Governance Quality Engagement Diagnostic


This diagnostic is designed to help boards and organization leaders identify challenges that may be impeding efforts to improve quality. Developed by Jim Conway, this resource draws on 20 years of personal governance experience as well as learning from the literature and the shared experience of trustees, executives, patients, family members, staff, teachers, and students. The tool framework is constructed around six key drivers of engagement as reported initially in the 2006 “Getting Boards on Board” initiative of the Institute for Healthcare Improvement (IHI). It identifies more than 60 challenges that, when addressed, can help boards and leaders create their own pathway to continuous improvement. The tool reflects quality domains identified by the National Academy of Medicine (formerly the Institute of Medicine), which include care that is safe, effective, patient-centered, timely, efficient, and equitable.

How to Use This Tool

Using this tool together (governance and leadership, including medical staff leadership):

  • Check for evidence of problems and struggles that could be limiting impact
  • Discuss why
  • Seek out key resources, examples of best practice, and lessons learned by boards who are “leading the way”
  • Develop a plan to address problems and turn them into opportunities for improvement
  • Execute following the IHI’s Model for Improvement [ Pages/HowtoImprove/default.aspx] or a similar systematic approach

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