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IOM Report

Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling.

Joint Commission Resources Book

The IHO’s approach to managing variability in healthcare delivery is the central theme of Joint Commission Resources’ second edition of the book: Managing Patient Flow in Hospitals: Strategies and Solutions

What's New

Panel of Quality Improvement Experts to Guide CMS Efforts
Dr. Litvak and a panel of nationally-known quality improvement thought leaders met to help the Center for Medicare & Medicaid Services (CMS) advance its Medicare quality improvement efforts. Learn more »

Unleashing the Quadruple Aim: The Science and Art of Throughput
Friday, March 4, 2016
Dr. Litvak will be presenting at this conference to show how hospitals can better align system resources, enhance communication, and leverage data/metrics to create an efficient and high-functioning organization. Learn more »

Upcoming Workshop
Optimizing Patient Flow
In this three-day workshop, participants will learn how to use scientific operations management and variability methodology approaches to manage patient flow. Learn more »

How a seven-day week approach can transform hospitals
Resolving the emergency department crisis – an international perspective. The Irish Times, April 8, 2015. Learn more »

St. Thomas fills health care need in community
The New Orleans Advocate, January 28, 2015. Learn more »

Getting nurse-patient ratios right
Becker's Hospital Review, November 10, 2014. Learn more »

Applying Queuing Theory to Healthcare: A Necessary Step Toward Improving Quality of Care and Margin
2015 Patient Flow Summit Preconference Workshop. Learn more »

Serving the Needs of the Community Donald Erwin, MD, CEO of St. Thomas Community Health Center, speaks about the importance of the IHO’s approach to systems optimization, variability management, and operational efficiency in providing greater access and quality of care for patients.

New National Standard in Patient Movement
IHO Variability Methodology® helped Newark Beth Israel Medical Center save $18 million in just three months by improving patient flow, quality and efficiency. Learn more »

Transforming Scotland's Health Service
IHO has been chosen by the National Health Service (NHS) Scotland to implement a nationwide patient flow initiative to redesign their healthcare delivery system. Learn more »

How Streamlined Admissions Can Save Lives (and Billions of Dollars). Learn more »

Don't Get Your Operation on a Thursday
Nurses that are overwhelmed with excessive patient loads will not be able to provide adequate patient care. Learn more »

Smoothing the Way to High Quality, Safety, and Economy
New England Journal of Medicine, October 24, 2013. Learn more »

Donald M. Berwick, MD, MPP, former Administrator of the Centers for Medicare & Medicaid Services and former President & CEO of IHI, speaks about stewardship of resources, improvement, innovation and Eugene Litvak’s work.

Recent study in the Journal of the American College of Surgeons demonstrated significant improvement in operational and financial performance by applying IHO Variability Methodology®  to reduce cost, improve quality of care, and boost staff satisfaction.

Nationwide application of IHO’s Variability Methodology®  could reduce US health care per capita spending by 4%-5%. Learn more »

        IHO Impact on

Applying IHO Variability Methodology® in the hospital, outpatient and primary care settings demonstrated significant improvement in operational efficiency, quality of care as well as improvements in patient and staff satisfaction.  Learn more »

Quality and Safety Corner

The Institute for Healthcare Optimization’s approach to managing variability in healthcare delivery addresses some of the most intractable quality and safety issues such as readmissions, ED boarding and others. Learn more »

Healthcare Cost Corner

Hospital costs can be decreased by millions of dollars annually by adopting the Institute for Healthcare Optimization’s approach to managing variability in healthcare delivery. Learn more »

A Case Study 

How one hospital increased annual revenue by $137M, and avoided $100M in cost, while improving quality of care Learn more »

ROI Estimator

Estimate your hospital's ROI. Read More »

CMS Partnership for Patients


New Jersey Hospital Association to partner with IHO to improve quality, safety and efficiency statewide, and to build a roadmap for national adoption, Learn more »