The only Mayo Clinic-validated assessment that measures the 9 leadership behaviors driving team satisfaction, retention, and performance.
Organizations spend $60 billion annually on leadership development. Most have no way to measure if it's working. Gain clear insights to support your programs.
Take a Tour of the Assessment“The behavior of an individual’s direct supervisor is the single greatest driver of professional satisfaction — more than culture, salaries, or benefits.”— Mayo Clinic Proceedings · Shanafelt et al.
Each question — selected and validated by Mayo Clinic researchers — targets a specific, observable leadership behavior that predicts team satisfaction, retention, and performance.
Invests in your professional growth and holds regular career development conversations.
Trusts you to make decisions and gives you the autonomy to do your job well.
Encourages new ideas and approaches, creating space for creativity on the team.
Values your contributions and treats you with dignity and professionalism.
Provides helpful feedback, guidance, and mentorship on your performance.
Acknowledges achievements and recognizes you for a job well done.
Keeps you informed and heard about changes taking place in the organization.
Supports continuous improvement and encourages you to develop your talents and skills.
The complete leadership picture — how satisfied your team is with this leader overall.
The insight needed to unleash the full potential of your leaders, available at your fingertips with unmatched depth and simplicity.
The Organization Heatmap shows every leader tag group — departments, locations, cohorts — color-coded across all 9 leadership categories. Green means exceptional. Red means opportunity.
Click any row and it expands to show every individual leader in that group with their own scores, trends, and sparklines. One screen. Complete visibility.
| Group | Career | Empower. | Innov. | Respect | Coach | Recog. | Comm. | Growth | Overall |
|---|---|---|---|---|---|---|---|---|---|
| Org Avg | 82 | 91 | 74 | 88 | 81 | 76 | 83 | 80 | 82 |
| Emergency | 93 | 95 | 90 | 92 | 91 | 94 | 90 | 93 | 93 |
| ICU | 85 | 87 | 72 | 90 | 84 | 81 | 86 | 83 | 84 |
| Nursing | 70 | 82 | 67 | 85 | 73 | 71 | 75 | 70 | 74 |
| Outpatient | 63 | 76 | 58 | 78 | 64 | 60 | 67 | 62 | 66 |
The Leader Trends view lists every assessed leader with their current score, first score, total change, and a sparkline — a miniature chart of their entire score history.
Red sparklines mean declining trends. Blue and green mean stable or improving. An HR leader or wellness champion can audit an entire cohort in seconds.
| Leader | Current | First | Change | Trend |
|---|---|---|---|---|
| Dr. Chen, M. | 91 | 76 | +15 ↑ | |
| S. Patel | 88 | 80 | +8 ↑ | |
| M. Torres | 82 | 78 | +4 → | |
| B. Kim | 73 | 81 | −8 ↓ | |
| R. Johnson | 65 | 62 | +3 → | |
| A. Williams | 93 | 85 | +8 ↑ |
Click into any leader and you get their complete picture: score cards with org average context, a radar chart overlaying all their assessments, a score trajectory line chart over time, and a side-by-side category breakdown showing first vs. latest scores.
The comparison builder at the bottom lets you benchmark any leader against another individual or their department average.
Traditional 360 assessments were built for a different era. The Leadership Impact Index was built for organizations that need measurement to be fast, affordable, and repeatable.
| Factor | Leadership Impact Index | Traditional 360 Assessment |
|---|---|---|
| Time to complete | Under 60 seconds | 30–60 minutes |
| Typical response rate | 80%+ | 30–50% |
| Number of questions | 9 validated Likert scale | 50–100+ |
| Results available | Immediately (once 5 responses received) | 2–4 weeks |
| Cost per leader | Starting at $100 | $995–$8,500 |
| Consultant required | No — fully self-administered | Usually yes (certified facilitator) |
| Clinically validated | Yes — 14+ peer-reviewed studies (Mayo Clinic) | Varies widely |
| Track improvement over time | Built-in comparison & trend tracking | Manual or separate engagement |
| Organization-wide view | Interactive heatmap across all leaders | Individual reports only |
| Survey fatigue risk | Minimal — 9 questions | High — 50–150 questions |
| Respondent anonymity | 100% — minimum 5 responses required | Often identifiable |
The Leadership Impact Index grew out of decades of research at Mayo Clinic into the relationship between leadership behaviors and team well-being. Led by Dr. Tait Shanafelt and his collaborators, researchers identified the specific, observable behaviors that most reliably predict whether physicians and healthcare professionals feel satisfied, engaged, and supported.
The result is a 9-question instrument that distills that research into something any leader can act on. With 14+ studies published in peer-reviewed journals — including Mayo Clinic Proceedings, BMJ Leader, and the Journal of Internal Medicine — the LII is the most rigorously validated leadership assessment tool in healthcare.
View All ResearchDirect supervisor behavior was identified as the single greatest driver of professional satisfaction — surpassing compensation, culture, and workload.
Read more →Each one-point improvement in supervisor leadership score was associated with a 3.3% decrease in likelihood of burnout.
Read more →Validated the LII framework across multiple specialties and healthcare settings, confirming broad applicability.
Read more →Flexible packages for organizations of all sizes, from small departments to enterprise health systems. No consulting fees or retainers. No certification courses. No hidden overhead.
Ideal for departments and mid-sized organizations running leadership assessments annually.
For large health systems and enterprise organizations with high-volume leadership assessment needs.
Create a free account, explore the full platform with demo data, and see exactly what the Leadership Impact Index delivers — before you spend a dollar.
Free to explore. Only pay when you’re ready to send your first assessment. No credit card required.