This paper explores the relationship between member satisfaction and effectiveness of virtual, self managed teams. Specifically, this paper studies the various perceptions of eight virtual team members. The study reveals eight major themes for how team members evaluate themselves and will provide a basis to evaluate the relationship between these factors and the effectiveness of the self manage...

This overview discusses articles published in this issue of the Health Care Financing Review, entitled "Managed Care: Advances in Financing." Articles cover the cutting-edge developments in payment methods for managed care organizations and their providers; new approaches to financing managed health care services for Medicare and Medicaid beneficiaries and special sub-populations; and the finan...

This study defines the construct of team atmosphere and provides a framework within which causes and consequences of team atmosphere in knowledge transfer and creation can be empirically investigated. Data were collected using a survey of 363 individuals of 12 companies who worked in self-managed teams. As predicted, results indicated that a ‘high care’ atmosphere among team members favours bot...

Consultant-delivered care has been shown to improve outcomes for acute medical patients. However, the ideal composition of a medical team to support consultant-delivered care is not clear and little is known about the effect of continuing consultant-delivered care until the patient is discharged. Between December 2011 and April 2012, 260 general medical patients requiring inpatient care were ma...

In a project funded by the Ontario Ministry of Health and Long-Term Care, MedEmerg facilitated the introduction of three new providers into six emergency departments. A managed change process that included team development was carried out. Increased team awareness and a higher acceptance of the provider roles were some of the key successes. Challenges included role confusion and the learning cu...

OBJECTIVE To compare 2 models for managing patients admitted to a subacute medical intensive care unit (MICU) who required prolonged mechanical ventilation (> or = 7 d). METHODS The subjects were 192 consecutive patients (mean +/- SD age 61.5 +/- 16.1 y, 52% male, 86% white) managed during alternating 7-month blocks of time by an attending physician in collaboration with an acute care nurse p...

results in the first three years, the team managed the care of 812 admissions. mean age wasn 44.3 years (sd = 24.8) and mean length of hospital stay was 6.1 days (sd = 10.9). ofn these individuals, 674 attended for 6 month follow-up with 52.2% having a good outcomen on extended glasgow outcome score. patients and their relatives' feedbacks weren excellent with an average score of 4.7/5 on overa...

Outsourcing is a prevalent arrangement for leveraging resources and knowledge. However, outsourcing improperly managed can undercut any benefits gained. Outsourcing tends to relate to team atmosphere. This is also true for both task and relationship conflict. As team compositions evolve, tasks become more complex, and inter-company relationships progress, it is increasingly important to underst...