For the past 18 months, nearly 1,500 hospitals and 31 state hospital associations have participated in a quality initiative to reduce patient harm by 40 percent and readmissions by 20 percent. The organizations are part of a $75 million grant to the American Hospital Association's Health Research & Educational Trust to form a Hospital Engagement Network, or HEN.

The project, which is funded by the Center for Medicare & Medicaid Innovation as part of the Partnership for Patients, targets 10 clinical areas. HRET President Maulik Joshi highlights two where hospitals have made considerable progress: nearly 900 hospitals have reduced the number of early elective deliveries from more than 15 percent to less than 10 percent; and nearly 600 hospitals have reduced readmissions by more than 10 percent. Key to the success of the initiative are board, C-suite and physician engagement, and transparency, Joshi says. Participants share data and best practices with their hospital associations, which inspires participation and accelerates change.

Trustee will provide ongoing coverage of the HEN project in the July/August issue and in videos with Joshi and high-achieving hospitals in the coming months at