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  1. Schaffner, Julie W. MSN, RN
  2. Alleman, Scott MSN, RN
  3. Ludwig-Beymer, Patti PhD, RN
  4. Muzynski, Janice MS, RN
  5. King, Donna J. MBA, RN, CNA, CHE
  6. Pacura, Lori J. MS, RN


An integrated healthcare delivery system requires a consistent patient care delivery model. The authors describe the process used to define common elements of the patient care model. These elements include the roles of chief nurse executives, first-line managers, staff registered nurses, and unlicensed assistive personnel. In addition, the philosophy of nursing and support functions (staff education and nursing dashboard for quality measurement) in place across the system are discussed.