scholarly journals Building health services in a rapidly changing landscape: Lessons in adaptive leadership and Pivots in a COVID-19 remote monitoring program (Preprint)

2020 ◽  
Author(s):  
Celia Violet Laur ◽  
Payal Agarwal ◽  
Geetha Mukerji ◽  
Elaine Goulbourne ◽  
Hayley Baranek ◽  
...  

UNSTRUCTURED Adaptive Leadership has become an essential skill for leaders in the health system to respond to the COVID-19 pandemic as new knowledge emerges and case counts rise, fall and rise again. This leadership approach has been described as an iterative process of taking a wide view of the situation, interpreting the meaning of incoming data from multiple directions, and taking real-time action. This process is also common in start-ups that try to create a new product or service of uncertain value for a consumer market that may not yet exist. Startups manage uncertainty through “Pivots”, which can include changes in the target group, need, features, or intended benefit of a product or service. Pivots are large changes to account for the high likelihood of getting something wrong, and distinct from the “tweaks” or small tests of change that define quality improvement methodology. This case study describes three Pivots in the launch of a remote monitoring program for COVID-19. Adaptive Leadership helped inform strategic decisions, with Pivots providing a framework for internal and external stakeholders to articulate options for changes to address shifting needs. There is considerable uncertainty in the appropriate design and implementation of health services, and although this case example focuses on the use of Adaptive Leadership and Pivots during a pandemic, these strategies are relevant for healthcare leaders at any time.

10.2196/31044 ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. e31044
Author(s):  
Celia Violet Laur ◽  
Payal Agarwal ◽  
Geetha Mukerji ◽  
Elaine Goulbourne ◽  
Hayley Baranek ◽  
...  


2021 ◽  
Author(s):  
Celia Violet Laur ◽  
Payal Agarwal ◽  
Geetha Mukerji ◽  
Elaine Goulbourne ◽  
Hayley Baranek ◽  
...  

UNSTRUCTURED REMOVE


Author(s):  
Celia Violet Laur ◽  
Payal Agarwal ◽  
Geetha Mukerji ◽  
Elaine Goulbourne ◽  
Hayley Baranek ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
pp. 1-13
Author(s):  
Shrouk Mahmoud Abdelnaeim ◽  
Noha M. El-Bassiouny ◽  
Pallab Paul

Learning outcomes Understand the implementation phase of sustainable start-ups. Identifying the 4 Ps of sustainable start-ups. Understand the different types of challenges faced by Up-Fuse regarding their target customers and their value proposition. Highlighting the important strategic decisions that sustainable start-ups have to consider in their business cycle. Analyzing the differences between the market conditions globally and in the Middle East and North Africa (MENA) region. Case overview/synopsis Sustainable entrepreneurship is the type of entrepreneurship that is market-oriented and creative while at the same time putting the environment, society and economy into consideration. Sustainable entrepreneurs offer value through their goods and services that are beneficial or at least do not harm the environment or the society. The case provides background information and facts about doing business in the MENA region and Egypt specifically. Afterward, the case study emphasizes the challenges that are faced by sustainable entrepreneurs in Egypt through analyzing the case of a sustainable Egyptian start-up. The case study is on Up-Fuse, one of the sustainable start-ups in Egypt that produce backpacks, shoulder and waist bags, laptop sleeves, cases and pouches. This case study aims at describing the different challenges and strategic decisions that sustainable start-ups go through in Egypt. Complexity academic level This case targets undergraduate management students, marketing students, master of business administration students, entrepreneurship students and entrepreneurs. This case can be taught in courses with marketing, entrepreneurship and sustainability focus. Supplementary materials Teaching notes are available for educators only. Subject code CSS 3: Entrepreneurship.


Author(s):  
Kasey Barr ◽  
Alex Mintz

This chapter examines the effect of group dynamics on the 2016 decision within the administration of President Barack Obama to lead the international coalition in a mission to liberate Raqqa, Syria, from the Islamic State. The authors show that whereas the groupthink syndrome characterized the decision-making process of the US-led coalition’s decision to attack Raqqa, it was polythink that characterized the decision-making dynamics both in the US-led coalition and within the inner circle of Obama’s own foreign policy advisors. Through case-study analysis, the authors illustrate that groupthink is more likely in strategic decisions, whereas polythink is more likely in tactical decisions.


Sensors ◽  
2021 ◽  
Vol 21 (16) ◽  
pp. 5300
Author(s):  
Antonia Nisioti ◽  
George Loukas ◽  
Stefan Rass ◽  
Emmanouil Panaousis

The use of anti-forensic techniques is a very common practice that stealthy adversaries may deploy to minimise their traces and make the investigation of an incident harder by evading detection and attribution. In this paper, we study the interaction between a cyber forensic Investigator and a strategic Attacker using a game-theoretic framework. This is based on a Bayesian game of incomplete information played on a multi-host cyber forensics investigation graph of actions traversed by both players. The edges of the graph represent players’ actions across different hosts in a network. In alignment with the concept of Bayesian games, we define two Attacker types to represent their ability of deploying anti-forensic techniques to conceal their activities. In this way, our model allows the Investigator to identify the optimal investigating policy taking into consideration the cost and impact of the available actions, while coping with the uncertainty of the Attacker’s type and strategic decisions. To evaluate our model, we construct a realistic case study based on threat reports and data extracted from the MITRE ATT&CK STIX repository, Common Vulnerability Scoring System (CVSS), and interviews with cyber-security practitioners. We use the case study to compare the performance of the proposed method against two other investigative methods and three different types of Attackers.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Peng ◽  
J Maguire ◽  
A Hayen ◽  
J Adams ◽  
D Sibbritt

Abstract Background This is a case study for recurrent stroke prevention. Lifestyle factors account for about 80% of the risk of recurrent stroke. Most health services studies examining stroke prevention rely on stroke survivors' self-reported lifestyle behaviour data. How can researchers increase the value of collected self-reported data to provide additional information for more comprehensive assessments? Methods 45 and Up Study is the largest ongoing study in the Southern Hemisphere focusing on the health of people aged 45 years and older living in NSW, Australia. This case study linked self-reported longitudinal lifestyle data in the 45 and Up Study, with corresponding mortality data (i.e. NSW Registry of Births, Deaths and Marriages & NSW Cause of Death Unit Record File) and hospital data (i.e. NSW Admitted Patient Data Collection) via the Centre for Health Record Linkage (CHeReL). The main outcome measures are health services, clinical outcomes, and mortality rates for stroke care. The analyses will include descriptive analysis, multivariate regression analysis, and survival analysis. Results A total of 8410 stroke survivors who participated in the 45 and Up Study were included in this data linkage study. From January 2006 to December 2015, 99249 hospital claims (mean: 13 times admission to hospital per person) and 2656 death registration records have been linked to these participants. The mean age of the stroke survivors was 72 (SD = 11) years, with 56% being males. These results are preliminary and more analyses will be conducted by using quality of life status, clinical diagnosis, comorbidities, and procedures. Conclusions Data linkage enables researchers to generate comprehensive findings on health services studies and gain a more holistic understanding of the determinants and outcomes of stroke prevention with lower data collection costs and less burden on participants. Key messages Data linkage brings about a new opportunity for self-reported data on health services utilisation. It is a cost-effective way to enhance existing self-reported data via the data linkage approach to increase its usefulness for informing health service planning.


2019 ◽  
Author(s):  
Louise Jackson ◽  
Nicola Thorley ◽  
Lorraine Munetsi ◽  
Jonathan Ross

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