The Organizational Leadership domain clearly defines governance responsibilities within performance improvement. The governing body holds ultimate accountability for organizational performance, including approval and oversight of the performance improvement plan.
According to the NAHQ competency framework, the governing body ensures alignment between performance improvement activities, strategic priorities, and the organization’s mission. While quality leaders, department managers, and medical staff play critical roles in implementation and execution, planning authority and oversight rest with governance.
This distinction between governance, leadership, and operational roles is frequently tested on the CPHQ exam, making Option C the correct answer.
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