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Article
Publication date: 19 September 2016

Bethany Lanese

The purpose of this paper is to test and measure the outcome of a community hospital in implementing the Affordable Care Act (ACA) through a co-management arrangement. RQ1: do the…

Abstract

Purpose

The purpose of this paper is to test and measure the outcome of a community hospital in implementing the Affordable Care Act (ACA) through a co-management arrangement. RQ1: do the benefits of a co-management arrangement outweigh the costs? RQ2: does physician alignment aid in the effective implementation of the ACA directives set for hospitals?

Design/methodology/approach

A case study of a 350-bed non-profit community hospital co-management company. The quantitative data are eight quarters of quality metrics prior and eight quarters post establishment of the co-management company. The quality metrics are all based on standardized national requirements from the Joint Commission and Centers for Medicare and Medicaid Services guidelines. These measures directly impact the quality initiatives under the ACA that are applicable to all healthcare facilities. Qualitative data include survey results from hospital employees of the perceived effectiveness of the co-management company. A paired samples difference of means t-test was conducted to compare the timeframe before co-management and post co-management.

Findings

The findings indicate that the benefits of a co-management arrangement do outweigh the costs for both the physicians and the hospital (RQ1). The physicians benefit through actual dollar payout, but also with improved communication and greater input in running the service line. The hospital benefits from reduced cost – or reduced penalties under the ACA – as well as better communication and greater physician involvement in administration of the service line. RQ2: does physician alignment aid in the effective implementation of the ACA directives set for hospitals? The hospital improved in every quality metric under the co-management company. A paired sample difference of means t-test showed a statistically significant improvement in five of the six quality metrics in the study.

Originality/value

Previous research indicates the potential effectiveness of co-management companies in improving healthcare delivery and hospital-physician relations (Sowers et al., 2013). The current research takes this a step further to show that the data do in fact support these concepts. The hospital and the physicians carrying out the day-to-day actions have shared goals, better communication, and improved quality metrics under the co-management company. As the number of co-management companies increases across the USA, more research can be directed at determining their overall impact on quality care.

Details

Journal of Health Organization and Management, vol. 30 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 7 March 2016

Chung-Chi Chen, Gwo-Guang Lee and Tzu-Chuan Chou

The purpose of this paper is to examine the ways in which central government in resource-constrained environments collaborates with local government to utilize the available…

Abstract

Purpose

The purpose of this paper is to examine the ways in which central government in resource-constrained environments collaborates with local government to utilize the available resources at hand to set up 300 Digital Opportunity Centers (DOCs) in 168 remote areas in Taiwan through co-management to bricolage new resources and new capabilities, gradually bridging the urban-rural digital divide to co-create values for local development.

Design/methodology/approach

This study adopted an in-depth case study. The authors selected Taiwan’s DOC, the largest public information service infrastructure project in Taiwan, to explore issues related to bricolage-based resource co-management.

Findings

From the integrating relevant literature, the generic process of bricolage-based resource co-management can be inferred to consist of four major steps. Applying this body of knowledge as a theoretical lens to analyze the case of Taiwan’s DOC, a process model of bricolage-based resource co-management is inductively derived to address the research questions.

Research limitations/implications

A common criticism of this methodology is its lack of generalizability since a case study cannot prove itself in a statistical sense.

Practical implications

This study is significant in that it provides a comprehensive and empirically supported framework. The authors hope that practitioners who face resource constraints when conducting large-scale IT projects can use the process model developed in this study as a detailed roadmap to identify the most appropriate actions and steps to undertake.

Originality/value

This study provides an empirically grounded framework that contributes toward addressing the lack of empirical studies in bricolage-based, resource co-management research.

Details

Information Technology & People, vol. 29 no. 1
Type: Research Article
ISSN: 0959-3845

Keywords

Article
Publication date: 2 October 2017

Shyh-Shiuh Chen, Chao Ou-Yang and Tzu-Chuan Chou

The purpose of this paper is to conceptualize how information technology (IT) enables supply chain (SC) network capabilities, which is to capitalize on SC’s existing set of…

1576

Abstract

Purpose

The purpose of this paper is to conceptualize how information technology (IT) enables supply chain (SC) network capabilities, which is to capitalize on SC’s existing set of resources and, at the same time, manage new combinations of SC resources to meet future market needs. The paper also develops SCM framework associated with IT-enabled SC network capabilities.

Design/methodology/approach

Through a case study of a leading Taiwanese petrochemical corporation, qualitative data were gathered on the IT-related SC management practices, in terms of network resource mobilizing and adaptive co-management arrangements to enable SC network capability. This research is based primarily on the interviews of the case company, supplemented by archived documents, published books, and in-depth observations.

Findings

Based on the evidence from the case, this study inductively develops a model that includes the operating processes with IT-enabled activities to achieve ambidextrous SC network capability, and the relevant framework functions in network resources and co-management activities include information co-governance, information interoperability, community engagement strategy, cyber-physical dexterity, and control enactment, which lead the SC alliances improvements for dynamic environmental changes.

Practical implications

Practitioners may derive strategies and tactics from the current findings to help them implement innovative information technologies and setup SC framework, during SC network capability development, to achieve SC’s sustainable competence in a dynamic market.

Originality/value

Researchers and practitioners may obtain a more complete view of IT-enabled SC network capability development. The proposed model reveals that developing IT-enabled SC network capabilities is a dynamic process whereby an organization’s major SC managerial activities are divided into specific network resource mobilizing and adaptive co-management arrangements.

Details

International Journal of Physical Distribution & Logistics Management, vol. 47 no. 9
Type: Research Article
ISSN: 0960-0035

Keywords

Article
Publication date: 1 December 1996

Michael Whitty

Discusses co‐management which is the step beyond self‐directed work teams and a natural evolution to a fully involved process of employee participation at all levels of the firm…

1164

Abstract

Discusses co‐management which is the step beyond self‐directed work teams and a natural evolution to a fully involved process of employee participation at all levels of the firm. Stresses that quality, productivity and organizational health are primarily what co‐management has to offer both owners and employees. This result will also benefit the regional, national and world industry which adopts co‐management.

Details

Journal of Organizational Change Management, vol. 9 no. 6
Type: Research Article
ISSN: 0953-4814

Keywords

Article
Publication date: 8 January 2018

Emmanuel Yeboah-Assiamah, Kobus Muller and Kwame Ameyaw Domfeh

Natural resources in contemporary times are mostly managed by a collaborative governance approach which hinges on complex institutional designs (rules, norms and strategies). Many…

Abstract

Purpose

Natural resources in contemporary times are mostly managed by a collaborative governance approach which hinges on complex institutional designs (rules, norms and strategies). Many studies have been designed and carried out to assess collaborative governance, and the various institutional designs underpinning them. The purpose of this paper is to unpack the methodological gaps in natural resource governance research (with emphasis on co-management) and to conceptualise the appropriateness of Transdisciplinary (TD) research approach.

Design/methodology/approach

The paper adopts a critical stage review of relevant theoretical and empirical literature on natural resource governance. It discusses the complexities inherent in natural resource governance and juxtaposes these with the inherent weaknesses in methodologies employed by existing studies on the concept. The authors make a case for a TD research methodology that links scientists, practitioners and society in a joint problem design and solution process.

Findings

The authors register a “fuzziness” of the collaborative governance phenomenon but observe a methodological gap in existing studies on the concept. This paper discusses the complexities inherent. The paper describes TD as a “tailor-made approach” to solving complex societal issues and makes a case for its adoption in natural resource governance studies.

Research limitations/implications

This standalone paper is largely conceptual and not linked to any primary data; this notwithstanding, it synthesizes from both empirical and theoretical literature which would help shape future research endeavours in natural resource governance context.

Practical implications

With TD study oriented towards an epistemologically flexible approach, perspectives from different social and academic actors are integrated in this expanding field of research to address societal problems.

Originality/value

The paper provides a conceptual framework designating how actors interact in the TD research process as well as a “four-phase” approach in carrying out a TD research.

Details

Management of Environmental Quality: An International Journal, vol. 29 no. 1
Type: Research Article
ISSN: 1477-7835

Keywords

Article
Publication date: 11 June 2019

Jaroslaw Plichta

The development of tourism is emerging in some places of the world’s destinations and the problem of overtourism is an expression of the mechanisms and behaviours of entities in…

1021

Abstract

Purpose

The development of tourism is emerging in some places of the world’s destinations and the problem of overtourism is an expression of the mechanisms and behaviours of entities in the public space that is a city or region. For many years, on the practical and theoretical ground, various ways of describing these phenomena have been sought. These include the theory of stakeholders that combines approaches that refer to strategic management, value-chain theory, resource-based theory, CSR concepts or those embedded in the institutional concept, game theory and the theory of property rights. The paper aims to discuss these issues.

Design/methodology/approach

The paper discusses the overtourism problem from the point of view of selected aspects of stakeholder theory on the example of one of the most popular cities in the world – Krakow, where for several years there has been a discussion about overtourism and the effects of this phenomenon for residents, enterprises and other stakeholders. It can be hypothesised that the stakeholder theory and co-management can be an inspiration to seek a solution to this growing problem.

Findings

The result of the discussed problems is the indication of the role of stakeholders in the appearance of the ovetourism phenomenon and the protection of activities aimed at implementing the co-management concept at the local and international level.

Research limitations/implications

Here are not many research results and the empirical data describing the problem from point of view stakeholder theory connected with overtourism. It is also the problem of overlapping different approach and theories. This shows possibilities to grow of research in this field.

Practical implications

Stakeholders theory help to solve many problems in corporate management as well as in public institutions. It gives the possibilities to include in analysis different social groups and entities. This kind of research and approach could be used for creating of the regional policies and sustainable development. An important role to play in the process of creating co-operative structures between stakeholders has co-managerial and academic environments. They can be a place for both discussions, conducting research and a meeting place for thematic groups solving specific problems.

Social implications

Overtourism is a problem concerning various areas of functioning of historical cities. They are obliged to provide and protect the cultural heritage of all humanity. The theory of stakeholders and the co-management concept create the possibility of managing the ovetourism phenomenon. They have, therefore, an important social aspect. Their goal is to cooperate and integrate activities around key social and economic problems at the local, national and international levels.

Originality/value

It is an adaptation and searching of methods for describing the new phenomena in tourism and cities development. It is an attempt at a holistic approach to problems related to the common space and resources owned by various stakeholders.

Details

International Journal of Tourism Cities, vol. 5 no. 4
Type: Research Article
ISSN: 2056-5607

Keywords

Article
Publication date: 31 July 2018

Edward Robert Freeman, Chiara Civera, Damiano Cortese and Simona Fiandrino

The purpose of this paper is to link empowerment to the engagement of low-power stakeholders in the context of marine protected areas (MPAs) to suggest how empowerment-based…

Abstract

Purpose

The purpose of this paper is to link empowerment to the engagement of low-power stakeholders in the context of marine protected areas (MPAs) to suggest how empowerment-based engagement can be strategised to prevent and overcome management crises within a natural common good and ultimately achieve effective co-management.

Design/methodology/approach

This research employs a longitudinal case study methodology. The subject of the study is Torre Guaceto MPA, a natural common good, internationally recognised as a best practice of co-management.

Findings

The case study illustrates specific empowerment areas and actions that help move low-power stakeholders to higher levels of engagement to achieve effective co-management. It also suggests that the main strategic implication of empowerment-based engagement is the creation of empowered stakeholders who can serve as catalysts for sustaining the common through the development of entrepreneurial skills that satisfy joint interests.

Research limitations/implications

The applied methodology of a single case and the peculiar conditions intrinsic to this case can be overcome via the inclusion and comparison of other similar commons.

Practical implications

The study provides a stakeholder management model of empowerment-based engagement that offers concrete evidence of empowerment strategies that can be adopted and adapted by the management of similar natural common goods.

Originality/value

The research fills the literature gaps related to understanding the antecedents of engagement and its strategic implications within natural common pool resources.

Open Access
Article
Publication date: 10 March 2023

Sini Laari, Harri Lorentz, Patrik Jonsson and Roger Lindau

Drawing on information processing theory, the linkage between buffering and bridging and the ability on the part of procurement to resolve demand–supply imbalances is…

3608

Abstract

Purpose

Drawing on information processing theory, the linkage between buffering and bridging and the ability on the part of procurement to resolve demand–supply imbalances is investigated, as well as contexts in which these strategies may be particularly useful or detrimental. Buffering may be achieved through demand change or redundancy, while bridging may be achieved by the means of collaboration or monitoring.

Design/methodology/approach

This study employs a hierarchical regression analysis of a survey of 150 Finnish and Swedish procurement and sales and operations planning professionals, each responding from the perspective of their own area of supply responsibility.

Findings

Both the demand change and redundancy varieties of buffering are associated with procurement's ability to resolve demand–supply imbalances without delivery disruptions, but not with cost-efficient resolution. Bridging is associated with the cost-efficient resolution of imbalances: while collaboration offers benefits, monitoring seems to make things worse. Dynamism diminishes, while the co-management of procurement in S&OP improves procurement's ability to resolve demand–supply imbalances. The most potent strategy for tackling problematic contexts appears to be buffering via demand change.

Practical implications

The results highlight the importance of procurement in the S&OP process and suggest tactical measures that can be taken to resolve and reduce the effects of supply and demand imbalances.

Originality/value

The results contribute to the procurement and S&OP literature by increasing knowledge regarding the role and integration of procurement to the crucial process of balancing demand and supply operations.

Details

International Journal of Operations & Production Management, vol. 43 no. 13
Type: Research Article
ISSN: 0144-3577

Keywords

Article
Publication date: 2 May 2017

Valter Cantino, Alain Devalle, Damiano Cortese, Francesca Ricciardi and Mariangela Longo

The purpose of this paper is to develop an original six-phase model describing entrepreneurial learning in the transition of place-based enterprises toward a sustainable…

1694

Abstract

Purpose

The purpose of this paper is to develop an original six-phase model describing entrepreneurial learning in the transition of place-based enterprises toward a sustainable exploitation of natural common resources (commons).

Design/methodology/approach

The six-phase model proposed by this study explains the learning processes involving place-based enterprises through two important existing theories: adaptive co-management and Lachmann’s evolutionary, embedded theory of entrepreneurship. The proposed model integrates these two theories on the basis of a longitudinal case study on the fishing enterprises in an Italian marine protected area (MPA).

Findings

In the case study, the success factors identified by the adaptive co-management literature proved important in enabling an embedded entrepreneurial learning process consistent with Lachmann’s view. The case analysis allowed the authors to cluster these learning processes around six phases. Further, even if traditional fishing is not knowledge-intensive, this case shows the transition to a sustainable business model required intense efforts of educated institutional work and scientific research. Interestingly, the key learning processes were enabled by the emergence of a larger, networked social entity (a network form of organization) including the community of fishermen, the MPA management and a network of scientists studying the marine area ecosystem.

Research limitations/implications

This study is explorative and relies on a single case study. Despite this limitation, it opens up new research paths in the fields of entrepreneurship, institutional work, network organizations and adaptive management of the commons.

Originality/value

This study is strongly interdisciplinary; it proposes an original model based on a theoretical view that is highly innovative for organization and management studies; and addresses a relevant but overlooked issue with important societal implications.

Details

International Journal of Entrepreneurial Behavior & Research, vol. 23 no. 3
Type: Research Article
ISSN: 1355-2554

Keywords

Article
Publication date: 15 February 2021

Inocent Moyo and Hlengiwe Marvelous Sweetness Cele

The paper aims to advocate for innovative approaches in terms of the involvement of higher education institutions (HEIs) in the conservation of the environment, which fully…

Abstract

Purpose

The paper aims to advocate for innovative approaches in terms of the involvement of higher education institutions (HEIs) in the conservation of the environment, which fully considers and includes the developmental needs of indigenous communities while at the same time protecting the environment.

Design/methodology/approach

Using a qualitative study of indigenous communities and protected area (PA) authorities in Okhahlamba-Drakensberg, KwaZulu-Natal, South Africa, this paper explores the potential of the engagement of HEIs in capacitating indigenous communities to unleash their development potential towards reducing poverty and, thus accelerating the implementation of sustainable development goal one (SDG 1).

Findings

The paper shows that the enforcement of stringently protectionist policies in environmental conservation in PAs does very little to address issues of poverty because it leads to the marginalisation of indigenous communities and thereby their exclusion from using resources, which should benefit them. This undermines sustainable development, particularly the attainment of SDGs such as Goal 1, which targets ending poverty in all its forms everywhere.

Originality/value

Using the case of environmental management and governance of a PA in KwaZulu-Natal, South Africa, this paper highlights the fact that the attainment of SDG 1 can start at a micro-level and HEIs have a role to play in terms of collaborating with and understanding the needs of the rural communities so that research and innovation are geared towards meeting such needs. In this way, the paper advances the case of how the HEI-rural community-SDG 1 nexus can be established.

Details

International Journal of Sustainability in Higher Education, vol. 22 no. 7
Type: Research Article
ISSN: 1467-6370

Keywords

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