1. Senior leader rounding—Senior leaders round throughout the hospital to support the unit leader and role model positive behaviors for employees.

2. Unit leader rounding—Unit leaders round on staff to better develop these relationships; find out what is working well and address concerns about tools and systems. Unit leader rounding is the most important type of rounding.

3. Support service rounding—Unit leaders round in the areas they serve to clarify expectations; celebrate accomplishments; identify what still needs attention and to build strong inter-departmental alliances.

4. Rounding on patients—Nurses, physicians, and ancillary staff round on patients to ensure their comfort, safety, and satisfaction. They also round to keep them informed; manage up staff skill sets and harvest reward and recognition for what's going well.