-
www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
May 01, 2015 - Belief that “zero” is attainable
Frontline accountability
Strong leadership at all levels … The role of leadership in eliminating healthcare-associated
infections: a qualitative study of eight … These practices influence the capabilities of the
organization’s leadership in running and evolving … through leadership workforce analysis, leadership career planning, and
development targeted toward … Performance-contingent compensation—Practices that link a portion of leadership
compensation to
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - US
The Patient Safety Structural Measure (PSSM)
https://qualitynet.cms.gov/pch/measures/safety
Leadership … Enhance Performance and
Patient Safety
• Evidence-based framework
• Foci- communication, team
leadership … Communication
• Call-Out, Check-Back
• Two-Challenge Rule
• CUS
23
(AHRQ, 2023)
TeamSTEPPS – Team Leadership … Culture of Safety and Learning Health System
TeamSTEPPS
TeamSTEPPS - Communication
TeamSTEPPS – Team Leadership
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - Step 1: Agree To Use On-Time Pressure Ulcer Healing
Nursing home leadership agrees to incorporate the … Leadership agrees to identify a change team champion and establish a multidisciplinary change team to … Nursing leadership may assume this role or delegate the responsibility. … The timeline depends on leadership commitment, stability of staff, facility familiarity with using computerized
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
June 02, 2025 - *
Culture Change Model
Comparison Table
*
Objective Kotter: Leading Change Kouzes and Posner: Leadership … ENGAGE: Senior Leadership Partnership with the CUSP Team Establish unit team with direct care providers … Get from the dance floor to the balcony level
Individual challenges
System challenges
Heifetz R, Leadership … Example: representatives from other hospitals and executive leadership participation in meeting*
Representation
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Leadership Role in Improving Safety
https://psnet.ahrq.gov/primers/primer/32? … Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies
https://www.jcrinc.com … /patient-safety-initiative-hospital-executive-and-physician-leadership-
strategies/
Effectiveness of … executive and physician leadership is essential to hospitals’ successful
implementation and sustainment … • MHS Leadership Engagement.
• Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
15.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-how-are-cahps-surveys-used.pdf
January 01, 2021 - Sustaining more substantial change is likely
to require organizational strategies, engaged
leadership … Health Expectations, 11(2), 160-176.
30
Foundational Elements of Patient
Experience Improvement
• Leadership
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.docx
March 01, 2017 - administrators and frontline staff; residents and families
Topic: Overview of Toolkit Modules
Method: During a leadership … : Slides 6–13
Audience: LTC administrators and leaders
Topic: Implementing Change
Method: During a leadership
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-ohio-hhoi-practice-team-member-survey.pdf
June 02, 2025 - .
* must provide value
15) Leadership strongly supports practice 0 0 0 0 0
change efforts. … * must provide value
21) Practice leadership promotes an 0 0 0 0 0
environment that is an enjoyable … * must provide value
24) Leadership in this practice creates an 0 0 0 0 0
environment where things
-
www.ahrq.gov/es/nursing-home/resources/search.html?page=10
January 01, 2022 - QAPI Leadership Rounding Guide This tool is to be used by leadership to guide rounds to monitor the progress … QAPI Self-Assessment Tool Leadership can use this tool to evaluate quality assurance and performance
-
www.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Leadership in Office-Based Care
Effective leadership can help a medical office resolve problems quickly … This TeamSTEPPS video shows leadership and teamwork resolved staff shortages and a heavy patient schedule
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - perception
• Marketing
• Competitive
pressure
Do we have
the
committed
support of
our senior
leadership … perception
• Marketing
• Competitive
pressure
Do we have
the
committed
support of
our senior
leadership … perception
• Marketing
• Competitive
pressure
Do we have
the
committed
support of
our senior
leadership … perception
• Marketing
• Competitive
pressure
Do we have
the
committed
support of
our senior
leadership … perception
• Marketing
• Competitive
pressure
Do we have
the
committed
support of
our senior
leadership
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/be-prepared_webinar_slides.pdf
January 01, 2015 - http://bit.ly/2fmuNYE
Getting Started with Be Prepared
Step 1
• Identify a Champion and get
Leadership … Leadership Buy-in
14
• Identify a Be Prepared
to Be Engaged practice
champion
• Obtain leadership
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Top of Page
1C: Leadership Support Assessment
Background: This tool can be used to assess senior … leadership support for implementing a pressure ulcer prevention project. … Use: Review the responses to ascertain the level of leadership support. … Analyze the areas where support is not evident and take steps to inform leadership about the urgency … Leadership Support Assessment
Yes
No
Patient safety is clearly articulated in the organization's
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Top of Page
1C: Leadership Support Assessment
Background: This tool can be used to assess senior … leadership support for implementing a pressure ulcer prevention project. … Use: Review the responses to ascertain the level of leadership support. … Analyze the areas where support is not evident and take steps to inform leadership about the urgency … Leadership Support Assessment
Yes
No
Patient safety is clearly articulated in the organization's
-
www.ahrq.gov/research/findings/final-reports/ptflow/section7.html
July 01, 2018 - Hospitals Reporting:
Hospital board of directors
3
Other departments
3
C-suite (Top leadership … )
5
Director of quality
5
ED leadership
6
ED staff
6
Externally
As
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-18.html
November 01, 2014 - Leadership
Leadership sets the expectations for results for Lean, monitors progress, and removes
-
www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - Partner Hospitals
• Leadership commitment to their CR programs and resource allocation to quality … requirements for leadership commitment, many
Partner Hospitals found it challenging to make progress … Secure leadership buy-in. … A future CR program would benefit from securing leadership
buy-in and expressed commitment (through … To keep the leadership informed during the project, the
project can provide written updates to leaders
-
www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - For example: Some key organizations will have a role in leadership and decision making (e.g., sitting … What organization is best suited to lead the extension program depends on historical leadership roles … Leadership and Governance Structure As described in Building a Collaborative Governance Framework: A … hub-and-spoke” model, with a central group or committee (e.g., an Executive Committee) that provided leadership … As an example, the Heart Healthy Ohio Initiative leadership developed its charter (PDF, 1 MB) by building
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/CreatinganEffectiveCustomerServiceTrainingProgram20120501Transcript52312.pdf
May 01, 2012 - As well as some of the
factors that are important to any quality improvement effort such as leadership … Finally we asked
for feedback from employees, managers, and our business administrative leadership and … I
wanted our staff to hear from our leadership why we were doing this training. … And this helped the staff see just how important it was to leadership,
but more importantly, they got … Carla Zema
You really engaged leadership at different levels, at all levels within your organization
-
www.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
August 01, 2014 - A practice facilitator training program requires full-time leadership and committed faculty, all of whom … Have the ability to use leadership concepts to facilitate team change, manage conflict and resistance … Trainees must learn how to help both leadership and staff understand what practice transformation is, … Program assessment and evaluation, with input from HealthTeamWorks coaches and leadership. … Alternately, the leadership of a large health system may want to engage in transformation work but has