Project 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.
Project 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 Project BOOST community, members may find examples of variations of the Project BOOST tools on SHM's member website, as well as other potentially useful tools.
In order for Project 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:
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 and 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.