BLG: Senior Leader Interview Guide - Final

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Objectives and introductions: - Open discussion guided by several specific questions - Time together: 30 minute interview with Administration - Assurance: Confidential discussion where open, honest feedback is critical. Objective is to learn about your hospital's culture from the senior leaders' perspective - All senior leaders will be asked the same questions

• 1. Tell me a little about your role here.

• 1a. How would you assess teamwork among the executive team?

  Select Meet Regularly Open Door Policy Trust Work Well Together Silos

  • Meet Regularly
  • Open Door Policy
  • Trust
  • Work Well Together
  • Silos

• 1b. What about teamwork among the leadership ranks?

  Select Meet Regularly Open Door Policy Trust Work Well Together Silos

  • Meet Regularly
  • Open Door Policy
  • Trust
  • Work Well Together
  • Silos

• Additional notes

• 2a. Can you give me an example of a time where change was implemented successfully from senior leadership down to front line staff?

  Select Teamwork Communication Clear Roles Set Expectations Executive Commitment Planning

  • Teamwork
  • Communication
  • Clear Roles
  • Set Expectations
  • Executive Commitment
  • Planning

• 2b. What have been the biggest barriers / breakdowns in previous initiatives?

  Select Competing Priorities Time Accountability Communication Resistance to Change Poor Planning

  • Competing Priorities
  • Time
  • Accountability
  • Communication
  • Resistance to Change
  • Poor Planning

• Additional notes

• 3. Many times, an organization's senior leaders have a turning point or challenge that creates a sense of urgency for cultural change. What is your sense of urgency?

  Select Finances Patient Experience Value Based Purchasing New / Renovated Facility Employee Engagement Physicians

  • Finances
  • Patient Experience
  • Value Based Purchasing
  • New / Renovated Facility
  • Employee Engagement
  • Physicians

• Additional notes

• 4. What does accountability look like at (name of hospital)?

  Select Inconsistent Leader Dependent Strong Don't Know

  • Inconsistent
  • Leader Dependent
  • Strong
  • Don't Know

• 4a. How are leaders held accountable for improving the patient experience?

  Select Inconsistent Leader Dependent Strong Don't Know

  • Inconsistent
  • Leader Dependent
  • Strong
  • Don't Know

• 4b. How are staff held accountable for improving the patient experience?

  Select Inconsistent Leader Dependent Strong Don't Know

  • Inconsistent
  • Leader Dependent
  • Strong
  • Don't Know

• Additional notes

• 5. On a scale of 1 to 5 (5 being highest), how committed do you believe the Senior Leaders are to this cultural change to improve the patient experience?

• 5a. If less than Fully Committed, what are the gaps?

  Select No Clear Plan Not Involved Accountability Communication Don't Understand Importance Competing Priorities

  • No Clear Plan
  • Not Involved
  • Accountability
  • Communication
  • Don't Understand Importance
  • Competing Priorities

• Additional notes

• 6. On a scale of 1 to 5 (5 being highest), how committed do you believe Leaders are to this cultural change to improve the patient experience?

• 6a. If less than Fully Committed, what are the gaps?

  Select No Clear Plan Not Involved Accountability Communication Don't Understand Importance Competing Priorities

  • No Clear Plan
  • Not Involved
  • Accountability
  • Communication
  • Don't Understand Importance
  • Competing Priorities

• Additional notes

• 7. On a scale of 1 to 5 (5 being highest), how committed do you believe Staff are to this cultural change to improve the patient experience?

• 7a. If less than Fully Committed, what are the gaps?

  Select No Clear Plan Not Involved Accountability Communication Don't Understand Importance Competing Priorities

  • No Clear Plan
  • Not Involved
  • Accountability
  • Communication
  • Don't Understand Importance
  • Competing Priorities

• Additional notes

• 8. On a scale of 1 to 5 (5 being the highest), how committed do you believe Medical Staff are to this cultural change to improve the patient experience?

• 8a. If less than Fully Committed, what are the gaps?

  Select No Clear Plan Not Involved Accountability Communication Don't Understand Importance Competing Priorities

  • No Clear Plan
  • Not Involved
  • Accountability
  • Communication
  • Don't Understand Importance
  • Competing Priorities

• Additional notes

• 9. What do you believe is the ideal culture for this organization?

  Select Friendly Welcoming Patient Centered Innovative Respectful Accountable Open communication

  • Friendly
  • Welcoming
  • Patient Centered
  • Innovative
  • Respectful
  • Accountable
  • Open communication

• 9a. What are the greatest enablers of this ideal culture?

  Select Teamwork Communication Clear Roles Set Expectations Executive Commitment Planning

  • Teamwork
  • Communication
  • Clear Roles
  • Set Expectations
  • Executive Commitment
  • Planning

• 9b. What are the greatest barriers for this ideal culture?

  Select No Clear Plan Not Involved Accountability Communication Don't Understand Importance Competing Priorities

  • No Clear Plan
  • Not Involved
  • Accountability
  • Communication
  • Don't Understand Importance
  • Competing Priorities

• Additional notes

• Additional comments