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To affect cultural change, the chief quality officer must

  1. Be a visible participant in the process

  2. Believe the costs are justified by the benefits

  3. Limit training to managers and supervisors

  4. Receive quarterly reports

The correct answer is: Be a visible participant in the process

Being a visible participant in the process is crucial for the chief quality officer to affect cultural change within an organization. By actively participating in the process, the chief quality officer can demonstrate commitment to the initiative, lead by example, and effectively communicate the importance of the cultural change to other employees. This visibility helps in gaining the trust and support of staff members, making it more likely for them to embrace and adapt to the new culture. In contrast, the other options do not directly contribute to creating a cultural shift within the organization.