TY - CHAP AB - The Institute for Healthcare Improvement (IHI) has broadened their campaign focus to include protecting hospital patients from five million incidents of medical harm through 2008. A critical component of this campaign is the engagement of governance in the process, noting evidence of better patient outcomes for hospitals with governing boards that spend at least 25% of their time on quality and safety. St. Francis Medical Center (SFMC), a 384-bed hospital in Southeast Los Angeles serving a high number of uninsured and underinsured patients and a population characterized by significant poverty, has initiated through a top-down approach, an aggressive plan to improve the care at its facilities through a call to action by its board of directors. In this article innovative methods are shared, tools are provided, and the initial positive results achieved are reported which show how a cultural change is occurring regarding quality and patient safety (QPS) at this hospital's organizational and delivery system level. VL - 7 SN - 978-1-84663-955-5, 978-1-84663-954-8/1474-8231 DO - 10.1016/S1474-8231(08)07005-5 UR - https://doi.org/10.1016/S1474-8231(08)07005-5 AU - Rubino Louis AU - Chan Marsha ED - Grant T. Savage ED - Eric W. Ford PY - 2008 Y1 - 2008/01/01 TI - Quality and patient safety from the top: A case study of St. Francis medical center governing board's call to action T2 - Patient Safety and Health Care Management T3 - Advances in Health Care Management PB - Emerald Group Publishing Limited SP - 103 EP - 126 Y2 - 2024/04/19 ER -