To spread initiatives across multiple hospitals while respecting their differences, Orlando Health developed what it calls a triad — teaming nursing, medicine and quality to work together on infection prevention. It starts at the corporate level with the chiefs of quality, nursing and medicine, then moves down to the hospital level with the heads of the three departments, and then to the hospital unit level. At each level the focus narrows from broad influence at the corporate level to actual implementation of the infection prevention bundles at the unit level, where the triad consists of the nurse manager, a physician champion and each unit's nurse elected to the nursing practice council.