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World Class: A Story of Adversity, Transformation, and Success at NYU Langone Health, by William A. Haseltine

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Review

''This story gives management and leadership in any industry the template by which to ensure their businesses thrive, even in the most dire circumstances. Few organizational transformations tell a story as inspiring and instructive as the one that took place, over the past decade, at NYU Langone Health. It is a story of a leadership team of rare passion and vision, led by Dr. Bob Grossman, whose medical expertise and zest for innovation are second to none, and Ken Langone, whose love of people, renowned business acumen, and philanthropic enthusiasm are an unstoppable force of nature. Together, and supported by an ever more stellar team of medical and management professionals, they have changed one institution—and healthcare—forever for the better.'' --Jack Welch, former Chairman and CEO, General Electric, and author of Jack: Straight from the Gut and Winning ''The spectacular transformation of NYU Langone Health is a vivid example of what can be accomplished when leaders blend vision, courage, conviction and an uninterrupted quest to achieve unprecedented objectives. NYU Leadership revitalized a staid culture and the collaborative efforts that followed blazed the way to new frontiers of excellence. William Haseltine, scientist and healthcare expert, has written eloquently about how NYU Langone executed a path to World Class status, overcame many obstacles, and provided employees the confidence needed to perform beyond what was previously thought impossible. World Class is a compelling read, particularly for leaders of other healthcare facilities with a need to replicate this extraordinary story.'' --Larry Bossidy, former Chairman and CEO Honeywell International and author of Execution: The Discipline of Getting Things Done and Confronting Reality: Master the New Model for Success ''William Haseltine's comprehensive analysis of the critical steps that NYU Langone Health took to achieve success—establishing a vision, actionable strategies, effective communication and data-driven decision-making—is consistent with WellPoint's experience. World Class adds to the evidence that a road map for transformation exists that can help organizations respond to the challenges of a changing external environment.'' --Leonard D. Schaeffer, founding Chairman and CEO, WellPoint and former Administrator of the Health Care Finance Administration ''World Class tells a remarkable story: how a gifted group of individuals turned a medical school with a poor record into one of the top academic medical centers in the United States. It took vision, leadership, trust, and continuous measurement. This book transcends the healthcare field and should be read by all those interested in institutional innovation. In writing it, William Haseltine has mobilized his vast repertoire of talents as a Renaissance man with wide-ranging interests, vast culture, and boundless creative force.'' --Julio Frenk, MD, PhD, President of the University of Miami, former Dean of the Harvard Chen School of Public Health, and former Minister of Health, Mexico''William Haseltine has written a remarkable story about how the transformation of NYU happened over a ten-year period. It is indeed a story of a system moving from good to great, from a relatively low point in 2007 to its becoming one of the leading healthcare institutions by 2017. This is a remarkable journey replete with a number of steps and decisions that led to the systematic transformation and one that Dr. Haseltine has brought out with clarity and readability. World Class could be very useful for other institutions that are starting their own journey and act as a guide to future leaders in medicine.'' --K. Ranga Rama Krishnan, Dean Rush Medical College, Senior Vice President, Rush University Medical Center ''The swift and all encompassing transformation of NYU's Langone Health stands as a case study for academic medical centers worldwide. The relentless commitment to putting the patient first invariably enhances employee pride and financial success. William Haseltine captures the nuances as well as the lessons.'' --John A. Quelch, Vice Provost, University of Miami, Dean of the School of Business Administration at the University of Miami; Charles Edward Wilson Professor of Business Administration Emeritus at Harvard Business School; coauthor, Choice Matters: How Healthcare Consumers Make Decisions ''The message of this book is that positive change in healthcare or other human institutions is not about money or technology—though they matter—but about inspired teams of normal people working together in extraordinary ways.'' --Esther Dyson, Executive Founder, Way to Wellville ''Getting more for our healthcare dollars will not come from magic or simple solutions. Instead, it requires the gritty, often unappreciated work of improving the performance of our delivery system—including our nation's leading medical centers. That is precisely the focus of World Class, in which William A. Haseltine chronicles and assesses the recent history of NYU Langone. Both healthcare leaders and policymakers will learn from the struggles, and in Haseltine's telling the ultimate success, of one of our nation's leading academic medical centers.'' --Peter Orszag, 37th Director of the Office of Management and Budget and former Director of the Congressional Budget Office

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Product details

Hardcover: 368 pages

Publisher: Fast Company Press (February 12, 2019)

Language: English

ISBN-10: 1732439109

ISBN-13: 978-1732439108

Product Dimensions:

6.1 x 0.7 x 9.1 inches

Shipping Weight: 1.9 pounds (View shipping rates and policies)

Average Customer Review:

4.7 out of 5 stars

4 customer reviews

Amazon Best Sellers Rank:

#55,764 in Books (See Top 100 in Books)

World Class tells the story of how NYU Langone evolved from a venerable institution on the decline due to financial challenges to one of the best in the country. This remarkable transformation was primarily due to a dynamic CEO who focused on safety, quality and being patient-centered before these concepts were widely recognized and appreciated. The book is well written in a clear and direct style. There are many pragmatic examples that I found beneficial, such as how to formulate a road map. I particularly liked the speech in the appendix. Overall, I highly recommend it as blueprint for anyone interested in health care leadership or for understanding what it takes to achieve excellence in health care. Not every institution can be world class, but all can improve if they follow the example of NYU Langone.

Amazing book!

In less than ten years, NYU Langone Health was transformed from one of the worst to one of the best healthcare centers in the world in terms of patient care, research, and teaching. William Hazeltine tells that story for the first time. He had no prior relationship with NYU or NYU Langone Health other than becoming a patient (treated for head and neck cancer) while researching the book.He interviewed almost everyone centrally involved in the transformation from 2007 until 2017. There are four persons of special significance: Kenneth Langone (Vice Chair, NYU Board and Chair, NYU Langone Health; Martin Lipman (Chair Emeritus, NYU, and Trustee, NYU Langone Health); John Sexton (President Emeritus, NYU, 2002-2015); Robert Berne (NYU Professor of Public Policy, XVP for Health); and Robert Grossman (MD, Saul J. Farber Dean and CEO of NYU Langone Health, 2007-present).Hazeltine shares what he considers the most valuable to be learned from NYU Langone Health's transformation. Each is thoroughly discussed within the narrative, in context. These were of greatest interest to me:o "In organizational change the three most important variables are leadership, leadership, leadership. NYU Langone was transformed because it had strong and wise leadership [in its key positions] that established, pursued, and achieved impressive goals by executing well-crafted plans with great efficacy...within an aspirational culture."o "The crucial role of the dashboards may be a running joke among among NYU Langone insiders ['Bob and his dashboards!'], but it reflects an important development in organizational transformation: Large complex organizations require more than clear thinking about strategy and tactics. They require vast amounts of information. It's the only way to know what's being done, what needs to be done, and how well things are being done."o "Management by walking around is being supplemented by management looking at a dashboards. There are always things going on in an organization that management cannot see by walking around but can monitor by having the equivalent of thermostats, and sensors, dipsticks and yardsticks."o "Grossman's approach was to formulate goals and ask those charged with achieving those goals what resources they needed to get there. Then, he would let them run their own show. He was an enthusiastic cheerleader and optimistic observer, but he was not second-guessing his line managers. Instead, he would objectively measure their results and hold them to account if the goals they had agreed to were not met."o According to NYU Langone Health's former CFO, Michael Burke, "Doctors in academic centers tend to be hypercompetitive. Give them a dashboard and a scorecard, and they will strive to be at the top, whether they are in the hospital or the medical school. The dashboard allows very detailed comparisons." And yes, contrasts.As I worked my way through this narrative, I was again reminded of the fact that Toyota's assembly line innovations helped other automobile manufacturers to improve the quality of their vehicles, to be sure, but have also helped countless other companies in other industries to achieve comparable improvements. I share William Hazeltine's hope that the lessons learned from the adversity, transformation, and success at NYU Langone Health will help other healthcare centers to improve the quality of their own patient care, research, and teaching. And as has Toyota, it will help countless companies in other industries to demonstrate that higher quality really can be cost effective.

I received a free ebook ARC of this from NetGalley for a review.World Class is the interesting story of NYU Langone's transformation from a terrible medical school/hospital to an amazing one. This book was a mix of history, management, and medicine. While I sometimes got bogged down by all the names that were coming at me, this was a worthwhile read. The pacing was pretty good; Haseltine didn't spend too long on any one particular topic. The discussion of the IT changes and the physical changes they made were fascinating.I enjoyed, in particular, the chapters talking about their additional hospitals that they've acquired (or however they described it). The discussion of how the insurance-mix of patient populations affects the hospitals and how that can strengthen and weaken "safety net" hospitals was interesting.Overall, I recommend reading this if you're interested in a management profile, hospitals or healthcare of the future, or a feel-good business story.

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