scholarly journals Risk and Opportunity—The Leadership Challenge in a World of Uncertainty—Learnings from Research into the Implementation of the Australian National Disability Insurance Scheme

2021 ◽  
Vol 14 (8) ◽  
pp. 383
Author(s):  
David Rosenbaum ◽  
Elizabeth More
Keyword(s):  
Large Scale ◽  
Service Providers ◽  
Implementation Process ◽  
Disability Insurance ◽  
Framework Analysis ◽  
Insurance Scheme ◽  
Implementation Framework ◽  
Non Profit ◽  
Leadership Challenges ◽  
Implementation Challenges

This paper considers the risks and opportunities inherent in a major national change process through a descriptive approach to the implementation challenges for Australian non-profit disability service providers as they grapple with the implementation of the transformational National Disability Insurance Scheme (NDIS). It highlights the leadership challenges associated with the newly developed NDIS Implementation Framework and, in doing so, recognises the risk and opportunity issues contained with that implementation process. The research used grounded theory coupled with framework analysis in a qualitative study that, in part, sought to identify leadership characteristics deemed necessary to minimize risks, capitalize on opportunities, and support positive change outcomes leading to successful NDIS implementations amongst several participating organisations, each with differing demographics and at different stages in the implementation process. The findings, which have been grouped into phases, suggest a range of leadership attributes at key phases of the NDIS implementation that are necessary to minimise implementation risks and maximise opportunities associated with the NDIS. These phases have been identified as: (i) An input phase where the emphasis must be on internal change preparedness and external environmental impacts and drivers; (ii) A process phase where the emphasis is on direct implementation issues; and (iii) An outcomes phase where active consideration needs to be on organisational mission sustainability, as well as the risk and opportunity challenge. The study is crucial in revealing leadership challenges and lessons for large scale change and risk management in the non-profit sector, within and beyond the specific case of Australia’s NDIS implementation, useful for both scholars and practitioners.

scholarly journals The Implementation of the NDIS: Who Wins, Who Loses?

2014 ◽  
Vol 6 (2) ◽  
pp. 25-39 ◽  
Author(s):  
Jenny Green ◽  
Jane Mears
Keyword(s):  
Paradigm Shift ◽  
Service Providers ◽  
Disability Insurance ◽  
Government Funding ◽  
Disability Rights ◽  
Insurance Scheme ◽  
Major Step ◽  
For Profit ◽  
Not For Profit ◽  
People With Disability

The National Disability Insurance Scheme (NDIS) is a major paradigm shift in funding and support for people with disability in Australia. It is a person centered model that has at its core a change in government funding away from service providers direct to individuals with disability. In principle it is heralded as a major step forward in disability rights. Nonetheless, the implementation poses threats as well as benefits. This paper outlines potential threats or risks from the perspective of not-for-profit organisations, workers in the sector and most importantly people with disability.  It draws on a range of recent reports on the sector, person centered models of funding and care, the NDIS and past experience. Its purpose is to forewarn the major issues so that implementers can be forearmed. 

Implementation aspects of agile methods in large organizations

e-mentor ◽  
2021 ◽  
Vol 90 (3) ◽  
pp. 64-72
Author(s):  
Robert Pawlak ◽  
Keyword(s):  
Best Practices ◽  
Large Scale ◽  
Success Factors ◽  
Implementation Process ◽  
Business Practice ◽  
Organization Culture ◽  
Agile Methods ◽  
Implementation Challenges ◽  
Depth Analysis ◽  
Implementation Aspects

The aim of this article is to analyze the challenges and success factors on organizations’ path to agile transformation, as frequently discussed in the literature and encountered in business practice. The research conducted proved that large-scale agile transformations require a dedicated approach with set of tools and best practices in place. The implementation challenges and barriers have been categorized into method-, organization-, culture- and technology-oriented groups. As a result of an in-depth analysis carried on for the purpose of this paper, a dedicated methodology of agile transformation has been proposed to ease the implementation process.

The Australian National Disability Insurance Scheme and People With Disabilities From CALD Backgrounds

2020 ◽  
Vol 9 (3) ◽  
pp. 1-23
Author(s):  
Hossein Adibi
Keyword(s):  
Implementation Process ◽  
People With Disabilities ◽  
Disability Insurance ◽  
Main Question ◽  
Positive Outcomes ◽  
Insurance Scheme ◽  
Vulnerable People ◽  
People With Disability ◽  
Two Phases ◽  
Trial Implementation

The National Disability Insurance Scheme (NDIS) is considered to be the second greatest reform in healthcare in Australia after the introduction of Medicare in Australia in 1983. This reform was introduced in 2012 in two phases. The first phase as a trial took place for three years. The expectation was that the reform will be rolled out by 2019 or 2020. This article argues that the trial implementation process has achieved very positive outcomes in the lives of a great number of people with disability in Australia. At the same time, NDIS is facing many serious challenges in some areas. One of the obvious challenges is that this reform is a market approached reform. The second challenge relates to meeting the needs of minorities. People with disabilities from Culturally and Linguistically Divers (CALD) backgrounds are one of the five most venerable, underutilised users of NDIS services in Australia. They have no strong voice and negotiable abilities. The main question here is how NDIS is to meet its commitment to satisfy the needs of these vulnerable people in Australia.

Planning, implementing and managing online repositories: Lessons learned from the KnowGenesis Library

First Monday ◽  
1969 ◽  
Author(s):  
Saurabh Kudesia
Keyword(s):  
Success Rate ◽  
Technical Communication ◽  
Large Scale ◽  
Implementation Process ◽  
Lessons Learned ◽  
Implementation Challenges ◽  
Complex Design ◽  
The Stability ◽  
Online Library ◽  
Self Learning

Established in 2005, the KnowGenesis Online Library for Technical Communication (http://www.knowgenesis.org/tc) is India's first online repository dedicated to accelerate knowledge sharing and promote self-learning in the field of technical communication. The Library is available free of cost, requiring a one-time free registration to access available material. The popularity and success rate of the Library can be determined by the fact that within a year of its launch, it not only attracted more than 24,000 visitors and gained more than 1,500 subscribers, but also increased the volume of the hosted content from a few documents to more than 2,000 important documents, presentations, tutorials and links. The KnowGenesis (KG) Library presents a unique case for repository designers to study the complex design and implementation process that contributed to the stability and overall success rate of the online Library. This paper not only shares the designing and implementation challenges faced by the KnowGenesis team, but also presents the approach used to match the user requirements with the Library design. Based on the lessons learned during the process, the paper also presents specific set of guidelines and recommends methodologies that can provide critical assistance for developing and managing medium and large-scale repositories.

Attachment security, early childhood intervention and the National Disability Insurance Scheme: a risk and rights analysis

2019 ◽  
Vol 44 (4) ◽  
pp. 187-193
Author(s):  
Stacey Lynne Alexander ◽  
Margarita Frederico ◽  
Maureen Long
Keyword(s):  
Early Childhood ◽  
Attachment Security ◽  
Service Providers ◽  
Disability Insurance ◽  
Well Being ◽  
Early Childhood Intervention ◽  
National Guidelines ◽  
Insurance Scheme ◽  
Design And Implementation ◽  
Childhood Intervention

AbstractTo promote the rights, well-being and development of the child, and for the benefit of families and the community, attachment should be a central focus of early childhood intervention (ECI) under the National Disability Insurance Scheme (NDIS). ECI Key Workers have the opportunity to positively influence parent–child relationships and are encouraged to do so by the ECI national guidelines. This article identifies how elements of the NDIS design and implementation may be counterproductive to fostering attachment security in children. These elements can lead to delayed intervention; increased parental stress; reduced expertise of service providers; and financial disincentives for best practice in working with disadvantaged families. The article highlights the implications for children with a disability and their families in Australian society and identifies lessons for the design and implementation of social policy.

scholarly journals Implementation challenges of the mandatory health insurance scheme

2019 ◽  
Vol 43 (1) ◽  
Author(s):  
Shaik Sayed Md Rashidul Hossain ◽  
Shoaib Mohammad Salman
Keyword(s):  
Health Insurance ◽  
Implementation Process ◽  
Monitoring And Evaluation ◽  
Health Insurance Scheme ◽  
Successful Implementation ◽  
Insurance Scheme ◽  
Implementation Challenges ◽  
Qualitative Research Design ◽  
Mandatory Health Insurance ◽  
Perfect Monitoring

Abstract Background Implementation of a mandatory insurance scheme depends on several issues, and among them are regulation, management, and program design which are very crucial. Sometimes a well-designed insurance scheme cannot attract an adequate number of people toward the scheme. Therefore, this study is aimed to explore the implementation challenges of Sajida Foundation’s health insurance scheme. Methods An exploratory qualitative research design has been applied to explore the challenges that normally exist in regular implementation process. The study population was both field and official level employees who are directly involved in the implementation process of Nirapotta scheme in Karanigoni branch. Results Successful implementation of the health insurance scheme of Sajida Foundation is getting constraints by several factors, and among them are lack of dedicated staff for this program, less involvement with community people, inadequate program knowledge dissemination to the people, and not providing incentive for work of Nirapotta are considered as the major challenges of implementation of Nirapotta Scheme. Challenges faced by policy-makers include incoordination with Microfinance Regulatory Authority and not having the latest software for perfect monitoring and evaluation of the Nirapotta program. Apart from this, there are some challenges in implementation which are normally faced in program; some of the most noteworthy findings are incoordination between employees especially in branch level, transient position of Sajida bondhu in the Nirapotta program, and low payment scale compared to other organizations. Conclusions Implementation of Nirapotta scheme is getting constraints by multiple factors which can easily be overcome by involving all necessary stakeholders and taking their valuable concern for further development of the scheme to ensure long-term sustainability of the program.

Australia’s National Disability Insurance Scheme: a collaboration opportunity for academia and industry

2018 ◽  
Vol 23 (3) ◽  
pp. 139-146
Author(s):  
Jonathan Mason ◽  
Kate Crowson ◽  
Mary Katsikitis ◽  
Michael Moodie
Keyword(s):  
Market Failure ◽  
Service Providers ◽  
Disability Insurance ◽  
Insurance Scheme ◽  
Content Type ◽  
Technology Service ◽  
National Debate ◽  
Rural And Remote Areas ◽  
Research Findings ◽  
Commonwealth Government

Purpose The purpose of this paper is to summarise the initial experiences of Australia’s National Disability Insurance Scheme (NDIS). It highlights some of the main challenges being faced by participants, service providers and government, and demonstrates how research can contribute to the ongoing implementation and success of the scheme. Design/methodology/approach The historical basis for the need for a new approach to disability funding in Australia is explored. The opportunities that exist and the difficulties that are being encountered by those entering and working within the new scheme are discussed. Findings Several problems were identified including difficult transitions between existing support frameworks to new “NDIS plans”, and the risk of market failure. Both the problems and their solutions are discussed and it is hoped that collaboration between the Commonwealth Government, service users, their families, service providers and universities can lead to a number of lasting improvements. Practical implications The new funding framework provides exciting opportunities for increasing the funding of people with intellectual and physical disabilities in Australia. Developments in technology, service provision in rural and remote areas and the opportunity to meet aspirational life goals exist alongside a number of challenges, including the need to ensure that those with multiple and complex disabilities retain existing levels of support. Originality/value The implementation of the NDIS is still underway, and opportunities exist to implement changes to the scheme where required. Research findings have an important role to play in the national debate regarding how best to improve quality of life for people with a disability in Australia.

scholarly journals An Investigation of Service Providers’ understanding, perspectives and implementations of the Transdisciplinary model in Early Intervention settings for Children with Disabilities

2017 ◽  
Author(s):  
Eimear Fitzmaurice ◽  
Janet Richmond
Keyword(s):  
Early Intervention ◽  
Best Practice ◽  
Children With Disabilities ◽  
Service Providers ◽  
Disability Insurance ◽  
Structured Interviews ◽  
Insurance Scheme ◽  
Practice Model ◽  
Transdisciplinary Approach ◽  
Electronic Search

Purpose: The transdisciplinary practice model is currently being promoted as best practice in early intervention therapy for children with disabilities. However, supporting literature is limited. Thus, the question is asked, “What are service providers' understanding and perception of the transdisciplinary model in early intervention settings for children with disabilities?” Method: A systematic review was carried out using the Preferred Reporting Items for Systematic Reviews. An electronic search was conducted via six databases. Eight articles were selected. Results: Four studies predominantly focused on service providers’ perspectives of the model using semi-structured interviews or surveys. Many studies were of adequate to low quality, and the methods of implementing the transdisciplinary approach varied across organisations. It is therefore difficult to draw valid conclusions based on service provider’s viewpoints of the model. Conclusions: This review attempted to determine if the transdisciplinary model is best practice. The inconsistencies in the transdisciplinary teams indicates that overall, the general understanding of the model and its framework amongst organisations is poor. Further research is needed to establish service providers’ understanding of the model and how transdisciplinary teams are functioning since the introduction of the National Disability Insurance Scheme.

The Australian National Disability Insurance Scheme and People With Disabilities From CALD Backgrounds

2022 ◽  
pp. 694-712
Author(s):  
Hossein Adibi
Keyword(s):  
Implementation Process ◽  
People With Disabilities ◽  
Disability Insurance ◽  
Main Question ◽  
Positive Outcomes ◽  
Insurance Scheme ◽  
Vulnerable People ◽  
People With Disability ◽  
Two Phases ◽  
Trial Implementation

The National Disability Insurance Scheme (NDIS) is considered to be the second greatest reform in healthcare in Australia after the introduction of Medicare in Australia in 1983. This reform was introduced in 2012 in two phases. The first phase as a trial took place for three years. The expectation was that the reform will be rolled out by 2019 or 2020. This article argues that the trial implementation process has achieved very positive outcomes in the lives of a great number of people with disability in Australia. At the same time, NDIS is facing many serious challenges in some areas. One of the obvious challenges is that this reform is a market approached reform. The second challenge relates to meeting the needs of minorities. People with disabilities from Culturally and Linguistically Divers (CALD) backgrounds are one of the five most venerable, underutilised users of NDIS services in Australia. They have no strong voice and negotiable abilities. The main question here is how NDIS is to meet its commitment to satisfy the needs of these vulnerable people in Australia.

scholarly journals Barriers and Facilitators for Implementation of a Patient Prioritization Tool in Rehabilitation Settings

2020 ◽  
Author(s):  
Julien Déry ◽  
Angel Ruiz ◽  
François Routhier ◽  
Valérie Bélanger ◽  
André Côté ◽  
...  
Keyword(s):  
Service Providers ◽  
Implementation Process ◽  
Barriers And Facilitators ◽  
Relative Advantage ◽  
Successful Implementation ◽  
Clinical Practices ◽  
Implementation Framework ◽  
Rehabilitation Programs ◽  
Patient Prioritization ◽  
Facilitators And Barriers

Abstract Introduction. Prioritization tools aim to manage access to care by ranking patients equitably in waiting list based on determined criteria. Patient prioritization has been studied in a wide variety of clinical health services, including rehabilitation contexts. We created a web-based patient prioritization tool with the participation of stakeholders in two rehabilitation programs, which we aim to implement into clinical practice. Successful implementation of such innovation can be influenced by a variety of determinants. The goal of this study was to explore facilitators and barriers to the implementation of a patient prioritization tool in rehabilitation programs.Methods. We used two questionnaires and conducted two focus groups among service providers from two rehabilitation programs. We used descriptive statistics to report results of the questionnaires and qualitative content analysis based on Consolidated Framework for Implementation Research.Results. Key facilitators are the flexibility and relative advantage of the tool to improve clinical practices and produce beneficial outcomes on patients. Main barriers are the lack of training, financial support and human resources to sustain the implementation process.Conclusion. This is the first study that highlights organizational, individual and innovation levels facilitators and barriers for the implementation of a prioritization tool from service providers’ perspective.Contributions to the literatureMethods used in this study could be operationalized in future studies to investigate barriers and facilitators of the implementation of an innovative intervention in rehabilitation settings.We used a well-known implementation framework (CFIR) to classified the determinants of the implementation, which could help to compare the results with other similar studies in implementation science.The barriers and facilitators identified in this study are an important first step in the implementation process of a patient prioritization tool in rehabilitation programs.

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