The Necessary Leadership Skillsets for the High Reliability Organization Framework Adoption within Acute Healthcare Organizations

Date of Award

Summer 2021

Document Type


Degree Name

Doctor of Healthcare Administration (DHA)

Committee Chair

Alyncia Bowen

Committee Member

David Meckstroth

Committee Member

George Velez


This research explores the necessary leadership skills for the successful adoption of the High-Reliability Organization (HRO) framework within acute healthcare organizations. Using a qualitative research design, organization leaders and experts at the executive, mid-level, and front-line levels were interviewed. The results were analyzed to correlate specific leadership skillsets and components to the most successful adoption strategies. In total, 20 skillsets were identified with seven representing data saturation. The seven vital skillsets include non-hierarchical leadership, transparent and continuous communication, deference to expertise, ability to innovate, motivation through recognition, reflective of self, and commitment to visibility.