Building a Service Culture
Leadership Practices
Leadership Practices II
Patient Experience
Results & Accountability
Inspiration & Meaning
100

The first step in creating a service culture is hiring people who naturally align with values.

What is “selecting the right people”?

100

Leaders who walk around to check in with staff are practicing this.

What is “leader rounding”?

100

Handwritten thank you notes or recognition cards.

What are tools leaders can use to recognize staff?

100

This structured handoff ensures patients feel informed and safe at shift change.

What is “bedside handoff”?

100

Success in healthcare requires balancing service, quality, and this third result.

What is “financial/people performance”?

100

Connecting staff to this increases retention and engagement.

What is “purpose”?

200

Consistently explaining what you’re doing, why, and what’s next.

What is "Managing Up"?

200

The leadership style that creates credibility by aligning words with actions.

What is “walking the talk”?

200

Bosses manage tasks, leaders inspire and shape culture.

What is the difference between a boss and a leader?

200

Checking in on patients every hour to address pain, position, and personal needs.

What is “hourly rounding”?

200

A measurement tool for patient experience often used in hospitals.

What is “HCAHPS”?

200

The subtitle of Hardwiring Excellence mentions building a culture of service, quality, safety, and this.


What is “excellence”?

300

Hardwiring means replacing “random acts of excellence” with this type of act.

What are “purposeful acts of excellence”?

300

These are the non-negotiable behaviors that must happen 100% of the time.

What are “always behaviors”?

300

It erodes trust, lowers morale, and drives away good employees.

What is the danger of ignoring poor performers?

300

 Explaining staff expertise and speaking positively about coworkers.

What is “managing up staff”?

300

Studer stresses that feedback should be given in this timely manner.

What is “immediately/close to the event”?

300

Studer says this is the “secret ingredient” that motivates people to deliver great care.

What is “gratitude/recognition”?

400

The practice of recognizing staff for great work through written notes or personal acknowledgment.

What is “structured recognition”?

400

Leaders use this practice to build trust, reduce anxiety, and connect with purpose in 5 key steps.

What is “AIDET”?

400

Speaking positively about others to build trust and confidence.

What is managing up?

400

Studer emphasizes moving from “random excellence” to this.

What is “consistent excellence”?

400

Leaders are encouraged to recognize staff in this ratio compared to correcting behavior.

What is “5 to 1 recognition to correction”?

400

The three components of a fulfilling job are purpose, worthwhile work, and this.

What is “making a difference”?

500

This practice requires leaders to focus on three outcomes: service, quality, and financial/people results.

What is “evidence-based leadership”?  

500

Quint Studer emphasizes that without this, training and initiatives fade away.

What is “accountability”?

500

Coaching develops strengths; correcting addresses gaps.

What is the difference between coaching and correcting behavior?

500

Purpose, worthwhile work, and this element are the three components staff need to feel fulfilled.


What is “making a difference”?

500

The term for reinforcing behaviors until they become part of daily routines.


What is “hardwiring”?

500

Quint Studer describes this as the “flywheel” that sustains momentum in culture change.


What is “consistency and follow-through?

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