T H E I N T E G R AT E D S C O R E S U RV E Y
Having trained more than 2000 CMOs, CNOs, CQOs and PSOs across
more than 600 hospitals in the last 20 years, Drs. Allan Frankel,
Michael Leonard and J. Bryan Sexton have developed an advanced
understanding of how to measure, codify and hardwire culture
change, employee engagement and patient-centeredness across both
the highest and lowest performing hospitals in the nation.
This knowledge has been distilled into an integrated survey
instrument with uniquely powerful psychometric properties that
enable leaders to anticipate and avoid performance issues related
to many types of avoidable adverse events.
OUR MISSION
Safe and Reliable Healthcare is deeply committed to improving
the quality, safety and reliability of the care experience for
patients, people providing care at the bedside and healthcare
organizations. Patients entrust their lives to us. We must
continually strive to keep patients and their families safe and
deliver the care that benefits them.!
Culture as a Key Determinant Clinical, Operational and Financial
Outcomes
Culture is now known to be a critical factor in improving
performance
It is now understood that culture is a critical determinant of
patient safety and quality of the patient care experience. Studies
have also begun to link culture to organizational efficiency and
financial performance.
Insights from SCORE will allow your organization to diagnose
your culture and to take explicit actions that drive measurable,
sustainable clinical, financial and operational value.
We h a v e ex t e n s i v e ex p e r i e n c e i n administering
cultural surveys, analyzing cultural data and providing insights
that allow organizations to take explicit actions that drive
measurable, sustainable clinical, financial and operational
improvement. Together with Dr. Bryan Sexton, Duke University, we
developed our integrated SCORE (Safety Culture, Operational
Reliability and Engagement) Survey.
Six Culture domains including: ❖ Learning Environment ❖
Perceptions of Local Leadership ❖ Resilience and Burnout ❖ Work
Life Balance ❖ Safety Climate ❖ Teamwork
Six Engagement domains including: ❖ Growth Opportunities ❖
Participation in Decision Making ❖ Advancement ❖ Workload ❖ Job
Uncertainty ❖ Intention to Leave
SCORE DOMAINS
S A F E & R E L I A B L E H E A LT H C A R E , L L C
www.safeandreliablehealthcare.com
(424) 888-0847 Email: [email protected]
PRODUCTS & FEATURES
❖ Integrated SCORE Survey Subscription
❖ Highly diagnostic & actionable
❖ Powerful psychometrics and predictive value for clinical and
financial outcomes
❖ Industry leaders teach the art of debriefing culture data
❖ Full mobile functionality for survey administration, reporting
and analytics platform
REDUCE RISK THROUGH LEADERSHIP WALKROUNDS™
Data from 30 hospitals show the statistically significant impact
Leadership WalkRounds™ can have on SCORE Culture Domain survey
results.
SCORE Culture domains measure:
❖ Learning Environment
❖ Perceptions of Local Leadership
❖ Resilience and Burnout
❖ Work Life Balance
❖ Safety Climate
❖ Teamwork
SCORE Engagement domains measure:
❖ Growth Opportunities
❖ Participation in Decision Making
❖ Advancement
❖ Workload
❖ Job Uncertainty
❖ Intention to Leave 56#52#
33#
44# 44#
61#
42#38#
25#
30#
52#56#
73#69#
44#
64#
35#
65#
0#
10#
20#
30#
40#
50#
60#
70#
80#
Learning#Environment# Psychological#Safety# Teamwork#Climate#
Safety#Climate# Personal#Burnout# Work#Life#Balance#
Mean%of%th
e%work%se.ng%sc
ores%
2015%SCORE%Culture%Domains%&%Leadership%WalkRounds%
All#Respondents#(n=16,797)# No#WalkRounds#Feedback#(n=5598)#
Yes#WalkRounds#Feedback#(n=4074)#
The Learning Environment – Highly reliable, safe and
operationally excellent healthcare organizations hardwire the
ability to identify defects & systematically remove waste and
harm and improve care in each and every work setting. Local
Leadership – Effective, available and engaged leaders who provide
support and feedback to the front line are an essential component
of a high performance culture. Resilience and Burnout – Caring for
the caregiver and bui lding workforce resilience is mandatory in
today’s healthcare environment. Some studies have shown that up to
40% of caregivers are clinically burned out. There is clear
evidence that patients receive poorer care in settings with high
levels of burnout. Safety & Teamwork – Effective teamwork,
psychological safety, conflict resolution and working in a
respectful workplace are essential to building systems that deliver
safe and reliable care. High performing healthcare organizat ions
are very intentional in measuring and taking action in these areas.
Workforce Engagement - Do you have highly motivated caregivers who
are willing to go above and beyond to propel your organization to
become a highly reliable and operationally excellent 21st century
healthcare provider? SCORE uses a job demands-resources model to
measure engagement domains such as intentions to leave, growth
opportunities and advancement.
WHAT DOES SCORE MEASURE?
