(Rescheduling) Leadership – Challenging Standards

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Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Center for Education

Date & Time


Register on or before Friday, March 17, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The registration fee is for one connection. One webinar registration/connection allows for an unlimited number of participants. Dial-in information is for one physical location, so encourage staff to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.


clinical care providers, medical staff, patient safety officers, nurses, pharmacists, performance improvement staff, risk managers, joint commission coordinators, administrators, compliance officers

The following program content was provided by the speaker.


This webinar is for all levels of leaders within your health care facility. It doesn’t matter whether you are a hospital, outpatient setting, surgery center, long-term care or behavioral health, the standards are the same. There is a renewed, and even new, expectation of leaders. We will review the challenging standards, as well as discuss the upcoming expectations.


  • review The Joint Commission leadership standards
  • discuss challenging standards
  • introduce examples of best practice
  • discuss the new expectation that leaders are accountable to lead their organization into a high-reliability health care organization


  • Leadership Structure
    • responsibility, accountability, knowledge
  • Leadership Relationships
    • mission, vision, values, conflict of interest and conflict management
    • communication
  • Organizational Culture and System Performance Expectations
    • culture of safety, change management and performance improvement, staffing
  • Operations
    • administration, ethics, meeting patient needs, safety and quality


Sandra M. McRae, BSN, R.N., MPH
Patient Safety and Healthcare Consulting and Education Company
Columbus, Ohio

Sandra McRae has experience in all levels of health care. She served as consultant and faculty for The Joint Commission from 1989 to 2004. In addition to being president of her own company, McRae brings outstanding experience as a nurse executive, administrator, risk manager, and patient safety and performance improvement expert to her role as a consultant. She is the clinical/TJC consultant for the Florida Hospital Association.

McRae assisted in the development of the Veterans' Administration National Center for Patient Education. In 2009-2010, she developed the Veterans' Administration National template for medical staff bylaws. She consults with multiple VA facilities and programs.

McRae taught a wide range of programs for TJC Department of Education and was consistently rated the highest of all faculty. She was one of only three people selected by TJC to do the nationwide education on the new 2004 standards and survey process. She spent a month in the Kingdom of Saudi Arabia teaching continuous quality improvement. McRae also has gone to Egypt and Ireland to help both countries begin the development of standards and an accreditation process. She has published Patient Care Trainee-Educational Employment, and her research has included a grant from Abbott Laboratories and work with the University of Florida in Perceptions of Education.