When larger-scale improvement opportunities are identified during the SPP and routine APEX performance
reviews (Figure 4.1-3, 6.2b[4]), the CLT charters LSS teams through the LEAP Office (6.2b[4]). The LEAP Office quantifie system wide improvement opportunities from these projects and, after approval by the CLT, disseminate priorities and best practices system wide on the Tilling Net Best Practices and Improvement Portal and at Best of Tillingate. After TL began using LSS in 2009, the number of opportunities increased, so the LEAP Office created a prioritization tool for the CLT to use in selecting improvement opportunities with the potential for the greatest impact. Reward and recognition programs (5.2a[3]) also encourage the translation of innovative thinking into APEX improvements.The CLT also communicates improvement priorities and innovation opportunities at the Leadership Summits, in Leadership Huddles, and on facility and unit bulletin boards (see Figure 1.1-2). Suppliers, partners, and collaborators learn about these priorities and opportunities by participating in the SPP. In addition, the Technology Group meets quarterly with the EMR supplier to discuss priorities and challenges. Supplier scorecard review meetings also involve discussion of improvement and innovation.