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Geisinger's ProvenCare Methodology: Driving Performance Improvement Within a Shared Governance Structure

Nolan, Ruth MSN, RNC; Wary, Andrea MEd, RN; King, Megan BSN, RN; Laam, Leslie A. MS; Hallick, Susan MHA, BSN, RN, NEA-BC

Journal of Nursing Administration: May 2011 - Volume 41 - Issue 5 - p 226-230
doi: 10.1097/NNA.0b013e3182171dad

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.

Author Affiliations: Vice President of Operations, Women's Health Service Line (Ms Nolan), Operations Manager (Ms Wary), Perinatal Education Coordinator (Ms King), Operations and Quality Auditor (Ms Laam), Executive Vice President and System Chief Nursing Officer (Ms Hallick), Geisinger Health System, Danville, Pennsylvania.

Correspondence: Ms Nolan, Geisinger Health System, MC 20-25, 100 N Academy Ave, Danville, PA 17822 (

© 2011 Lippincott Williams & Wilkins, Inc.