PMID: 8601261Dec 1, 1995Paper

Re-engineering the hospital: a house without rooms

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
P J Schneider

Abstract

Re-engineering of health care systems is defined, and the experience with re-engineering at a medical center is discussed. Re-engineering is a business concept that involves totally redesigning work processes to achieve much higher efficiencies and quality; it should not be confused with cost cutting, downsizing, and continuous improvement. Re-engineering seeks to combine multiple jobs into one, empower workers and make them more accountable, sequence the elements of work more naturally, create greater flexibility, and blur or remove organizational boundaries. Re-engineering at The Ohio State University Medical Center began with the formation of an operations improvement team consisting of department heads. Work processes were selected for re-engineering and prioritized, and teams were created to identify activities calling for radical change, such as activities that wasted time, could be done on an outpatient basis, or were duplicative. It was concluded that the redesign had to focus on the entire medical center, not the individual departments. A list of the characteristics of a better organization was prepared and distributed to the staff, along with other documents to help them understand the need for change. The operations ...Continue Reading

Citations

Aug 12, 2008·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Philip J Schneider
Aug 7, 2001·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·W M al-Shaqha, M Zairi

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