Cornell University

Healthcare Transformation Project

16 East 34th Street, 4th Floor, New York, NY 10016 Contact: 212-340-2809


Labor-Management Partnerships

Partnership brings managers, frontline workers and physicians together to make full use of each group's—and each individual's—expertise. These different perspectives help to bring about solutions that address and resolve systemic issues, improving service, the quality of care, and eliminating waste that drives up costs. Frontline employees, who do the job every day, are able to offer innovative solutions to the problems at hand. Stewards are evolving into work-unit leaders. Managers are moving away from directing how work is done and into coaching and mentoring roles. Physicians are supported in providing high quality, compassionate patient-centered care. For members and patients, the entire care experience improves.

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Clinical Microsystems

Clinical microsystems are the front-line units that provide most health care to most people. They are the places where patients, families and care teams meet. Microsystems also include support staff, processes, technology and recurring patterns of information, behavior and results. Central to every clinical microsystem is the patient.

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Collaborative Learning Processes

Collaborative learning is an umbrella term for to the cooperative process in which individual learners of differing abilities and interests share ideas in the mutual search for understanding, solutions, meanings, or the creation of a project. In regards to healthcare specifically, collaborative networks are being created to enhance the spread of best practices. 

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Collaborative Learning Processes
Disseminating Innovations in Healthcare - Berwick
Quality Collaboratives: Lessons from Research - Ovretveit, J.

Safety Net Hospitals and Healthcare Organizations

A safety net hospital or health system provides a significant level of care to low-income, uninsured, and vulnerable populations. Safety net hospitals are not necessarily distinguished from other providers by ownership – some are publicly owned and operated by local or state governments and some are non-profit. Rather, they are distinguished by their commitment to provide access to care for people with limited or no access to health care due to their financial circum-stances, insurance status, or health condition.

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What is a safety net hospital?
Safety Net Hospitals: A Vital Resource