Hospital Reengineering: An Evolving Management Innovation - History, Current Status and Future Direction
STEPHEN LEE WALSTON, LINDA D. URDEN, and PATRICIA SULLIVAN
JHHSA, Vol. 23 No. 4, (2001)
This paper summarizes six years of research on
reengineering in hospitals. It is the result of two national
surveys and eighteen site visits to hospitals that engaged in
reengineering in the 1990's. The research shows that
actual hospital reengineering differs substantially from that
which was initially proposed by early promoters of
reengineering. However, this evolved reengineering
continues to be implemented by the majority of hospitals in
the U.S. We illustrate how extensive reductions of
managers and changes of nursing care models have been in
the past six years. Data comparing financial and cost
competitiveness changes is also shared. We then explore
the continued experience of two early proponents of
reengineering and find that their competitive outcomes to
be in contrast with their early statements. Last, we suggest
a number of reasons that may impact on the success or
failure of reengineering.
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