The preceding papers in this supplement have described the stress in public hospital health care, the methods and application of clinical process redesign, and the substantial improvements achieved through redesign for both patients and staff. Here, we outline the key criteria for successful use of this clinical process redesign in both implementing and sustaining improvement.
Please login with your free MJA account to view this article in full
- 1. United Kingdom Department of Health. Policy and guidance. Organisation policy. Health reform. http://www.dh.gov.uk/en/Policyandguidance/Organisationpolicy/Healthreform/index.htm (accessed Sep 2007).
- 2. Nolan TW. Execution of strategic improvement initiatives to produce system-level results. IHI Innovation Series white paper. Cambridge, Mass: Institute for Healthcare Improvement, 2007. http://www.ihi.org/IHI/Results/WhitePapers/ExecutionofStrategicImprovementInitiativesWhitePaper.htm (accessed Jan 2008).
- 3. Kotter JP. Leading change. Boston: Harvard Business School Press, 1996.
- 4. Ben-Tovim DI, Bassham JE, Bennett DM, et al. Redesigning care at the Flinders Medical Centre: clinical process redesign using “lean thinking”. Med J Aust 2008; 188 (5 Suppl): S27-S31. <MJA full text>
- 5. Womack J, Jones D. Lean thinking. Banish waste and create wealth in your corporation. London: Simon and Schuster, 1998.
- 6. Ben-Tovim DI, Dougherty ML, O’Connell TJ, McGrath KM. Patient journeys: the process of clinical redesign. Med J Aust 2008; 188 (5 Suppl): S14-S17. <MJA full text>
- 7. Australian Resource Centre for Healthcare Innovations [website]. http://www.archi.net.au (accessed Sep 2007).
- 8. Mikel H. Mikel Harry on six sigma in healthcare. Interview by Carole S. Guinane. J Healthc Qual 2006; 28: 29-36.
- 9. Goldratt EM. Theory of constraints. New York: North River, 1999. http://www.coba.usf.edu/departments/accounting/faculty/jozsi/presentations%20fall06/TOC.pdf (accessed Sep 2007).
- 10. Reason P, Bradbury H, editors. Handbook of action research. London: Sage, 2006.
- 11. Langley GJ, Nolan KM, Norman CL, et al. The improvement guide: a practical approach to enhancing organizational performance. San Francisco: Jossey-Bass Publishers, 1996.
Responses are now closed for this article.
Thanks to Professor John Marley and Dr Deborah Lloyd for their editorial advice on this article, and to Dr Lloyd for her work in the preparation of this supplement.
None identified.