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Article
Publication date: 1 December 2006

Healthcare transparency: opportunity or mirage

Russell Jaffe, Robert A. Nash, Richard Ash, Norman Schwartz, Robert Corish, Tammy Born, Harold Lazarus and ASIMP Working Group on Healthcare Transparency

Healthcare is an ever‐growing segment of the American economy. Transparency facilitates better decision‐making and better outcomes measures. The purpose of this paper is…

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Abstract

Purpose

Healthcare is an ever‐growing segment of the American economy. Transparency facilitates better decision‐making and better outcomes measures. The purpose of this paper is to present the human and economic results of increasing transparency.

Design/methodology/approach

The ASIMP Working Group on Healthcare Transparency represents a diverse yet conscilient group of practitioners, researchers, regulators, economists, and academics. Given the need for re‐envisioning healthcare to include more accountability, evidence of efficacy and transparency, this integrative medicine (ASIMP) working group is suitable to address the above purpose.

Findings

Substantial opportunity exists to reduce morbidity and mortality, suffering and excess death, unnecessary costs and risks. Greater transparency facilitates the transition to safer, more effective, more humane healthcare.

Research limitations/implications

This paper starts from a need to improve clinical outcomes and value for resources devoted. Best efforts of a national working group are presented. The implications of the report, when tested, will determine the enduring value of this work.

Practical implications

Consumers and business, administrators and practitioners can improve care at lower cost by increasing transparency. This will accelerate the diffusion of effective approaches that are not yet in widespread use despite replication of efficacy.

Originality/value

This is the first time an integrative approach has been compared with conventional healthcare models, particularly with regard to the role of transparency in healthcare management.

Details

Journal of Management Development, vol. 25 no. 10
Type: Research Article
DOI: https://doi.org/10.1108/02621710610708603
ISSN: 0262-1711

Keywords

  • Health services
  • Medical care
  • Society
  • United States of America

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Article
Publication date: 24 October 2008

Role of transparency in managing outcome successes: Causes and end use/least cost as decision guides

Russell Jaffe, Robert A. Nash, Richard Ash, Norm Schwartz, Robert Corish, Tammy Born, James P. Carter and Harold Lazarus

Healthcare is both the largest (17 + percent) and the most rapidly growing (three plus times the consumer product index (measure of inflation) and half a percent of gross…

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Abstract

Purpose

Healthcare is both the largest (17 + percent) and the most rapidly growing (three plus times the consumer product index (measure of inflation) and half a percent of gross domestic product each year) segment of the US economy. The purpose of this paper is to focus on outcome successes that illustrate application of a previously reported health equation. The health equation allows an organized and more transparent assessment of healthcare outcomes.

Design/methodology/approach

The approach includes “end use/least cost” techniques that identifies healthful care as a big unmet need (BUN) and equally attractive business opportunity in identifying health promotion that improves outcome at lower net costs.

Findings

Opportunity exists to reduce costs while also reducing adverse events, healthcare morbidity and morality. Transparency is essential to find what works more effectively to yield desired outcomes. Metrics and measures, particularly more precise tools to assess true outcome in promoting health or managing ill health, are given priority as they allow quantified and, often econometric, outcome opportunities in the midst of current uncertainties.

Practical implications

This paper is for consumers and businesses, managers and administrators, professionals and allied health professionals. The successes described herein illustrate fundamental opportunities driving change and innovation within healthcare and in our society.

Originality/value

Attention is called to opportunity areas that can fund out of savings the transition from the authors' current “sickness care” system to a healthful care, proactive prevention approach to delivering care. Novel application of transparency and end use/least cost can help guide choices to achieve healthier outcomes.

Details

Journal of Management Development, vol. 27 no. 10
Type: Research Article
DOI: https://doi.org/10.1108/02621710810916321
ISSN: 0262-1711

Keywords

  • Health services
  • Medical care
  • United States of America
  • Management

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Article
Publication date: 29 May 2007

An equation of health: Role of transparency and opacity in developing healthcare efficacy measures and metrics

Russell Jaffe, Robert A. Nash, Richard Ash, Norm Schwartz, Robert Corish, Tammy Born and Harold Lazarus

This article aims to present an equation of health to allow measurement and more precise comparison of what is more or less effective in promoting health or managing ill…

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Abstract

Purpose

This article aims to present an equation of health to allow measurement and more precise comparison of what is more or less effective in promoting health or managing ill health. It builds upon and extends a prior report (JMD, Volume 25 Number 10, 2006, pp. 981‐995).

Design/methodology/approach

Applying basic scientific methods and empiric observations, the equation proposed in this article is a state of the current science. Such an equation allows for more systematic and predictive comparison of health initiatives.

Findings

The pace of scientific progress is outstripping our institutional adaptive response mechanisms. An approach to the causes of ill health appears more promising than re‐configuration of current disease reactive, symptom treatment care. This paper starts from first principles and builds a model that results in an equation of health.

Research limitations/implications

Refinement of the model and replication by others are needed to fully determine the predictive value of this approach.

Practical implications

The opportunity to reduce costs while also reducing adverse events, healthcare morbidity and morality.

Originality/value

This article calls attention to areas of opportunity to fund out of savings the transition from our current “sick care” system to a health promotion/proactive prevention approach to caring.

Details

Journal of Management Development, vol. 26 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/02621710710748275
ISSN: 0262-1711

Keywords

  • Health services
  • Medical care
  • United States of America

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Article
Publication date: 1 December 2006

Transparency guru: an interview with Tom McManus

Tom McManus

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Abstract

Details

Journal of Management Development, vol. 25 no. 10
Type: Research Article
DOI: https://doi.org/10.1108/jmd.2006.02625jaa.001
ISSN: 0262-1711

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Article
Publication date: 29 May 2007

Special issue: transparency and other hot topics revisited

Tom McManus, Yair Holtzman, Harold Lazarus and Johan Anderberg

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Abstract

Details

Journal of Management Development, vol. 26 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/jmd.2007.02626eaa.001
ISSN: 0262-1711

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Book part
Publication date: 14 September 2010

Talk, touch, and intolerance: Sexual harassment in an overtly sexualized work culture

Karla A. Erickson

Based on an ethnographic study of a restaurant called the “Hungry Cowboy,” I examine how servers make use of sexual harassment claims within a sexually overt work culture…

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Abstract

Based on an ethnographic study of a restaurant called the “Hungry Cowboy,” I examine how servers make use of sexual harassment claims within a sexually overt work culture. Focusing on the dynamics of a specific case, I explore how participation in sexual talk and touch provides positive rewards for some workers, operating as a source of craft pride, while laying the groundwork for exclusion of other workers. This study reveals how intersectionality plays out in the day-to-day behaviors and practices that make up workplace cultures, how white workers use a gendered tool to filter racism, the intentional manipulation of workplace culture by workers, and the unintended outcomes of sexual harassment laws.

Details

Gender and Sexuality in the Workplace
Type: Book
DOI: https://doi.org/10.1108/S0277-2833(2010)0000020011
ISBN: 978-1-84855-371-2

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Article
Publication date: 1 December 2004

A strategic approach to organisational learning

Dave Whittington and Tammy Dewar

This short paper will introduce some tools and processes that can be used to develop a more strategic approach to organisational learning. They were developed over a…

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Abstract

This short paper will introduce some tools and processes that can be used to develop a more strategic approach to organisational learning. They were developed over a two‐year action research project carried out by Business Lab (www.businesslab.co.uk) in Aberdeen, Scotland, involving dozens of UK and international companies, government agencies, and educational institutions. The toolset, called LearningEdge, evolved out of the best practices of these organisations and learning organisation theory. Calliope Learning has been using the toolset in the North American market since 2003.

Details

Industrial and Commercial Training, vol. 36 no. 7
Type: Research Article
DOI: https://doi.org/10.1108/00197850410563885
ISSN: 0019-7858

Keywords

  • Learning organizations
  • Management strategy
  • Learning processes
  • Learning styles

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Article
Publication date: 3 June 2019

Incentives and risk-sharing in public procurement of innovations: Towards contracting strategy framework

Niko Suhonen, Timo Tammi, Jani Saastamoinen, Jarkko Pesu, Matti Turtiainen and Lasse Okkonen

Public procurement of innovations (PPIs) addresses a specified need of the public-sector customer or aims at fostering private firms’ innovativeness. In an operational…

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Abstract

Purpose

Public procurement of innovations (PPIs) addresses a specified need of the public-sector customer or aims at fostering private firms’ innovativeness. In an operational sense, issues of information asymmetry and risk sharing between the public agency and the supplier are of paramount importance. The purpose of this paper is to focus on the contract design issues of PPI.

Design/methodology/approach

Explicit and implicit contracting methods are reviewed, and a conceptual framework is proposed in which procurement characteristics are analyzed, focusing on the dimensions of the supplier’s sensitivity to the procurement risk and the power of implicit contracting methods.

Findings

Because of its complex nature, applying cost-plus contracts instead of more common fixed-price contracts is advisable in PPI.

Originality/value

Possible reasons for the more prominent role of contract design in the USA as opposed to the European Union procurement are discussed.

Details

Journal of Public Procurement, vol. 19 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/JOPP-06-2019-029
ISSN: 1535-0118

Keywords

  • Public procurement
  • Risk-sharing
  • Innovation
  • Incentives
  • Contracts

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Article
Publication date: 1 March 2014

Market orientation and smesʼ activity in public sector procurement participation

Timo Tammi, Jani Saastamoinen and Helen Reijonen

Small and medium enterprises (SMEs) have been found to be under-represented in the awarding of public sector procurement contracts. Currently, very little is known about…

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Abstract

Small and medium enterprises (SMEs) have been found to be under-represented in the awarding of public sector procurement contracts. Currently, very little is known about the strategic and behavioral aspects associated with SMEsʼ participation in public sector procurement. To take a step in filling the gap, we used a conceptual construct known as market orientation (MO). The construct comprises a firmʼs orientation in gathering information on competitors and customers, and using the information to gain competitive advantage. This research found that MO has a positive effect on how active SMEs are in searching information on available requests for tenders and how actively they participate in bidding contests. This work strongly suggests that MO should be taken into account when designing procurement contracts, and MO should be fostered among SMEs.

Details

Journal of Public Procurement, vol. 14 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/JOPP-14-03-2014-B001
ISSN: 1535-0118

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Book part
Publication date: 10 August 2011

Resilience: New Paths for Building and Sustaining Individual and Organizational Capacity

Kelly L. Zellars, Logan Justice and Tammy E. Beck

The concept of resilience has exploded in the popular press covering topics from sports to the environment to the economy. Organizational scholars across disciplines have…

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Abstract

The concept of resilience has exploded in the popular press covering topics from sports to the environment to the economy. Organizational scholars across disciplines have joined the discussion, but much remains unknown about the ability to build resilience capacity at work. Individual and organizational resilience is challenged by a world in constant flux, and having the ability to navigate unexpected or significant change is vital for success and well-being. This chapter explores several promising avenues of research to gain a better understanding of factors that build resilience capacity at work. We take an interdisciplinary approach to examine leadership, job crafting, and humor, through the lens of sensemaking, as a means to increase resilience capacity.

Details

The Role of Individual Differences in Occupational Stress and Well Being
Type: Book
DOI: https://doi.org/10.1108/S1479-3555(2011)0000009005
ISBN: 978-0-85724-711-7

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