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July 07 Businessexcellence Nebraska Medical Center 39 everyone on the same track. “Our competition is not internal, it’s external,” says Fosdick. “One of the things that helped us to focus on that was the issue of quality. It’s a common denominator that everybody agrees on.” A strategic planning committee was formed, and 10 of its 18 members were physicians. Fosdick told them up front that they were going to be involved in clinical decision making that would have an impact on the future of the hospital, to a degree that was unmatched by any other medical staff in the community. It worked. “The committee has been together for well over four years now,” he says. “We still maintain close to 90 percent attendance, and they look at things objectively. It’s been a very effective resource, a very mature committee.” When Fosdick arrived the business was known as Nebraska Health System, but agreement was reached on a change of name to The Nebraska Medical Center, and an aggressive marketing program began. “One of my basic