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Semin Nurse Manag ; 8(3): 158-69, 2000 Sep.
Article in English | MEDLINE | ID: mdl-12029751

ABSTRACT

Today's managed care environment is forcing hospitals to seek new and innovative ways to deliver a seamless continuum of high-quality care and services to defined populations at lower costs. Many are striving to achieve this goal through the implementation of shared governance models that support point-of-service decision making, interdisciplinary partnerships, and the integration of work across clinical settings and along the service delivery continuum. The authors describe the key processes and strategies used to facilitate the design and successful implementation of an interdisciplinary shared governance model at The University Hospital, Cincinnati, Ohio. Implementation costs and initial benefits obtained over a 2-year period also are identified.


Subject(s)
Decision Making, Organizational , Interdisciplinary Communication , Managed Care Programs/organization & administration , Nurse Administrators , Total Quality Management/organization & administration , Cost-Benefit Analysis , Efficiency, Organizational , Humans , Managed Care Programs/economics , Organizational Innovation , Quality of Health Care , Social Responsibility , Task Performance and Analysis , United States
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