Measurable Elements of GLD.4
1. Hospital leadership participates in developing and implementing a hospitalwide quality improvement
and patient safety program.
2. Hospital leadership selects and implements a hospitalwide process to measure, assess data, plan change,
and sustain improvements in quality and patient safety, and provides for staff education on this quality
improvement process.
3. Hospital leadership determines how the program will be directed and managed on a daily basis and
ensures that the program has adequate technology and other resources to be effective.
4. Hospital leadership implements a structure and process for the overall monitoring and coordination of
the quality improvement and patient safety program.