Aligning Executive Compensation with Safety Culture
Beterra's position paper on incentive design using safety culture improvement - a three-lever model of Engagement, Activity, and Performance, with phased Crawl → Walk → Run weightings and guardrail guidance.
About this white paper
Health systems want executive compensation tied to safety culture, and they should - what leaders are paid to improve is what organizations prioritize. But paying on a single culture score invites the failure modes high-reliability engineering warns about: it rewards oversimplification, treats rising event reporting as a problem rather than the signature of a maturing reporting culture, and erodes the candor the instrument depends on. This position paper sets out a three-lever model of Engagement, Activity, and Performance, with phased Crawl → Walk → Run weightings and guardrail guidance.
What you'll learn
- Evidence-based frameworks you can apply immediately
- Practical measurement and benchmarking approaches
- How leading health systems are getting results
- Actionable next steps for your organization
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Aligning Executive Compensation with Safety Culture
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