Author Affiliations: Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, and Department of Health Policy and Management, Bloomberg School of Public Health (Drs Pronovost and Marsteller); School of Nursing and Department of Surgery, School of Medicine, Johns Hopkins University (Dr Pronovost), Baltimore, Maryland.
The health market is responding to the need to improve the quality of care. Health care leaders are now held accountable for hospital and health system outcomes1 and this is appropriate. Patient outcomes are determined by the performance of multiple clinicians and the context in which care is delivered. To improve quality of care, physicians, nurses, and managers, each with their distinct knowledge and frames of reference, must collaborate.
Pronovost PJ, Marsteller JA. A Physician Management Infrastructure. JAMA. 2011;305(5):500-501. doi:10.1001/jama.2011.71