Change Leadership During Hospital Mergers: A Case Study of the Formation of Alberta Health Services

2014 ◽  
Vol 3 (1) ◽  
pp. 77-87
Author(s):  
Marcia A. Docherty

In the spring of 2008, the Alberta government consolidated nine health regions and three provincial programmes to become the largest health authority in Canada. The Chief Executive Officer (CEO) hired to lead this new organization was terminated with less than 2 years in the position. This document review explores the political and organizational issues that resulted in the termination of the CEO and illustrates that: ( i) Physicians are able to leverage significant public support for their agendas; ( ii) Effective change management must recognize and address front-line staff; and ( iii) Research on the benefits of hospital consolidation is weak.

2018 ◽  
Vol 44 (1) ◽  
pp. 5-16 ◽  
Author(s):  
Frank Levene ◽  
Malcolm Higgs

Leadership literature suggests that the transfer of leadership theory to non-US/Anglo-centric cultures may lead to findings that are different from current ones. Indeed, it is proposed that a dominant national culture will impact both the enacted leadership style and the followers’ expectations and acceptance of such a leadership style. Within the emerging literature on relational and change leadership, there is little consideration of the differing impact of leader behaviours in non-Western cultures. This study addresses both these gaps, through a case study that explores leadership styles and strategic change implementation within a Russian context that is seen as being directive and autocratic. The nature and impact of leadership in the context of change in Russian organizations is explored in this article, using a case-study design. Based on 20 interviews conducted in three organizations, we report findings which suggest, in a Russian context, that a more relational leadership style is more effective, and more likely to be accepted by followers, in implementing strategic change than a more ‘typical’ autocratic and directive style. The article contributes to leadership theory by providing clear empirical evidence of the value of a relational style in non-Western settings in ensuring effective change implementation.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling


1996 ◽  
Vol 17 (4) ◽  
pp. 673-699 ◽  
Author(s):  
Jean-Louis Denis ◽  
Ann Langley ◽  
Linda Cazale ◽  
Jean-Louis Denis ◽  
Linda Cazale ◽  
...  

This paper draws on a case study of a large public hospital to examine the processes of leadership and strategic change in organizations where goals are unclear and authority is fluid and ambiguous. The case history describes the evolution of leadership roles during a period of radical change in which a general hospital acquires a university affiliation while moving towards a more integrated form of management. The study traces the tactics used by members of the leadership group to stimulate change, and the corresponding impact of these tactics on both the progress of change and on leadership roles themselves. It is suggested that strategic change in these organizations requires collaborat ive leadership involving constellations of actors playing distinct but tightly-knit roles. Yet, collaborative leadership is fragile and can easily disintegrate due to intemal conflict or to discreditation associated with more unpopular (although potentially effective) change tactics. Thus, under ambiguity, radical trans formations may tend to occur in a cyclical non-linear pattern with periods of substantive change alternating with periods of political realignment. The paper concludes with a series of five propositions concerning the collaborative, cyc lical, interpretative, and entropic nature of leadership and strategic change pro cesses under ambiguity.


2019 ◽  
Vol 33 (3) ◽  
pp. 189-202 ◽  
Author(s):  
Ian O’Boyle ◽  
David Shilbury ◽  
Lesley Ferkins

The aim of this study is to explore leadership within nonprofit sport governance. As an outcome, the authors present a preliminary working model of leadership in nonprofit sport governance based on existing literature and our new empirical evidence. Leadership in nonprofit sport governance has received limited attention to date in scholarly discourse. The authors adopt a case study approach involving three organizations and 16 participant interviews from board members and Chief Executive Officers within the golf network in Australia to uncover key leadership issues in this domain. Interviews were analyzed using an interpretive process, and a thematic structure relating to leadership in the nonprofit sport governance context was developed. Leadership ambiguity, distribution of leadership, leadership skills and development, and leadership and volunteerism emerged as the key themes in the research. These themes, combined with existing literature, are integrated into a preliminary working model of leadership in nonprofit sport governance that helps to shape the issues and challenges embedded within this emerging area of inquiry. The authors offer a number of suggestions for future research to refine, test, critique, and elaborate on our proposed working model.


2017 ◽  
Vol 139 (12) ◽  
Author(s):  
Inayat Ullah ◽  
Dunbing Tang ◽  
Qi Wang ◽  
Leilei Yin

Product family (PF) design is a widely used strategy in the industry, as it allows meeting diverse design requirements. Change propagation in any PF is difficult to predict. Consequently, while numerous design change management methodologies presently exist, their application is restricted to a single artifact. This issue is overcome in the present study. The proposed framework explores effective change propagation paths (CPPs) by considering the risks associated with design changes in the PF with the aim of minimizing the overall redesign cost. The propagated risk, which would result in rework, is quantified in terms of change impact and propagation likelihood. Moreover, a design structure matrix (DSM) based mathematical model and an algorithm for its implementation are proposed to investigate the change propagation across the PF. Finally, to demonstrate their effectiveness, a PF of electric kettles is examined in a case study. The study findings confirm that the proposed technique is appropriate for evaluating different CPPs in PF.


2021 ◽  
pp. 1-21
Author(s):  
PATRICIA FRERICKS ◽  
MARTIN GURÍN ◽  
JULIA HÖPPNER

Abstract Family is one of the major principles of welfare state redistribution. It has, however, rarely been at the centre of welfare state research. This contribution intends to help remedy the research gap in family-related redistribution. By examining the German welfare state which is known to be both redistributive and family-oriented, we want to answer the question of how and how far the German welfare state institutionalises family as a redistributive principle. Our case-study of German welfare state regulations in terms of family is based on the tax-benefit microsimulation model EUROMOD and its Hypothetical Household Tool (HHoT). We differentiate 54 family forms to adequately reflect our three theoretical assumptions, which are: (1) redistributive logics differ across family forms, and in part markedly; (2) these differences are not the result of one coherent set of regulations, but of an interplay of partially contradictory regulations; (3) family as a redistributive principle manifests itself not only in terms of additional benefits to families, but also in terms of particular obligations of families to financially support family members before they are entitled to public support. These aspects have hardly been analysed before and combining them allows a clear evaluation of family-related redistribution.


Author(s):  
Muhammad Hakim Bin Nadir ◽  
Syaripah Ruzaini Syed Aris ◽  
Norjansalika Janom ◽  
Fauziah Ahmad ◽  
Noor Habibah Arshad ◽  
...  

<span>Crowdfunding allows entrepreneurs raise fund to help subsidizing their project. In other country, crowdfunding platform has become famous. In the contrary, it is yet to be trend in Malaysia. Financing using internet still irrelevant among Malaysian citizen. Without a proper guideline and strong crowdfunding platform based in Malaysia as a benchmark, it is hard to convince entrepreneurs and funders to consider crowdfunding as an option to fund a project. This research thus proposed business model canvas which can be applied by the crowdfunding platform organizations to manage their business and operation more efficiently. Case study method has been employed with two techniques of data collection: interview and document review. Two crowdfunding platforms based in Malaysia participated in the case study. The findings show that both crowdfunding platforms have fundamental business model elements that made of a solid foundation as a crowdfunding platform. These results offer insight into crowdfunding environment and how it links to another necessary part of business for it to function as a successful business. Nine building blocks fits well in the crowdfunding platform business model elements namely partner network, core competency, key resources, value proposition, customer relationship, distribution channel, customer segments, cost structure and revenue stream. Interestingly, the findings revealed another imperative element that should be part of the canvas: risk management.</span>


Author(s):  
Renu Ahuja

This case study describes processes in an urban high school, which contribute to excellence in urban pedagogy, and investigates teachers’ and educational leaders’ perceptions of the factors influencing their commitment to school success. Six themes related to excellence in urban pedagogy were identified. Data in the form of semi-structured interviews, observations, and document review de scribe a school in which the leadership strives to develop human capability at all levels through empowerment and shared decision-making. The study indicates that students’ achievement is a collective responsibility and strong instructional leadership is a key for success in urban schools. More studies may be needed to show how contextual experience of teachers and teacher’s self-efficacy are related.


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