A supervisory level self-directed work team in health care.

Nationwide changes in health care delivery precipitated shifts in management within health care facilities. Connecticut experienced growth of 24 percent in managed care contracting between 1992 and 1994, a result of private sector initiatives set in motion by the proposed Clinton Administration health care plan. The shift from fixed rate to capitated payment structures was expected to have a negative impact on health care facilities and hospitals in particular. Further, it was anticipated that managed care would push services out of hospitals and into price-competitive, freestanding facilities. The response of Hospital for Special Care included development of a supervisory self-directed work team.