title: Organizational restructuring in health care: a successful approach.
abstract: The process of redesigning the internal organization structure of the Hamilton Civic Hospitals provides a successful example of this type of transformation. Based on a strategic approach to change, this multiphased process used a modified delphi technique to allow maximum participation in a total redesign of the structure during a four-month time frame. Implementation, which followed over the next year, resulted in a 40 percent reduction in management positions and the integration of the two sites of the hospital.
authors.affiliation: Adelaide Hospital, Dublin, Ireland.
authors.forename: S
authors.initials: S
authors.lastname: Isaak
authors.forename: D
authors.initials: D
authors.lastname: McCutcheon
mesh_terms: D017598:Efficiency, Organizational; D006075:Governing Board; D006302:Health Services Research; D006754:Hospital Restructuring; D006779:Hospitals, Public / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D008505:Medical Staff, Hospital; D017146:Models, Organizational; D009864:Ontario; D019982:Organizational Case Studies; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction