Transformation of an academic medical center: Lessons learned from restructuring and downsizing

Health Care Management Review

Volumn 24, Issue 1, 1999, Pages 81-94

  Woodard, Beth ^a   Fottler, Myron D ^a   Kilpatrick, Anne Osborne ^b  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

Downsizing; Restructuring; Transformation

Indexed keywords

COST CONTROL; HEALTH CARE FACILITY; HEALTH CARE ORGANIZATION; HEALTH CARE PERSONNEL; MEDICAL DECISION MAKING; QUALITY CONTROL; REVIEW; UNIVERSITY HOSPITAL;

EID: 0032979344     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004010-199901000-00008     Document Type: Review

References (19)

1. Greene, J. "Retooling Without Layoffs." Modern Healthcare 26, no. 9 (February 26,1996): 76-82.
2. Curtin, L.L. "Restructuring: What Works - What Does Not!" Nursing Management 25, no. 10 (1994): 7-8.
3. "Understanding Culture: Key Messages for Leadership." Health Progress 76, no. 2 (1995): 20-24, 48.
4. Carlton, J. "Downsizing: The Griffin Hospital Experience." Health Care Strategic Management 4, no. 4 (1986): 8-13.
5. Keith, J.M. "Flattening The Hierarchy. A Hospital Streamlines Managerial Layers To Meet Market Demands." Health Progress 77, no. 4 (1996): 60-62.
6. Worthington, J. "Successful Restructuring." Nursing Management 27, no. 5 (1996): 63, 65.
7. Freeman, S.J., and Cameron, K. S. "Organizational Downsizing: A Convergence and Reorientation Framework. Organizational Science 4, no. 1 (1993): 10-29.
8. Cascio, W.F. "Downsizing: What Do We Know? What Have We Learned?" Academy of Management Executive, 7, (1993): 95-104.
9. Schweikhart, S.B., and Smith-Daniels, V. "Reengineering the Work of Caregivers: Role Definition, Team Structures, and Organizational Redesign." Hospital and Health Services Administration 41, no. 1 (1996): 19-36.
10. Lutz, S. "Healthcare Update." Modern Healthcare 26, no. 5 (1996): 20.
11. Lumsdon. K. "Mean Streets: Five Lessons From the Front Lines of Reengineering." Hospitals and Health Networks 69, no. 19 (1995): 44-52.
12. Kotter, J.P. "Leading Change: Why Transformation Efforts Fail." Harvard Business Review 73 no. 2 (1995): 59-67.
13. Stewart, T.H. "Rating Your Readiness to Change." Fortune (February 7, 1994): 106-10.
14. Zaltman, G., and Barabba, V. Hearing the Voice of the Market. Cambridge, MA: Harvard University Press, 1991.
15. Wyatt Companies. Restructuring: Cure or Cosmetic Surgery. Washington, D.C.: Wyatt Companies, 1991.
16. Weil, T.P., and Hollingsworth, A.T. "Strategies for Hospital Staff Reductions." Health Care Strategic Management 4, no. 4 (1986): 14-18.
17. Backer, T.E. "Managing the Human Side of Change in VA's Transformation." Hospitals and Health Services Administration, 42, no. 3 (1997):433-59.
18. Duck, J.D. "Managing Change: The Art of Balancing." Harvard Business Review 71, no. 6 (1993): 109-18.
19. Brockner, J. "The Effects of Work Layoffs on Survivors: Research, Theory, and Practice." In Research in Organizational Behavior, Vol. 10. B. M. Staw and L. L. Cummings, eds. Greenwich, CT: JAI Press, 1988, 213-55.