As hospital systems become more complex, health administrators spend more of their time facilitating group decision making. To have effective group management and active participation, group members must value a meeting, and the group should be able to address a large number of issues in an efficient manner. In one rapidly expanding health care system, a group meeting was evaluated in relation to the format and the value to group members. The meeting was then reorganized for optimal efficiency and an evaluation of the effect of the restructuring on the group's perception of the meeting was done.