This book offers proven and practical approaches for redesigning healthcare organizations to be more patient-centered and less fragmented by tapping into the experiences of staff on the front lines of patient care.
Peter Lazes is the founder and former director of the Healthcare
Transformation Project within Cornell University's School of
Industrial and Labor Relations. His current work involves assisting
hospitals and healthcare organizations to develop methods to
improve patient care and reduce costs with a focus on frontline
staff engagement. He has served as a consultant for organizations
in a variety of sectors on topics such as organizational change,
innovation, new work systems, new roles for unions, and strategies
for keeping American jobs.
Dr. Marie Rudden is a practicing psychiatrist, psychoanalyst, and
researcher who has conducted research on effective leadership
strategies in the face of work-group impasses. She has been chair
of the American Psychoanalytic Association's Committee for
Psychoanalysis in the Community, applying the psychoanalytic study
of group experience to issues facing communities, and of the Task
Force on Income Inequality, studying the impact of class structures
on mental health and mental health treatment.
“I hope that as you read this book you will not only learn the
successful techniques of engaging and supporting frontline staff
but will also be inspired to improve healthcare wherever you
work.”
—from the foreword by Mitchell H. Katz, MD, CEO and President, NYC
Health + Hospitals
“A playbook to revolutionize America’s inadequate health care
system… Health care professionals, managers, and educators should
welcome these eye-opening and valuable strategies.” —Kirkus
Reviews
“A clarion call to pull American healthcare away from profiteering
and corporatization and back to its roots in healing and helping.
Lazes and Rudden argue that collective action is needed now
and present strengthened labor-management partnerships as one
effective strategy. Frontline workers—including nurses and
doctors—must have a say in improving their work environments,
putting aside requirements for excessive documentation and precise
billing and focusing instead on what matters most: patients and the
health of all of us.”
—Theresa Brown, RN, Clinical Faculty Member, University of
Pittsburgh School of Nursing, and author of the New York Times
bestseller The Shift
“From the Ground Up gets under the covers in its detailed
descriptions of healthcare systems that have successfully engaged
in efforts to fix America’s underperforming hospitals. Everyone in
a leadership role should read this book as it offers a wealth of
practical advice for organizations intent on improving their
clinical care delivery.”
—Amy C. Edmondson, Professor, Harvard Business School, and author
of The Fearless Organization
“In this book, Lazes and Rudden provide practical strategies for
providing better and more accessible healthcare services for all of
us. It should be studied by anyone who recognizes the need to
revamp our deeply flawed healthcare system. Frontline staff
participation is especially critical in the midst of the Covid-19
pandemic to make sure equipment and protective clothing are
available to help staff care for patients.”
—Mary Kay Henry, President, SEIU
“Politicians and others have focused too much on how patients can
pay for their healthcare and not enough on how care itself is
delivered. No other book does more to offer practical solutions to
the significant crisis of care delivery within our hospitals.
Healthcare administrators and caregivers at all levels need to read
this book.”
—Paul F. Clark, Professor and Director, School of Labor and
Employment Relations, Penn State University
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