Organizational Innovation

Publication Title: 
Health Progress (Saint Louis, Mo.)

In 1993, Sisters of Mercy Health System-St. Louis (SMHS), having asked itself what kind of employees it would need in the twenty-first century, established a Worker of the Future Task Force to develop tentative answers. The task force began by making projections concerning healthcare, studying the strategic plans of SMHS's members, and surveying its employees. It learned that the system should help workers see how change could benefit them.

Author(s): 
Hill, K.
Meyer, B.
Publication Title: 
Health Progress (Saint Louis, Mo.)

Convinced that Catholic organizations might have special strengths for succeeding in price-competitive markets, the Catholic Health Association, with the assistance of a national membership advisory committee and The Lewin Group, Fairfax, VA, studied six healthcare organizations that are successfully meeting the challenges of difficult environments. Based on more than 100 interviews and assessments of the environments in which these progressive mission-driven organizations operate, the researchers identified strategies that can assist other faith-based health organizations.

Publication Title: 
Health Care Management Review

A social network analysis of eighty-nine midlevel health care professionals showed that middle managers' strategic knowledge is positively associated with championing alternative ideas and synthesizing new information for upper management. In addition, the relationship between knowledge and middle management strategic activities in informal networks is moderated by the manager's social position.

Author(s): 
Pappas, James M.
Flaherty, Karen E.
Wooldridge, Bill
Publication Title: 
Journal of Nursing Care Quality

The Franciscan Health System has designed a new employee orientation program that is both interactive and thought-provoking. The program has transitioned from a predominantly lecture-based format to one that consists of group discussion, role playing, lunch with senior leaders in the organization, and the utilization of adult learning principles. This article describes the shortcomings of the previous program, gaps identified in the needs assessment, and performance improvement methodology used to enhance the program.

Author(s): 
Ragsdale, Mary Alice
Mueller, John
Publication Title: 
Health Progress (Saint Louis, Mo.)

Establishing an organizational ethics committee (OEC) involves careful reflection on the needs of the organization and on the people who will serve on the committee. With concern for the "community of care" (the women and men who carry out the organization's mission), a comprehensive needs assessment will reveal areas of the organization where more education and policy analyses are needed.

Author(s): 
Sister Patricia A Talone, null
Publication Title: 
Care Management Journals: Journal of Case Management ; The Journal of Long Term Home Health Care

Religious groups like the Maryknoll Sisters have been examining their demographics for years and seeking ways to deal with the aging of their communities while facing diminishing numbers of new members. In 1999, the Sisters projected that in the year 2010, they would number 447, and 359 of them would be over the age of 65 years; 228 would be over the age of 75! Each Sister and the Maryknoll community as a whole deal with aging using the strengths of their lifestyle, spirituality, and support systems. They have learned that they must discern their future with a notion inspired by St.

Author(s): 
Fearon-Giannoni, Susan
Publication Title: 
Physician Executive

Physician executives are engaged in a search for ways to maintain balance, enthusiasm, and gratification in today's health care delivery environment. The primary resource for effecting positive change is themselves. This article addresses both pragmatic and philosophical initiatives that could assist them in their search. It postulates the premise that physician executives help themselves, their patients, and the state of health care service when they help each other.

Author(s): 
Boruch, F.
Publication Title: 
Annals of the New York Academy of Sciences

Resolution of a critical organizational problem requires the use of carefully selected techniques. This is the work of a management consultant: facilitating a business change process in an organizational setting. Here, an account is provided of a practitioner's reflections on one such case study that demonstrates a structure for a business change process. The reflective account highlights certain affective states and social behaviors that were extracted from participants during the business change process.

Author(s): 
Yeats, Rowena M.
Yeats, Martyn F.
Publication Title: 
The Journal of Nursing Administration

OBJECTIVES: The authors describe factors that facilitate positive changes in dementia care as perceived by long-term care employees. BACKGROUND: Creating positive changes in dementia care is a complex undertaking involving multiple variables. The perspectives of long-term care employees may provide important insight and direction for a successful change process. METHODS: A convenience sample of 181 long-term care employees utilized a q-sort methodology to provide data for this descriptive study. Results were analyzed using rankings and Spearman's rho correlation coefficient.

Author(s): 
Kovach, C. R.
Krejci, J. W.
Publication Title: 
The Journal of Nursing Administration

OBJECTIVES: The authors describe factors that facilitate positive changes in dementia care as perceived by long-term care employees. BACKGROUND: Creating positive changes in dementia care is a complex undertaking involving multiple variables. The perspectives of long-term care employees may provide important insight and direction for a successful change process. METHODS: A convenience sample of 181 long-term care employees utilized a q-sort methodology to provide data for this descriptive study. Results were analyzed using rankings and Spearman's rho correlation coefficient.

Author(s): 
Kovach, C. R.
Krejci, J. W.

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