Ebook High Performance Healthcare: Using the Power of Relationships to Achieve Quality, Efficiency and Resilience
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High Performance Healthcare: Using the Power of Relationships to Achieve Quality, Efficiency and Resilience
Ebook High Performance Healthcare: Using the Power of Relationships to Achieve Quality, Efficiency and Resilience
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From the Back Cover
A proven business remedy for our ailing healthcare industry “Healthcare delivery systems work only when the people in them―line workers and leadership alike―are in highly functional, trustworthy, and productive relationships. High Performance Healthcare is both theoretically sound and eminently practical―a rare combination!†–Thomas S. Inui, ScM, MD, Relationship-Centered Care Initiative Codirector and Professor of Medicine and Associate Dean for Health Care Research, Indiana University School of Medicine “Dr. Gittell shows how a relatively small number of communication and relationship-building elements have a direct relationship to successful performance in both healthcare and the airline industry. Her ultimate accomplishment in healthcare may be a simple tool that builds the individual reliability mandatory for safe patient care.†–Robert S. Hendler, MD, Vice President, Clinical Quality, Tenet Healthcare Corporation “Gittell’s book raises important issues and options that need to be addressed in any national healthcare reform effort.†–Thomas P. Glynn, PhD, Chief Operating Officer, Partners HealthCare “This is a must-read for improving organizational performance.†―Earll M. Murman, PhD, MIT Ford Professor of Engineering Emeritus and coauthor of Lean Enterprise Value “High Performance Healthcare points compellingly to a direction for change.†―Christine Bishop, PhD, Atran Professor of Labor Economics, Heller School for Social Policy and Management, Brandeis University “Every healthcare leader needs to read this book.†―Gene Beyt, MD, MS, Senior Vice President of Medical Quality, Clarian Health “This is an important work for clinicians, educators, and administrators.†―John Wright, MD, Attending Orthopedic Surgeon, Brigham and Women’s Hospital, Harvard Medical School
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About the Author
Jody Hoffer Gittell teaches Human Resource Management, Operations Management, and Organizational Theory at Brandeis University’s Heller School for Social Policy and Management. She serves as a cochair of the Health Care Industry Council, and is the author of The Southwest Airlines Way and over a dozen articles on healthcare management. Prior to joining Brandeis, Gittell earned her PhD from the MIT Sloan School of Management and taught for six years at Harvard Business School.
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Product details
Hardcover: 335 pages
Publisher: McGraw-Hill Education; 1 edition (July 13, 2009)
Language: English
ISBN-10: 9780071621762
ISBN-13: 978-0071621762
ASIN: 0071621768
Product Dimensions:
6.5 x 0.9 x 9.3 inches
Shipping Weight: 1.4 pounds (View shipping rates and policies)
Average Customer Review:
4.0 out of 5 stars
21 customer reviews
Amazon Best Sellers Rank:
#907,144 in Books (See Top 100 in Books)
I practice and teach medicine in a large university system and study and advocate for health care system change. It is all too easy, confronted by the numerous failings of health care in the US and the increasing attention to technological remedies such as the electronic health record and system redesign at the macro level like accountable care organizations (ACO's), to become overwhelmed and paralyzed. Hofer Gittel's book reminds us that, at their heart, systems are people and their relationships. Arrangements like ACO's are simply that, arrangements of people and functions, and EHR's are tools to facilitate the communication of information among people. Her clear exposition of the connection between the quality of relationships between health professionals and the outcomes they produce for their patients not only makes perfect sense, it points the way to improvements we clinicians can work towards right now - improvements in our working relationships that will be necessary regardless of the ultimate fate of the Affordable Care Act, the roll-out of health information technology nationally, and other matters of policy and politics that are beyond our individual control. The observations in this book about the correlations between the quality of working relationships between collaborative in complex endeavors doubtless generalize well beyond medicine - Hofer Gittel started with airlines after all - but health professionals should take this book to heart. What would your practice, your inpatient unit, your service look like if you and the others working there read this book together and applied its lessons?
The delivery of healthcare is a highly complex process that is considered an industry, from the business perspective; and a service, by many of the disciplines (medicine, nursing, allied health, etc. Healthcare delivery is highly complex and can only be addressed when we consider both the business and the service aspects simultaneously. Jody Hoffer-Gittell presents research on this complex process from the system perspective and addresses the structures (high performance work practices), the processes (relational coordination) and the outcomes (quality efficiency and satisfaction).Delivery of health care delivery is high stakes (in human and economic terms), and with changing demographics (guaranteed increase in people needing healthcare) and the ongoing economic changes, it is approaching a crisis state. Everyday we read commentary on the Affordable Care Act and opinions on future directions. Most of these opinions are emotional and political with little basis in science.Gittel's work is based on science and addresses all aspects of the healthcare (structure, processes & outcomes). I practice and teach nursing in a university and a large health system and study health care system change. We have few comprehensive models to assess and improve health care. Gittel's work can guide health care mangers (looking at the business side), practice leaders (looking at the service aspect) researchers/educators (expanding our knowledge), with a solid scientific framework. Using this model, we evaluate and improve our healthcare system, based on system science rather than emotion or politics. I recommend this book for all leaders trying to improve healthcare.
I became aware of Professor Gittell from the groundbreaking work that she undertook in the airline industry. Her current focus on healthcare is a natural offshoot of that earlier work. As she points out again and again, the comparisons between the two industries are striking including "the complexity of the underlying work, the functional specialization and expertise required delivering high quality outcomes, the coordination challenges...the increasing cost pressures... and competing worker interests". Her analysis highlights the paradox that relational coordination is lowest for physicians in spite of their central role in delivering patient care; this paradox is not sustainable. Physicians must emerge as champions of relational coordination, working with enlightened senior leaders to implement a high performance work system as defined by Professor Gittell. The challenge, of course, is implementation.
"High Performance Healthcare" charts how health organizations can transform to meet rising access and accountability challenges. Relational coordination is introduced as a process-level solution that can help overcome system fragmentation and catalyze each step: from building clinical and administrative leadership; to applying quality, efficiency and coordination measures; to assuring critical review and sustainable performance.As one who has served in and advised medical centers on the East Coast and in the Midwest, I believe Dr. Gittell's arguments on the power of relationships in health systems resonate. I think forward-thinking hospitals and health systems will appreciate her organizational tools for communication and change.
J. Gittell offers an innovative management method for organizations who place high quality patient care as their focus. Changing an environment is not easy, but using the tools and case studies provided within the book, Gittell guides the reader through a step by step process for moving from the "status quo" to building and sustaining a high performance organization.
Excellent textbook regarding the challenges facing the healthcare industry. Unfortunately, my book arrived "backwards"...pages were bound in reverse order relative to the cover..Annoying....
The original book about Southwest was better. This one read like a quick write to make money.
Great plan to improve healthcare performance!
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