The implementation of business process reengineering in American and Canadian hospitals

Article Abstract:

The use of business process reengineering (BPR) has considerably increased in the US and Canada, as hospitals seek novel means of enhancing productivity while limiting operational costs. Survey results gathered from 215 US and Canadian hospital executives revealed that BPR does not only contribute to the improvement of financial and clinical performances, but actually result in enhanced quality patient care. BPR may also be used as a tool for complying with regulatory requirements. However, it was also shown that factors including lack of employee cooperation and insufficient staff training, tend to undermine the potential of BPR.

Methods, Usage, Health services administration, Reengineering (Management)

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Quality improvement: beyond the institution

Article Abstract:

The focus of healthcare in the US is gradually shifting from acute care to wellness, prevention and primary care. As this trend develops, the notion of quality improvement has great potential if applied outside the individual healthcare institution setting. In other words, interorganizational and interinstitutional cooperation in quality improvement could produce significant communitywide benefits. It also, however, presents significant managerial challenges. Two pilot initiatives are examined and an action plan is presented to guide managers in their quest to develop communitywide quality improvement initiatives of their own.

Planning, Quality control, Regional medical programs, Health facility affiliations

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Continuous quality improvement: a survey of American and Canadian healthcare executives

Article Abstract:

The majority of American and Canadian hospital executives have included continuous quality improvement (CQI) programs in their future management plans. Successful CQI programs require consistent use of proven methods, whereas failed ones show inconsistent usage or the adoption of methods that have no established track record. Data is based on mailed-questionnaire responses from 505 American and 500 Canadian hospitals in mid-1995.

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