Mentored implementation: Building leaders and achieving results through a collaborative improvement model

Gregory A. Maynard, Tina L. Budnitz, Wendy K. Nickel, Jeffrey L. Greenwald, Kathleen M. Kerr, Joseph A. Miller, Joanne N. Resnic, Kendall M. Rogers, Jeffrey L. Schnipper, Jason M. Stein, Winthrop F. Whitcomb, Mark V. Williams

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Background: The Society of Hospital Medicine (SHM) created "Mentored Implementation" (MI) programs with the dual aims of educating and mentoring hospitalists and their quality improvement (QI) teams and accelerating im - provement in the inpatient setting in three signature programs: Venous Thromboembolism (VTE) Prevention, Glycemic Control, and Project BOOST (Better Outcomes for Older adults through Safe Transitions). Methods: More than 300 hospital improvement teams were enrolled in SHM MI programs in a series of cohorts. Hospitalist mentors worked with individual hospitals/health systems to guide local teams through the life cycle of a QI project. Implementation Guides and comprehensive Webbased "Resource Rooms," as well as the mentor's own experience, provided best-practice definitions, practical imple - mentation tips, measurement strategies, and other tools. E-mail interactions and mentoring were augmented by regularly scheduled teleconferences; group webinars; and, in some instances, a site visit. Performance was tracked in a centralized data tracking center. Results: Preliminary data on all three MI programs show significant improvement in patient outcomes, as well as enhancements of communication and leadership skills of the hospitalists and their QI teams. Conclusions: Although objective data on outcomes and process measures for the MI program's efficacy remain preliminary at this time, the maturing data tracking system, multiple awards, and early results indicate that the MI programs are successful in providing QI training and accelerating improvement efforts. Copyright 2012

Original languageEnglish
Pages (from-to)301-310
Number of pages10
JournalJoint Commission Journal on Quality and Patient Safety
Issue number7
StatePublished - Jul 2012

Bibliographical note

Funding Information:
The authors acknowledge the support of the John A. Hartford Foundation; the Agency for Healthcare Research and Quality, US Department of Health and Human Services, for the support of improvement and research projects that contributed to the Resource Room content (Grant No. 1U18HS015826-01 ); Sanofi Aventis; SHM Mentors; SHM program support staff; and local MI program teams, who are ultimately responsible for the program’s success.

ASJC Scopus subject areas

  • Leadership and Management


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