Guo, Kristina L.2017-03-142017-03-142004http://hdl.handle.net/10790/2976As health care organizations seek innovative ways to change financing and delivery mechanisms due to escalated health care costs and increased competition, drastic changes are being sought m the form of re-engineering. This study discusses the Wader’s role of re-engineering in health care. It specifically addresses the reasons for failures in re-engineering and argues that success depends on senior level leaders playing a critical role. Existing studies lack comprehensiveness in establishing models of re-engineering and. management guidelines. This research focuses on integrating re-engineering and leadership processes in health care by creating a step-by-step model Particularly, it illustrates the four Es: Examination, Establishment, Execution and Evaluation, as a comprehensive re-engineering process that combines managerial roles and activities to result in successfully changed and reengineered health care organizations.12 pagesen-USThis article is © Emerald Group Publishing and permission has been granted for this version to appear here https:// dspace.lib.hawaii.edu/handle/10790/2971. Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited.Medical Care - United StatesReengineering (Management)Integrated delivery of health careLeadershipArticle10.1108/14777260410569993