From workforce conditions to better care
Our theory of change, and the framework that puts it to work.
Rather than asking healthcare professionals to become more resilient within dysfunctional systems, we help organizations identify and change the conditions contributing to workforce instability.
Our theory of change
How organizational improvement drives clinical excellence.
Each stage creates the conditions for the next. Select a stage to see what we assess and measure there.
Photo: assets/images/model-team.jpg
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Leadership sets the conditions everyone else works in.
We assess leadership structures, decision-making processes, accountability systems, employee voice, and leadership representation — including who advances and who participates in decisions.
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Accountable leadership produces a workplace where people can speak up and be supported.
We measure psychological safety indicators, workload and administrative burden, staffing, workplace culture, and the organizational supports available to staff.
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When conditions improve, fewer professionals burn out and fewer leave.
We track burnout indicators, retention and turnover patterns, and the preventable drivers behind them, so the organization can see whether its changes are working.
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Stable teams keep experience and capacity inside the organization.
We measure workforce continuity, vacancy and capacity indicators, advancement and succession pathways, and whether policies are actually implemented.
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Continuity and capacity give quality-improvement systems the people they need to function.
We assess whether safety and quality-improvement systems are functioning, whether accountability mechanisms are in place, and how organizational performance is tracked.
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Higher-quality care delivery→Improved maternal outcomes
Ready to understand what's driving your workforce challenges?
Start with an organizational assessment.
How it works: the SALUMIS Framework™
A continuous organizational-improvement methodology for stronger healthcare workforces and better care.
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Scan organizational conditions
Assess workforce conditions, leadership structures, policies, practices, organizational culture, psychological safety, and other systemic factors affecting workforce performance.
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Analyze workforce insights
Transform workforce data, employee input, organizational assessments, and policy findings into actionable insights about burnout, retention, leadership, advancement, and organizational capacity.
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Locate systemic barriers
Identify the organizational structures, practices, processes, and conditions contributing to workforce instability, inequitable advancement, weak accountability, or barriers to effective care delivery.
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Unify improvement priorities
Translate findings into a prioritized organizational improvement plan with defined objectives, responsibilities, timelines, and measurable targets.
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Mobilize evidence into action
Implement evidence-informed organizational interventions, policy improvements, leadership practices, accountability mechanisms, and workforce strategies.
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Investigate and measure impact
Track changes in workforce wellbeing, burnout, retention, psychological safety, leadership representation, advancement, implementation, and other organizational outcomes.
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Sustain and scale improvement
Use outcome data and benchmarking to refine interventions, sustain successful practices, support continuous improvement, and scale effective approaches across departments and healthcare organizations.
See the framework at work in a provider dashboard
A demonstration of what a hospital receives after its assessment.