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PHOTOS: Meetings online and in hallways are key to quality control at Saint Alphonsus

Registered nurses Juanita Lopez (left) and Kayla McPheeters brief Dina Ellwanger on overnight activities in the obstetrics department on Wednesday, May 26. (The Enterprise/Les Zaitz)

Floor by floor, department by department, Dina Ellwanger steps along in her early morning survey at Saint Alphonsus Medical Center Ontario. She is the president and chief nursing officer at the Ontario hospital and she is driving force behind constant pressure to improve operations.

She tries to get another tour in before the day's end to spend time with the day shift, listening to concerns and kudos. Much of her day is spent in meetings.

Recently, the hospital was identified as a top 100 hospital among the community hospitals in the U.S.

Dina Ellwanger checks with the night shift in the emergency department before they . . .