As sustainability is being integrated into corporate strategies, the discussions on sustainability have moved from whether it should be addressed in strategy, to how it should be integrated into business practices. And as projects are a vehicle for the implementation of organizational strategies, it is suggested that consideration of sustainability should be integrated into the processes and practices of project management. A pivotal role in this integration is foreseen for the project manager. The project manager has a central position in the project, which provides the opportunity to influence many aspects of the project. However, an opportunity to act is be enough, as many factors or circumstances influence the actual behavior of the project manager with regards to sustainability. In a European study into the factors that stimulate project managers to address sustainability, three distinct stimulus patterns were revealed. As national or societal culture is known to influence sustainability behavior, the study reported in this paper focuses on exploring the factors that stimulate Canadian project managers to consider sustainability in their projects. Similar to the European study, this study revealed three distinct stimulus patterns, that were characterized as ‘Intrinsically motivated’, ‘Pragmatic’ and ‘Normative driven’. The findings of the study confirm the patterns of the earlier study to a large extent. Two of the three patterns of the studies showed similar characteristics. The third pattern of the studies showed partial similarity and partial difference, with the European project managers tending more towards the opportunities for implementation of sustainability, and the Canadian project managers putting more value on the alignment of personal and organizational values.
Patient portals have the potential to empower patients to be more knowledgeable and proactive about their health. Implementation of patient portals has become increasingly critical at primary care sites that serve underserved communities, where there is a growing need for linguistically appropriate electronic access. The Charles B. Wang Community Health Center has recently developed a linguistically appropriate patient portal with the goal of providing increased access to its majority Chinese American patient population with low English proficiency and literacy levels. This article will discuss experiences learned from implementing a Chinese Language Patient Portal that addresses socioeconomic barriers and disparities in health care access. aapi nexusing upon electronic health record innovations and health information technology (HIT) is crucial in providing higher quality care and improving health outcomes. Meaningful Use and PCMH goals have acknowledged patient portals as key platforms in improving access to health care and prompting various efforts around improving patient engagement, such as access to medical records, communication with providers, education, and wellness tracking.Disparities in provider-patient communication have been shown to exist among Asian Americans, especially those who are of low income and have limited English proficiency (LEP) (Ngo-Metzger et al., 2010). To address this, the Charles B. Wang Community Health Center (CBWCHC) has launched a Chinese Language Patient Portal (CLPP) with funding in part by the New York Community Trust. The patient portal is a secure website that gives patients convenient 24-hour online access to their personal health information from anywhere with an Internet connection. Services provided in the portal include allowing patients to access their health records, review lab results, schedule appointments, refill medications, and communicate with their health care providers. Launched in December 2013, the CLPP provides services in Chinese (both traditional and simplified) and is available in addition to the original English platform that was released in July 2013.In this article, we cover the rising interests in developing HIT for addressing health equity, experiences, and lessons learned in designing and implementing the CLPP, as well as guidance for other health centers as they consider developing their own patient portals that address the unique cultural and linguistic needs of other patient populations.
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