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Whole systems shared governance: a model for the integrated health system
1Community Hospitals of Central California Corporate Shared Governance Steering Committee, USA.
The Journal of Nursing Administration
|May 1, 1995
Summary
Healthcare is evolving towards integrated care models. Nurse executives must adapt organizational structures, like shared governance, to support new partnerships and point-of-care innovations for effective healthcare delivery.
Area of Science:
- Healthcare Management
- Organizational Dynamics
- Nursing Leadership
Background:
- The current healthcare system is undergoing significant transformation and renewal.
- Shifting roles and structures are emerging to support a subscriber-based continuum of care.
- Alliances and partnerships are becoming key models for future healthcare integration.
Purpose of the Study:
- To explore how to structure healthcare organizations to effectively support emerging integrated partnerships.
- To examine the role of nurse executives in creating new care frameworks.
- To identify organizational structures that sustain point-of-care innovations and interdisciplinary relationships.
Main Methods:
- Analysis of evolving healthcare system structures.
- Review of organizational models supporting integrated care.
- Examination of the expanding role of nurse executives in healthcare transformation.
Main Results:
- Alliances and partnerships are emerging as primary integration models.
- Whole systems models, such as shared governance, are expanding.
- Nurse executives are increasingly responsible for creating new care frameworks.
Conclusions:
- A sustainable structure is needed to support horizontal and partnered healthcare delivery systems.
- Nurse executives must apply new organizational frameworks to support clinically integrated environments.
- Effective structuring is crucial for sustaining point-of-care innovations and interdisciplinary collaboration.