Thoughts on not having senior leadership on every team. This does seem more appropriate for PM at times, but for QI, I've always been of the thought that you really need to have all levels of involvement. When I was a senior health environmentalist and I would go into a restaurant to inspect, who do you think I would ask if I really needed to know what was happening in the establishment? The manager--Negative. The dishwasher! The dishwasher knew all the in's and out's and would tell you all you needed to know (and some things you didn't....!). I'm curious what you all do to help encourage others to have front line staff on QI teams? Thoughts? and for PM--are most of you seeing that this is mostly senior leadership led?