American Hospital Association
Health Research & Educational Trust

HIIN Project

The Centers for Medicare & Medicaid Services recently awarded the Health Research & Educational Trust (HRET) a two-year Hospital Improvement Innovation Network (HIIN) contract (with an optional third year based on performance), to continue efforts to reduce hospital-acquired conditions and readmissions. Thanks to the work of hospitals across the country that participated in the HRET Hospital Engagement Network (HEN) and HEN 2.0, we have been able to save over 87,000 lives resulting in over $19.8 billion in cost savings over the past four years! The HRET HIIN will align, accelerate and amplify the prior HRET HEN and Quality Improvement Network-Quality Improvement Organizations (QIN-QIO) successes to pursue the ambitious new goals of reducing all-cause inpatient harm by 20 percent and readmissions by 12 percent by 2019.

HIIN provides technical assistance, educational opportunities, training, resources and learning collaboratives in the following target areas to help achieve this goal:

  • Adverse Drug Event (ADE)
  • Airway Safety
  • Catheter-Associated Urinary Tract Infection (CAUTI)
  • Central Line-Associated Bloodstream Infection (CLABSI)
  • Clostridium difficile Infection (CDI)
  • Culture of Safety
  • Diagnostic Errors
  • Injuries from Falls and Immobility
  • Health Care Disparities
  • Iatrogenic Delirium
  • Malnutrition in the Inpatient Setting
  • Multi-Drug Resistant Organisms, such as VRE (Vancomycin-resistant enterococcus), CRE (Carbapenem-resistant enterobacteriaceae), and MRSA (Methicillin-resistant Staphylococcus aureus)
  • Patient and Family Engagement (PFE)
  • Pressure Ulcers (PrU)
  • Radiation Exposure
  • Readmissions
  • Sepsis
  • Surgical Site Infection (SSI)
  • Venous Thromboembolism (VTE)
  • Ventilator-Associated Event (VAE)


The HRET HEN 2.0 was in action from September 2015 to September 2016 to reduce hospital-acquired conditions by 40 percent and readmissions by 20 percent. Over the one year project, HRET HEN 2.0 hospitals prevented roughly over 34,000 harms and have saved nearly $300 million in health care costs.  

Click here to view the HRET HEN 2.0 Final Report.