Changing organizational culture for a process improvement initiative requires leadership presence, engagement, and role modeling to build trust and commitment.

Option A (Establish training for managers and supervisors): Training is important but focuses on skills, not cultural change, which requires broader engagement.

Option B (Communicate that the costs are justified by the benefits): Cost-benefit communication may support buy-in but does not directly drive cultural change.

Option C (Maintain visibility and engage throughout the process): This is the correct answer. The NAHQ CPHQ study guide states, “Cultural change requires visible leadership engagement to model behaviors, build trust, and sustain momentum for improvement initiatives” (Domain 3). The quality director’s active involvement fosters a culture of quality.

Option D (Require regular quarterly reporting on progress): Reporting monitors progress but does not directly influence culture, which relies on leadership presence.

CPHQ Objective Reference: Domain 3: Organizational Leadership, Objective 3.3, “Foster a culture of quality through leadership engagement,” emphasizes visibility and engagement. The NAHQ study guide notes, “Leaders must be actively involved to drive cultural change for quality” (Domain 3).

Rationale: Visible engagement by the quality director ensures cultural alignment, as per CPHQ’s leadership principles for quality improvement.