Implementing and Sustaining Change in Health Care Organizations

Award Year:
Gloria Bazzoli, Lawton Burns
Healthcare Organization
Conducting an interdisciplinary, broad-based examination of organizational change, the investigators place special emphasis on understanding why some organizations implement and sustain fundamental changes while others do not. A conceptual framework is developed to explain the causes and consequences of organizational restructuring, synthesizing a substantial body of recent research. Health managers and researchers who have implemented restructuring efforts are convened to provide insight into the environmental and organizational factors essential to fundamental and sustained change. Select organizations that have implemented restructuring efforts with demonstrable improvements in performance will be studied intensively. The project results in new models and thought about causes and consequences of organizational change in the health care industry. It also contributes to debate on the ability of organizational restructuring in the private sector to achieve public policy goals of improved health care delivery and efficiency.