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 journey. Launched in 2015, the MHA Keystone Center helps transition member hospitals towards becoming 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, senior vice president of patient safety and quality, MHA Keystone Center

High Reliability in Healthcare 

  • Improves organizational effectiveness
  • Improves organizational efficiency
  • Improves customer satisfaction
  • Improves compliance
  • Improves organizational culture
  • Improves documentation
  • Reduces risk
  • Leads towards zero preventable patient harm

Hospital Commitment

The MHA/CTH High Reliability program is a commitment of hospital leadership beginning with the Board of Directors and CEO. It requires engagement of the complete senior management teams; the chief medical officer, chief nursing officer, chief financial officer, chief operating officer, 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 partake in the new HRO program. The MHA/CTH High Reliability program includes more than 90 Michigan hospitals. All participating hospitals completed a baseline Oro™.2.0 High Reliability Organizational Assessment and are in the process of, or have completed a reassessment.  The reassessment allows hospital leadership to recognize the changes that have taken place within their organization.

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. Learn more about Oro™ 2.0.

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.

Additionally, hospitals were provided monthly content webinars featuring nationally recognized experts on many pertinent topics and invited to yearly face-to-face workshops.  These workshops provided a venue to exchange ideas, share successes and acknowledge less efficacious approaches.

A subset of nine Michigan hospitals participated in a “deeper dive” into high reliability. They are engaged in facilitated on-site meetings, additional 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 site.

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

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Leading Michigan to Better Health

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