scholarly journals What can we learn about systems leadership from the building of a Welsh surge hospital and how might this be applied beyond the current COVID-19 response?

BMJ Leader ◽  
2020 ◽  
pp. leader-2020-000311
Author(s):  
William Beharrell ◽  
Len Richards ◽  
Martin Driscoll ◽  
Jonathon Gray

BackgroundMethodsIt draws on a series of 20 interviews with key protagonists and employs a Bakhtinian approach to narrative analysis, which explores the interplay between individual accounts and larger sociocultural themes.ResultsConclusionsIt concludes that the success in managing the complexity of this project can largely be attributed to a systems leader approach that draws on the power of an agile network to be replenished and redeployed against rapidly evolving strategic objectives. This effectively constitutes a parallel operating structure, which is devoted to the design and implementation of strategy based on a continual assessment of the organisation and serves to strengthen rather than supersede established hierarchical structures of authority.

2021 ◽  
pp. 097282012199495
Author(s):  
Asfia Obaid ◽  
Saman Rahman ◽  
Asia Mehmood ◽  
Neelab Kayani

The case highlights the key concerns and issues an organization may face if its performance management system (PMS) does not serve its intended purpose and how it can cause demotivation and dissatisfaction among employees and result in an overall decline in organizational performance. It also illustrates how employees’ organizational culture and perception can be as important as the system design and can present challenges even if an elaborate system is planned. In the face of increasing turmoil among employees towards management and the decreasing performance of the organization, TECHNO21 decided to change its current PMS, which seemed a difficult but necessary step to achieve the desired performance levels and overall strategic objectives of the organization.


The organization of the twenty-first century requires plasticity; this must be understood as the existence in the here-and-now of ways to work that are defined to operate transversely in relation to strategic objectives. The minimum requirements are horizontal streaming and non-permanence. A relational structural foundation involves the generation and concatenation of three core networks: network reliability, availability, and decisional agility. The process of design and implementation of these networks is called Emergent Design (ED), which is discussed in this chapter.


Author(s):  
Олена Валеріївна Птащенко ◽  
Ірина Олександрівна Шевченко ◽  
Валерія Вячеславівна Кошарна ◽  
Яна Миколаївна Кущ

The paper seeks to explore the selected aspects in evaluating the effectiveness and the efficiency of budgetary programs design and implementation. It has been concluded that as of today, Ukraine lacks sound methodology for assessing the effectiveness and the efficiency of budgetary programs design and implementation as well as the approaches to such an assessment, which eventually entails a threat to the program and target method evolution and development. Budgetary programs are designed to solve top-priority current and strategic objectives at the level of territorial entities, contribute to attaining the quality settings and criteria for ensuring budgetary services envisaged within particular budgetary programs. The study findings revealed positive outcomes from the use of indicators for assessing social and economic efficiency. Creating a framework for evaluating economic and social budgetary programs performance facilitates better optimization of financial resources utilization, enhances the programs quality and professional expertise of their participants and reduces the inefficient distribution of budgetary funds, both at the national and local levels. The international best practices in the area of budgetary programs effectiveness assessment techniques are also presented, in particular an overview on the methods for evaluating the budgetary programs effectiveness in the USA, Canada and the EU countries is provided. The study found that insufficient attention is given to indicative indices for evaluating the effectiveness of budgetary programs. From this perspective, the paper has identified the relevant indicative indices to assess the budgetary programs effectiveness which should be incorporated into the framework for building a well-reasoned system for evaluating the effectiveness of budgetary programs development and implementation within administrative territorial domains. It is argued tha these indicators will enhance the capacity to balance the total expenditure and thus gain positive social and economic effects from the implementation of a particular budgetary program at the local level.


Author(s):  
E. Baer

The most advanced macromolecular materials are found in plants and animals, and certainly the connective tissues in mammals are amongst the most advanced macromolecular composites known to mankind. The efficient use of collagen, a fibrous protein, in the design of both soft and hard connective tissues is worthy of comment. Very crudely, in bone collagen serves as a highly efficient binder for the inorganic hydroxyappatite which stiffens the structure. The interactions between the organic fiber of collagen and the inorganic material seem to occur at the nano (scale) level of organization. Epitatic crystallization of the inorganic phase on the fibers has been reported to give a highly anisotropic, stress responsive, structure. Soft connective tissues also have sophisticated oriented hierarchical structures. The collagen fibers are “glued” together by a highly hydrated gel-like proteoglycan matrix. One of the simplest structures of this type is tendon which functions primarily in uniaxial tension as a reinforced elastomeric cable between muscle and bone.


Author(s):  
M. Sarikaya ◽  
J. T. Staley ◽  
I. A. Aksay

Biomimetics is an area of research in which the analysis of structures and functions of natural materials provide a source of inspiration for design and processing concepts for novel synthetic materials. Through biomimetics, it may be possible to establish structural control on a continuous length scale, resulting in superior structures able to withstand the requirements placed upon advanced materials. It is well recognized that biological systems efficiently produce complex and hierarchical structures on the molecular, micrometer, and macro scales with unique properties, and with greater structural control than is possible with synthetic materials. The dynamism of these systems allows the collection and transport of constituents; the nucleation, configuration, and growth of new structures by self-assembly; and the repair and replacement of old and damaged components. These materials include all-organic components such as spider webs and insect cuticles (Fig. 1); inorganic-organic composites, such as seashells (Fig. 2) and bones; all-ceramic composites, such as sea urchin teeth, spines, and other skeletal units (Fig. 3); and inorganic ultrafine magnetic and semiconducting particles produced by bacteria and algae, respectively (Fig. 4).


Author(s):  
Siqi Wang ◽  
Yu Xiao ◽  
Yongjin Chen ◽  
Shang Peng ◽  
Dongyang Wang ◽  
...  

Hierarchical microstructures lead to high thermoelectric performance in Cum+nPb100SbmTe100Se2m (CLAST) through synergistically optimizing carrier and phonon transport.


2015 ◽  
Vol 24 (3) ◽  
pp. 106-113 ◽  
Author(s):  
Stephen N. Calculator

Purpose To provide an overview of communication characteristics exhibited by individuals with Angelman Syndrome (AS) and special considerations associated with the design and implementation of augmentative and alternative communication (AAC) programs. Method Results of recent studies exploring individuals' uses of AAC are reviewed, with particular emphasis on factors related to individuals' acceptance and successful uses of AAC systems. Results Not applicable Conclusion Despite their inconsistent access to practices previously found to foster individuals' acceptance of AAC systems, individuals with AS demonstrate the ability to use AAC systems, including high-tech AAC devices, successfully.


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