Gaining and Keeping C-Suite Support for Perioperative Quality Improvement Initiatives


Key Points

  • Understanding the chief executive officer (CEO) mindset and what they worry about helps teams frame performance improvement initiatives in ways that will resonate.

  • Proposed quality improvement projects should ideally have direct ties to an organization's strategic plan or key strategic initiatives.

  • Teams should be candid about “known unknowns” and have plans in place for addressing them.

  • Successful projects include timelines, with milestones and data, to demonstrate progress.

  • Be prepared for resistance and challenges to your ideas and proposals.

A Personal Perspective

I am honored to contribute the final chapter of this book and share the chief executive officer (CEO) perspective on quality improvement (QI) for perioperative medicine. Throughout my career, I have had the opportunity to observe performance improvement from the bottom up and the top down. During my career progression through financial leadership to my last 12 years as a CEO of top health systems, I have seen unlikely QI initiatives succeed, whereas simpler and much-needed projects fell apart.

This chapter provides suggestions and tips on how to understand the C-suite mindset and increase the likelihood that a QI project will receive the support and resources it needs to succeed.

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