Freeport Hospital Redesign involved a detailed organization assessment and organizational redesign to reduce costs and increase effectiveness. The strategic core business processes for the hospital were identified through a series of focus groups involving Senior Management and Patient Care Providers. In addition, a concurrent literature review and bench marking exercise was undertaken. Planning teams were established around each of the core business processes and were composed of members of Senior Management, care providers, as well as involvement with patients and their families. A series of patient care focused models were proposed to the Board of Directors.