Positions

Research Areas research areas

Overview

  • Margie is Research Professor in the Department of Nursing and Founding Executive Director and Founder of the Institute for Excellence in Health and Social Systems (IEHSS), in the College of Health and Human Services at the University of New Hampshire. Margie is also Affiliate Faculty in the UNH Health Management and Policy Program and Affiliate Professor Jönköping University in Sweden. She is a national and international leader of designing and implementing improvement strategies targeting the place where patients, families and care teams meet-the clinical microsystem.

    Dr. Godfrey began her work in clinical microsystems over 25 years ago and, in 2009, founded The Dartmouth Institute Microsystem Academy (TDIMA) at The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine with Dartmouth colleagues, to develop new knowledge and disseminate findings. She was Co-Director of TDIMA with Dr. Tina Foster for 11 years and a Lecturer for nearly 20 years at The Dartmouth Institute for Health Policy and Clinical Practice.

    Margie’s primary interest is engaging inter-professional health care professionals in learning about and improving local health care delivery systems with a focus on patients, professionals, processes and outcomes. Margie is co-author of the best selling textbooks, Quality by Design (2007), Quality by Design, 2nd Edition (in press) and Value By Design (2011), and the lead author and architect of the "Clinical Microsystems: A Path to Healthcare Excellence" series. Margie is also Vice Chair of the American Academy of Nursing's (AAN) Expert Panel on Quality Health Care.
  • Selected Publications

    Academic Article

    Year Title
    2024 Quality of locally designed surveys in a quality improvement collaborative: review of survey validity and identification of common errors.BMJ Open Qual.  13:e002387. 2024
    2022 Virtual Learning Collaborative Compared to Technical Assistance as a Strategy for Implementing Health Promotion in Routine Mental Health Settings: A Hybrid Type 3 Cluster Randomized Trial.Administration and Policy in Mental Health and Mental Health Services Research.  49:1031-1046. 2022
    2020 4079 Lessons learned from implementing Quality Improvement (QI) in academic clinical research settingJournal of Clinical and Translational Science.  4:74-74. 2020
    2020 Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics.Health Care Management Review.  45:12-20. 2020
    2019 A virtual learning collaborative to implement health promotion in routine mental health settings: Protocol for a cluster randomized trial.Contemporary Clinical Trials.  84:105816. 2019
    2019 Comparing Three Methods for Reducing Psychotropic Use in Older Demented Spanish Care Home Residents.Journal of the American Geriatrics Society.  67:1444-1453. 2019
    2018 IHI ID 22 Validation of the quality improvement assessment (QIA) toolBMJ Open.  7. 2018
    2018 Trans-Atlantic collaboration: applying lessons learned from the US CF Foundation quality improvement initiative.Orphanet Journal of Rare Diseases.  13:13. 2018
    2014 Coaching interprofessional health care improvement teams: the coachee, the coach and the leader perspectives.Journal of Nursing Management.  22:452-464. 2014
    2014 Accelerating the rate of improvement in cystic fibrosis care: contributions and insights of the learning and leadership collaborative.BMJ Quality and Safety.  23 Suppl 1:i23-i32. 2014
    2013 Interprofessional collaborative practice and relational coordination: Improving healthcare through relationshipsJournal of Interprofessional Care.  27:210-213. 2013
    2013 Improvement Capability at the Front Lines of Healthcare. Helping through Leading and Coaching School of Health SciencesJonkoping University2013
    2008 Clinical Microsystems, Part 4. Building Innovative Population-Specific MesosystemsThe Joint Commission Journal on Quality and Patient Safety.  34:655-663. 2008
    2008 Clinical microsystems, Part 3. Transformation of two hospitals using microsystem, mesosystem, and macrosystem strategies.The Joint Commission Journal on Quality and Patient Safety.  34:591-603. 2008
    2008 Clinical microsystems, part 2. Learning from micro practices about providing patients the care they want and need.The Joint Commission Journal on Quality and Patient Safety.  34:445-452. 2008
    2008 Clinical microsystems, part 1. The building blocks of health systems.The Joint Commission Journal on Quality and Patient Safety.  34:367-378. 2008
    2006 Creating a lean practiceFamily Practice Management.  13:34-38. 2006
    2006 Resource planning for patient-centered, collaborative care.Journal of Ambulatory Care Management.  29:207-214. 2006
    2005 Quality Improvement Learning Collaboratives 2005
    2003 Microsystems in health care: Part 9. Developing small clinical units to attain peak performance.Joint Commission journal on quality and safety.  29:575-585. 2003
    2003 Microsystems in health care: Part 8. Developing people and improving work life: what front-line staff told us.Joint Commission journal on quality and safety.  29:512-522. 2003
    2003 Microsystems in Health Care: Part 6. Designing Patient Safety into the MicrosystemJoint Commission journal on quality and safety.  29:401-408. 2003
    2003 Microsystems in health care: Part 5. How leaders are leading.Joint Commission journal on quality and safety.  29:297-308. 2003
    2003 Microsystems in health care: Part 4. Planning patient-centered care.Joint Commission journal on quality and safety.  29:227-237. 2003
    2003 Microsystems in health care: Part 3. Planning patient-centered services.Joint Commission journal on quality and safety.  29:159-170. 2003
    2003 Microsystems in health care: Part 2. Creating a rich information environment.Joint Commission journal on quality and safety.  29:5-15. 2003
    2002 Microsystems in health care: Part 1. Learning from high-performing front-line clinical units.The Joint Commission journal on quality improvement.  28:472-493. 2002
    2000 Using data to improve medical practice by measuring processes and outcomes of care.The Joint Commission journal on quality improvement.  26:667-685. 2000
    2000 Making Quality and Service Pay: Part 1, The Internal Environment7.  9:48-52. 2000
    2000 Making Quality and Service Pay7.  10:25-28. 2000

    Book

    Year Title
    2011 Value by Design Developing Clinical Microsystems to Achieve Organizational Excellence 2011
    2011 Quality By Design A Clinical Microsystems Approach 2011

    Principal Investigator On

  • IEHSS  awarded by Miscellaneous Business & Industry 2020 - 2025
  • IEHSS  awarded by Miscellaneous Business & Industry 2020 - 2025
  • IEHSS  awarded by Miscellaneous Business & Industry 2020 - 2025
  • CF LTT Regional Dissemination Network Expansion Program  awarded by Cystic Fibrosis Foundation 2021 - 2024
  • Customized Team Coaching Program  awarded by Kaf a' at Business Solution 2022
  • Fundamentals  awarded by Cystic Fibrosis Foundation 2020 - 2022
  • RDN  awarded by Cystic Fibrosis Foundation 2020 - 2022
  • LLC3  awarded by Cystic Fibrosis Foundation 2020 - 2021
  • LLC2  awarded by Cystic Fibrosis Foundation 2020 - 2021
  • Teaching Activities

  • Promoting Quality Management Taught course
  • Quality & Safety Taught course
  • Quality & Safety Taught course 2023
  • Promoting Quality Management Taught course 2023
  • Quality & Safety Taught course 2022
  • Promoting Quality Management Taught course 2022
  • Quality & Safety Taught course 2022
  • Promoting Quality Management Taught course 2022
  • Education And Training

    Full Name

  • Margie Godfrey
  • Mailing Address

  • University of New Hampshire

    Institute for Excellence in Health and Social Systems

    4 Library way

    Durham, NH  03824

    United States