Our experience and deep healthcare expertise arms your frontline workers with powerful training and simple communication and collaboration tools.  Their efforts become your organization's sustainable and reliable care.




Optimal performance requires effective measurement. Assess how you’re doing and form an integrated understanding of:

  • Safety culture – psychological safety, teamwork, leadership, organizational learning

  • Resilience / Burnout – the ability to care for the caregivers

  • Employee engagement – the balance between demands and resources

We help you measure culture and link it to clinical outcomes, operational measures, financial metrics and patient and family centered care.




You’ll learn how to improve psychological safety, decrease communication failures, and reduce burnout - all key to unlocking clinical, operational and financial value.

Let us help. We offer:

  • High Reliability Transformation Design and Implementation
  • Senior Leadership & Physician Engagement
  • Speaking Engagements
  • Retreats and Symposia on culture, safety and reliability topics
  • Leadership Coaching  



You need methods and tools that:

  • Support communication, collaboration and Executive WalkRounds in an environment where defects are continuously surfaced and improved,
  • Reduce errors and waste,
  • Make it easier to work better, in a sustainable, scalable way.

Get all that and more with:

S&R's patent pending LENS (Learning Environment) System
From the pioneers of Learning Boards, and the first Google for Healthcare partner.


"Care delivery has become increasingly fragmented, leading to coordination and communication challenges for patients and clinicians..."

- Institute of Medicine 2013


Safe & Reliable

We are pioneers of Learning Boards and first Google Healthcare partner