Article: PDF OnlyTerry Deborah MSN SPHR RNJONA's Healthcare Law, Ethics, and Regulation: September 1999 - p 33 Buy Abstract The degree to which a healthcare organization can effectively respond to changes that are brought about by managed care is often the result of how well the organization engages the workforce in the changes. The goal of a process-centered healthcare organization is to deliver service that is truly patient-centered. Successful organizations understand that the actualization of this goal begins with the decision to engage in an employee-guided approach to reengineering. This article describes issues of effective employee relations in the postreengineering era. Strategies for dealing effectively with labor unions or for preventing unionization are also discussed. © 1999 Lippincott Williams & Wilkins, Inc.