title: Practice Governance 101, v. 2013.
abstract: Consensus governance is a principal weakness leading to group malfunction and failure. Inadequate group governance produces inadequate decisions, leading to inconsistent patient care, inadequate responses to marketplace challenges, and disregard for customers and strategic partners. The effectiveness of consensus management is limited by the pervasive incomplete knowledge and personal biases of partners. Additional structural weaknesses of group behavior include information cascade, the wisdom of the crowd, groupthink, pluralistic ignorance, analysis paralysis, peer pressure, and the herding instinct. Usual corporate governance is, by necessity, the governance model of choice. Full accountability of the decider(s) is the defining requirement of all successful governance models.
authors.affiliation: Windsong Radiology Group, Amherst, New York 14221, USA. dfhayesmd@aol.com
authors.forename: David F
authors.initials: DF
authors.lastname: Hayes
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration; D054976:Clinical Governance; D003659:Decision Making, Organizational; D006801:Humans; D017146:Models, Organizational; D011216:Practice Management, Medical / Q000458:organization & administration*; D011871:Radiology / Q000458:organization & administration*