Achieving outcomes through organizational redesign.

The current health care environment demands delivery of high quality health services within increasingly restricted cost parameters. To meet these demands health care organizations are seeking performance improvement at every level within the organization. Delivering care is the core business of health care organizations. It is a complex process composed of multiple, interfacing processes and subprocesses. Successful redesign does not seek to make incremental improvement, but to create a new organizational framework in which processes enable achievement of quality, service, and cost outcomes. This article examines drivers for redesign, presents a process for redesigning health care organizations, describes successful management of organizational change, and presents a case study of a successful redesign initiative.