Marjorie Godfrey

Marjorie Godfrey

Research Professor
Research Professor
Founding Executive Director
Affiliate Faculty
Affiliate Professor
Office: UNH CHHS Dean's Office, Hewitt Hall, Durham, NH 03824

Margie is Research Professor in the Department of Nursing and Founding Executive Director and Founder of the Institute for Excellence in Health and Social Systems (IEHSS), in the College of Health and Human Services at the University of New Hampshire. Margie is also Affiliate Faculty in the UNH Health Management and Policy Program and Affiliate Professor Jönköping University in Sweden. She is a national and international leader of designing and implementing improvement strategies targeting the place where patients, families and care teams meet-the clinical microsystem.

Dr. Godfrey began her work in clinical microsystems over 25 years ago and, in 2009, founded The Dartmouth Institute Microsystem Academy (TDIMA) at The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine with Dartmouth colleagues, to develop new knowledge and disseminate findings. She was Co-Director of TDIMA with Dr. Tina Foster for 11 years and a Lecturer for nearly 20 years at The Dartmouth Institute for Health Policy and Clinical Practice.

Margie’s primary interest is engaging inter-professional health care professionals in learning about and improving local health care delivery systems with a focus on patients, professionals, processes and outcomes. Margie is co-author of the best selling textbooks, Quality by Design (2007), Quality by Design, 2nd Edition (in press) and Value By Design (2011), and the lead author and architect of the "Clinical Microsystems: A Path to Healthcare Excellence" series. Margie is also Vice Chair of the American Academy of Nursing's (AAN) Expert Panel on Quality Health Care.

Courses Taught

  • NURS 953: Promoting Quality Management
  • NURS 973: Quality & Safety


  • Ph.D., Jonkoping University
  • M.S., Dartmouth College
  • B.S., Norwich University

Research Interests

  • Quality of Care
  • Coordination in complex systems
  • Coordination of Care
  • Microsystems
  • Communication
  • Groups & Teams
  • Leadership development
  • Organizational Leadership and Learning
  • Cystic Fibrosis
  • Health care
  • Health Communication
  • Nursing

Selected Publications

  • Reed, J. E., Johnson, J. K., Zanni, R., Messier, R., Asfour, F., & Godfrey, M. M. (2024). Quality of locally designed surveys in a quality improvement collaborative: review of survey validity and identification of common errors.. BMJ Open Qual, 13(1). doi:10.1136/bmjoq-2023-002387

  • Bartels, S. J., Aschbrenner, K. A., Pratt, S. I., Zubkoff, L., Jue, K., Williams, G., . . . Bond, G. R. (2022). Virtual Learning Collaborative Compared to Technical Assistance as a Strategy for Implementing Health Promotion in Routine Mental Health Settings: A Hybrid Type 3 Cluster Randomized Trial.. Adm Policy Ment Health, 49(6), 1031-1046. doi:10.1007/s10488-022-01215-0

  • Lee, C. C., JAYAWEERA, D., Godfrey, M., Salathe, M., Wright, J., & Sacco, R. L. (2020). 4079 Lessons learned from implementing Quality Improvement (QI) in academic clinical research setting. Journal of Clinical and Translational Science, 4(s1), 74. doi:10.1017/cts.2020.241

  • Gittell, J. H., Logan, C., Cronenwett, J., Foster, T. C., Freeman, R., Godfrey, M., & Vidal, D. C. (2020). Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics.. Health Care Manage Rev, 45(1), 12-20. doi:10.1097/HMR.0000000000000192

  • Aschbrenner, K. A., Pratt, S. I., Bond, G. R., Zubkoff, L., Naslund, J. A., Jue, K., . . . Bartels, S. J. (2019). A virtual learning collaborative to implement health promotion in routine mental health settings: Protocol for a cluster randomized trial.. Contemp Clin Trials, 84, 105816. doi:10.1016/j.cct.2019.105816

  • Nelson, E. C., Godfrey, M. M., Batalden, P. B., Berry, S. A., Bothe, A. E., McKinley, K. E., . . . Nolan, T. W. (2008). Clinical microsystems, part 1. The building blocks of health systems.. Jt Comm J Qual Patient Saf, 34(7), 367-378. doi:10.1016/s1553-7250(08)34047-1

  • Batalden, P. B., Nelson, E. C., Edwards, W. H., Godfrey, M. M., & Mohr, J. J. (2003). Microsystems in health care: Part 9. Developing small clinical units to attain peak performance.. Jt Comm J Qual Saf, 29(11), 575-585. doi:10.1016/s1549-3741(03)29068-7

  • Godfrey, M. M., Nelson, E. C., Wasson, J. H., Mohr, J. J., & Batalden, P. B. (2003). Microsystems in health care: Part 3. Planning patient-centered services.. Jt Comm J Qual Saf, 29(4), 159-170. doi:10.1016/s1549-3741(03)29020-1

  • Nelson, E. C., Batalden, P. B., Homa, K., Godfrey, M. M., Campbell, C., Headrick, L. A., . . . Wasson, J. H. (2003). Microsystems in health care: Part 2. Creating a rich information environment.. Jt Comm J Qual Saf, 29(1), 5-15. doi:10.1016/s1549-3741(03)29002-x

  • Nelson, E. C., Batalden, P. B., Huber, T. P., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health care: Part 1. Learning from high-performing front-line clinical units.. Jt Comm J Qual Improv, 28(9), 472-493. doi:10.1016/s1070-3241(02)28051-7

  • Most Cited Publications