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	<title>Comments on: Collaborative Culture</title>
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	<description>Improving Physician-Hospital Relations</description>
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		<title>By: Collaborative Guilds: Post 72 &#124; Healthcare Collaboration</title>
		<link>http://healthcarecollaboration.com/collaborative-culture/comment-page-1/#comment-3550</link>
		<dc:creator>Collaborative Guilds: Post 72 &#124; Healthcare Collaboration</dc:creator>
		<pubDate>Mon, 20 Jul 2009 00:00:35 +0000</pubDate>
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		<description>[...] culture more by a top-down approach than by bottom-up strategies like healthy competition.  In Collaborative Culture, I wrote that most physicians prefer bottom-up processes to top-down edicts. They have told me that [...]</description>
		<content:encoded><![CDATA[<p>[...] culture more by a top-down approach than by bottom-up strategies like healthy competition.  In Collaborative Culture, I wrote that most physicians prefer bottom-up processes to top-down edicts. They have told me that [...]</p>
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		<title>By: Walker Thompson</title>
		<link>http://healthcarecollaboration.com/collaborative-culture/comment-page-1/#comment-65</link>
		<dc:creator>Walker Thompson</dc:creator>
		<pubDate>Sat, 22 Nov 2008 13:53:36 +0000</pubDate>
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		<description>As always a very interesting read on collaboration...

My question: Tumor Boards, to me, represent a collaborative culture. However, because they are part of a larger &quot;accredited&quot; system (Cancer Centers) the formation of the group is top down, right? What if one combined Tumor Boards with a collaborative case sharing process? What if members were engaging in collaborations before the meeting, instead of 3x per month. Would the collaborative output be so significant (sharing information, commenting on cases, suggesting treatment plans) that Tumor Boards would move from in-person meetings to constant collaboration? In my opinion, to start building the collaborative culture, one needs to focus on where the collaborations happen and make that an exemplary model.</description>
		<content:encoded><![CDATA[<p>As always a very interesting read on collaboration&#8230;</p>
<p>My question: Tumor Boards, to me, represent a collaborative culture. However, because they are part of a larger &#8220;accredited&#8221; system (Cancer Centers) the formation of the group is top down, right? What if one combined Tumor Boards with a collaborative case sharing process? What if members were engaging in collaborations before the meeting, instead of 3x per month. Would the collaborative output be so significant (sharing information, commenting on cases, suggesting treatment plans) that Tumor Boards would move from in-person meetings to constant collaboration? In my opinion, to start building the collaborative culture, one needs to focus on where the collaborations happen and make that an exemplary model.</p>
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