title: Changing culture in the home health setting: strategies for success.
abstract: Organizational culture is generally defined as the internal attributes of the staff, such as their values, beliefs, and attitudes. Although technically accurate as a definition, personal attributes defy direct intervention, leading some to question whether it is possible to change culture. It is proposed that it is possible to change the personal internal attributes that define organizational culture by changing the characteristic structures and behaviors of the organization that shape those attributes. This model, called the Quality Capability Model, creates an approach to culture change that accommodates the unique features of home health.
authors.affiliation: Innovation and Development, Joint Commission Resources, Oak Brook Terrace, Illinois, IL, USA. Dboan@bluecrab.org
authors.forename: David
authors.initials: D
authors.lastname: Boan
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003152:Community Health Nursing / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D017146:Models, Organizational; D008960:Models, Psychological; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009745:Nursing, Supervisory / Q000458:organization & administration; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D010934:Planning Techniques; D017749:Total Quality Management / Q000458:organization & administration