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After much discussion and consideration, the ACHE Board of Governors and leadership team have decided to cancel the 2020 Congress on Healthcare Leadership due to the need for leaders and healthcare organizations to manage their responses to coronavirus (COVID-19) within their communities. Learn more at

S08B – Leading to Achieve High Reliability

Tuesday, March 24th

About the Session

Becoming a high-reliability organization is a goal of many healthcare leaders, but do you know how to execute that strategy to transform your organization into a highly reliable one? This session will start with an overview of the fundamentals of high reliability organizations, including The Five Hallmarks of High Reliability: preoccupation with failure; reluctance to simplify; sensitivity to operations; deference to expertise; and commitment to resilience. The presentation will build on these hallmarks to describe the attitudes of high-reliability organizations and contrast those with organizations that have not achieved high reliability.

You will review the critical elements organizations need in place to achieve high reliability, such as a culture of safety and a Managing for Daily Improvement program, which allows frontline staff and leaders to work hand-in-hand in identifying and solving problems. Other elements of a Lean management system, such as developing standard work and establishing accountability systems to ensure adherence to the standard work, are critical to achieving high reliability. A few examples will be shared showing how some courageous organizations have adopted a “stop the line” mindset to deal with harm events and foster higher reliability. The seminar will end with a call to action for you to embark on a journey to elevate your organization to higher levels of reliability using the framework of The Five Hallmarks of High Reliability and some of the techniques presented.

Learning Objectives:

  • Discover the distinguishing characteristics of high-reliability organizations and strategies to foster these in your organization.
  • Describe the core principles followed by leaders of high-reliability organizations.

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Presented By

Eddie Perez-Ruberte

Senior Lean Manger / Healthcare Transformation Leader
BayCare Health System / Areito Group