Implementation of the Acute Inpatient Medicine—High Reliability, Learning Environment, and Workforce Development Initiative (AIM‐HI) in rural Veterans Health Administration hospitals: A mixed methods evaluation protocol
2025

AIM‐HI in Rural VA Hospitals

publication Evidence: moderate

Author Information

Author(s): Heather M. Gilmartin, Brigid Connelly, Marguerite Daus, Edward Hess, Chelsea Leonard, Brianne Morgan, John P. Nolan Jr., Paige Perry, Heidi Sjoberg, Soumya Subramaniam, Melver L. Anderson III

Primary Institution: Denver/Seattle Center of Innovation for Veteran‐Centered and Value Driven Care, VA Eastern Colorado Healthcare System

Hypothesis

Teams consistently implementing the Playbook practices will experience increased satisfaction and safety climate, as well as reduced burnout and turnover compared to current conditions.

Conclusion

The AIM‐HI initiative aims to improve learning environments and workforce development in rural VA hospitals, potentially enhancing job satisfaction and reducing burnout.

Supporting Evidence

  • Rural hospital medicine programs often lack workforce development training.
  • Supportive learning environments can lead to higher staff satisfaction and lower burnout.
  • The Playbook intervention is based on evidence from VA cardiac catheterization laboratories.

Takeaway

This study is about helping hospital staff in rural areas feel happier and work better together, which can make it easier for them to take care of patients.

Methodology

A type II hybrid implementation study using a convergent mixed methods approach to evaluate the Playbook intervention and implementation strategies.

Potential Biases

Potential bias due to voluntary nature of participation and challenges in recruiting front-line staff.

Limitations

Voluntary participation may lead to selection bias, and challenges in recruiting participants for surveys.

Participant Demographics

Participants include inpatient physicians, nurse practitioners, physician assistants, nursing, social work, pharmacy clinical leaders, and other clinical or leadership staff.

Digital Object Identifier (DOI)

10.1002/jhm.13474

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