RWJF Announces Hospitals Chosen to Participate in New Nurse-Led Quality Improvement Collaborative

The Robert Wood Johnson Foundation (RWJF) today announced the selection of 16 hospitals to participate in the first two cohorts of the Aligning Forces for Quality: Transforming Care at the Bedside Collaborative (TCAB Collaborative). The collaborative engages nurses and other frontline staff to improve the quality and safety of patient care on medical and surgical units in hospitals.


The press release notes that the TCAB Collaborative is part of RWJF’s Aligning Forces for Quality (AF4Q) initiative, a cornerstone of the Foundation’s $300-million commitment to improving quality in regions across the United States. Hospitals from 14 AF4Q communities applied to be part of the TCAB Collaborative. The collaborative is based on TCAB programs launched by RWJF and the Institute for Healthcare Improvement in 2003. Hospitals that have already participated in TCAB report a cultural shift on their medical-surgical units that has produced better clinical outcomes, more time spent with patients, reduced nurse turnover and lower costs.


Experts say TCAB is not a traditional quality improvement program because of its primary focus on engaging nurses and other frontline staff to develop and lead the quality improvement efforts. Ideas for transforming care come not from the hospital’s executive suite or quality improvement staff, but from those who spend the most time providing direct care to patients. Nurse-led teams identify where change is needed on their unit, suggest and test potential solutions, and decide whether and how those innovations should be implemented.


(SOURCE: AHA News Now,, March 11, 2009; Robert Wood Johnson Foundation,, March 11, 2009)