Thursday, November 26, 2009

Peddlers and Princes or After Restructuring

Peddlers and Princes: Social Development and Economic Change in Two Indonesian Towns

Author: Clifford Geertz

In a closely observed study of two Indonesian towns, Clifford Geertz analyzes the process of economic change in terms of people and behavior patterns rather than income and production. One of the rare empirical studies of the earliest stages of the transition to modern economic growth, Peddlers and Princes offers important facts and generalizations for the economist, the sociologist, and the South East Asia specialist.
"Peddlers and Princes is, like much of Geertz's other writing, eminently rewarding . . . Case study and broader theory are brought together in an illuminating marriage."—Donald Hindley, Annals of The American Academy of Political and Social Science
"What makes the book fascinating is the author's capacity to relate his anthropological findings to questions of central concern to the economist . . . "—H. G. Johnson, Journal of Political Economy



Read also Four Seasons Cookery Book or Garlic and Oil

After Restructuring: Empowerment Strategies at Work in America's Hospitals

Author: Thomas G Rundall

Managing Change

An in depth treatment of organizational change in hospitals. After Restructuring provides a mother-lode of insights and lessons that will be mined for years. A must read for all those committed to improving hospital performance in a radically changing health care system.
--Stephen M. Shortell, Blue Cross distinguished professor of health policy and management professor of organization behavior, School of Public Health, University of California, Berkeley

After Restructuring debunks the myths surrounding hospital change and offers insightful and practical recommAndations for successful restructuring. This valuable book is based on the work of a team of health services researchers headed up by Thomas Rundall, director of the Center for Health Management Studies at the University of California, Berkeley. The book reports the results of a three year study of nine hospitals, an unaffiliated group of facilities in urban, rural, and suburban regions that received funding from The Robert Wood Johnson Foundation and the Pew Charitable Trust to restructure patient care processes.

The authors present a framework for understanding organizational change and define the principles that guide change facilitators through the five stages of change--readiness to change, awareness of the need to change, identification and selection of changes, implementation, and institutionalization of changes. The standards derived from the change experiences of these hospitals provide important best practice guidelines.



Table of Contents:
List of Figures, Tables, and Exhibits
Preface
The Authors
Pt. 1Restructuring Hospitals to Improve Patient Care1
1The Changing American Hospital: New Approaches to Patient Care3
2Strengthening Hospital Nursing: A Program to Improve Patient Care17
3The Bounding of Empowerment: Managing Change with Empowered Persons26
Pt. 2Strategies for Successful Restructuring49
4Studying Organizational Change in the SHN Hospitals51
5Changes Implemented by SHN Hospitals74
6Principles of Successful Change83
Pt. 3After Restructuring: Empowerment Strategies at Work103
7The Impact of Restructuring on Nursing and Patient Care105
8The Impact of Restructuring on Hospital Culture121
Pt. 4The Cases143
9The Strategic Imperative: Abbott Northwestern Hospital145
10If It Ain't Broke, Fix It Anyway! Beth Israel Hospital164
11All Politics Is Local: District of Columbia General Hospital177
12"You Can't Do Anything Unless You Change the Culture": Health Bond Consortium188
13Maintaining Mission Through Organizational Change: Providence Portland Medical Center206
14Building Networks to Improve Patient Care: The Rural Connection218
15Collaborating to Compete on Quality: University Hospitals of Cleveland224
16The Hospital as Academic Laboratory: University of Utah Hospital238
17From a Knowing Organization to a Learning Organization: Vanderbilt University Hospital257
References277
Index285

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