title: Geisinger's ProvenCare methodology: driving performance improvement within a shared governance structure.
abstract: Many performance improvement projects fail because they occur in parallel to the organization's shared governance structure. Leveraging the full potential of its nursing shared governance structure, Geisinger Health System's ProvenCare methodology harnessed the full potential of its staff nurses to create truly reliable workflows that benefit patients and that the team finds professionally satisfying. Using ProvenCare Perinatal and its smoking cessation education intervention and outcomes as an example, the authors describe the ProvenCare methodology.
authors.affiliation: Women's Health Service Line, Geisinger Health System, Danville, Pennsylvania 17822, USA. ranolan@geisinger.edu
authors.forename: Ruth
authors.initials: R
authors.lastname: Nolan
authors.forename: Andrea
authors.initials: A
authors.lastname: Wary
authors.forename: Megan
authors.initials: M
authors.lastname: King
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Laam
authors.forename: Susan
authors.initials: S
authors.lastname: Hallick
mesh_terms: D003659:Decision Making, Organizational; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D017146:Models, Organizational; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D015279:Organizational Culture; D018743:Perinatal Care / Q000458:organization & administration*; D010687:Philosophy, Nursing; D017009:Professional Autonomy; D015397:Program Evaluation