Since the National Initiative focuses upon GME as a driver for improved quality and safety, Alliance leaders realized that collaboration with key education and clinical stakeholders was needed. Paul Gardent, MBA, Instructor in Community and Family Medicine at Dartmouth Medical School and Chairman, Committee on Innovation in the Learning Environment (CILE) for the Accreditation Council for Graduate Medical Education (ACGME), was invited to participate and was a most valuable resource in linking the goals of the National Initiative I to the ACGME competencies.
On the clinical side, the Institute for Healthcare Improvement (IHI) was quickly identified as an influential leader in new process improvements. IHI Senior Vice President Jim Conway was invited to participate and provided key leadership in linking the National Initiative to IHI’s 5 Million Lives Campaign. The National Initiative I used the 5 Million Lives Campaign as the backbone for linking residents to improvements in patient care. By doing so, the residency programs, the hospital administration and the hospital boards of directors were aligned in a mutual effort to improve patient care. This approach was markedly different from previous residency quality improvement initiatives that had often been peripheral and disconnected with the priorities of the hospital leadership.