Project BOOST - Better Outcomes by Optimizing Safe Transitions

Implementation Guide
Project BOOST® Implementation Toolkit

In 2014, SHM developed a revised 2nd edition of the guide that incorporated the latest literature on transitions of care as well as the experiences of lessons learned from the Project BOOST mentoring program's mentors (faculty experts) and participating BOOST hospitals (over 180 in US & Canada).

The Guide is laid out in a user-friendly, step by step method with explicit instructions and worksheets to help new sites engage with Project BOOST, build effective QI teams, and improve the care of their patients as they transition out of the hospital.

The toolkit is available for free viewing on the this SHM website for BOOST. While most sections are listed on this website for free, the PDF and Print workbook include an annotated bibliography, Actionable Tasks with sections to record your work, and appendix of tools and resources that are not available on this free site.

Purcahse the Full BOOST Implementation Guide in SHM's Store

The Second Edition of the BOOST Implementation Guide can be purchased in the SHM Store.

Project BOOST 1st Edition: Free Implementation Workbook (2008)

BOOST Implementation Guide
The first edition of the BOOST Implementation toolkit was developed in 2008 through support from the John A. Hartford Foundation.
This version is available for free download, but does not contain the updated content from this website and second edition workbook updates.
Content may be outdated.

SHM is dedicated to the continuous improvement of the products and services that we offer. This Implementation Guide continues to be a work in progress; we highly encourage and welcome constructive criticism and feedback via email to

When citing this document, the Society of Hospital Medicine request that the following citation format be used:

Project BOOST Team. The Society of Hospital Medicine.
Care Transitions Implementation Guide: Project BOOST: Better Outcomes by Optimizing Safe Transitions.
Society of Hospital Medicine website, Care Transitions Quality Improvement Implementation Toolkit (accessed month/day/year).

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.