St. Joseph's Hospital and Medical Center.

To weather the chaos and turbulence in health care and maintain high quality patient services, hospital organizations must have a strong mission and value infrastructure and practice a teamwork philosophy. St. Joseph's Hospital and Medical Center has translated their vision into action. This article describes the foundation and structure that supported creative change in the roles of health care providers, the delivery system, education, and performance improvement. Successful methods are outlined for providing health care to ambulatory through tertiary level patients and from newborns through geriatrics while maintaining the mission to serve the poor.