
Healthcare organizations commit real resources to performance improvement initiatives.
70% fail — not because the team wasn't motivated, but because specific organizational structures were never established and leadership was not equipped with the required change management skills.
The conditions that determine whether a Process Improvement project produces lasting results are identifiable, measurable, and correctable. Most leaders don't know what these conditions are.
The result is a predictable cycle: early momentum, gradual erosion, and a leadership team that loses confidence in the improvement process and their ability to lead it. That cycle is preventable — but only when you see exactly where and how the project fails and know how to correct it.

Built on Proven Science
The 33 criteria are drawn from the lessons learned in over 300 improvement projects and the science of change management. This is a structured diagnostic instrument, not a generic checklist.
Designed for Leaders
The tool is calibrated for leaders who need to understand exactly why their initiative did not produce sustainable and/or measurable results — and what to do differently.
Immediately Actionable
Use it to evaluate a current initiative that has stalled. Use it to conduct a rigorous post-project review. Use it to build the case for the improvements your organization actually needs to make.
About the Author
Steve Harden is the Principal of Leaders Get Results, LLC.
A former U.S. Navy TOPGUN instructor pilot and airline captain, Steve has spent 25 years translating aviation safety science — the discipline that transformed commercial aviation into the safest form of mass transportation in history — into practical performance improvement tools for healthcare organizations.
The 33-Criteria Assessment is the same diagnostic framework he uses with every client engagement.

What Hospital Leaders say...
Steve was the pioneer in applying proven methods and techniques used from high-reliability industries such as aviation and space to the health care environment.
His coaching has helped more than 300 organizations make dramatic, sustainable improvements like these from Memorial Healthcare System:
“ Our current patient treatment setup and delivery process have eliminated all treatment deviations. Our practices have identified situations where ambiguity or conflicting documentation could have resulted in inappropriate treatment or treatment inefficiencies. Our staff members have developed an extraordinary sense of teamwork combined with a high degree of personal responsibility to assure patient safety and have spoken up when they considered something potentially unsafe. We have increased our efficiency (and profitability); Currently, our units of service were up 11.3% over previous years with the same staffing level.”
From Memorial Healthcare system in "Improving patient safety in the radiation oncology setting through crew resource management" in Practical Radiation Oncology

The proof is in:
Leaders in more than 300 healthcare organizations helped, including Wexner Medical Center, Miami Children's Hospital, Rush University Medical Center, University of New Mexico Hospitals, Vanderbilt University Medical Center, Vassar Brothers Medical Center, Memorial Health Care, Wake Forest Baptist Health.
Put this coaching to work to improve your hospital, clinic, or practice.

