title: Redesign of a health science centre: reflections on co-leadership.
abstract: Since 1988, the Sunnybrook Health Science Centre has been proactive in re-designing its system toward decentralized management, the purpose being to further enhance patient care. This process has involved numerous changes, among which were the establishment of three large clinical units. These clinical units are not defined following the historic medical model, but group patients with similar service and care needs. Subsequently, each of the clinical units defined Patient Service Units (PSUs). The hospital has chosen a co-leadership model for the lead management at each of the unit levels. This paper describes the model for clinical units.
authors.affiliation: Sunnybrook Health Science Centre, North York, Ontario, Canada.
authors.forename: M
authors.initials: M
authors.lastname: MacTavish
authors.forename: P
authors.initials: P
authors.lastname: Norton
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration; D006746:Hospital Bed Capacity, 500 and over; D006754:Hospital Restructuring / Q000458:organization & administration*; D007324:Institutional Management Teams / Q000458:organization & administration*; D007857:Leadership; D017146:Models, Organizational; D009096:Multi-Institutional Systems / Q000458:organization & administration; D009864:Ontario; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D010819:Physician's Role