Business Process Reengineering Implementation: Developing a Causal Model of Critical Success Factors

Jamali, Gholamreza

doi:10.7763/ijeeee.2011.v1.58

Cited by 10 publications

(24 citation statements)

References 34 publications

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“…Additionally, an in-depth review of literature was conducted to identify critical factors that could influence the success of BPR programs. Finally, six BPR critical success factors were identified; namely, financial resources, top management commitment and support, training, collaborative working environment, flatter structure, and information technology [ 31 , 39 - 43 ].…”

Section: Methodsmentioning

confidence: 99%

“…In Italy, a study of the use of BPR in the surgical ward of a hospital was able to identify areas for improvement such as the number of operating sessions, preparation of the operating rooms for each operation, and availability of specific surgical instruments [ 29 ]. Juxtapose this, some countries failed implementing health care reforms when using BPR as a tool [ 30 ] because implementation of BPR requires adequate financial resources [ 31 ] and knowledge about BPR concepts [ 32 ] for making changes.…”

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confidence: 99%

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Implementing health care reform: implications for performance of public hospitals in central Ethiopia

Manyazewal¹,

Matlakala²

2018

Journal of Global Health

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BackgroundUnderstanding the way health care reforms have succeeded or failed thus far would help policy makers cater continued reform efforts in the future and provides insight into possible levels of improvement in the health care system. This work aims to assess and describe the implications of health care reform on the performance of public hospitals in central Ethiopia.MethodsA facility-based, cross-sectional study was carried out in five public hospitals with different operational characteristics that have been implementing health care reform in central Ethiopia. The reform documents were reviewed to assess the nature and targets of the reform for interpretive analysis. Adopting dimensions of health system performance as the theoretical framework, a self-administered questionnaire was developed. Consenting health care professionals who have been involved in the reform from inception to implementation filled the questionnaire. Cronbach’s alpha was measured to ensure internal consistency of the instrument. Descriptive statistics, weighted median score, χ2, and Mann-Whitney U and Kruskal-Wallis tests were used for data analysis.Results Despite implementation of the reform, the health care system in public hospitals was still fragmented as confirmed by 50% of respondents. Limited effects were reported in favour of quality (48%), access (50%), efficiency (51%), sustainability (53%), and equity (61%) of care, while poor effects were reported in patient-provider (41%) and provider-management (32%) interactions. Though there was substantial gain in infrastructure and workspace, stewardship of health care resources was less benefited. The predominant hindrances of the reform were the working environment (adjusted Odds Ratio (aOR) = 2.27, 95% confidence interval (CI): 1.15-4.47), financial resources (aOR = 3.54, 95%CI = 1.97-6.33), management (aOR = 2.27, 95% CI = 1.15-4.47), and information technology system (aOR = 3.15, 95% CI = 1.57-6.32).Conclusions The Ethiopian health care reform has laid the groundwork for health system improvement, but progress was slow and the health care delivery system was still fragile. Healthcare reform efforts in such settings are feasible, but with regular mapping of programmatic outcomes and bringing a common understanding of the reform among stakeholders.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Implementing health care reform: implications for performance of public hospitals in central Ethiopia

Manyazewal¹,

Matlakala²

2018

Journal of Global Health

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“…As a result, six BPR critical success factors were identified, which were as follows: financial resources, top management commitment and support, training, collaborative working environment, flatter structure and IT. 12 16 20 21 22 38 These factors have been used as a guide in identifying and analysing the factors that influence implementation of the BPR healthcare reform. From the study's questionnaire, the item stating ‘the hospital becomes a better treatment facility’ was taken as the outcome variable to indicate whether or not there was hospital service improvement.…”

Section: Methodsmentioning

confidence: 99%

“…Studies indicate that market economic principles are good for generating wealth but poor at improving health and social welfare, 7 8 and looking at healthcare environments as market places were reported to radically affect health professions and professionals. 8 For instance, healthcare reform, when implemented using BPR as a tool, was shown to be swayed by the commitment and support of high-level management, 9–11 financial resources, 12–14 training demands 15 and management structure. 16–18…”

Section: Introductionmentioning

confidence: 99%

Proposing evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings: a summative analysis

2016

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ObjectivesMany resource-limited countries have adopted and implemented healthcare reform to improve the quality of healthcare, but few have had much impact and strategies in support of these efforts remain limited. We aimed to explore and propose evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings.DesignDescriptive and exploratory designs in two phases. Phase I involved assessing the effectiveness of the healthcare reform implemented in Ethiopia in the form of business process reengineering, with evidence compiled from healthcare professionals through a self-administered questionnaire; and phase II involved proposing strategies and seeking consensus from experts using Delphi method.SettingPublic hospitals in central Ethiopia.Participants406 healthcare professionals and 10 senior health policy experts.FindingsThe healthcare reform that we evaluated was able to restructure hospital departments into case teams, with the goal of adopting a ‘one-stop shopping’ approach. However, shortages of critical infrastructure, furniture and supplies and job dissatisfaction continued to hamper the system. The most important predictors that influenced implementation of the reform were financial resources, top management commitment and support, collaborative working environment and information technology (IT). Five strategies with 14 operational objectives and 67 potential interventions that could strengthen the reform are proposed based on their strategic priority, which are as follows: reinforce patient-centred quality of care services; foster a healthy and respectful workforce environment; efficient and accountable leadership and governance; efficient use of hospital financing and maximise innovations and the use of health technologies.ConclusionsEffective implementation of healthcare reform remained a challenge for governments in resource-limited settings. Resilient operational, clinical and governance functions of health systems, as well as a motivated and committed health workforce, are important to move healthcare reform processes forward. Political commitments at this juncture might be critical though there need to be a clear demarcation between political and technical engagements.

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“…To date, different researchers have defined different CSFs for successful BPR implementation. Jamali, Abbaszadeh, et at (2011) identified seven CSFs -Collaborative working environment, top management support and commitment, IT infrastructure, training, less bureaucratic structure, culture, adequate financial resources. In government organizations, it is important to understand on how various functions are coordinated while participating in the business processes.…”

Section: Introductionmentioning

confidence: 99%

Critical Success Factors in Implementing BPR in a Government Manufacturing Unit – An Empirical Study

Dubey¹,

Bansal²

2012

IJBM

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The purpose of this paper is to identify the critical success factors for Business Process Reengineering implementation of a government manufacturing unit. A questionnaire was designed and was mailed to government manufacturing units. The data extracted from the replies were used to perform the empirical analysis. Based on the results, a conceptual model was prepared. Hypotheses were developed to evaluate the impact of Critical Success Factors constructs on the overall performance of the manufacturing unit. The empirical analysis reveals that there is a substantial positive effect of the Critical Success Factors on the overall performance of the government units. Overall, the results showed that there is lack of coherency in implementing Critical Success Factorss in government units because of certain handicaps under which government agencies operate. Ironically these handicaps are practically unknown to private sector. Notwithstanding this, the government units can improve performance by adopting and adapting methodologies, some goals that have proven in private sector business. The research is subject to the normal limitations of survey research. The research can make a useful contribution to government units.

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Business Process Reengineering Implementation: Developing a Causal Model of Critical Success Factors

Cited by 10 publications

References 34 publications

Implementing health care reform: implications for performance of public hospitals in central Ethiopia

Implementing health care reform: implications for performance of public hospitals in central Ethiopia

Proposing evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings: a summative analysis

Critical Success Factors in Implementing BPR in a Government Manufacturing Unit – An Empirical Study

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