Question: Your HCO has several clinical services, and a record of improvement on quality, patient satisfaction, and associate satisfaction in most of them. One service is lagging. Guidelines are not routinely used, and the clinicians argue over guidelines. Outcomes quality and patient satisfaction are the lowest in the HCO, although still better than national medians. Senior leadership debates, and decides... Question options: 1) ...to form a PIT of clinicians in the service. 2) ...to form a PIT of clinicians in the service, chaired by the chief of a similar service with top or near top scores on all the unit scorecard dimensions. 3) ...to replace the service chief. 4) ...to have the chief medical officer meet with the service chief and tell him that next year's goals must move toward benchmark on all dimensions.