Bradley and colleagues and Inouye and colleagues
also examined factors that led to the
success of the HELP program. Factors that
were deemed essential to the success of the
HELP program in various hospitals included the
work of dedicated clinician leaders to champion
the cause and internal support from multiple departments.
Allowing flexibility to adapt the
HELP program to meet the individual needs of
the hospital was also necessary to the success
of HELP in different hospital settings. Adaptations
included changing some forms to decrease
repetitive documentation, decreasing the
frequency of some interventions, allowing flexibility
for the intensity of the interventions.
Quality assurance procedures (such as staff
meetings, patient satisfaction surveys, and monitoring
the performance of volunteers) were not
always implemented. There were no reports
examining whether adaptations affected the fidelity
of the HELP program.