title: A supervisory level self-directed work team in health care.
abstract: Nationwide changes in health care delivery precipitated shifts in management within health care facilities. Connecticut experienced growth of 24 percent in managed care contracting between 1992 and 1994, a result of private sector initiatives set in motion by the proposed Clinton Administration health care plan. The shift from fixed rate to capitated payment structures was expected to have a negative impact on health care facilities and hospitals in particular. Further, it was anticipated that managed care would push services out of hospitals and into price-competitive, freestanding facilities. The response of Hospital for Special Care included development of a supervisory self-directed work team.
authors.affiliation: Hospital for Special Care, New Britain, CT, USA.
authors.forename: L
authors.initials: L
authors.lastname: Blejwas
authors.forename: W
authors.initials: W
authors.lastname: Marshall
mesh_terms: D003237:Connecticut; D003258:Consumer Behavior; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D006744:Hospital Bed Capacity, 100 to 299; D006754:Hospital Restructuring; D006763:Hospitals, Chronic Disease / Q000458:organization & administration*; D006801:Humans; D007324:Institutional Management Teams / Q000458:organization & administration*; D008329:Managed Care Programs; D008330:Management Audit; D015279:Organizational Culture; D012047:Rehabilitation Centers / Q000458:organization & administration*