Copyright c  2014 Wolters Kluwer Health | Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited. J Nurs Care Qual Copyright c  2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Impact of Provider Coordination on Nurse and Physician Perceptions of Patient Care Quality Nathalie McIntosh, PhD; James F. Burgess, Jr, PhD; Mark Meterko, PhD; Joseph D. Restuccia, DrPH; Anna C. Alt-White, PhD, RN; Peter Kaboli, MD; Martin Charns, DBA The objective of this study was to assess the role of provider coordination on nurse manager and physician perceptions of care quality, while controlling for organizational factors. Findings indicated that nurse-nurse coordination was positively associated with nurse manager percep- tions of care quality; neither physician-physician nor physician-nurse coordination was associated with physician perceptions. Organizational factors associated with positive perceptions of care quality included facility support of education for nurses and physicians, and the use of multidisci- plinary rounding. Key words: interprofessional coordination, intraprofessional coordination, multidisciplinary rounding, patient care quality, relational coordination Author Affiliation: Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, Massachusetts (Drs McIntosh, Burgess, Meterko, Restuccia, and Charns); VA Office of Nursing Services, Washington, District of Columbia (Dr Alt-White); Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Healthcare System, Iowa City (Dr Kaboli); Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City (Dr Kaboli); Department of Health Policy & Management, Boston University School of Public Health, Boston, Massachusetts (Drs Burgess, Meterko, and Charns); and Boston University School of Management, Boston, Massachusetts (Dr Restuccia). This study was based on work supported by the De- partment of Veterans Affairs, Veterans Health Admin- istration, Office of Research and Development, Health Services Research and Development Services (HSR&D IIR 08-067). The views and conclusions expressed in this article are those of the authors and do not neces- sarily reflect the position or policy of the Department of Veterans Affairs of the US government. No conflicts of interest are declared for any authors. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are I N THE CURRENT CLIMATE of health care reform, hospitals are under increasing pres- sure to reduce costs while maintaining or im- proving the quality of care. 1 Examining how care is delivered with attention to hospital structures and processes that influence care delivery may identify low- or no-cost factors related to care quality that can then be used to improve care while maintaining or lowering costs. provided in the HTML and PDF versions of this article on the journal’s Web site (www.jncqjournal.com). Correspondence: Nathalie McIntosh, PhD, Cen- ter for Healthcare Organization and Implementa- tion Research, VA Boston Healthcare System, 150 S. Huntington Ave (152-M), Boston, MA 02130 (mcintnm@gmail.com). Accepted for publication: January 5, 2014 Published ahead of print: DOI: 10.1097/NCQ.0000000000000055 1