Patient-centered redesign strives to improve service, improve quality,
and control costs; each of these has significant implications for the
nurse manager role. The patient-centered design, described in this ar
ticle, used a participatory model involving more than 25% of the medic
al center's staff from all disciplines and all levels, organized In te
ams. A care management philosophy and redesign principles guided a man
agement redesign work group to examine and redesign the role of nurse
managers. The title of nurse manager no longer described the role whic
h would include managing a diverse team. The nurse managers chose to a
dopt the new title of unit manager. The data collected and the recomme
ndations to redesign the nurse manager role influenced the management
structure and roles in other divisions and services at the medical cen
ter. The role of new unit manager was to envision the future, build an
d manage paradigms, produce excellence, lead by influence, and develop
synergized self-managed teams.