Biomaterial Database

Achieving outcomes through organizational redesign. 1997

A Strong, and H Yarde

Manager, Ernst & Young LLP, Dallas, Texas 75201, USA.

The current health care environment demands delivery of high quality health services within increasingly restricted cost parameters. To meet these demands health care organizations are seeking performance improvement at every level within the organization. Delivering care is the core business of health care organizations. It is a complex process composed of multiple, interfacing processes and subprocesses. Successful redesign does not seek to make incremental improvement, but to create a new organizational framework in which processes enable achievement of quality, service, and cost outcomes. This article examines drivers for redesign, presents a process for redesigning health care organizations, describes successful management of organizational change, and presents a case study of a successful redesign initiative.

UI	MeSH Term	Description	Entries
D009936	Organizational Innovation	Introduction of changes which are new to the organization and are created by management.	Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D010043	Outcome and Process Assessment, Health Care	Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.	Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D010934	Planning Techniques	Procedures, strategies, and theories of planning.	Planning Theories,Methodology, Planning,Planning Methodology,Planning Technic,Planning Methodologies,Planning Technics,Planning Technique,Planning Theory,Technic, Planning,Technique, Planning,Theory, Planning
D003142	Communication	The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.	Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D003253	Consultants	Individuals referred to for expert or professional advice or services.	Advisory Services,Services, Advisory,Advisory Service,Consultant,Service, Advisory
D006754	Hospital Restructuring	Reorganization of the hospital corporate structure.	Hospital Diversification,Hospital Reorganization,Diversification, Hospital,Reorganization, Hospital,Restructuring, Hospital,Hospital Reorganizations,Hospital Restructurings,Reorganizations, Hospital,Restructurings, Hospital
D006764	Hospitals, Community	Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.	Community Hospital,Community Hospitals,Hospital, Community
D015397	Program Evaluation	Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.	Evaluation, Program,Family Planning Program Evaluation,Program Appropriateness,Program Effectiveness,Program Sustainability,Appropriateness, Program,Effectiveness, Program,Evaluations, Program,Program Evaluations,Program Sustainabilities,Sustainabilities, Program,Sustainability, Program