Leader rounding is very importance in leadership. This includes both team member and patient rounding. During the leader rounding you can better understand from the customer how to best improve the quality of the services provided. This time often brings up questions that they have. This is when it is best to integrate in the Electronic Medical Record (EHR). That is just one of many ways. Another example is with interdisciplinary rounds. This results in increased communication and streamlined care throughout the interdisciplinary team. These are necessary elements in magnet facilities. This is what produces the patient experience, nursing engagement, and improved patient outcomes that are necessary elements to achieve magnet designation. This also helps with efficiency of the busy acute care setting. The beauty of this is that it does not have to change when moving into the rural setting. The only things that should change with the setting is the resources available. It is possible to rural regional hospital’s to designate as magnet facilities. They are able to do all of the same things to make sure that patient and nurse engagement are high as well as patient outcomes. I work in a community hospital that just designated as a magnet facility as well as a recent recipient of Presidential Malcomb Baldrige Award which is the highest quality achievement award. These were made possible by our lean management system. This has been as transformative to me as a leader. It has taught me how to lead thru engagement of the front line team members and pushing them to be the problem solvers, and supporting them thru it. This can and should be implement in all hospital settings regardless of size or resources. Consistent utilization of a daily lean management system has been proven to improve the quality of care and patient outcomes in the acute hospital setting (Shazia et al., 2020).