Four Pillars for Sustainable Centers of Excellence

Prepared for: 
Monika Haugstetter, MHA, MSN, RN, CPHQ 
Contract Officer Representative 
Agency for Healthcare Research and Quality 
5600 Fishers Lane 
Rockville, MD 20857 

Contract No./Order No.: 47QRAA22D006G/75Q80124F80001 

Prepared By: 
Ethan Bradley, MPH, Research Consultant
Kellie Goodson, MS, CPXP, Chief Experience and Engagement Officer
Gerry Castro, PhD, MPH, Managing Director of Research, Policy, and Quality
Doug Salvador, MD, MPH, Chief Medical Officer
ATW Health Solutions 
Olympia Fields, IL 60461

This project was funded under contract number 47QRAA22D006G/75Q80124F80001 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. The authors are solely responsible for this document’s contents, findings, and conclusions, which do not necessarily represent the views of AHRQ. Readers should not interpret any statement in this product as an official position of AHRQ or of the U.S. Department of Health and Human Services. None of the authors has any affiliation or financial involvement that conflicts with the material presented in this product. 

Public Availability Notice 

This product is made publicly available by AHRQ and may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from AHRQ to reprint or translate this product. Anyone wanting to reproduce this product for sale must contact AHRQ for permission. 

Suggested citation: Bradley E, Goodson K, Castro G, Salvador D. Four Pillars for Sustainable Centers of Excellence. Rockville, MD: Agency for Healthcare Research and Quality; April 2025. Publication No. 25-0041.