A High-Reliability Framework for Home-Based Care
Adaptive leadership is vital in today's home-based care environment, where clinicians work in unpredictable patient homes, teams are dispersed, and staffing, safety, and regulatory demands evolve rapidly. At our organization, we implemented the Gemba Walk Program to help leaders stay grounded in the lived experiences of a mobile workforce who rarely gather under one roof. This model creates structured and meaningful engagement despite distance by bringing leadership to the frontline in new, innovative ways. Built on the NAHQ Healthcare Quality Competency Framework and High Reliability Organization (HRO) principles, the program strengthens resilience by elevating frontline expertise, identifying risks early, and fostering transparency. Digital Gemba Boards highlight trends across home health, infusion, pharmacy, and HME, enabling rapid cycle learning and cross disciplinary alignment. Participants will leave with practical, and applicable strategies uniquely tailored to home-based and hospice care improving situational awareness, empowering field staff, enhancing safety, and supporting continuous readiness in environments without traditional brick-and-mortar infrastructure.
Learning Objectives
- Apply key High Reliability Organization (HRO) principles during leadership rounding to strengthen resilience and proactively identify latent risks within home-based care operations.
- Implement a structured, metrics-driven Gemba Walk framework including standardized observations, frontline engagement, and examples of division specific indicators to enhance adaptive decision-making.
- Evaluate the effectiveness of Gemba Walks using measurable outcomes and performance metrics, and provide a roadmap for metrics that achieved favorable performance and those needing further evaluation to reach desired goals.
Featured Speaker
Badia Faddoul, DNP, RN, CPHQ
Executive Director Quality & Safety
Johns Hopkins Care at Home
Badia Faddoul, DNP, RN, CPHQ serves as Executive Director of Quality & Safety for Johns Hopkins Care at Home, where she leads systemwide initiatives in high reliability, regulatory readiness, employee safety, and care delivery excellence across home health services, infusion, pharmacy, and HME programs. With more than 30 years of progressive leadership experience, she specializes in translating complex regulatory expectations into practical, frontline-centered solutions.
Badia Co-developed and implemented the enterprise-wide Gemba Walk Program, integrating NAHQ Quality Competencies, Lean methodology, and HRO principles to strengthen engagement among mobile home-based teams. She is recognized for her “boots-on-the-ground” leadership style and her ability to humanize quality and safety work through meaningful staff partnerships. She has led multiple system tracers, CLABSI collaboratives, and statewide safety initiatives, and is committed to supporting organizations in building resilient, high-performing care teams.
Registration
Member - Complimentary
Non-member - $50
Webinar Sponsor - $300 [Logo on promotional materials and description of company in the opening remarks]
