scholarly journals Hospital Vertical Integration Into Subacute Care as a Strategic Response to Value-Based Payment Incentives, Market Factors, and Organizational Factors: A Multiple-Case Study

Author(s):  
Tory H. Hogan ◽  
Christy Harris Lemak ◽  
Nataliya Ivankova ◽  
Larry R. Hearld ◽  
Jack Wheeler ◽  
...  

This study explores the extent to which payment reform and other factors have motivated hospitals to adopt a vertical integration strategy. Using a multiple-case study research design, we completed case studies of 3 US health systems to provide an in-depth perspective into hospital adoption of subacute care vertical integration strategies across multiple types of hospitals and in different health care markets. Three major themes associated with hospital adoption of vertical integration strategies were identified: value-based payment incentives, market factors, and organizational factors. We found evidence that variation in hospital adoption of vertical integration into subacute care strategies occurs in the United States and gained a perspective on the intricacies of how and why hospitals adopt a vertical integration into subacute care strategy.

2002 ◽  
Vol 32 (2) ◽  
pp. 47-77
Author(s):  
John S. Levin

This is a multiple case study of seven colleges using field methods research to examine institutional life and organizational context. This study determines that community colleges in both Canada and the United States exhibited educational and work behaviors in the 1990s consistent with the globalization process. Education was oriented to the marketplace, and the needs of business and industry received high priority in educational programming. Work within these institutions was valued for and carried out with economic ends: to realize productivity and efficiency.


2020 ◽  
Vol 4 (1) ◽  
pp. 21-40 ◽  
Author(s):  
Jocelyn Stevens Prendergast ◽  
Brittany Nixon May

Many music teacher education programmes in the United States are increasingly offering classes that fall within the scope of modern band. A number of policies impact music teacher education curricula in the United States. These include both hard policies, such as teacher certification and NASM accreditation requirements, as well as soft policies, such as institutional traditions. In this multiple case study, the researchers interviewed three music teacher educators from different universities to examine their individual experiences incorporating modern band into their music education curricula and identify any policy issues that arose as they proposed and instituted curricular changes. The themes identified with regard to implementing modern band into the music teacher education curriculum included time, support, curricular positioning, equity and access. Notably, the participants did not cite any specific policy issues as barriers to implementing modern band into music education coursework.


2019 ◽  
Vol 9 (2) ◽  
pp. 142
Author(s):  
Amanda VandeHei Carter

Data that are derived from high stakes testing in the United States have created rhetoric of fear and criticism around our public K–12 educational system. Stakeholders often blame these low-test scores on the school, administration, or teachers. Due to the way that this data is shared with the general public Different from this narrative, within many schools, high stakes testing data are reported in an aggregated fashion, usually by students’ race. While the general public may be pointing their finger at schools, administrators, or teachers for poorly achieving students, these folks can quickly shift the blame to certain populations of students who are not performing well on standardized tests. Teachers spend time sorting and labeling children into groups and categories in an effort to “fix the problem”. While sometimes well intended, the planning, instruction, and assessment of daily and weekly instruction is focused on an end result of getting particular groups of students to score better on standardized tests. This article provides the counter narrative to this conversation and it strives to tell the story of a student who has fallen victim to standardized unauthentic curriculum. Multiple case study was the methodology used for this research. Consistent with this methodology, the data were gathered through one-on-one interviews, classroom observations, and small group discussions. Hardiman’s model of White Identity Development (WID) and Freebody and Luke’s four resources model were the conceptual frameworks that were used to guide the study. The findings shared in this article represent the data collected from one participant in this multiple case study.


2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Claire M. Thomas-Duckwitz ◽  
Robyn S. Hess ◽  
Elsa Atcherly

AbstractThis multiple case study examined parent involvement perspectives among seven immigrant mothers from Mexico. All the participants came from limited educational and socioeconomic backgrounds, and reported that they immigrated to the United States for greater opportunity. These background experiences seemed to shape their current role conceptualizations with respect to parent involvement. Parents viewed their roles as providing a better life for their children and facilitating their school success through actions taken at home. Invitations by school staff were important to help these mothers more effectively fulfill their roles through two-way communication. The findings of this study suggest the importance of helping school staff to better understand the ways that immigrant families view parent involvement and to facilitate partnerships in order to enhance student outcomes.


2021 ◽  
Vol 123 (1) ◽  
pp. 1-36
Author(s):  
Damani K. White-Lewis

Background/Context Although academic departments have more tools to advance faculty diversity than ever before, many still downplay their own responsibility throughout the hiring process. This results in a cycle of apathy that activates once searches are already under way, and structural change is out of reach. Yet few studies empirically outline what structural change entails so that departments can play a more active role in improving search processes before hiring begins. Purpose/Objective/Research Question/Focus of Study This study materializes the underlying mechanics of academic hiring by describing the process of departmental hiring priorities, and identifies how adjusting them can create the optimal conditions for supporting faculty diversity. Population/Participants/Subjects Participants were 23 academic personnel spanning four academic departments, including deans, department chairs, equity administrators, and faculty search committee members. Research Design This qualitative study uses a blend of multiple case study and grounded theory designs. The multiple case study method guided the site, case, participant selection, and data collection procedures. Grounded theory was employed primarily in the data coding and analysis phases. Data Collection and Analysis Data were collected from an institutional site fictitiously named Northfield University, a research-intensive four-year university located in the western region of the United States. Four departments were selected as case studies based on convenience sampling from four broader divisions: social sciences, life sciences, humanities, and physical sciences. Twenty-three participants spanning multiple positions and departments participated in a total of 31 semistructured interviews. These data were initially coded and analyzed using the constant comparative method and then further analyzed using cross-case analysis. Findings/Results Findings reveal the primary determinants of departmental hiring priorities that bred subfield conservatism, or the hesitancy to expand the department in new and different hiring directions based on resource constraint and subfield reproduction. This was a realistic yet troubling organizational response that inhibited opportunities for diversity before searches even began. Results also document the steps that departments took to thwart subfield conservatism in order to more aptly attract and elevate racially minoritized candidates. Conclusions/Recommendations This study highlights the untapped potential that hiring priorities hold for advancing faculty diversity. Department chairs and deans are uniquely positioned to implement initiatives that rearrange the structural conditions of faculty hiring that empower faculty to create equity-oriented positions beyond traditional departmental boundaries.


2019 ◽  
Vol 9 (2) ◽  
pp. 162 ◽  
Author(s):  
Federica Gasbarro ◽  
Tiberio Daddi ◽  
Fabio Iraldo

With the increasing occurrence and intensity of weather and climate extremes, adaptation to climate change has become an imperative for all the societal actors, including companies. Business adaptation behavior is influenced by specific internal and external conditions. Based on a multiple case study of Italian companies within the project Life IRIS (Improve Resilience of Industry Sector), the paper examines the interaction of multiple physical risk drivers and organizational factors that trigger a change in the adaptation behavior of companies to climate change, from a deferred behavior to a reactive one and, then, to a pre-emptive behavior over time. In particular, the study shows how past experience with a single climate event can trigger a comprehensive strategy to deal with multiple climate events. Implications for management practice and policymakers are discussed at the end of the paper.


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