Shared Governance

The Henry Ford Allegiance Health Professional Practice Model embraces the concept of shared leadership and shared decision-making, ensuring that nurses at all levels and from all practice areas are involved in decisions affecting their practice environment.

Our Nursing Shared Governance Council structure, implemented across the organization 2006, is a framework that empowers nurses with autonomy. It encompasses both inpatient and outpatient areas. The structure is based on the American Nurse Association Scope and Standards for Nursing Practice, the American Association of Critical Care Nurses’ Hallmarks of Professional Practice, and the work of Tim Porter-O’Grady related to shared governance.

The eight primary councils that support the work of nursing are: 

Creates vision, direction and nursing’s alignment with the organizational strategic plan. This council is chaired by the Chief Nursing Officer.
Coordinates the distribution of work throughout the nursing councils and provides the forum for interdisciplinary teams to access nursing councils. This council is co-chaired by nursing directors.
Provides leadership for professional practice issues such as peer review, RN recognition, and recruitment and retention strategies. This council is chaired by a staff nurse, with the Director for Emergency Services serving as a mentor.
Responsible for monitoring quality improvement activities related to nurse-sensitive indicator outcomes, core measure outcomes and accreditation compliance. This council is chaired by a staff nurse, with the Director of Critical Care Services serving as a mentor.
Supports activities related to the professional development of registered nurses, including the Professional Advancement Ladder program oversight, orientation programs, continuing education activities, and advanced degree/certification support. This council is chaired by a staff nurse, with the Director of Women’s and Children’s Services serving as a mentor.
Oversees the development, revision and approval of policies, procedures, protocols and patient management plans related to nursing practice. In addition, this council focuses on reaching high levels of performance in regard to patient satisfaction with nursing care. It is chaired by a staff nurse, with the Director for Acute Adult Inpatient Services serving as a mentor.
Promotes, conducts and disseminates nursing research and evidence-based practices. With the guidance of a Michigan State University nurse research consultant, this council serves as the internal consultant and support for nurses who wish to become involved in research projects. It is chaired by a clinical nurse manager, with the Director for Surgical Services serving as a mentor.
Identifies and responds to issues affecting nursing practice across the continuum of care, from inpatient to outpatient services. Activities include safe transfer of care and integration of electronic information. This council is chaired by a staff nurse, with the Director for Organizational Excellence serving as a mentor.


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