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Governance Leadership of Safety and Improvement

Highly engaged executive leadership teams working with highly engaged boards in a trusting partnership can be the source of will for the entire organization. As hospitals try to drive rapid improvement, boards have an opportunity and a responsibility to make better quality of care the organization’s top priority.

The board’s responsibility for ensuring and improving care cannot be delegated to the medical staff and executive leadership; ensuring safe and harm-free care to the patients is the board’s job, at the very core of their fiduciary responsibility. An activated board, in partnership with executive leadership, can set system-level expectations and accountability for high performance and the elimination of harm, and, properly conducted, this leadership work can dramatically and continually improve the quality of care in the hospital.

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Getting Started: How to Improve

Learn about the Model for Improvement, forming the improvement team, setting aims, establishing measures, and selecting and testing changes. Go to How to Improve.