title: Hardwiring improvement to achieve exceptional outcomes: Staff as leaders driving performance.
abstract: This article will discuss the experiences of two organizations who have driven process improvement through frontline ownership using the National Health Services' Releasing Time to Care (RTC) program. Through the implementation of RTC, frontline staff learn how to gather information from colleagues, stakeholders, and literature to design potential improvements.
authors.affiliation: General Internal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Jody L
authors.initials: JL
authors.lastname: Tone
authors.affiliation: General Internal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Anna
authors.initials: A
authors.lastname: Salonga
authors.affiliation: Department of Quality, Patient Safety and Enterprise Risk at St. Joseph's Health Centre, Urgent and Critical Care, Mount Sinai Hospital, Toronto, Ontario, Canada. jbennett@mtsinai.on.ca.
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Bennett
authors.affiliation: St. Joseph's Health Centre, Toronto, Ontario, Canada.
authors.forename: Lynne
authors.initials: L
authors.lastname: Strathern