Back to the Future: Past RIV Winners Talk About What the Recognition Meant for Their Careers

Larry Beresford


The Hospitalist. 2013;17(9):1,35-38. 

In This Article

Gregory Maynard, MD, MSc, SFHM

Title: Chief of the division of hospital medicine; senior vice president, SHM's Center for Innovation and Improvement

Institution: University of California at San Diego (UCSD)

Year: 2008

Riv: "Prevention of Hospital-Acquired Venous Thromboembolism: Prospective Validation of a VTE Risk Assessment Model and Protocol" (research)

Citations: Maynard g, Stein J. Designing and implementing effective VTE prevention protocols: lessons from collaboratives. J Thromb Thrombolysis. 2010;29(2):159-166. Maynard g, Morris T, Jenkins I, et al. Optimizing prevention of hospital acquired venous thromboembolism: prospective validation of a VTE risk assessment model. J Hosp Med. 2010;5(1):10–18.

Dr. Maynard's abstract described a project funded by the federal Agency for Healthcare Research and Quality to design and implement an organized, comprehensive protocol for VTE prevention within the hospital setting. The project also included a toolkit to help other hospitals do the same thing. The same group received SHM's Award of Excellence for Teamwork.

This work, combined with similar efforts by Jason Stein, MD, and colleagues at Emory University in Atlanta and others, provided the foundation for SHM's VTE resource room and the mentored implementation program of SHM's VTE Prevention Collaborative, which had been launched in 2007 as one of the society's first large-scale quality-improvement (QI) initiatives.

"SHM wanted to do something about VTE prevention, and when we got our AHRQ grant, I was interested in doing the same," Dr. Maynard says. "We published our implementation guides on the AHRQ and SHM websites, along with a lot of valuable supporting materials."

Dr. Maynard later took on leadership roles with SHM's quality initiatives on glycemic control and care transitions, which made him the logical choice to become senior vice president of SHM's Center for Hospital Innovation and Improvement.

He says the RIV honor lifted his profile not only within SHM, but also throughout the field, and it was instrumental in obtaining continued funding to advance the VTE initiative. "We did this tremendous work—with great results," he says. "But I don't think our local administrators appreciated it quite as much until we started to get external, national recognition."

Dr. Maynard earned his master's degree in biostatistics and clinical research design from the University of Michigan—skills he later brought to the academic setting at UCSD.

"It was a nice way for a hospitalist, who's really a medical generalist, to become an expert in something," he says. "I could never be more of an expert in cardiology than a cardiologist, or more of an expert in DVT than a hematologist or critical-care specialist. But I could help both of them do what they couldn't do as effectively, which was to implement protocols reliably using a QI framework."