High Reliability Care
Contact our teamConsistent quality, safety, and patient experience are harder to sustain as care delivery evolves and new models of care emerge.
Chartis helps health systems reduce unnecessary variation by aligning clinical, operational, and change capabilities around high reliability. Making safe care the standard supports better outcomes and equity, greater provider engagement, and a lasting culture of safety and continuous improvement.
Our solutions
Quality, Safety, and High Reliability
We align quality, safety, equity, governance, measurement, and operations to reduce variation and improve performance.
Clinical Compliance
We translate complex regulatory requirements into practical operations, identifying vulnerabilities and strengthening survey readiness and compliance.
Physical Environment Solutions
We strengthen life safety, environment of care, and emergency preparedness to reduce risk, protect patients and staff, and improve regulatory readiness.
External Peer Review
We bring independent, specialty-matched clinical expertise to practitioner evaluations, providing credible findings that inform performance improvement.
Bylaws, Medical Staff Governance, and Structure
We modernize medical staff governance and bylaws to meet regulatory requirements, reduce administrative burden, and strengthen physician engagement.
Peer Review
We create physician-led, metric-based peer review programs that build trust and provide a clearer view of practitioner performance.
Growing complexity requires greater consistency
Health systems must deliver consistent quality and safety while managing capacity constraints, staffing shortages, burnout, and growing expectations for transparency. At the same time, improvement efforts can become fragmented across clinical operations, medical staff structures, and organizational processes.
- Complexity creates variation. As care grows more complex, differences in processes and practice make it harder to deliver high-quality, equitable care.
- Quality and safety become siloed. When clinical quality, patient safety, operations, and governance are disconnected, improvement priorities do not reliably translate to frontline practice.
- Improvement is difficult to sustain. High reliability depends on accountability, provider engagement, and organizational systems that embed better ways of working across people, processes, structures, and resources.
Explore our webinars
Achieving reliable, resilient, and sustainable systems of care
Chartis brings together the capabilities needed to embed high reliability across the organization. Our High Reliability practice combines operational improvement expertise from Chartis Consulting, deep experience in medical staff optimization, quality, patient safety, and clinical operations from The Greeley Company, and communications and change strategy from Jarrard.
Our integrated teams work alongside health system leaders to identify where risk and variation exist, redesign and implement the systems and structures to address them, and align leaders and frontline teams around shared goals.
This work can contribute to better patient outcomes and quality ratings, stronger financial performance, improved provider engagement and retention, reduced health disparities, and a stronger reputation and market position.
High reliability becomes meaningful when it changes how an organization works every day—how leaders see risk, how teams respond to variation, and how improvement gets built into care rather than added on to it. ”
Frequently asked questions
How can health systems reduce variation in care delivery?
Reducing variation requires aligning governance, accountability, care processes, and performance measurement across the organization. Health systems can identify where practices and outcomes differ, prioritize the areas of greatest risk, and establish consistent structures and processes that support safer, more reliable care. At Houston Methodist, a board-to-bedside alignment and accountability model contributed to a 32% decrease in falls with injury and helped the hospital move from No. 12 to No. 4 in Vizient’s clinical quality ranking in one year.
How do healthcare quality and safety affect financial performance?
Quality and safety can directly affect financial performance through reimbursement, avoidable costs, and operational efficiency. CMS ties certain quality measures to payment, making performance both a clinical and financial priority.
How can health systems improve quality while reducing administrative burden?
Health systems can simplify policies and documentation, standardize processes, and strengthen accountability so clinicians spend less time on unnecessary administrative work while maintaining quality, safety, and compliance.
Explore our in-person, virtual, and custom education on high reliability care and related topics.
Sustainable quality: Houston Methodist focuses on alignment and accountability, jumping to No. 4
The health system sought to address clinical care barriers in real time, equipping teams for continuous quality improvement. Houston Methodist’s approach helped raise its Vizient ranking to No. 4.
Related insights
