Adventist Health has teamed up with Bryan Sexton, Ph.D., from Duke University Health System on a ground-breaking quality initiative. Launched in January 2008, the system is currently working with Dr. Sexton on a Culture of Teamwork and Safety Survey. The project, which includes all Adventist Health hospitals, uses a survey instrument filled out by frontline staff to identify specific areas of concern and provides insights and recommendations for how to address improvement.