title: Home health nursing: towards a professional practice model.
abstract: A rapidly growing caseload led this home healthcare agency in New England to develop and implement a new management structure built around the belief that 1) Professionals can manage their own practice and function as part of a self-directed work team; 2) Management's role is to foster an organizational culture which facilitates this; and 3) Total quality management is based on people-oriented service. A "flex-time" system, competitive compensation and empowerment stemming from responsible autonomy have begun to reduce turnover and enhance "word of mouth" advertising.
authors.forename: D B
authors.initials: DB
authors.lastname: Michaels
mesh_terms: D006699:Home Care Services / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D007588:Job Satisfaction; D008404:Massachusetts; D016294:Models, Nursing; D017146:Models, Organizational; D011364:Professional Practice / Q000458:organization & administration* / Q000639:trends