To Act As A Unit The Story Of The Cleveland Clinic

An award-winning columnist and journalist describes how businesses that structure their teams into functional departments, or "silos," actually hinder work, cripple innovation, restrict thinking and force normally smart people to ignore risks and opportunities. --

Dr. John A. Kastor has studied two leading centers in specialty care, the Cleveland Clinic and the University Hospitals of Cleveland, to learn what these institutions are doing to survive in the current era. Using the findings of more than two hundred interviews with physicians, administrators, investigators, and trustees, the author describes in detail these rival organizations, their individual struggles against the economic pressures presented by managed care, and their sometimes bitter competition for patients.

This study explores the parallel histories of the Mayo Clinic, the care of patients with heart disease, and specialization in cardiology during the twentieth century. Chapters are devoted to such technologies as open-heart surgery, coronary angiography, and echocardiography, and to the key individuals, instituions, and innovations that played vital roles in the technologies that transformed heart care.--From publisher description.

Too many organizations invest in performance management and business intelligence projects, without first establishing the needed conditions to ensure success. But the organizations that lay the groundwork for effective change first reap the benefits. In Profiles in Performance: Business Intelligence Journeys and the Road Map for Change, Howard Dresner (author of The Performance Management Revolution) worked with several extraordinary organizations to understand their thriving "performance-directed culture." In doing so, he developed a unique maturity model-which served as both a filter to select candidates and as a lens to examine accomplishments. Interviews with people from all sides of the organization: business users, finance, senior management and the IT department Provides a complete picture of their progress from inception to current state The models, analyses and real world accounts from these cases will be an invaluable resource to any organization hoping to improve or initiate their own performance-directed culture.