#1
Driver of professional satisfaction — supervisor behavior ranks above culture, salary, benefits, and the practice environment
Mayo Clinic Research, Shanafelt et al.
66%
Lower likelihood of intent to leave within 2 years when a leader scores in the top performance tier
Mete et al., BMJ Open 2022
48%
Lower burnout risk among team members whose leader scores in the top performance tier
Mete et al., BMJ Open 2022
14+
Peer-reviewed studies validating the nine dimensions — published in PubMed and BMJ Leader
Mayo Clinic Research
The Challenge

Healthcare organizations are losing people.
Leadership is the variable most within your control.

Turnover in healthcare isn’t just an HR problem — it’s a patient safety issue, a financial burden, and a leadership problem in disguise. The research is clear: the supervisor relationship is the variable most within your control.

Turnover is draining your organization — and leadership is the hidden variable.

Replacing a single nurse costs an estimated $40,000–$60,000. Replacing a physician can exceed $500,000. The research shows the single greatest predictor of whether a clinician stays or leaves is how they experience their direct supervisor’s leadership behaviors.

Your wellness programs are spending without measuring.

Healthcare organizations invest heavily in wellness initiatives, resilience training, and leadership development. Without a validated measurement layer, you can’t determine what’s working, which leaders improved, or what the return on that investment actually was.

AMA Joy in Medicine compliance requires evidence. Most tools can’t provide it.

The AMA Joy in Medicine Health System Recognition Program expects participating organizations to demonstrate measurable leadership support. The Leadership Impact Index provides exactly that — validated, quantifiable scores across nine evidence-based dimensions, ready for board reporting and program review.

The Research

Invented by Mayo Clinic. Validated in healthcare settings.

The Leadership Impact Index isn’t adapted from general business research and applied to healthcare — it was developed by Mayo Clinic researchers specifically to measure the leadership behaviors that drive physician and clinician well-being. It has been validated across healthcare settings, including hospitals with complex, matrixed leadership structures.

Each unit increase in supervisor ratings was associated with a 9% increase in physician satisfaction and a 3% decrease in burnout. Shanafelt et al., Mayo Clinic / JAMA Internal Medicine
The adapted assessment maintains identical validity and reliability indices in matrixed healthcare leadership structures as in traditional direct-report settings. Ashmore et al., Journal of Healthcare Leadership 2024
Lower leadership support scores correlate with significantly higher burnout rates — confirming the tool’s validity as a leading indicator, not just a lagging one. Ashmore et al., Journal of Healthcare Leadership 2024
9%
increase in physician satisfaction for every one-unit improvement in supervisor leadership ratings
Shanafelt et al., Mayo Clinic
3%
decrease in burnout associated with each one-unit increase in supervisor leadership ratings
Shanafelt et al., Mayo Clinic
5.8×
greater odds of high professional fulfillment when a leader scores in the top performance tier
Mete et al., BMJ Open 2022
0.97
Cronbach’s alpha — the internal consistency reliability score for the nine-item assessment, indicating excellent measurement precision
Ashmore et al., Journal of Healthcare Leadership 2024
Who Uses It

Built for every role in healthcare leadership

From the executive suite to the unit manager, every leader with direct reports can be measured, developed, and tracked over time.

Chief Wellness Officers

Deploy organization-wide assessments, track clinician well-being indicators across departments, and produce board-ready reports showing measurable leadership impact over time.

“We need evidence our leadership programs are reducing burnout — not just a survey score.”

HR & People Teams

Identify which departments and leaders have the highest burnout risk before it becomes turnover. Use the organization heatmap to prioritize where leadership development investment will have the greatest impact.

“Turnover is high in two departments and we suspect it’s a leadership issue — but we have no data.”

Nursing Leadership

Measure how charge nurses, nurse managers, and nursing directors are experienced by their teams. Track improvement through leadership development programs with before-and-after data that speaks to clinical leadership at every level.

“I lead 40 nurses across three units. I need to know how each charge nurse is actually experienced.”

Department Chairs & Medical Directors

Get validated, anonymous feedback on how physicians and advanced practice providers experience their department leadership. Use longitudinal data to guide leadership development conversations and program investments.

“My physicians will never be honest in a formal review — I need anonymous, validated data.”

Learning & Development Teams

Run the assessment before and after every leadership development cohort. For the first time, your program’s return on investment is measurable in nine specific dimensions — not just a participant satisfaction survey.

“We spend $400K a year on leadership programs and can’t show the board what changed.”

Individual Clinician Leaders

Any physician, nurse manager, or team lead who wants honest feedback from their team. Deploy independently — no organizational approval required. Results are private by default, and your team knows their responses are fully anonymous.

“I want to know how my team really experiences my leadership — not what they’ll say to my face.”
The Reporting Dashboard

See every leader, every department,
every dimension — at a glance.

The organization heatmap gives your leadership and HR team an instant view of where scores are strong, where intervention is needed, and how things are trending over time. Color-coded scores make it impossible to miss a struggling department.

  • Color-coded scores across all nine dimensions for every assessed leader
  • Group by department, unit, campus, or any custom tag
  • Filter to any date range, cohort, or assessment cycle
  • Drill into any leader’s full detail report in one click
  • Export for board reports and AMA Joy in Medicine documentation
app.leadershipimpactindex.org/reports/heatmap
LeaderCareerEmpower.Coach.Recognit.RespectOverall
Org Average798271748678
Emergency Services
Dr. S. Chen918883809487
Dr. M. Okafor828574778981
ICU & Critical Care
T. Nguyen, RN859079739284
Dr. J. Patel687261597667
Nursing — Med/Surg
R. Torres, NM717866628372
K. Williams, NM586551497059
Compliance & Validation

Built for AMA Joy in Medicine recognition — and everything that comes after.

The AMA Joy in Medicine Health System Recognition Program requires participating organizations to demonstrate systematic measurement of leadership and team well-being. The Leadership Impact Index provides the validated, repeatable measurement layer the program calls for.

Because the tool was developed by Mayo Clinic researchers and validated in 14+ peer-reviewed studies, it carries the clinical credibility your board, your AMA reviewers, and your accreditation teams expect.

Mayo Clinic–Developed
AMA Joy in Medicine Compliant
14+ Peer-Reviewed Studies

Validated measurement for Joy in Medicine reporting

Produce documentation showing leadership behavior scores, trend data, and department-level comparisons — exactly what AMA reviewers look for.

Longitudinal tracking for credentialing and board reviews

Run the same assessment multiple times per year. Every cycle builds a documented history of leadership improvement — or identifies leaders who need support before burnout spreads.

Works across traditional and matrixed reporting structures

A 2024 study in the Journal of Healthcare Leadership validated the adapted assessment specifically for healthcare systems with matrixed leadership — where most care is delivered today.

Pricing

Transparent pricing. No consultants. No contracts.

Pay per assessment. Volume discounts apply automatically. Free to explore the platform — only pay when you’re ready to deploy.

Starter
$250/assessment
1–4 assessments per year
  • Full nine-dimension report per leader
  • Organization heatmap
  • Before/after comparison tracking
  • Anonymous response collection
  • AMA Joy in Medicine-ready exports
Get Started →
Enterprise
Custom
Health systems & large networks
  • Everything in Growth
  • Dedicated account manager
  • Custom reporting and data exports
  • Integration with your HR information system
  • AMA Joy in Medicine program support
Talk to Sales →
FAQ

Questions from healthcare teams

The assessment is validated for any leader with a team — physicians, nurse managers, charge nurses, department directors, administrative leaders, and advanced practice providers. The nine dimensions measure universal leadership behaviors that predict team well-being across all roles and care settings.
The Leadership Impact Index was developed by the same Mayo Clinic researchers whose work underpins the AMA’s well-being framework. It provides validated, repeatable, quantitative measurement of leadership behaviors — which is exactly what the Joy in Medicine recognition program calls for. Contact our team for specific documentation support.
Yes. A 2024 study published in the Journal of Healthcare Leadership (Ashmore et al.) validated an adapted version of this assessment specifically for healthcare organizations with matrixed, multi-level reporting structures. The validity and reliability indices were identical to those in traditional direct-report settings.
The platform enforces a minimum of five responses before any score is revealed. No individual responses are ever visible — only aggregated scores. Every invitation email explicitly states the anonymous nature of the assessment. Respondents who trust the process are honest respondents.
Nine questions. Under 60 seconds. Completed on any device from any location. The entire assessment is designed around clinical time constraints — which is why completion rates are high even in busy care environments.
This is exactly what the platform is built for. The before/after comparison feature links assessments for the same leader across cycles and displays exactly what changed — by dimension, by amount, and over time. This is the data your board and program sponsors need.

Your leaders’ behaviors are driving outcomes
right now. It’s time to measure them.

Create a free account, explore the platform with demo data, and see exactly how the Leadership Impact Index delivers for healthcare organizations — before you spend a dollar.

Free to explore. Only pay when you’re ready to deploy your first assessment. No credit card required.