Cost-savings from operations disappoint integrated delivery systems, new research suggests.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M G Galloway.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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."
Explore the source record for details and available documents.
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.