Table 3.

Descriptive Statistics and Reliability Analysis (n=202)

Dimension	Item	Mean	Std	Alpha
1.	Composition of Staff
	how many attendings provide care	10.23	12.29
	do physician extenders see residents	66%
	extent of “closed staff model”	55.27%	39.52
2.	Appointment Process
	formal process for granting attending privileges	47%
	does nursing home have a written contract with physicians	15%
	does the nursing home employ physicians directly	9%
	detail of bylaws	2.55	1.19
3.	Commitment
	physician cohesion	3.40	.68	.71
	collegial relationships among the physicians	3.46	.97
	decision-making process is consensus building	3.32	.97
	great deal of organizational loyalty	3.51	.96
	identifiable practice style which we all try to adhere	3.12	.89
	Leadership Turnover/Capability	2.37	1.34	.81
	administrator turnover in the last five years	2.11	1.33
	director of nursing turnover in the last five years	2.62	1.57
4.	Departmentalization
	Physician Supervision	3.15	.90	.68
	leadership style as involves checking up on physician	3.15	1.09
	quality of each physician’s work is monitored closely	3.14	.96
	Physician Autonomy	3.87	.78	.65
	leadership style allows the attending physician greater freedom to act independently	3.97	.98
	emphasis on physician individuality	3.76	.84
	Physician Interdisciplinary Involvement	2.66	.88	.74
	physician is primary nursing home representative for families	2.81	1.00
	physicians are expected to attend care plan meetings	2.54	1.14
	physicians are expected to assume the leadership role in team meetings	2.61	1.10
5.	Documentation
	Formal Review Process to evaluate physicians	25%
6.	Informal Dynamics (Interpersonal Relationships)	4.06	.62	.70
	quality of your relationship between medical director and administrator	4.05	.90
	quality of your relationship between medical director and the director of nursing	4.13	.85
	relationship between physicians and licensed nurses	3.82	.77
	medical staff gets no respect in the nursing facility (r)	4.29	.93