Which group should oversee organization-wide performance improvement activities?

• A. Executive board
• B. Leadership
• C. Governance council
• D. Quality Improvement Team

Answer: (B)

Leadership should oversee organization-wide performance improvement activities. Leadership has the authority to set priorities, allocate resources, and align the entire organization around quality goals. By embedding improvement into strategic planning and holding the organization accountable for results, leadership ensures that improvement work spans all departments and is sustained over time.

The other groups have important roles, but not the same level of cross-organization oversight. A governance council focuses on governance and policy oversight rather than day-to-day PI programs. A quality improvement team drives and executes specific improvement projects but operates under leadership, without the overarching authority to coordinate organization-wide efforts. An executive board often oversees strategic direction, but the ongoing, organization-wide management of PI belongs to leadership.