I believe culture is one of the most important aspects of any organization to make progress and improve quality and patient safety. Senior physician-clinician and consultant, Director of Critical Care at Monument Health, with Fellowship training from the Mayo Clinic, and MBA from the Physician Executive program at the University of Tennessee and graduate  of the IHI CQO professional development program.  Leader with many years experience as intensivist and Director of Critical Care/eICU at Avera Health. Vast experience leading eICU teams of nurses, quality coordinators and held to lead workflow and improved quality indicators in 33 hospitals, in six states, becoming top performer of 50 eICUs in the country leading to Associate Medical Director for Quality and Patient Safety for the Avera eICU program.