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PhmCAT

Leadership and Culture1 / 8

Each item has a statement/topic on the left that can be completed, using the response scale, to reflect current state for your organization. In most cases, these responses reflect a continuum from 0/not in place to 10/reliably, systematically present. In situations where multiple concepts are present in the response descriptions, use the numbers within each category to indicate the extent to which all or some of the elements are present.

If you don’t have enough information to answer a question, please use the “don’t know” response option.

1.
Executive leaders...
...are focused on short-term business priorities.
...visibly support and create an infrastructure for quality improvement, but do not commit resources.
...allocate resources and actively reward quality improvement initiatives.
...strongly support continuous learning throughout the organization, review and act upon quality data, and have a long-term strategy and funding commitment to explore, implement and spread quality improvement initiatives.
Don't know / unsure
2.
Clinical leaders...
...intermittently focus on improving quality.
...have developed a vision for quality improvement, but no consistent process for getting there.
...are committed to a quality improvement process, and sometimes engage teams in implementation and problem solving.
...consistently champion and engage care teams in improving patient experience of care and clinical outcomes and provide time, training, and resources to accomplish the work.
Don't know / unsure
3.
The responsibility for conducting quality improvement activities...
...is not assigned by leadership to any specific group.
...is assigned to a group without committed resources.
...is assigned to an organized quality improvement group who receive dedicated resources.
...is shared by all staff, from leadership to team members, and is made explicit through protected time to meet, and with specific resources to engage in quality improvement.
Don't know / unsure
4.
Our organization has...
...no dedicated staffing for advancing equity, diversity, and inclusion goals. Not allocated funding for staff and other resources needed to advance equity goals. Not identified Equity as a priority in strategic plan or specific grants or programs.
...hired or appointed a dedicated equity lead and/or expanded staff capacity to support and advance equity at our organization through prioritizing hiring/retaining bilingual staff, community health workers, and other related roles. Allocated minimal funding to provide dedicated time for staff to advance equity goals. Identified equity as a priority for some initiatives, when required by specific grants or programs.
...established an office, department, or unit specifically focused on equity. Internal equity workgroups involve staff at all levels and from diverse backgrounds that address concerns related to diversity, equity, and inclusion. Adequate funding has been allocated to advance equity goals. Systematically included equity as a priority across all strategic and operational initiatives.
Don't know / unsure
5.
People in this practice operate as a real team.
Strongly disagree
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Strongly agree
Don't know / unsure
6.
When we experience a problem at the practice, we make a serious effort to figure out what’s going on.
Strongly disagree
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Strongly agree
Don't know / unsure
7.
Leadership at this practice creates an environment where things can be accomplished.
Strongly disagree
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Strongly agree
Don't know / unsure