Reengineering Health Care: The Complexities of Organizational Transformation

Paperback | March 9, 2004

byTerry McNulty, Ewan Ferlie

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Organizations are being urged to experiment with new structures and processes. A 'process perspective' on organizing is emerging as a major challenge to 'functional' principles of organizing established during the last century. Business process reengineering is one exemplar of process thinkingthat has received great attention amongst organizational theorists and practitioners. This in-depth account of business process reengineering within a major NHS hospital is an important contribution to the very limited stock of empirical knowledge about new organizational forms, especially in thepublic sector. The book combines empirical data gathered through an intensive, comparative case study method with strategic choice and neo-institutional theories to analyse the changing context of public organizations, importation of models of organizing from private to public organizations, and dynamics of publicsector transformation. The outcomes of the change programme add to our more general organizational knowledge about (a) the impact of corporate change programmes, particularly in professionalized and public sector settings, (b) impediments and enablers of lateral organizing structures and processes,and (c) contradictions within the New Public Management between functional and process principles for organizing.

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Organizations are being urged to experiment with new structures and processes. A 'process perspective' on organizing is emerging as a major challenge to 'functional' principles of organizing established during the last century. Business process reengineering is one exemplar of process thinkingthat has received great attention amongst o...

Terry McNulty is Senior Lecturer in Organization Behaviour at Leeds University Business School. Previously he was a senior research fellow at Warwick Business School. He has also worked in the National Health Service and for the Institute of Health Services Management. His teaching and research cover processes of organizing and change...
Format:PaperbackDimensions:402 pages, 9.21 × 6.14 × 0.83 inPublished:March 9, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199269076

ISBN - 13:9780199269075

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Table of Contents

1. Introduction and Key Themes2. Understanding Business Process Reengineering as Planned Organizational Transformation3. Process Redesign and Changing Contexts of Health Care4. Organizational Process Research: Research Style and Methods5. Reengineering as Strategic Choice and Change6. Patient Process Reengineering: Six Case Studies7. Reengineering Organizational Form and Process: The Old Shapes the New8. Limits to Organizational Transformation: Explaining Local Variation within a Change Programme9. Dynamics of Programmed Transformation and Reproduction10. Process-Based Organizations in the UK Public Services? Prospects for the Future

Editorial Reviews

`Terry McNulty and Ewan Ferlie describe insightfully how managing within [NHS] markets is complex and slow'Times Higher Educational Supplement