A chief quality officer has the responsibility for education and implementation of a quality improvement process. To affect cultural change, the chief quality officer must

The correct answer is A because when the chief quality officer believes that the costs of implementing a quality improvement process are justified by the benefits, they are more likely to prioritize and support the process. Option B is incorrect because being a visible participant in the process may not necessarily guarantee cultural change. Option C is incorrect because limiting training to only managers and supervisors may hinder the spread and effectiveness of the quality improvement process throughout the organization. Option D is incorrect because receiving quarterly reports does not necessarily require active involvement in the quality improvement process.