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Real results from real healthcare teams.

120+
health systems
47%
average drop in incivility
30%
better nurse retention
Featured Case Study

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Inova Fair Oaks Hospital, Labor and Delivery

Facing high turnover and pervasive incivility in its Labor & Delivery unit, Inova Fair Oaks Hospital in Fairfax, VA launched the Healthy Workforce Culture Change Certification Program. Turnover and vacancy rates dropped sharply while team engagement climbed, marking a shift to a more respectful, high-performing workplace.

18.5

%

Rise in TMXS score in 2024 — the most improved department at Inova Fair Oaks.

41.1

%

Improvement in "regular coaching on performance," the single largest gain among the key TMXS categories from the 2022 baseline.

7 → 0

Reduction in contingent (travel/agency) workforce, dropping to zero, with 2 travelers converted into permanent team members.

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Proven Results

Where the Framework went to work

From Scholar to Leader: Transforming Team Culture

On the 5 Hope unit at Baptist Health Baptist Hospital of Miami, Assistant Nurse Manager Daniela Delgado faced shift-to-shift tensions and cliques that threatened team cohesion. She completed the Eradicating Bullying & Incivility (EBI): Essential Skills for Healthcare Leaders program to gain the tools and confidence to confront incivility and hold her team accountable. Today, 5 Hope thrives with stronger collaboration, positivity, and trust—showing how one leader’s growth can transform an entire unit’s culture.

Baptist Miami stands as a beacon of excellence in southern Miami-Dade County, delivering advanced medical care

5 Hope is a bone marrow transplant unit, intensive care, and medical oncology

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Virginia’s largest hospital and the Flagship hospital of Inova Health System
10.37
pts

Decrease in nursing turnover

Inova Fairfax Medical Campus, CICU

Inova Fairfax CICU, under the leadership of Alvin Matium, MSN, RN, CCRN, NE-BC, faced substantial challenges. In 2021, the unit had high turnover (21.6%), disengagement from team members, and a reliance on travelers. Through strategic leadership development and a focus on accountability, improved interprofessional communication, and team support, the CICU team transformed into a high-performing, award-winning unit.

Inova Fairfax Medical Campus

Cardiac Intensive Care Unit (CICU)

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225 Beds
5.68
%

Nurse turnover dropped on 6B

Inova Mount Vernon Hospital, 6B Intermediate Care

Inova Mount Vernon’s 6B Intermediate Care Unit, under the leadership of Alhaji Bangura, MPH, BSN, RN, faced substantial challenges. By the close of the 2022 calendar year, the unit grappled with a high nurse turnover rate of 17.27%, while HCAHPS scores lagged organizational expectations (38th Percentile in 2022). Furthermore, the department was plagued by record-low levels of morale, engagement, and satisfaction amongst its team members. Recognizing the pressing need for improvement in terms of engagement, satisfaction, and patient outcomes, leadership was committed to initiating cultural transformative measures.

Inova Mount Vernon Hospital

Magnet-Designated Hospital — Intermediate Care Unit (6B)

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THE AGGREGATE PICTURE

The combined impact across every health system we've partnered with.

health systems guided through culture change
0 +
average reduction in reported incivility
0 %
average improvement in nurse retention
0 %
leaders & staff trained worldwide
0 K+
YOUR SYSTEM COULD BE NEXT

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