The Journey to High Reliability

Michigan is the second U.S. state to partner with the Joint Commission Center for Transforming Healthcare (CTH) on a statewide high reliability initiative. Launched in 2015, the MHA Keystone Center is helping transition member hospitals into high reliability organizations (HROs). HROs are organizations that manage safety hazards extremely well and do so consistently over extended periods of time. High Reliability in Healthcare signifies an excellent quality of care is consistently delivered for every patient, every time with a commitment to zero preventable harm.

Why High Reliability in Healthcare Matters

"Achieving high reliability in healthcare is the next step in improving Michigan’s quality of care, reducing costs and minimizing institutional risk for both patients and providers." - Sam R. Watson, executive director of the MHA Keystone Center

High Reliability in Healthcare 

  • Improves organizational effectiveness
  • Improves organizational efficiency
  • Improves customer satisfaction
  • Improves compliance
  • Improves organizational culture
  • Improves documentation

Hospital Commitment

The MHA / CTH High Reliability program is a commitment of hospital CEO and senior management teams, including the chief medical officers, chief nursing officers, chief financial officers, chief operating officers, human resources leader, and quality and patient safety leaders to ensure an excellent quality of care is consistently delivered for every patient, every time with a commitment to zero preventable harm.

At the Nov. 4 2015 MHA Board of Trustees meeting a motion was unanimously supported for all Michigan hospitals to complete Tier 1 of the program. The initial MHA / CTH High Reliability program commitment consists of two tiers. Tier 1 of the program is completion of the Oro™.2.0 High Reliability Organizational Assessment.

Tier 1: Oro™ 2.0 High Reliability Assessment

Oro™ 2.0 is an online executive organizational assessment with resources designed to guide hospital leadership throughout the high reliability journey, specifically within the areas of:

  • Leadership Commitment
  • Safety Culture
  • Performance Improvement

The discoveries made throughout the Oro™ 2.0 process help organizations identify their high reliability maturity level and opportunities for improvement. To learn more about Oro™ 2.0 click here.

Tier 2: Leadership, Safety Culture and Performance Improvement

After completing the Oro™ 2.0 process hospitals in the MHA / CTH High Reliability program participate in targeted improvement programming in leadership, safety culture and performance improvement. Tier 2 hospitals participate in facilitated on-site meeting, face-to-face workshops and are given the opportunity to share experiences, best practices and minimize barriers.

Michigan member hospitals can access MHA / CTH high reliability program resources on the MHA Community.

Learn how the MHA Keystone Center is helping move members towards high reliability culture.

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