Summary of the article The case study, “Business Process Re-engineering in Healthcare Management” cites the increasing complexity within the health care sector, as evidenced by the need to provide specialised medical care and therapies in health care facilities. In a bid to provide such health care services, the need for effective organisation in the various service units to deliver quality health care cannot be ignored. Bertolini et al. (2011) emphasise the importance of applying business process re-engineering in the health care sector to foster operational efficiency in surgical wards. The authors argue that health care sectors around the world have been concerned with delivering quality health care services over the years, as evidenced by the adoption of different aspects of quality management (Bertolini et al. 2011). However, empirical studies conducted in some countries such as Singapore and the United States show the existence of a gap with regarding the level of customer satisfaction, and thus the implemented quality management practices. The article cites many barriers to the implementation of quality management. The lack of staff commitment is one of the major barriers to the successful implementation of quality management. Secondly, most health care administrators adopt a short-term outlook in their change implementation processes. The implementation of quality management is also hindered by resistance amongst nurses, doctors, and other hospital staff members due to the lack of motivation. Furthermore, the article argues that most health care providers do not understand the customers’ requirements, which leads to poor implementation of the quality management practices. The article stresses the application of simulation models in the health care sector due to their effectiveness in solving problems depending on the prevailing situation. The application of simulation models is being applied extensively in promoting operational efficiency. For example, the simulation models support the managers’ decision-making processes, hence determining the optimal resource allocation and management of patient flow. Other areas in which the simulation modelling is applied in the health care sector include health care system design, epidemiology, medical decision-making, and health care systems operation (Bertolini et al. 2011). The article upholds the significance of implementing business process re-engineering [BPR] and quality management in ward management processes. Additionally, the article appreciates the existence of challenges in health care organisations such as poor communication across the different departments. The article mainly focuses on the application of simulation model in improving quality service in the neurosurgery ward using the event-driven process chains [EPCs]. The article further illustrates the application of the EPCs in the management of organisational activities. This goal is achieved by understanding the necessary interdependencies in the execution of a particular activity. In addition to the above aspects, the article underscores the importance of applying the simulation process to improve the effectiveness and efficiency in executing certain tasks. According to the article, the applicat