Change in Healthcare: The “How” to Make the “What” More Successful

The applications of quality improvement in health care are many, as efforts are undertaken to achieve the Institute for Healthcare Improvement's triple aim. Varying institutional infrastructure models exist based on leadership philosophies, organizational charts, and/or resource availability. Successes are dependent on tactics that yield execution, engagement, and sustainability. In the following piece, we review the strategy and tactics taken by the Lurie Children's Emergency Department leadership team to maximize our operational and quality improvement impact, offering perspective for the development of quality improvement structural components at the local department level.