After Restructuring: Empowerment Strategies at Work in Americas Hospitals

Does restructuring health care delivery improve patient care?
After Restructuring examines nine hospital systems as they go through the process of restructuring and reports on the most effective strategies and practices for making organizational change within hospitals and other health care organizations.
The practical strategies presented in this much–needed book are based on solid qualitative research, case study methodology, and organizational theory. After Restructuring shows what actually happens in health care institutions that have restructured their clinical operations and offers valuable information on how to strategically plan and manage the effects of change on patient care, nursing, and the culture of the organization.
In clear and accessible terms, the book introduces a framework for understanding organizational transformation and defines the principles that guide health care change agents through the five stages of change—readiness to change, awareness of the need to change, identification and selection of changes, implementation, and institutionalization of changes. To aid organizations currently undertaking—or considering— this challenging process, the book is filled with specific, illustrative examples from the real life case studies.
The book is based on an extensive study conducted by a team of health services researchers led by Thomas Rundall, director of the Center for Health Management Studies at the University of California, Berkeley. The study surveyed nine hospital systems in urban, rural, and suburban regions that received Robert Wood Johnson Foundation grants and Pew Charitable Trust funding to restructure their patient processes. The standards derived from the experiences of these hospitals lay the foundation for important best practices guidelines.
At the very heart of the authors’ transformational process is the introduction of the innovative concept bounding of empowerment—the strategy of focus ing the work of empowered employees on activities that improve organizational performance. The authors explain how implementing this successful strategy can raise a hospital’s overall level of effectiveness. The book also identifies specific strategies used by staff members to transform a hospital’s hierarchical culture to become a cohesive and effective group culture. In addition, the book reveals how to implement the appropriate organizational changes that will address the unique needs of an individual hospital or health care institution.
Improving Patient Care Through Effective Managed Change
Is your health care organization undertaking—or considering—restructuring?
This book puts you on the front lines as it examines nine hospital systems as they attempt to redesign operations, reduce costs, and enhance patient care. Step by step, After Restructuring maps the best strategies used by these health care executives as they successfully restructured their institutions. After Restructuring shows how you can apply these same winning principles to successfully transform your institution.
"An in–depth treatment of organizational change in hospitals. After Restructuring provides a mother lode of insights and lessons that will be mined for years. A must read for all those committed to improving hospital performance in a radically changing health care system."—Stephen M. Shortell, Blue Cross of California Distinguished Professor of Health Policy and Management, professor of Organization Behavior, School of Public Health, University of California, Berkeley
"Unusual in its sensitivity to clinical and managerial agendas, this book demonstrates how hospital re–engineering principles can empower caregivers to improve hospital performance. Anyone hoping to change hospitals, or expecting to be affected by hospital changes, should read this book."—Linda H. Aiken, director, Center for Health Services and Policy Research, Universit y of Pennsylvania
"I would recommend this pathbreaking book to any health care executive, manager, physician, nurse, and anyone who is working to improve the performance of health care organizations."—Mary A. Pittman, president, Health Research and Educational Trust


Spis treści:
Part 1: Restructuring Hospitals to Improve Patient Care
1. The Changing American Hospital: New Approaches to Patient Care
2. Strengthening Hospital Nursing: A Program to Improve Patient Care
3. The Bounding of Empowerment: Managing Change with Empowered Persons
Part 2: Strategies for Successful Restructuring
4. Studying for Successful Restructuring
5. Changes Implemented by SHN Hospitals
6. Principles of Successful Change
Part 3: After Restructuring: Empowerment Strategies at Work
7. The Impact of Restructuring on Nursing and Patient Care
8. The Impact of Restructuring on Hospital Culture
Part 4: The Cases
9. The Strategic Imperative: Abbott Northwestern Hospital
10. If It Ain′t Broke, Fix It! Beth Israel Hospital
11. All Politics is Local: District of Columbia General Hospital
12. "You Can′t Do Anything Unless You Change the Culture": Health Bond Consortium
13. Maintaining Mission Through Organizational Change: Providence Portland Medical Center
14. Building Networks to Improve Patient Care: The Rural Connection
15. Collaborating to Compete on Quality: University Hospitals of Cleveland
16. The Hospital As Academic Laboratory: University of Utah Hospitals and Clinics
17. From a Knowing Organization to a Learning Organization: Vanderbilt University Hospital

Nota biograficzna:
THOMAS G. RUNDALL is the founding director of the Center for Health Management Studies at the University of California at Berkeley and professor and director of the Graduate Program in Health Services Management at the University of California at Berkeley. DAVID B. STARKWEATHER is professor emeritus of Health Services Management at the School of Public Health at the University of California at Berkeley. BARBARA R. NORRISH is a graduate of the doctoral program in Health Services and Policy Analysis at the University of California at Berkeley.

Okładka tylna:
Does restructuring health care delivery improve patient care?
After Restructuring examines nine hospital systems as they go through the process of restructuring and reports on the most effective strategies and practices for making organizational change within hospitals and other health care organizations.
The practical strategies presented in this much–needed book are based on solid qualitative research, case study methodology, and organizational theory. After Restructuring shows what actually happens in health care institutions that have restructured their clinical operations and offers valuable information on how to strategically plan and manage the effects of change on patient care, nursing, and the culture of the organization.
In clear and accessible terms, the book introduces a framework for understanding organizational transformation and defines the principles that guide health care change agents through the five stages of change—readiness to change, awareness of the need to change, identification and selection of changes, implementation, and institutionalization of changes. To aid organizations currently undertaking—or considering— this challenging process, the book is filled with specific, illustrative examples from the real life case studies.
The book is based on an extensive study conducted by a team of health services researchers led by Thomas Rundall, director of the Center for Health Management Studies at the University of California, Berkeley. The study surveyed nine hospital systems in urban, rural, and suburban regions that received Robert Wood Johnson Foundation grants and Pew Charitable Trust funding to restructure their patient processes. The standar