Institute for Healthcare Improvement Vice President and patient safety expert, Carol Haraden, PhD, comments on some of the priority initiatives of the organization such as the introduction of "change packages" for healthcare insitutions to evaluate and improve care quality. While the allure of this tool is undeniable, says Haraden, quality teams should resist the impulse to label any list of good changes a package or bundle. She clarifies what a bundle is and is not, and suggests tips for using bundles most effectively to get results.