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Reengineering--impact on organizational culture.

C Torie1, S D Houston

  • 1EHS Trinity Hospital, Chicago, IL.

Journal of AHIMA
|March 9, 1994
PubMed
Summary

Organizational reengineering in hospitals can foster a new culture, improving employee roles and processes. This transformation is vital for long-term viability in a consolidating industry.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Health Services Research

Background:

  • Organizational reengineering significantly impacts hospital culture, necessitating the emergence of a new cultural paradigm.
  • While initially perceived as conflicting with Continuous Quality Improvement (CQI) principles, reengineering can drive positive cultural evolution.
  • Strong existing cultures, though valuable, cannot supersede the imperative of organizational survival.

Purpose of the Study:

  • To explore the impact of reengineering on organizational culture within a community-based hospital setting.
  • To examine how reengineering can foster a new, emergent culture rather than merely altering the existing one.
  • To assess the potential of reengineering and CQI to enhance labor relations and operational efficiency.

Main Methods:

  • Qualitative analysis of cultural shifts during a hospital reengineering initiative.
  • Examination of employee perceptions regarding their roles and organizational changes.
  • Assessment of the interplay between reengineering, Continuous Quality Improvement (CQI), and organizational culture.

Main Results:

  • Reengineering empowers employees, broadening their perspectives beyond individual tasks to encompass organizational roles.
  • Initial conflicts between reengineering and CQI principles were observed, but ultimately resolved through emergent cultural adaptation.
  • The study highlights the positive potential of reengineering and CQI in improving labor relations and work processes.

Conclusions:

  • Organizational survival in a consolidating industry necessitates cultural transformation through initiatives like reengineering.
  • The emergent culture fostered by reengineering can lead to improved labor relations and more effective work processes.
  • Reengineering, when integrated with CQI, provides a strategic pathway to ensure the long-term viability of community-based hospitals.

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