PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 15367903

Implementing organizational redesign to support practice: the Tulane model.

Nancy Schryer
View original source ↗Export metadata ↓

Abstract

Optimizing patient outcomes with a shrinking workforce while achieving a solid "bottom line" is challenging to patient care managers, often leading to high voluntary turnover. The author describes an organizational redesign developed to provide key components to support both clinical and operational functions necessary for a successful health-care operation.

Explore related subjects

Efficiency, OrganizationalHospital RestructuringHumansJob SatisfactionLouisianaModels, OrganizationalNursing Staff, HospitalOrganizational InnovationOutcome Assessment, Health CarePatient Care ManagementPersonnel Administration, HospitalJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Nancy Schryer. 2004. Implementing organizational redesign to support practice: the Tulane model.. https://doi.org/10.1097/00005110-200409000-00005

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Consolidations and closures: an empirical analysis of exits from the hospital industry.

This paper investigates the pre-exit characteristics of hospital mergers, acquisitions, and closures. We estimate competing risk hazard models using an 18-year national data set that spans the wave of closures in the 1980s and of mergers in the 1990s. Evidence shows that weak productivity of the hospital is a strong determinant for closures while competitive pressures are more influential in the decision to consolidate. Thus, increased market power, relative to cost reductions, appears to play a larger role in the merger decision. Our results also provide insight into possible correlations between mergers and closures.

Efficiency, Organizational↗
PubMed2007

'Wet Reads' in the age of PACS: technical and workflow considerations for a preliminary report system.

Communication between clinicians, technologists, and radiologists has become more complex, with Picture Archiving and Communication Systems (PACS) now allowing the radiologist to be removed from the physical location of the patients and the site of imaging. With these changes, effective communication becomes an ongoing challenge. Efficient communication of study interpretations has also become a priority for radiologists as they struggle to maintain relevance and provide added value to patient care when clinicians have ready access to radiology images. The purpose of this paper is to share our experience in developing and implementing the Collaborative Notification System (CNS), a communication tool used to inform referring clinicians of urgent findings-a.k.a. "wet reads." The system utilizes a system of web pages integrated into PACS for the sending and receiving of succinct messages to provide clinical information at the point of need. A second system of pager alerts provides notification of the need for such communication through a relatively unintrusive, one-way, acknowledged alert system. The CNS provides asynchronous, integrated communication for the reporting of urgent and emergent radiology findings in a complex, geographically distributed medical environment.

Efficiency, Organizational↗