title: Creating healthy work environments: a strategic perspective.
abstract: Although I find Graham Lowe and Ben Chan's logic model and work environment metrics thought provoking, a healthy work environment framework must be more comprehensive and consider the addition of recommended diagnostic tools, vehicles to deliver the necessary change and a sustainability strategy that allows for the tweaking and refinement of ideas. Basic structure is required to frame and initiate an effective process, while allowing creativity and enhancements to be made by organizations as they learn. I support the construction of a suggested Canadian health sector framework for measuring the health of an organization, but I feel that organizations need to have some freedom in that design and the ability to incorporate their own indicators within the established proven drivers. Reflecting on my organization's experience with large-scale transformation efforts, I find that emotional intelligence along with formal leadership development and front-line engagement in Lean process improvement activities are essential for creating healthy work environments that produce the balanced set of outcomes listed in my hospital's Balanced Scorecard.
authors.affiliation: North York General Hospital, NY, USA.
authors.forename: Bonnie J
authors.initials: BJ
authors.lastname: Adamson
mesh_terms: D002170:Canada; D006268:Health Facilities; D006293:Health Promotion / Q000458:organization & administration*; D016272:Occupational Health