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Article
Publication date: 1 December 2006

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 to…

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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
ISSN: 0262-1711

Keywords

Article
Publication date: 24 October 2008

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 domestic…

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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
ISSN: 0262-1711

Keywords

Article
Publication date: 29 May 2007

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 health…

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
ISSN: 0262-1711

Keywords

Content available
Article
Publication date: 1 December 2006

Tom McManus

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Abstract

Details

Journal of Management Development, vol. 25 no. 10
Type: Research Article
ISSN: 0262-1711

Content available

Abstract

Details

Journal of Management Development, vol. 26 no. 5
Type: Research Article
ISSN: 0262-1711

Article
Publication date: 1 December 2004

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 two‐year…

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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
ISSN: 0019-7858

Keywords

Article
Publication date: 3 June 2019

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 sense…

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
ISSN: 1535-0118

Keywords

Article
Publication date: 1 March 2014

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 the…

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
ISSN: 1535-0118

Article
Publication date: 1 March 2009

Elizabeth K. Wilson and Tammy Cook

Ecology and population studies are among the most important curriculum standards of the NCSS. Population Connection has aligned its various lessons with NCSS national standards…

Abstract

Ecology and population studies are among the most important curriculum standards of the NCSS. Population Connection has aligned its various lessons with NCSS national standards. The NCSS standard “People, Places, and Environments” aligns with the state standards of history and geography. Both the state and NCSS provide K-12 grade alignment. Social studies teachers nationwide are able to use the NCSS standards that Population Connection has provided to align the many lessons with NCSS national standards and state standards. Each of the following three lessons is designed for the elementary classroom teachers to integrate social studies with other elementary content. All three lessons have been field-tested and provide an overview, procedures, objectives, standards, skills and materials, discussion questions, and extension activities.

Details

Social Studies Research and Practice, vol. 4 no. 1
Type: Research Article
ISSN: 1933-5415

Article
Publication date: 13 August 2021

Mary Turner, Nigel King, Dara Mojtahedi, Viv Burr, Victoria Gall, Graham R. Gibbs, Lara Flynn Hudspith, Chelsea Beatrice Leadley and Tammi Walker

In the past decade, there has been growing awareness of well-being and its importance and an increase in the development of activities or programmes aimed at improving well-being…

Abstract

Purpose

In the past decade, there has been growing awareness of well-being and its importance and an increase in the development of activities or programmes aimed at improving well-being. The purpose of this study is to investigate what well-being programmes were being offered to prisoners in England and Wales and what benefits and other outcomes were experienced.

Design/methodology/approach

The study used a mixed-methods exploratory design in two phases. Phase 1 was a questionnaire survey of all adult prisons in England and Wales, completed by prison staff. In Phase 2, a sample of survey respondents took part in in-depth interviews.

Findings

The programmes identified in Phase 1 included physical activities, creative arts, mindfulness, horticulture, reading and animal-assisted activities. Prison staff reported a range of universally positive outcomes shared by all programmes, including enthusiasm from prisoners, enjoyment of the activities and being able to do something different from the usual prison routine. However, in Phase 2, interviewees rarely mentioned direct health and well-being benefits. The impetus for programmes was varied and there was little reference to national policy on health and well-being; this reflected the ad hoc way in which programmes are developed, with a key role being played by the Well-being Officer, where these were funded.

Originality/value

The literature on well-being programmes in prisons is limited and tends to focus on specific types of initiatives, often in a single prison. This study contributes by highlighting the range of activities across prisons and elucidating the perspectives of those involved in running such programmes.

Details

International Journal of Prisoner Health, vol. 18 no. 3
Type: Research Article
ISSN: 1744-9200

Keywords

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