General Participation Requirements

Following are key factors for successful participation in an improvement collaborative. Successful organizations have:

  • Department leaders who are supportive of and willing to manage change.
  • A team of engaged front-line staff and leaders to participate in the program and do project work.
  • An improvement coach with quality improvement experience.
  • An organizational sponsor to provide time and resources for the project.
  • The capability to track and report data about improvement progress on a weekly basis and to perform manual image audits or report reviews as needed.
  • Ability to commit to a six-month training program and to the personnel resources as described in the table below.
  • A desire to join a community committed to improving and collaborating to create the best experience for your staff and patients.

Roles and Responsibilities


Role Name

Role Responsibilities

Approximate Time Requirement

Project Sponsor
The person in department leadership who is highly motivated to complete this project and can provide the resources to get it done.
 One hour per project per week or as needed.
Physician Leader Project team member to lead clinical decision making and ensure continuity with physician team.  Two hours per week.
Improvement Coach
QI professional who supports the team in the application of program concepts and tools. One coach can be assigned up to two project teams.
 One day per week per project.
Team Leader
Project team member with a leadership role or leadership potential to manage the project team.
 Two hours per project per week outside of team member requirement.
Team Member
Front-line staff that represent the process you are trying to improve. Two to four members per team.
 Three to six hours per week; two-hour training sessions held every third week.
Data Analyst
If the team leader or coaches do not have the capability to access data from department systems, a data analyst will be needed to support the projects.
 Two hours per project per week (heavier at the beginning of the course).