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How will restructuring work in your hospital? The helps and hinderances of a large academic environment. 你的医院将如何进行重组?大型学术环境的帮助和阻碍。
PFCA review Pub Date : 1994-01-01
M G Galloway
{"title":"How will restructuring work in your hospital? The helps and hinderances of a large academic environment.","authors":"M G Galloway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>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.\"</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Planning communications step-by-step. 一步一步计划沟通。
PFCA review Pub Date : 1994-01-01
M G Galloway
{"title":"Planning communications step-by-step.","authors":"M G Galloway","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The state of innovation. A year of successes and stumbles. 创新的状态。这是成功与挫折并存的一年。
PFCA review Pub Date : 1994-01-01
M G Galloway
{"title":"The state of innovation. A year of successes and stumbles.","authors":"M G Galloway","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Boundaries and bogies. The keys to faster, more successful restructuring. 边界和转向架。更快、更成功重组的关键。
PFCA review Pub Date : 1994-01-01
W J Leander
{"title":"Boundaries and bogies. The keys to faster, more successful restructuring.","authors":"W J Leander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The fungible facility: constructing an ideal setting for restructuring. 可替代设施:为重组营造理想的环境。
PFCA review Pub Date : 1994-01-01
W J Leander
{"title":"The fungible facility: constructing an ideal setting for restructuring.","authors":"W J Leander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In summary, the ideal facility for a restructured hospital is highly flexible and adaptive. It is fungible. The more fungible, the more it will promote optimal performance in the long-term. Let's face it. Whether you are constructing a new or even launching a major renovation of an existing floor plan, a chance like this doesn't come along every day. For the sake of your restructuring initiative, and your hospital, make the most of it. Don't stop at what the facility should look like--allowing it to be merely the cosmetic by-product of other restructuring action steps. Go for what the facility should be like--giving it an important action step of its own. The Fungible Facility. With this, you'll make the most of that chance!</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restructured care team design. Managing the trade-off between cost and performance. 重组护理团队设计。管理成本和性能之间的权衡。
PFCA review Pub Date : 1994-01-01
P J Zazzara
{"title":"Restructured care team design. Managing the trade-off between cost and performance.","authors":"P J Zazzara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The trade-off between team performance and cost-effectiveness is pivotal to identifying care teams that have the best odds for success in a newly restructured environment. Use the framework to picture how those teams might operate. Think about how they may share work or work side-by-side. Use the team performance characteristics as a guide, but don't be afraid to overrule them. By clearly communicating to the organization how each dimension of performance and cost-effectiveness can be used to identify the best teams, you can allay some of the fears and concerns staff may be feeling. Similarly, if administration, using the same criteria, recognizes that every effort has been made to maximize care and minimize expense, their concerns will be met. Both groups can then complete the job of creating effective care team designs.</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing economic savings targets right out of the gate. 从一开始就设定经济储蓄目标。
PFCA review Pub Date : 1994-01-01
T Harlin
{"title":"Establishing economic savings targets right out of the gate.","authors":"T Harlin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although very important, establishing savings targets at the outset of a restructuring program is by no means an exact science. This article outlines three options for setting targets that vary according to the basis for the target and the level of effort required to arrive at the target. Under Option 1, financial realities dictate the target. Restructuring is simply pursued as a means to achieve the required cost reductions. Under Option 2, a hospital does not pre-suppose a target, but adopts directly the achievements of other institutions as their own economic goals. Lastly, under Option 3 hospitals compare themselves to other successful restructured hospitals across specific organizational and operational characteristics. With these comparisons as guides, the hospital establishes a comfort level within each area and sets targets accordingly. Regardless of the method you choose, our experience & research has taught us one universal truth about savings through restructuring. The hospitals that save money are the hospitals that try.</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"13-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Layered learning. Improved learning through phased education. 分层的学习。通过阶段性教育促进学习。
PFCA review Pub Date : 1994-01-01
W J Leander
{"title":"Layered learning. Improved learning through phased education.","authors":"W J Leander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If you do have the time and money to put on a \"train everyone all at once in every new skill they need\" educational program, then by all means, \"Go for it!\" However, for the rest of us, this traditional approach to education just may make initial implementation of our restructuring designs impractical. For us, Layered Learning comes to the rescue. That's the up-side of Layered Learning. Sooner. Faster. Timelier. Safer. Healthier. Cheaper. A better approach to restructuring education. The challenge of Layered Learning is that it raises restructuring education from just another \"to do\" on a project plan to a strategic weapon to be carefully structured and put in place. By definition, we will have to make some tough decisions in terms of defining layers and interim designs. Still, more and more hospitals around the country are discovering that Layered Learning can be a powerful ally in their restructuring initiatives. You just can't turn your back on it.</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demystifying service redeployment. Picking the "right" delivery approach for service. 揭开服务重新部署的神秘面纱。为服务选择“正确”的交付方式。
PFCA review Pub Date : 1994-01-01
P J Zazzara
{"title":"Demystifying service redeployment. Picking the \"right\" delivery approach for service.","authors":"P J Zazzara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Service redeployment will always be an emotionally and intellectually challenging process marked by two sides fighting desperately for what they believe is \"best.\" While many view ancillary personnel as impediments to restructuring, their technical concerns are usually the result of a misunderstanding of the redeployment process. These concerns can be answered by thoroughly discussing the process used to identify \"What\" services should be considered, \"Where\" services would be best utilized, \"By whom\" services could be safely delivered, and \"How\" processes will be redesigned to increase responsiveness. Once a common understanding of the process has been shared and agreed to, the facts will usually overcome any fears or apprehension that linger.</p>","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leadership spotlight. Interview by William J. Leander. 领导关注的焦点。威廉·j·利安德采访。
PFCA review Pub Date : 1994-01-01
C Lucas
{"title":"Leadership spotlight. Interview by William J. Leander.","authors":"C Lucas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80124,"journal":{"name":"PFCA review","volume":" ","pages":"15-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21014954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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