Training/learning/accountability ... never ending.

Patient-focused redesign exemplifies a radical change in the patient care delivery system. The focus shifts from fragmented, centralized departmental functions to a point of service, collaborative orientation. The profundity of this shift evokes a myriad of seemingly endless learning opportunities that permeates the organization. This article offers an overview of some of these learning opportunities from global training, functional unit, and specific procedural perspectives.

Mercy Healthcare's CARE 2000: an evolution in progress.

In a learning environment of shared governance, continuous quality improvement, and redesign principle application, disciplines of Mercy Healthcare San Diego produced their patient care delivery redesign model, Creative Actions Reflecting Excellence. Nurses, pharmacists, medical technologists, respiratory care practitioners, physicians, educators, managers, and many other professional and technical partners converted change and transition into opportunities. As disciplines understood and appreciated each other's unique and shared contributions, quality of care, stakeholder satisfaction, and process efficiencies increased.