title: Making quality improvement stick and stay: Two lines of insurance.
abstract: This article examines issues related to sustaining Quality Improvement (QI) initiatives in a Canadian subacute care hospital and recommends strategies to address them. The authors define two levels of sustainability, the QI project and the corporate/organizational and how they influence a LEADS (Lead Self, Engage Others, Achieve Results, Develop Coalition and System Transformation) culture. The authors then reflect on the differing factors for QI sustainability and present them under five essential categories of accountability, education, communication, monitoring and reporting, and structure and processes.
authors.affiliation: Bruyère Continuing Care, Ottawa, Ontario, Canada. lweaver@bruyere.org.
authors.forename: Lynda
authors.initials: L
authors.lastname: Weaver
authors.affiliation: Bruyère Continuing Care, Ottawa, Ontario, Canada.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Bossé
authors.affiliation: Bruyère Continuing Care, Ottawa, Ontario, Canada.
authors.forename: Dionne
authors.initials: D
authors.lastname: Sinclair
authors.affiliation: Bruyère Continuing Care, Ottawa, Ontario, Canada.
authors.forename: Bernard
authors.initials: B
authors.lastname: Blais
authors.affiliation: Bruyère Continuing Care, Ottawa, Ontario, Canada.
authors.forename: José
authors.initials: J
authors.lastname: Pereira
mesh_terms: D002170:Canada; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007857:Leadership; D009936:Organizational Innovation; D058996:Quality Improvement / Q000458:organization & administration*; D019984:Quality Indicators, Health Care