Finding Common Cause in Quality: Confronting the Physician Engagement Challenge (Quality Improvement‪)‬

Many frustrated physician executives might well recognize the creatures in Goldsmith's ecosystem. Although his comment was made in the context of responding to the argument that it would be a good idea to hold a hospital accountable for the extramural quality results of its "extended medical staff" (2)--community physicians in no formal relationship to the hospital--it could very well describe the feelings of hospital leaders trying to achieve quality results within the core activities of the hospital itself.