Unit-based teams in Southern California accelerated improvements so much in 2011 that the region exceeded its goal of doubling the number of high-performing Level 4 and Level 5 teams by 38 percent. Many teams took on workplace safety, which helped the region achieve double-digit reductions in injury rates, and enabled leaders to identify 15 themes common to high-performing medical center areas, including leadership, trust, accountability, frontline engagement and an emphasis on safety observations to prevent injuries. As part of the Performance Sharing Program (PSP), the regional LMP council created an individual incentive aimed at reducing last-minute sick calls. Initial results indicate the experiment helped improve attendance.