Health Services 


IHC’s Compass Hospital Improvement Innovation Network (HIIN) is designed to build on the successful HEN program to serve rural hospitals nationwide, using experience to support innovative solutions targeted to reduce patient harm and improve care coordination.

Since 2012, the Iowa Healthcare Collaborative (IHC) has led the Partnership for Patients (PfP) Hospital Engagement Network (HEN) and HIIN campaigns in Iowa. In the first three years, participating hospitals prevented more than 3,300 harms with an estimated cost savings of $50 million. IHC led Iowa hospitals from an education-focused quality assurance model to an execution-driven performance improvement model. Iowa’s success was evident by the level of participation, uptake of best practices, and progress made toward advancing the aims of the PfP. Through this campaign, IHC became a leader of rural hospital quality improvement efforts.

In September 2016, the Centers for Medicare & Medicaid Services (CMS), issued the following challenges to hospitals across the US: reduce all-cause patient harm by 20% and reduce 30-day hospital readmissions by 12% by March 2020.

The Compass HIIN, consisting of 147 hospitals across Iowa and South Dakota, is supported by integrated clinical quality consultants, educational content, and a proven data management and technical assistance program. This approach supports hospitals in implementing innovations that contribute to improved patient safety and quality performance.


On September 29, 2015, the Iowa Healthcare Collaborative (IHC) was one of 39 organizations selected by the Centers for Medicare & Medicaid Innovation to participate in the Transforming Clinical Practice Initiative (TCPI) as a Practice Transformation Network (PTN). 

Since 2015, the TCPI model has assisted primary and specialty care clinicians in improving the way they deliver care by providing technical assistance support to integrate quality and process improvement, building on and spreading existing change methodologies, and integrating best practices. This initiative was designed to help clinicians achieve large-scale transformation and succeed in a value-based care environment. Participating practices receive coaching, mentoring, and assistance in developing core competencies specific to the TCPI five phases of practice transformation: 

  • Set Aims
  • Use Data to Drive Care
  • Achieve Progress on Aims
  • Achieve Benchmark Status
  • Thrive as a Business via Pay for Value Approaches

This approach enables clinician practices to become actively engaged in transformation and ensures collaboration among a broad community of practices that creates, promotes, and sustains learning and improvement throughout health care. 

The Compass Practice Transformation Network (PTN) supports more than 7,000 clinicians who are committed to expanding quality improvement capacity in their primary and specialty care practices, share clinical best practices, and achieve common goals of improved care, better health and reduced cost.