Harkness Project Title: 1. The role of the organization in institutionalizing evidence based practice; a systematic review of the literature. 2. A comparison of guideline concordant care versus case management and the organizational tensions that arise between the two.

Mentors: Martin P. Charns, D.B.A.

Placement: Boston VA Center for Organization, Leadership, and Management Research

Biography at time of Harkness Fellowship: Rachel Lewis, M.A., a 2008–09 Commonwealth Fund Harkness/Health Foundation Fellow in Health Care Policy and Practice, is a community matron Manchester Primary Care Trust. She is also nurse adviser to the Department of Health, where she is assisting in the implementation of the Renal National Service Framework. In addition, she has been a member of the National Institute for Health and Clinical Excellent (NICE) technology appraisal committee for the past 5 years. Lewis previously held positions as a policy writer for Clinicenta, as a nurse practitioner and senior staff nurse in acute nephrology at Hull Royal Infirmary, and as a renal nurse practitioner in nephrology at Queen Margaret Hospital, Dunfermline. Lewis has written several articles, including "Time for a Change—using action learning to transform renal service," which was published in the British Journal of Renal Medicine. She holds a master's degree in economic and social studies and a bachelor's degree in politics from Manchester University, and a diploma of nursing studies from Leed's College of Health.

Current Position: Practice Development Facilitator, Intermediate Care, Manchester Primary Care Trust (Updated January 2012)

E-mail: rachel.lewis5@comcast.net