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Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery 1st Edition

4 out of 5 stars 25 customer reviews
ISBN-13: 978-0137052653
ISBN-10: 0137052650
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Editorial Reviews

From the Back Cover

Reengineering Health Caregets to the core of transforming our current system by advocating the widespread use of IT, eliminating inefficient practices, and keeping the system focused on a healthy individual and not on a broken process.”

--Newt Gingrich, Founder of the Center for Health Transformation, and former Speaker of the U.S. House of Representatives


“This book is a prescription for streamlining health care. Using the techniques that have successfully transformed business into customer-focused and efficient organizations, the authors provide a step-by-step approach to improving health care processes, guiding health care into the next generation of Lean delivery systems.”

--Dr. John Halamka, Chief Information Officer, Beth Israel Deaconess Medical Center


“In health care, we tend to inundate our people with information, rather than enabling them to have insights. This concise guide will resonate with both senior and front-line managers who know they're engaged in unproductive work. They will see that reengineering is not overly difficult and can enable them to improve patient care and efficiency.”

--Trevor Fetter, President and CEO, Tenet Health Corporation, and Trustee,
Federation of American Hospitals


“It isn't reform that will fix our ailing health care system, its reengineering. Champy and Greenspun highlight organizations that have transformed, and reinvented, themselves by reengineering care delivery-they've lowered costs, improved care quality and patient safety, and increased the satisfaction of those giving and receiving care. Every clinician, hospital executive, and politician should read this book.”

--Bill Crounse, M.D., Senior Director, Worldwide Health, Microsoft Corporation


“Implement health care technology, and you have better health care tools; reengineer with a focus on technology, process, and people, and you have a better health care system. This straightforward guide shows how to transform health care to maximize quality, safety, convenience, and impact the cost of delivery. No one can read this book and not feel a profound call to action.”

--H. Stephen Lieber, CAE, President & CEO, HIMSS


In their legendary book,Reengineering the Corporation, Jim Champy and Michael Hammer introduced businesspeople to the enormous power of a revolutionary methodology calledreengineering. Using reengineering, businesses around the world have systematically retooled their processes--achieving dramatic cost savings, greater customer satisfaction, and more value.


Now, Jim Champy and Dr. Harry Greenspun show how to apply the proven reengineering methodology in health care: throughout physician practices, hospitals, and even entire health systems. You'll meet innovative and visionary leaders who've been successfully reengineering organizations across the entire delivery spectrum and learn powerful lessons for improving quality, reducing costs, and expanding access.

This book doesn't just demonstrate the immense potential of health care reengineering to revolutionize health care delivery:it offers a clear roadmap for realizing that potential in your own organization.


Deliver Better Care to More People, at Lower Cost

  • How reengineering can lead to more efficient, safer delivery--and sharply reduced costs
  • How to focus on prevention and wellness, as well as chronic disease and hospital care
  • How to earn the trust, contributions, and passion of skeptical physicians and health care professionals
  • How to harness technology to create more seamless, accessible, valued, and sustainable health care systems--and avoid technology's pitfalls
  • How Zeev Neuwirth transformed the Lenox Hill Hospital ER and the 700-doctor Harvard Vanguard Medical Associates practice
  • How Tom Knight is revolutionizing patient safety at Methodist Hospital System, one of America's largest private, nonprofit medical complexes
  • How to start today in your own organization!


About the Author

Jim Champy is one of the leading thinkers in business. His first book, Reengineering the Corporation: A Manifesto for Business Revolution, a New York Times Bestseller with more than 3 million copies sold, helped transform the corporate world. His global bestsellers also include X-Engineering the Corporation: Reinventing Your Business in the Digital Age; Reengineering Management; and The Arc of Ambition. Champy’s most recent books, OUTSMART! and INSPIRE!, examine the future of business in the digital age.


Champy is an advisor to multiple health care organizations on issues of strategy and operations. He continues to work in the corporate world and serves on the boards of several public and private institutions.


Harry Greenspun, M.D., is the Chief Medical Officer of Dell Inc. In 2010, Modern Healthcare magazine named him one of the “50 Most Powerful Physician Executives in Healthcare.” Prior to working for Dell, he served as Chief Medical Officer for Northrop Grumman Corporation, focusing on public health, life sciences, and military and veteran health issues.


A recognized expert in health policy, Dr. Greenspun has advised the Obama administration and Congress on health care reform. He serves on the World Economic Forum’s Global Health Advisory Board, and the boards of numerous universities, health care organizations, and publications.




Product Details

  • Hardcover: 240 pages
  • Publisher: FT Press; 1 edition (June 13, 2010)
  • Language: English
  • ISBN-10: 0137052650
  • ISBN-13: 978-0137052653
  • Product Dimensions: 5.7 x 0.9 x 9 inches
  • Shipping Weight: 14.4 ounces
  • Average Customer Review: 4.0 out of 5 stars  See all reviews (25 customer reviews)
  • Amazon Best Sellers Rank: #798,578 in Books (See Top 100 in Books)

Customer Reviews

Top Customer Reviews

By David Ross VINE VOICE on September 25, 2010
Format: Hardcover Vine Customer Review of Free Product ( What's this? )
While "Reengineering Health Care" presents a range of useful information, the authors claim that they have produced a manifesto for rethinking health care delivery is wildly overblown. While their stories advocate persuasively for the benefits of preventative primary care, patient education and better coordination of care they fail to even mention the financial incentives and disincentives in the current health care system that work against these beneficial approaches. For example many diabetes education programs which surely help patients stay healthier have failed due to inadequate insurance reimbursement. Curiously the authors don't even mention by name the well accepted concept of a "medical home." though conceptually that is the thrust of much of what they recommend. Overall their approach is dominated by inspirational success stories by a number of remarkable innovators without considering the practice and reimbursement environment that allowed these innovations to succeed.

The discussion of electronic health records was particularly useless in my opinion as a nurse who is looking forward to the federally funded implementation of such systems at my workplace and many other hospitals within the next 8 to 10 months. For example the authors fail to seriously consider the need for and barriers to infomation exchange between primary care, specialist and hospital health records. I did find some novel and useful ideas in this book. For example, their well supported description of the efficiency and patient satisfaction with group medical appointments was a susprise to me. They also justly tout the cost effectiveness of web based patient education though without any suggestion of who is going to fund or pay for it.
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Format: Hardcover Vine Customer Review of Free Product ( What's this? )
Anyone who reads Reengineering Health Care is going to emerge a "Believer". In this short book, only 216 pages with very generous margins and spacing, Champy & Greenspun effectively present their argument that health care operations not only NEED to be improved, they CAN be improved. The book is filled with numerous examples of organizations that have successfully improved their quality AND reduced their costs, winning over both doctors and CFOs.
Fundamentally, there is nothing new here. Reengineering, process improvements, a culture of teamwork---all of these techniques have been adopted and used effectively throughout many kinds of organizations for well over twenty years. What is relatively new is their application to health care. Recent initiatives to improve the US health care system have motivated many people to do much more than address funding issues; there is growing interest in changing the way the system works in order to improve quality, reduce costs, and expand access. Reengineering Health Care joins other recent books like Atul Gawande, The Checklist Manifesto and Peter Pronovost, MD, & Eric Vohr, Safe Patients, Smart Hospitals (both recommended) in calling for application of modern business techniques to medical practices, hospitals, and other health care systems.
As a motivational work, this book is outstanding, but I would say it falls somewhat short of the goal of offering " a clear roadmap for realizing that potential in your own organization" promised on the front flap. There is a multiplicity of practical ideas presented that could be used or adapted or serve as inspiration in a wide variety of settings, and most chapters contain what is called a checklist of questions to ask yourself as you approach your own reengineering effort.
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Format: Hardcover Verified Purchase
Amazon.com Review of "Reengineering Healthcare: A Manifesto for Radically Rethinking Health Care Delivery. Jim Champy, J.D., and Harry Greenspun, M.D. FT Press, Upper Saddle River, NY. 2010.

Eric W. Palfreyman
July, 2010.

In the present cultural climate--with its emphasis on political absolutism--it would be easy to hand off responsibility for healthcare change to the government. To its credit, Reengineering Healthcare does not do this. In the beginning, it specifically places the action on those who can most directly and positively influence it:

"Reengineering must be done, and it must be done by clinicians. No angel of government, even under the auspices of `national health care reform,' can reduce the cost and improve the quality of health care without the work and leadership of clinicians. It's time for all clinicians--physicians, nurses, technicians, physician assistants, and pharmacists--to assume their rightful role in directing change."

The first question I want answered in any book I'm considering is whether it is a good read. The answer on Reengineering Healthcare is a resounding "yes". Champy's writing has always been high on a readability scale and Champy and Greenspun have delivered a book that is easy to read and engaging from beginning to end. It is an excellent mixture of case studies, narrative, inspiration, challenge, and technique. The book is long enough to convey knowledge and inspiration, but not long enough to become tedious. If its desire was to inspire as well as instruct, it is a very successful book.
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