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There are longstanding concerns about the sustainability of the US health care system. Payment reform has been seen over the last decade as a key strategy to reorienting the US health care system around value. Alternative payment models (APMs) that seek to accomplish this goal have become increasingly prevalent in the US, yet there is a perception that physicians are resistant to their use and that organizations have been slow to adopt such models. The reasons for the limited effectiveness of APM programs are multifactorial and include aspects related to the design and implementation of these programs and lack of alignment and coordination across different payers and health care sectors. Most importantly, however, is that the current organizational structures in US health care serve to dampen the direct impact of these incentives, often because health care delivery organizations face conflicting incentives themselves. Organizations filter and refine the incentives from multiple external payment contracts and develop internal incentive systems that best reflect the amalgamation of the incentives embedded across their contracts, and thus the fragmented nature of the US health care system serves to undermine efforts to transform care under value-based contracts. In addition to organizations having conflicting incentives, there also are fundamental problems with the design and implementation of APMs that hinder their acceptance among physicians and the organizations in which they work. Moreover, much remains to be learned about how organizations can best adapt to succeed under these models, and how organizational culture can be leveraged to transform care.

This chapter describes how higher education professionals and college students can use social networking sites and technology to manage their careers. Individuals can expect to change careers several times in a lifetime making the importance and role of social networks past and present central to the career management process. The way individuals communicate and interact through the use of social networking sites for the purpose of career development is discussed. The role of social networking sites in exploring career options, learning, making connections, searching for jobs, developing professionally, making decisions, and maintaining a professional image online is examined. A model is presented on using social networking sites to gather information and feedback during the career management process. Scenarios and examples are provided from higher educational professionals, hiring managers, college students, job seekers, and career changers. The chapter envisions the future of career management specific to higher education and addresses how higher education career advisors can respond to social networking sites and technology.

Analysis of organizational decline has become central to the study of economy and society. Further advances in this area may fail however, because two major literatures on the topic remain disintegrated and because both lack a sophisticated account of how social structure and interdependencies among organizations affect decline. This paper develops a perspective which tries to overcome these problems. The perspective explains decline through an understanding of how social ties and resource dependencies among firms affect market structure and the resulting behavior of firms within it. Evidence is furnished that supports the assumptions of the perspective and provides a basis for specifying propositions about the effect of network structure on organizational survival. I conclude by discussing the perspective’s implications for organizational theory and economic sociology.

Little is known about temporal trends in the intensification of work in America, or its determinants. This study analyzed two representative samples of the American labor force, and found that the pace of work increased significantly between 1977 and 1997. In a decomposition analysis, two-thirds of the increase in work intensification was attributable to objective economic changes, in particular job complexity and the length of work schedules. Future research should further explore the role of technology in quickening the pace of work, but not ignore the possibility that the demands of family life also affect perceptions of work intensification.

This chapter attempts to explain why the community of scholars at Stanford University generated an unparalleled amount of highly influential theory and research on organizations in the last three decades of the 20th century.¹

To explain job hours in four health-care occupations – physicians, nurses, emergency medical technicians (EMTs), and nursing assistants, this paper focuses on three sets of factors: class and gender, job conditions and commitment, and family situation. We find that class counts, whether understood in terms of occupation or earnings. Gender shapes hours, but more as a characteristic of occupations than of individuals. Job conditions that explain hours vary, depending on occupational grouping. Families also matter – children, but not spouses, shape the work hours of nurses; spouses, but not children, shape work hours for the other three occupations.