How strong is your leadership system?

People on my team raise concerns with me before problems reach patients.

When something goes wrong, our first question is what in the system allowed it, not who is to blame.

I close the loop with staff on every safety concern they report.

I hold regular one-to-one conversations about what keeps each person in their role.

Our managers have a span of control and support that lets them actually lead.

I can name who would step into my role, and what they still need to be ready.

Before a major decision, the evidence and the options are framed for my team in writing.

We decide in advance how we will know whether a decision worked.

New technology, including AI, goes through a clear accountability and review process before use.

Our board sees the same few measures each quarter and can tell whether care is getting safer.

We have practiced how we would keep caring for patients through a major cyberattack.

I know which upcoming payment or policy changes most affect our margin, and we have a plan.