1,720,987 research outputs found
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Healthcare reform: Innovative and other proven strategies for successfully managing and implementing organizational change
No full textThe purpose of this study was to provide innovative and other proven change strategies that assist the healthcare industry and healthcare organizations with implementing organizational change. Evidence shows that healthcare spending in the United States grew ten times the base rate in 1980 from 2.6 trillion in 2010 (Centers for Medicare and Medicaid Services, 2012). Compounding this problem is the limited availability to patient care and the diminishing value of care. The U. S. healthcare industry cannot survive under these circumstances without changing the overall system. In order for healthcare organizations to survive, they must embrace innovative and other proven strategies to remain competitive.
Through examining healthcare trends, healthcare innovation, and organizational change theory, this dissertation found that various tools, best practices, and strategies exist that will aid U.S. healthcare organizations with the impending healthcare reform. By using an evRunning Head: HEALTHCARE REFORM: STRATEGIES FOR MANAGING CHANGE
Healthcare Reform: Innovative and Other Proven Strategies for Successfully Managing and Implementing Organizational Change
University of Maryland University College
Lisa M. Pinkney
A Thesis
Submitted to the
Graduate Faculty
of
University of Maryland University College
in Partial Fulfillment of
The Requirements for the Degree
of
Doctor of Management
G. David Andersen, Ed.D. Eric Dent, Ph.D.
Healthcare Reform: Strategies For Managing Change 2
Abstract
The purpose of this study was to provide innovative and other proven change strategies that assist the healthcare industry and healthcare organizations with implementing organizational change. Evidence shows that healthcare spending in the United States grew ten times the base rate in 1980 from 2.6 trillion in 2010 (Centers for Medicare and Medicaid Services, 2012). Compounding this problem is the limited availability to patient care and the diminishing value of care. The U. S. healthcare industry cannot survive under these circumstances without changing the overall system. In order for healthcare organizations to survive, they must embrace innovative and other proven strategies to remain competitive.
Through examining healthcare trends, healthcare innovation, and organizational change theory, this dissertation found that various tools, best practices, and strategies exist that will aid U.S. healthcare organizations with the impending healthcare reform. By using an evidence-based research methodology approach, this study identified change strategies for healthcare organizations and the healthcare industry to use to adequately manage organizational change. The dissertation concluded with strategies such as information technology, use of incentives, and best practices. These proven strategies will assist healthcare organizations when undergoing organizational change and that may serve to lessen the burden of healthcare cost, increase accessibility to care, and provide better quality healthcare.
Key Words: healthcare reform, organizational change, innovation, healthcare change, healthcare management, innovative strategies, innovation and healthcare, and change strategiesHealthcare Reform: Strategies For Managing Change 3
Acknowledgements
I would like to thank my mother, Dorothea “Dottie” Neal Pinkney. Dottie has been my biggest cheerleader providing support and encouragement throughout this journey. My mother has been patient and very understanding when I have been absent from family functions. Second, I would like to thank my family especially my sister Denise Pinkney Wright who constantly provided moral support to me and encouraged me through this process. The professional, academic, and personal discussions were invaluable and always helped me see the forest through the trees. I love you sis!
I would like to thank the University of Maryland University College for having a doctorate program that I was able to participate in while still working full time. It was truly a challenge, but at least I can sleep now. Thanks to my professors Dr. Michael Frank, Dr. Eric Dent, Dr. James Gelatt, Dr. Pearl Steinbuch, Dr. Laura Witz, Dr. Thomas Mierzwa, Dr. Subash Bijlani, and Dr. G. David Andersen for continuing to challenge me to strive for excellence. Special thanks to my former cohort peer Joanne Tritsch for your wittiness and humor throughout this journey. Thanks to my current cohort peer Denise Bailey Clark who is the ultimate professional who I truly admire, and Deborah Meadows who is the ultimate perfectionist. With cohort members like these, I could only soar! I would also like to thank Katherine “Kitty” Williams who always brought normality and humor to intense situations. Your help during this process was invaluable and I truly appreciate you.
Finally, I would like to thank GOD for providing me with the perseverance, fortitude, and strength to endure this rigorous program and for placing special people in my life that helped me thought this journey.Healthcare Reform: Strategies For Managing Change 4
Table of Contents
Abstract .....................................................................................................................................2
Acknowledgements....................................................................................................................3
Table of Contents.......................................................................................................................4
Chapter One: Introduction.....................................................................................................10
Background..............................................................................................................................11
Statement and Significance of the Problem................................................................................12
Purpose of the Study .................................................................................................................16
Research Questions ...................................................................................................................19
Research Assumptions ..............................................................................................................20
Research Proposition.................................................................................................................21
Definition of Terms...................................................................................................................21
Chapter Summary .....................................................................................................................22
Organization of Dissertation......................................................................................................23
Chapter Two: Literature Review ...........................................................................................25
Introduction to the Literature View ...........................................................................................25
The Healthcare Industry.........................................................................................................25
Literature Review Outline......................................................................................................26
Healthcare Industry Trends (Political, Cultural, and Economic) ................................................27
Political System.....................................................................................................................31
Enhancements in patient privacy.. ......................................................................................31
Advancement in achieving JCAHO compliance. ................................................................32
Culture .................................................................................................................................33
Improvement of workforce supply......................................................................................33
Improving staffing shortages..............................................................................................34
Economic System..................................................................................................................35
Electronic health records.. ..................................................................................................36
Telemedicine.....................................................................................................................36
Growth of healthcare sector................................................................................................36
Healthcare Innovation ...............................................................................................................38
Innovation Theory .................................................................................................................39Healthcare Reform: Strategies For Managing Change 5
Disruptive innovation.........................................................................................................39
Incremental innovation.......................................................................................................41
Architectural innovation.....................................................................................................42
Open innovation.................................................................................................................43
Compare-contrast innovations. ...........................................................................................44
Innovation as a Process..........................................................................................................45
Eight Promising Healthcare Innovations ................................................................................46
Checklists ..........................................................................................................................47
Payment innovations. .........................................................................................................47
Patient portals ....................................................................................................................47
Behavioral economics.. ......................................................................................................48
Surgical robots...................................................................................................................49
Genetic medicine. ..............................................................................................................49
Regenerative medicine. ......................................................................................................49
Accountable care organizations ..........................................................................................50
Information Technology in Healthcare...................................................................................50
Electronic Medical Records (EMR) .......................................................................................52
Automatic Tracking Software ................................................................................................52
Barriers.................................................................................................................................53
Costs.................................................................................................................................53
Culture change.. .................................................................................................................54
Patient privacy and trust.. ...................................................................................................55
Best Practices in Healthcare Innovation .................................................................................56
Healthcare innovation incentives........................................................................................56
National Best Practice Innovation..........................................................................................58
Organizational Change Theory..................................................................................................61
Planned Change Models ........................................................................................................64
Implementing Successful Change ..........................................................................................67
Propositions from the Literature Review ...................................................................................72
Summary of Literature Review..................................................................................................73
Chapter Three: Conceptual Framework................................................................................74Healthcare Reform: Strategies For Managing Change 6
Introduction to the Conceptual Framework................................................................................74
Message in the Literature Review..............................................................................................74
Literature review “lenses” – Integration of scholarship into the framework............................74
The System Lens ...................................................................................................................75
The Practical Lens .................................................................................................................76
The Theoretical Lens .............................................................................................................77
The Conceptual Framework ......................................................................................................78
Chapter Summary .....................................................................................................................80
Chapter Four: Methodology...................................................................................................81
Methodology Overview.............................................................................................................81
Evidence Based Research and Methodology..............................................................................81
Definition and Application to This Study...............................................................................81
Evidence Based Research in Theory and Practice ..................................................................82
Discussion of Relevant Scholarly Evidence...............................................................................85
Subject Matter Expert Panel......................................................................................................89
Subject Matter Expert’s Identification and Rationale for Selection.........................................90
The Feedback Process............................................................................................................91
Subject Matter Expert Feedback ............................................................................................92
Changes Resulting from the Feedback Results .......................................................................94
Chapter Summary .....................................................................................................................94
Chapter Five: Analysis and Discussion ..................................................................................96
Introduction ..............................................................................................................................96
Presentation and Summary of the Findings................................................................................96
Findings Research Question 1 ...................................................................................................97
Healthcare Innovation Findings .............................................................................................98
Innovation theory findings. ................................................................................................98
Promising healthcare innovation findings...........................................................................99
Information technology findings. .....................................................................................101
Organizational Change Findings ..........................................................................................105
Change theory findings ....................................................................................................105
Environmental change findings. .......................................................................................108Healthcare Reform: Strategies For Managing Change 7
Findings Research Question 2 .................................................................................................111
Healthcare Trends Findings .................................................................................................111
Enhancements in patient privacy ......................................................................................113
Advancement in achieving JCAHO compliance. ..............................................................113
Improvement of workforce supply....................................................................................113
Improving staffing shortages. ...........................................................................................114
Electronic health records. .................................................................................................114
Telemedicine. ..................................................................................................................115
Conclusions ............................................................................................................................115
Alternative Perspectives ..........................................................................................................116
Chapter Summary ...................................................................................................................117
Chapter Six: Conclusions, Implications, and Trends ..........................................................119
Introduction ............................................................................................................................119
Overall Conclusions ................................................................................................................119
Implication for Management ...................................................................................................121
Implications of Trends ............................................................................................................122
Global Trends in Healthcare....................................................................................................123
Limitations and Future Research .............................................................................................124
Summary................................................................................................................................125
References ..............................................................................................................................127
Appendix A Best Practices in Healthcare Innovation...............................................................148
Appendix B Public and Private Health Information Technology Initiatives .............................151
Appendix C Young’s Nine Change Literature Themes ............................................................152
Appendix D Kotter’s Eight Steps for Transforming an Organization .......................................154
Appendix E UMUC Executive Director’s Evaluation Form.....................................................155
Appendix F Dissertation Chapter Outline ................................................................................157
Appendix G Subject Matter Expert Evaluation & Feedback Form...........................................158
Appendix H Subject Matter Expert Evaluation & Feedback Form – Dr. Haley ........................159
Appendix I Subject Matter Expert Evaluation & Feedback Form – Dr. Young ........................162Healthcare Reform: Strategies For Managing Change 8
Figure 1 Social Process Framework...........................................................................................28
Figure 2 Diffusion of Health Information Technology...............................................................58
Figure 3 Literature Review Convergence ..................................................................................75
Figure 4 Conceptual Framework for Successfully Managing Healthcare Industry Change.........79
Figure 5 Hierarchy of Evidence.................................................................................................84
Figure 6 A Theoretical Model of the Dynamics of the Planned Change Model ........................109 Healthcare Reform: Strategies For Managing Change 9
Table 1 U.S. International Price Comparison of Specific Medical Products and Services...........16
Table 2 Social Process Framework- Trend Analysis Checklist...................................................29
Table 3 Database Search Combination – Word Search ..............................................................86
Table 4 Inclusion of Literature in this Study................
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
- …
