Trust Practice Challenge

Trust is essential to effective health care, and research has shown that the quality of health outcomes depends on a stable foundation of trusting relationships. Yet trust in health care has been in steady decline in the United States over the past several decades.

The ABIM Foundation is seeking to address this “trust gap” through the lens of medical professionalism, by identifying practices that foster trust and trustworthiness in health care, such as:

  • disclosure of medical errors and subsequent apologies;
  • guarantees of quality service levels; and
  • endorsement of clinicians during care transitions.

The Trust Practice Challenge asks health care stakeholders to tell us:

Within your clinical sphere and/or organization, what practices have generated trust between you/your constituencies and:

  • patients/consumers;
  • physicians/clinicians;
  • hospitals/health systems/medical groups administrators;
  • Medicare/Medicaid;
  • commercial insurers/HMOs;
  • technology;
  • media/social media;
  • regulators/policy makers?

Through this initiative, we hope to assemble a compendium of replicable and scalable practices that have helped build or rebuild trust in various aspects of the health care system.


We are looking for a regular practice in your institution or setting that, you believe, cultivates trust. If it is done consistently, it probably has an institutional sponsor, perhaps technology or training to support it. We are interested in learning about:

  • how your practice came to be,
  • what evidence indicates that the practice builds trust, and
  • why you believe it can be replicated.

Submissions can address any sector of the health care system, including:

  • relationships between clinicians and patients,
  • among clinicians,
  • between clinicians and health systems/hospitals, or
  • between patients and health systems/hospitals.

Download the informational flyer (pdf).

How To Enter

We are no longer accepting submissions.

Selection Process and Criteria

An independent expert panel of clinicians, academics and C-suite leaders in health care will review the submissions and select eight winners. Entries will be evaluated on innovation, evidence that the practice builds trust, and potential for scalability.

The seven-member jury includes:

  • Christine Sinsky, MD, Board Chair, ABIM Foundation and Vice President of Professional Satisfaction at the American Medical Association
  • Meg Gaines, JD, LLM, Director, Center for Patient Partnerships
  • David Blumenthal, MD, MPP, President, The Commonwealth Foundation
  • Dhruv Khullar, MD, MPP, Researcher, Weill Cornell School of Medicine
  • Martín-J. Sepúlveda, MD, ScD, FACP, FAAP, IBM Fellow, Retired VP IBM Corporation
  • Virginia Tilden, PhD, RN, Senior Associate Dean for Research, Oregon Health & Sciences University
  • Robert Wachter, MD, Chair, Department of Medicine, University of California, San Francisco

Challenge winners will receive a full stipend to attend and present their practices at the 2019 ABIM Foundation Forum, a select annual gathering of nationally recognized thought leaders in health care practice and delivery, academic medicine, research, journal publication and philanthropy. Read about the 2018 ABIM Foundation Forum.

The Forum also will provide winners with opportunities to meet and network with a diverse audience of more than 100 well-known influencers in health care. In addition, the winning submissions will be highlighted on the ABIM Foundation’s website and through other communication channels.

All entrants will become members of a community of interest, a group of proponents who have thought seriously about the issue of trust in health care and want to take steps to drive change. The ABIM Foundation will connect, support and activate this community by enhancing communication among thought leaders and creating opportunities for shared learning.

For further information, please contact Wanda Odom, Director of Communications, at