The vision includes fulfilling the organizations covenant that guarantees excellence and integrity of service, creating partnerships with community members and patients for life (Centura, 2005). The organization has identified multiple core values which include: integrity, stewardship, spirituality, imagination, respect, excellence and compassion" (Centura, 2005).

Current Centura operates as a non-profit agency and structures key decision making using what they refer to as a "Values Impact Analysis" (Centura, 2005). This tool helps organizational representatives weight the costs to benefits of selected decisions as applied to

Centura uses multiple benchmarks to currently reap information regarding quality and service protocols, including the Values Impact Analysis and the Master Development Plan. The values impact survey acts as a standardized reporting system providing mangers and staff with detailed cues regarding employee and organizational performance.

The Master Development Plan serves as a tool that can enhance performance management and train various staff members including nursing staff members to achieve their highest potential within the organization. Key issues a nursing staff coordinator may address within this organizational context is whether incumbents are consistently reporting on their progress and achievements using the values impact analysis and master development program. These programs do offer detailed information regarding potential areas of weakness and improvement within the organization. At present the strongest elements of Centura's organizational structure include its commitment to shared knowledge and communication among staff members. Additionally the organization is committed to empowering employees to excel in their job functions and dedicated to continuous training.

Centura has also adopted quality improvement measures focusing on patient populations, physician and clinician teams to help promote "excellence in care" (Centura, 2005). The organization to this effect has created what they refer to as a "Quality, Safety and Outcomes Management department" whose sole role includes supporting a solid communications infrastructure and commitment to quality improvement (Centura, 2005).

the organizations core values. The process adopted by the organization is considered "dynamic and rigorous" with the intent of enabling "conscientious decisions respectful of stakeholders needs" but also in line with the values and needs of patients (Centura, 2005). The organizational model includes a hierarchical system with the following: President/CEO, E

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Approximate Word count = 1325
Approximate Pages = 5 (250 words per page double spaced)