Dr. Stephen Hines

Dr. Stephen C. Hines is a Vice President in the Health Division at IMPAQ. He supports IMPAQ projects involving dissemination and spread, health care quality improvement and measurement, and applied evaluations of improvement and spread initiatives. He also contributes to IMPAQ’s business development efforts and the development of new opportunities involving new customer types and approaches that span typical boundaries dividing subject areas.


Dr. Hines is a nationally recognized expert in dissemination, spread, and the implementation of large-scale national improvement initiatives. This encompasses developing effective spread strategies in care settings including hospitals and other settings of care, constructing diverse teams of experts, connector organizations, and providers required for large-scale implementation, and developing and conducting formative and summative evaluations to assess the progress and impact of these initiatives. Dr. Hines has an extensive background in health care data and measurement, strategies for public reporting of health care data, and the application of high-reliability concepts to developing sustainable high performance.


Dr. Hines has sixteen years of experience working with a wide range of federal clients such as the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, and the Centers for Disease Control and Prevention. He also has led initiatives funded by the Gordon and Betty Moore Foundation, the Commonwealth Fund, the Robert Wood Johnson Foundation, and the Patient-Centered Outcomes Research Institute. He has also supported measurement and evaluation initiatives of hospitals and health care systems.

Prior Experience

Prior to joining IMPAQ, Dr. Hines was the Chief Research Officer at the Health Research and Educational Trust, the non-profit research and educational affiliate of the American Hospital Association. He also worked as a principal at the Lewin Group and as a senior scientist at the Delmarva Foundation—the Quality Improvement Organization for Maryland and the District of Columbia. Dr. Hines also conducted research and taught at West Virginia University, where he held appointments in the Communication Department and the Medical and Nursing Schools and functioned as the Research Director for the Center for Health Ethics and Law.


Dr. Hines earned his Ph.D. in Communication from Purdue University, with a primary focus on social influence and minor areas of quantitative research methodology and social psychology. He also possesses a Th.M. and M.Div from Central Baptist Theological Seminary. He has authored more than 50 peer-reviewed publications and presentations.

Previous Papers and Presentations

Foster, G., Kenward, K., Hines, S. & Joshi, M. (2016). The relationship of engagement in improvement practices to outcome measures in large-scale quality improvement initiatives. American Journal of Medical Quality, 10, 1-8.

Herrin J., Kenward K., Joshi M., Audet, A.M. & Hines, S. (2016). Assessing community quality of health care. Health Services Research, 51(1), 98-116.

Herrin J., Harris, K.G., Kenward, K., Hines, S. & Joshi, M., Frosch, D. (2016). Patient and family engagement: a survey of US hospital practices. BMJ Quality and Safety, 25(3):182-9.

Hines, S. & Battles, J. (2015). Flexible design and funding of large-scale improvement projects. In Spurlock B. & P. Teske (Eds). All In – Using Healthcare Collaboratives to Save Lives and Improve Care. Roseville, CA: Ingram Spark. 

Chenoweth, C.E., Hines, S., Hall, K.K., Saran, R., Kalbfleisch, J.D., Spencer, T., Frank, K.M., Carlson, D., Deane, J., Roys, E., Scholz, N., Parotte, C. & Messana, J. (2015). Variation in infection prevention practices in dialysis facilities: Results from the National Opportunity to Improve Infection Control in ESRD Project. Infection Control & Hospital Epidemiology, 36(7):802-6.

Herrin, J., St. Andre, J., Kenward, K., Joshi, M., Audet, A.M. & Hines, S. (2015). Community factors and hospital readmission rates. Health Services Research, 50(1):20-39.

Hines, S. (2014). Strengthening National Efforts to Reduce Healthcare-Associated Infections. Advances in Patient Safety: From Research to Implementation. Rockville, MD: Agency for Healthcare Research and Quality.

Berenholtz, S.M., Lubomski, L.H., Weeks, K., Goeschel, C.A., Marsteller, J.A., Pham, J.C., Sawyer, M.D., Thompson, D.A., Winters, B.D., Cosgrove, S.E., Yang, T., Louis, T.A., Meyer, D., Lucas, B., George, C.T., Watson, S.R., Albert-Lesher, M.I., St. Andre, J.R., Combes, J.R., Bohr, D., Hines, S., Battles, J.B. & Pronovost, P.J. (2014). Eliminating central line-associated bloodstream infections: A national patient safety imperative. Infection Control & Hospital Epidemiology, 35(1):56-62.

Hines S. (2013). A leadership resource for patient and family engagement strategies. Health Research & Educational Trust, Chicago, IL. Accessed at

Yonek, J., Hines, S. & Joshi, M. (2010). A guide to achieving high performance in multi-hospital health systems. Health Research & Educational Trust, Chicago, IL. Accessed at:

Hines, S. & Joshi, M. (2008).  Variation in quality of care within health systems. Joint Commission Journal on Quality and Patient Safety, 34:326-332.

Hines, S., Luna K. & Lofthus J. (2008). Becoming a High Reliability Organization: Operational advice for hospital leaders. Rockville, MD: Agency for Healthcare Research and Quality, AHRQ Publication No. 08-0022.

Hines, S, Stelmokas, D, Marquardt, M, Goodman, C. (2008). Global scorecards final Report. White Paper: International Pharmaceutical Manufacturers and Associations, Geneva, Switzerland.

Joshi, M. & Hines, S.C. (2006). Getting the board On board: Engaging hospital boards in quality and patient safety. Journal on Quality and Patient Safety, 32, 179-187.

Hines, S.C. (2001). Coping with uncertainties in advance care planning. Journal of Communication, 51, 1-14.

Hines, S. C., Babrow, A. S., Moss, A. H., & Badzek, L. (2001). From coping with life to coping with death: Problematic integration for the seriously ill elderly. Health Communication, 13, 327-342.

Hines, S., Glover, J.J., Babrow, A.S., Holley, J.L., Badzek, L.A. & Moss, A.H. (2001). Improving advance care planning by accommodating family preferences. Journal of Palliative Medicine, 4(4):481-9.

Hines, S. C., Glover, J. G., Babrow, A. S., Holley, J. & Moss, A. H. (1999). Dialysis patients’ preferences for family-based advance care planning. Annals of Internal Medicine, 130, 825-828.

Badzek, L., Hines, S. C., & Moss, A. H. (1998). Inadequate self-care knowledge among elderly hemodialysis patients: Assessing its prevalence and potential causes. ANNA Journal, 25, 293-300.

Hines, S. C. Badzek. L., & Moss, A. H. (1997). Informed consent among chronically ill elderly: Assessing its (in)adequacy and predictors. Journal of Applied Communication Research, 25, 151-169.