national effort bringing healthcare organizations, federal agencies, experts, and patient advocates together to reduce preventable harm. Learn More →
Reducing Postpartum Morbidity and Mortality
USAA national learning community helping health systems improve postpartum care, reduce maternal harm, and address equity gaps. Learn More →
Building Healthcare Expertise Through Certification
IHI certifications help healthcare professionals develop the knowledge, skills, and leadership capabilities needed to improve care. Through specialized certifications in Patient Safety, Age-Friendly Healthcare, Clinical Health Equity, and Human Factors in Healthcare, participants gain practical expertise that strengthens organizations and advances health system improvement.
IHI review courses also help professionals prepare to earn credentials that support safer, more equitable, and more reliable care.
8,300+ Certified Professionals
Professionals have earned IHI’s Patient Safety Certification.
100s Annual Review Course Participants
Hundreds of professionals participate in IHI review courses each year.
4 Specialized Certification Pathways
Four specialized certification pathways span key healthcare disciplines.
Looking Ahead: from Impact to Momentum
Together with our partners, we are building capability, accelerating learning, and advancing the tools, methods, and knowledge needed to drive meaningful change. We look forward to continuing these conversations and collaborations at the 2026 IHI Forum, where healthcare leaders from around the world will come together to share ideas, learn from one another, and shape the future of health and healthcare.
Explore the Impact Report


