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Reengineering hospitals: evidence from the field.

S L Walston1, J R Kimberly

  • 1Wharton School, University of Pennsylvania, Philadelphia 19104, USA.

Hospital & Health Services Administration
|July 1, 1997
PubMed
Summary

Hospital reengineering is a massive investment, yet research on its content and implementation practices is scarce. This study identifies key components, facilitators, and barriers in U.S. hospital reengineering initiatives.

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Area of Science:

  • Healthcare Management
  • Organizational Change
  • Hospital Administration

Background:

  • Significant financial investment in hospital reengineering initiatives across the U.S.
  • Limited research clarifying the content and management practices of these initiatives.

Purpose of the Study:

  • To provide a clearer picture of hospital reengineering content and implementation.
  • To identify management practices that facilitate or impede reengineering.
  • To explore common facilitators and barriers in hospital reengineering.

Main Methods:

  • Extensive field research conducted in fourteen U.S. hospitals.
  • Analysis of reengineering initiatives to identify common components.
  • Exploration of management practices, facilitators, and barriers through case studies.

Main Results:

  • Identification of seven core components of hospital reengineering.
  • Recognition of eight major barriers hindering implementation.
  • Examples illustrating the practical application of facilitators and barriers.

Conclusions:

  • Hospital reengineering involves diverse configurations of seven key components.
  • Understanding facilitators and barriers is crucial for successful implementation.
  • Further research is needed to optimize management practices in hospital reengineering.

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