After Restructuring

Empowerment Strategies at Work in America's Hospitals

By: Thomas G. Rundall, David B. Starkweather, Barbara R. Norrish

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Hardcover | 30 September 1998 | Edition Number 1

At a Glance

Hardcover
324 Pages

Dimensions(cm)
24.35 x 16.1 x 2.42

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$138.75

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Managing Change 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 distinguished professor of health policy and management professor of organization behavior, School of Public Health, University of California, Berkeley After Restructuring debunks the myths surrounding hospital change and offers insightful and practical recommAndations for successful restructuring. This valuable book is based on the work of a team of health services researchers headed up by Thomas Rundall, director of the Center for Health Management Studies at the University of California, Berkeley. The book reports the results of a three year study of nine hospitals, an unaffiliated group of facilities in urban, rural, and suburban regions that received funding from The Robert Wood Johnson Foundation and the Pew Charitable Trust to restructure patient care processes. The authors present a framework for understanding organizational change and define the principles that guide change facilitators 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. The standards derived from the change experiences of these hospitals provide important best practice guidelines.

Industry Reviews

"An in-depth treatment of organizational change in hospitals. AfterRestructuring provides a mother lode of insights and lessons thatwill be mined for years. A must-read for all those committed toimproving hospital performance in a radically changing health caresystem." --Stephen M. Shortell, Blue Cross of CaliforniaDistinguished Professor of Health Policy and Management; professorof Organization Behavior, School of Public Health, University ofCalifornia, Berkeley

"Unusual in its sensitivity to clinical and managerial agAndas,this book demonstrates how hospital re-engineering principles canempower caregivers to improve hospital performance. Anyone hopingto change hospitals, or expecting to be affected by hospitalchanges, should read this book." --Linda H. Aiken, director, Centerfor Health Services and Policy Research, University ofPennsylvania

"I would recommAnd this pathbreaking book to any health careexecutive, manager, physician, nurse, and anyone who is working toimprove the performance of health care organizations." --Mary A.Pittman, president, Health Research and Educational Trust

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