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M G Galloway

Publications and source records attributed to M G Galloway.

8 recordsLinked to original sources

Horizontal versus vertical--two restructuring approaches to the same vision.

In summary, horizontal and vertical restructuring represent two different paths to the same vision. Both require a rock-solid foundation for success. In deciding the best approach for your organization, consider the trade-offs between the cultural ("we versus them") and operational ("to leap or not to leap") challenges associated with each approach. Furthermore, consider the differences in savings streams from these two paths. Then customize a restructuring initiative that best fits your organizational goals and priorities.

Cost Savings↗

How will restructuring work in your hospital? The helps and hinderances of a large academic environment.

In summary, academic medical centers face the same issues as their less complex brethren. Sure there are some "downs." The high expectations that the staff bring to their jobs can decrease flexibility in role design, and the increased need to keep professionals together can make the organizational matrix more complex. But there are also some "ups." In many ways their size and specialty focus can help with the difficult decisions in the areas of patient grouping and service delivery approach. Taking advantage of the positives and working to minimize the effect of the negatives can allow even the most complex organization to restructure successfully. Academic medical centers may not be "just right" for restructuring, but they are definitely not "too big."

Academic Medical Centers↗

What do you want to be? The strategic question behind your patient grouping decision.

How you group your patients has a lot to do with your strategic goals. It is the first step in creating an "operations strategy" that fits with your external strategy. As the Concentric Rings diagram suggests, the rest of your organizational design is based on this key decision. In today's changing environment, answering the question "What do we want to do?" is the first step. Your answer to this question could drastically shift your priorities and influence your trade-offs during your Patient Focused restructuring efforts. It is, however, only the first step. More than ever before, driving your overall strategy into your restructured design will be the key to your success and will "make or break" your Patient Focused program.

Hospital Restructuring↗