Project BOOST - Better Outcomes by Optimizing Safe Transitions

The BOOST Tools®
Project BOOST® Implementation Toolkit


BOOST tools form the backbone of the intervention to improve the care transitions of your hospitalized patients. However, tools alone cannot carry your project and result in the changes you need. Tools support your efforts and help improve the reliability of your design changes but must be placed in the context of workflow, staff education, culture change and cycles of iterative improvement.

BOOST®'s tools are based on the principles previously outlined and were derived using the best published evidence available as well as expert opinion. They provide a foundation upon which to build your ideal care transition. You will likely find that you still need to implement other tools not provided here to complete your process. Being a part of the BOOST® community, members may find examples of variations of the BOOST® tools on our member website (to learn more about gaining access to the private online community visit the BOOST® mentoring page.), as well as other potentially useful tools.

Tailoring Tools to Your Site's Needs

In order for BOOST® tools to be effectively implemented at your institution, they must be reviewed and modified for your local needs and your local resources. Elements of them may be used “off the shelf,” while others may need significant local modification. The process of implementing Project BOOST with your mentor will guide you to the best approach.

Before introducing a tool into your practice pattern make sure that you:

  1. Review it with local stakeholders to ensure it meets their needs.
  2. Determine your organizational priorities so you can identify the best order to begin implementing BOOST® tools. A stepwise approach (versus “all at once”) has been more successful at most sites.
  3. Get feedback from your colleagues on how to change and improve the tools for more effective use.
  4. Go through rapid improvement cycles, e.g., PDSA cycles, and adjust the tool as you go along so as to ensure the tool functions as you hope it will.

Touchpoints for Achieving BOOST® Future State

As you consider your priorities for where to begin your improvement efforts and tool implementation, take time to identify which touchpoints or phases of the hospitalization process they impact — admission, hospital stay, discharge or the post-discharge period. By analyzing your current state process map as well as understanding how far you are from achieving your future state, you will likely make the best decision regarding which intervention to implement first based on the team’s priorities for improvement, and which tool will have the desired impact.

Other BOOST Tools:

Project BOOST® implementation toolkit Project Team
This first edition of the BOOST implementation toolkit was sponsored in part by an unrestricted educational grant from the John A. Hartford Foundation, Inc. SHM updated the second edition workbook in 2014.
The implementation toolkit is an online resource for visitors to the Society of Hospital Medicine's website. All content and links have been reviewed by the BOOST Project Team, however the Society of Hospital Medicine does not exercise any editorial control over content associated with the external links that have been made available via this website.