The project was in trouble, and unless the nuns guaranteed construction loans, it would fail.

FORBES: God and the devil

Chris, another former offender, said the project was helping to keep him out of trouble.

BBC: Bristol renovation project gets ex-offenders into work

It is not first project in the area providing food to people in serious financial trouble because of job losses or problems claiming benefit.

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In what became known as the Keystone Initiative, each hospital assigned a project manager to roll out the checklists and participate in a twice-monthly conference call with Pronovost for trouble-shooting.

NEWYORKER: The Checklist