Relational Mechanisms in Complex Contracting: Factors Associated with Private Managers’ Satisfaction with and Commitment to the Contract Relationship

2019 ◽  
Vol 30 (2) ◽  
pp. 257-274
Author(s):  
Emmeline Chuang ◽  
Bowen McBeath ◽  
Sarah Carnochan ◽  
Michael J Austin
Keyword(s):  
Conceptual Framework ◽  
Human Service ◽  
Organizational Factors ◽  
Service Organizations ◽  
Factors Associated ◽  
For Profit ◽  
Relational Processes ◽  
Relationship Communication ◽  
Informal Accountability ◽  
Indicators Of Success

Abstract The complexity of human service delivery means that contracts are often incomplete or contingent. When contracted services or products are complex, relational contracting can function as a critical informal accountability mechanism. This study introduces and tests a conceptual framework of relational processes and organizational factors hypothesized to inform private human service contract outcomes. Data from a 2015 survey of private nonprofit and for-profit human service organizations in five counties are used to examine factors associated with two proximal indicators of success in human service contracting: commitment to and satisfaction with the contract relationship. Findings provide support for our conceptual framework, highlight the multidimensional nature of trust and commitment, and identify key differences in the relational processes associated with commitment and satisfaction to the contract relationship. Communication quality, trust, and flexibility were associated with satisfaction, whereas interdependence, flexibility, and asset specificity were associated with longer-term commitment to the contract relationship. For-profit ownership was associated with lower commitment and satisfaction. Implications for research and practice are discussed.

Change Models for Human Service Organizations

2021 ◽  
pp. 292-309
Author(s):  
Thomas Packard
Keyword(s):  
Human Service ◽  
Human Service Organizations ◽  
Service Organizations ◽  
Change Models ◽  
Staff Members ◽  
For Profit ◽  
Arc Model ◽  
High Participation ◽  
Services Innovation ◽  
Getting To Outcomes

Organizational change models designed for human service organizations include the ARC model, the sanctuary model, getting to outcomes, and design team. Their use might require assistance from expert consultants. Each includes high participation of staff members, using structured systems and processes to identify opportunities to improve operations in a program or in administrative operations, followed by analysis and brainstorming to generate improvement ideas. Innovation and intrapraneurship are concepts that have been adapted from the for-profit sector for application in the human services. Innovation can be defined as a process, method, product, or outcome that is new and creates an improvement. Intrapraneurship is the use of entrepreneurial principles within an organization to solve problems or improve operations. Cutback management is not specifically identified as a change model, but is a process for changing organizations by addressing funding cuts, through methods ranging from efficiency improvements to, ideally, finding new revenue sources.

Organizational Factors Associated with Health Information Technology Adoption and Utilization Among Home Health / Hospice Agencies

2011 ◽  
Vol 6 (3) ◽  
pp. 46-59 ◽  
Author(s):  
Jordan Mitchell ◽  
Kevin J. Bennett ◽  
Janice Probst
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Point Of Care ◽  
Organizational Factors ◽  
Home Health ◽  
Factors Associated ◽  
For Profit ◽  
Not For Profit ◽  
Emr Adoption

Health information technology (HIT) adoption has been recommended as a method to improve care coordination and promote patient safety. Home health agencies can use HIT to improve coordination of care provided in multiple locations. The purposes of this study are: 1) to determine the EMR adoption rate and use of point of care technology among a US sample of 1,036 home health/hospice facilities, and 2) to identify the organizational factors associated with EMR adoption. Analyses were performed using SAS and SAS-callable SUDAAN. The study found that not-for-profit agencies, regardless of services offered, were more likely to have an EMR system. Use of point of care documentation was associated with not-for-profit status, large patient panels, and having been in business for less than 10 years. This study extends population ecology theory into innovation adoption theories by explaining possible competitive advantages of EMR adoption within home health care.

Organizational Factors Associated with Health Information Technology Adoption and Utilization Among Home Health/Hospice Agencies

2013 ◽  
pp. 73-86
Author(s):  
Jordan Mitchell ◽  
Kevin J. Bennett ◽  
Janice Probst
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Point Of Care ◽  
Organizational Factors ◽  
Home Health ◽  
Factors Associated ◽  
For Profit ◽  
Not For Profit ◽  
Emr Adoption

Health information technology (HIT) adoption has been recommended as a method to improve care coordination and promote patient safety. Home health agencies can use HIT to improve coordination of care provided in multiple locations. The purposes of this study are: 1) to determine the EMR adoption rate and use of point of care technology among a US sample of 1,036 home health/hospice facilities, and 2) to identify the organizational factors associated with EMR adoption. Analyses were performed using SAS and SAS-callable SUDAAN. The study found that not-for-profit agencies, regardless of services offered, were more likely to have an EMR system. Use of point of care documentation was associated with not-for-profit status, large patient panels, and having been in business for less than 10 years. This study extends population ecology theory into innovation adoption theories by explaining possible competitive advantages of EMR adoption within home health care.

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