Improving the public sector: can reengineering identify how to boost efficiency and effectiveness at a VA medical center?
Reengineering is a widespread management technique, but few evaluations of its application in health care, especially in public sector organizations, have been reported. We conducted a reengineering analysis to determine if the method could identify how to improve the efficiency and effectiveness of a VA medical center's primary care delivery system. We found that the reengineering method appears applicable in the institutional context of a public sector teaching hospital.
Luck
J
J
Department of Health Services, UCLA School of Public Health, USA.
Peabody
J W
JW
D019985:Benchmarking; D003625:Data Collection; D017598:Efficiency, Organizational; D006787:Hospitals, Veterans / Q000458:organization & administration* / Q000592:standards; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D011320:Primary Health Care / Q000592:standards; D017150:Public Sector / Q000592:standards*; D017749:Total Quality Management / Q000379:methods*