Reengineering in behavioral medicine.

Shifting demographics, local market issues and new strategic priorities precipitated an examination of operations at a large midwestern hospital. In this context, the Department of Behavioral Medicine embarked upon an intensive, structured process to reengineer its therapeutic model and operating systems. The principal objective of the redesign effort was a shift in the department's orientation from an intrapsychic inpatient paradigm to one that was short-term, crisis intervention-focused and fully integrated with community resources.