Reengineering health care : the complexities of organizational transformation /

Main Author: McNulty, Terry
Other Authors: Ferlie, Ewan,
Format: Book
Language:English
Published: Oxford : Oxford University Press, 2002.
Subjects:
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020 |a 0199240841 (hbk.) 
040 |a UKM 
050 |a RA412.5.G7  |b M39 2002 
082 4 |2 21  |a 362.10684 
100 1 4 |a McNulty, Terry 
245 1 4 |a Reengineering health care :  |b the complexities of organizational transformation /  |c Terry McNulty and Ewan Ferlie. 
260 1 4 |a Oxford :  |b Oxford University Press,  |c 2002. 
300 1 4 |a xiv, 388 p. :  |b ill. ;  |c 24 cm. 
504 1 4 |a Includes bibliographical references (p. [364]-376) and index. 
505 8 4 |a Machine generated contents note: 1 Introduction and Key Themes 1 -- 11 Organizational transformation, its limits, -- and process-based organization 3 -- 12 BPR as an exemplar of process organization 7 -- 13 Changing contexts of health care 8 -- 14 A process study: overall principles of design 12 -- 15 Concluding remarks 15 -- 2 Understanding Business Process Reengineering -- as Planned Organizational Transformation 17 -- 21 Introduction 17 -- 22 A process perspective on organizing 20 -- 23 Business process reengineering 22 -- 24 Assessing BPR as transformation 32 -- 25 Explaining BPR as transformation: -- dynamics of action and context 35 -- 3 Process Redesign and Changing Contexts -- of Health Care 45 -- 31 Intersectoral analysis and process-based organizations 47 -- 32 The macro-context: the rise of the new public management 51 -- 33 The meso-context: hospitals as organizations 61 -- 34 Implications for the micro-context 71 -- 35 Concluding discussion 74 -- 4 Organizational Process Research: -- Research Style and Methods 77 -- 41 Qualitativeforms ofanalysis 77 -- 42 Issues within management research 81 -- 43 Our choice of qualitative methods 82 -- 44 Process research within organizational studies 85 -- 45 Evaluating reengineering as a social intervention: -- issues and challenges 92 -- 46 Operational design, data collectio,n and analysis 98 -- 47 Remaining methodological issues 108 -- Appendix 41 Interview sample by roles 112 -- Appendix 42 Interview sample statistics 113 -- 5 Reengineering as Strategic Choice and Change 114 -- 51 Introduction 114 -- 52 Introducing reengineering into the Leicester -- Royal Infirmary NHS Trust 116 -- 53 Reengineering LRI: a chronological overview 123 -- 54 Reengineering LRI: a thematic overview 130 -- 6 Patient Process Reengineering: Six Case Studies 147 -- 61 Introduction to case studies 147 -- 62 Reengineering the care process for patients attending -- the A&E department with minor injuries 149 -- 63 Chronology of reengineering the care process within A&E 156 -- 64 The impact of reengineering queue management in A&E 157 -- 65 Reengineering the process of care for patients admitted -- to LRI with a fractured neck of femur 168 -- 66 Reengineering elective surgery in the specialty of gynaecology 186 -- 67 Reengineering outpatient services in the specialty -- of gynaecology 199 -- 68 Reengineering elective surgery in the specialty of ENT 209 -- 69 Reengineering out- and in-patient services in the specialty -- of gastroenterology 228 -- 610 Concluding remarks 238 -- 7 Reengineering Organizational Form and Process: -- The Old Shapes the New 241 -- 71 Introduction 241 -- 72 Organizational form and process within LRI 242 -- 73 Reengineering within the medical directorate 251 -- 74 Review of the impact of reengineering across -- clinical settings within the medical directorate 258 -- 75 Reengineering the medical directorate: a thematic overview 261 -- 8 Limits to Organizational Transformation: Explaining -- Local Variation within a Change Programme 272 -- 81 Strengths and weaknesses of the reengineering programme 274 -- 82 Patient process redesign: organizational, behavioural, -- and political dynamics 282 -- 9 Dynamics of Programmed Transformation -- and Reproduction 314 -- 91 Introduction 314 -- 92 Related studies on change programmes within health care -- organizations 317 -- 93 Reengineering and a theory of radical change 322 -- 94 Limits of authoritative change models in professional settings 330 -- 95 Stable sedimentation 333 -- 96 Sectoral diffusion 336 -- 97 Concluding remarks 338 -- 10 Process-Based Organizations in the UK Public Services? -- Prospects for the Future 341 -- 101 Introduction 341 -- 102 The evolution of the UK NPM movement in the late 1990s 342 -- 103 Key changes since the mid-1990s: some evidence and -- speculation 347 -- 104 Major statements of proclaimed policy in relation to the -- organization and management of the public services 355 -- 105 Empirical observations from the case-study site 358 -- 106 Process-based models of organizing and the new public -- management: contradictory rather than complementary? 360 -- 107 Final remarks and challenges for thefuture 362. 
650 8 4 |a Health services administration  |z Great Britain 
650 8 4 |a Reengineering (Management)  |z Great Britain. 
650 8 4 |a Organizational change 
650 8 4 |a Human services  |x Management.  |z Great Britain 
650 8 4 |a Service industries  |x Management.  |z Great Britain 
700 1 4 |a Ferlie, Ewan, 
952 |a GrThPMO  |b 59b0038e6c5ad17d7e5a8b79  |c 952a  |d 9528  |e RA412.5.G7M39 2002  |t 7  |x m  |z Books