scholarly journals Accountable Care in the Safety Net: A Case Study of the Cambridge Health Alliance

Author(s):  
Karen Hacker Hacker ◽  
Robert Mechanic Mechanic ◽  
Palmira Santos Santos
2008 ◽  
Vol 85 (4) ◽  
pp. 555-571 ◽  
Author(s):  
Ava Stanley ◽  
Joel C. Cantor ◽  
Peter Guarnaccia

2019 ◽  
Vol 8 (2) ◽  
pp. 211-227
Author(s):  
Marlo Rencher

Entrepreneurship, as applied here, involves helping students develop an entrepreneurial mindset by working in a university-supported startup that lacks the artificiality of a simulation or the safety net of heavy financial subsidization. This article chronicles an organizational-wide change at a private Midwestern university and the development of a new “artifact”—the dynamic case study—to complement a new approach to business and entrepreneurial education. After reviewing the function of case studies in a teaching and research context, I consider this new kind of case study as a boundary object and means for making sense of early stage entrepreneurial activity.


2019 ◽  
pp. 315-322
Author(s):  
Patricia N. Mathews

This chapter presents a case study based on the experience of the Northern Virginia Health Foundation (NVHF). The NVHF was created twelve years ago and was created to improve the health and health care of the residents of Northern Virginia, with a particular emphasis on those of low income and the uninsured. The chapter shows how despite being a small foundation, over the years, NVHF has made significant investments in the health care safety net. However, despite this, low-income residents in the area continue to face considerable challenges. The chapter makes some general conclusions based on this experience: cross-sector collaboration is difficult and, in many instances, expensive. But the return on investment is potentially strong. The direction should be creative and focused.


2020 ◽  
Vol 17 (9) ◽  
pp. 1123-1129
Author(s):  
Sarah I. Kamel ◽  
Adam C. Zoga ◽  
Frederick Randolph ◽  
Vijay M. Rao ◽  
Vishal Desai

2016 ◽  
Vol 23 (2) ◽  
pp. 241-260
Author(s):  
Pierre de Gioia-Carabellese ◽  
Corrado Chessa

This article focuses on the legal provisions of Directive 2014/49 on deposit guarantee schemes (the DGS Directive) and focuses on how the national schemes financially support each another by offering a critical analysis to demonstrate that the new legal framework is far from satisfactory. This is because the new ‘safety net’, still hinged on depositors' protections schemes that operate at the national level, is fettered by the quantitative limits and legal constraints of mutual borrowing. This ultimately still leaves the EU/EEA depositors with an element of uncertainty. This contribution also seeks to illustrate that the recent mass withdrawal from bank deposits in Greece (in June/July 2015) was an unsuccessful test case for the new legislation, which was ironically already in force at the time the crisis unfolded. This case study of Greece is coupled with the important Landslaki dictum which is given equal attention in this article. Together they give significant credibility to the view that the DGS Directive, seemingly not fully aware of the lessons to be learnt from the 2011 Eurozone crisis, is obsolete and should be amended as soon as possible.


2014 ◽  
Vol 34 (9/10) ◽  
pp. 670-693 ◽  
Author(s):  
Dominique Boels

Purpose – The purpose of this paper is to gain insight into the organisation of informal street selling in the capital of Belgium, its association with formal and illegal selling and the perceptions, choices and decisions of the sellers. Design/methodology/approach – A qualitative approach (case study) was employed, including interviews, observations and document analyses. Findings – The results point to different types of informal street selling, which are mainly executed by (illegal) migrants as a survival strategy. The case illustrates the different interrelations between the formal, informal and criminal economy. Notwithstanding the precarious situation of many informal sellers (informal), street selling is preserved by the government as a social safety net. Moreover, informal selling is neutralised by the suggestion that it is a better alternative than stealing or committing crimes which inflict physical harm and feelings of insecurity. Research limitations/implications – The results have limited generalisability, but are theoretically and methodologically important. Practical implications – Implications for migration policy (e.g. more preventative actions in countries of origin, shorter procedures, development of migration regulations accounting for other policy domains, e.g. employment market). Originality/value – The study fills a gap in the literature as there is limited empirical research on informal economy and Belgian informal street selling. Results are discussed in relation to international literature, thus overcoming a purely national perspective.


2021 ◽  
Vol 9 (4) ◽  
pp. e001326
Author(s):  
Heather Nelson-Brantley ◽  
Edward F Ellerbeck ◽  
Stacy McCrea-Robertson ◽  
Jennifer Brull ◽  
Jennifer Bacani McKenney ◽  
...  

ObjectiveTo describe common strategies and practice-specific barriers, adaptations and determinants of cancer screening implementation in eight rural primary care practices in the Midwestern United States after joining an accountable care organisation (ACO).DesignThis study used a multiple case study design. Purposive sampling was used to identify a diverse group of practices within the ACO. Data were collected from focus group interviews and workflow mapping. The Consolidated Framework for Implementation Research (CFIR) was used to guide data collection and analysis. Data were cross-analysed by clinic and CFIR domains to identify common themes and practice-specific determinants of cancer screening implementation.SettingThe study included eight rural primary care practices, defined as Rural-Urban Continuum Codes 5–9, in one ACO in the Midwestern United States.ParticipantsProviders, staff and administrators who worked in the primary care practices participated in focus groups. 28 individuals participated including 10 physicians; one doctor of osteopathic medicine; three advanced practice registered nurses; eight registered nurses, quality assurance and licensed practical nurses; one medical assistant; one care coordination manager; and four administrators.ResultsWith integration into the ACO, practices adopted four new strategies to support cancer screening: care gap lists, huddle sheets, screening via annual wellness visits and information spread. Cross-case analysis revealed that all practices used both visit-based and population-based cancer screening strategies, although workflows varied widely across practices. Each of the four strategies was adapted for fit to the local context of the practice. Participants shared that joining the ACO provided a strong external incentive for increasing cancer screening rates. Two predominant determinants of cancer screening success at the clinic level were use of the electronic health record (EHR) and fully engaging nurses in the screening process.ConclusionsJoining an ACO can be a positive driver for increasing cancer screening practices in rural primary care practices. Characteristics of the practice can impact the success of ACO-related cancer screening efforts; engaging nurses to the fullest extent of their education and training and integrating cancer screening into the EHR can optimise the cancer screening workflow.


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