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Reengineering in behavioral medicine

S Shelley1, J Knisely

  • 1Sandra Shelley & Associates, Western Springs, Illinois, USA.

Nursing Management
|April 1, 1997
PubMed
Summary

A midwestern hospital reengineered its behavioral medicine services to focus on short-term, community-integrated crisis intervention, moving from an inpatient model. This strategic shift addresses changing demographics and market needs.

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Area of Science:

  • Healthcare Management
  • Behavioral Medicine
  • Health Systems Engineering

Background:

  • Healthcare landscape changes necessitate operational reviews.
  • Midwestern hospital faced shifting demographics and market dynamics.
  • Strategic priorities prompted a reevaluation of existing services.

Purpose of the Study:

  • To reengineer the therapeutic model and operating systems of a hospital's Behavioral Medicine Department.
  • To transition from an intrapsychic inpatient paradigm.
  • To implement a short-term, crisis intervention-focused model integrated with community resources.

Main Methods:

  • Intensive, structured process for operational redesign.
  • Systematic reevaluation of therapeutic models.
  • Focus on community resource integration.

Main Results:

  • Shift in departmental orientation achieved.
  • Transition from inpatient to short-term, crisis intervention model.
  • Enhanced integration with community resources.

Conclusions:

  • The reengineering successfully adapted the Behavioral Medicine Department to contemporary healthcare demands.
  • The new model supports efficient, community-aligned patient care.
  • Strategic operational changes are vital for hospital service relevance.

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