Managing Under Austerity, Delivering Under Pressure: Performance and Productivity in Public Service

Wanna, John; Lee, Hsu-Ann; Yates, Sophie

doi:10.22459/muadup.10.2015

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…The themes identified in this research, while focusing on healthcare innovation and investment decisionmaking, align with other contexts focusing on redesign and improvement more broadly across the public sector [3,19,28,30,40]. In particular, these findings align with public sector organisations empowering motivated individuals through digital innovations, democratising innovation, enabling change, and change-ready business models [19].…”

Section: Gp Uptakesupporting

confidence: 54%

“…In particular, these findings align with public sector organisations empowering motivated individuals through digital innovations, democratising innovation, enabling change, and change-ready business models [19]. In the specific case of the ICIF grant opportunity in Queensland, the findings of this study validate the drive by healthcare executives to implement new models of care, supported by sustainable business models, that show promise of fostering a more integrated, and peoplecentred approach to care across primary, secondary and tertiary services than what conventional approaches have delivered previously [1,19,28].…”

Section: Gp Uptakementioning

confidence: 54%

“…These themes also linked to how executives' personal experiences and career goals/motives positioned them to consider innovation pilots as vehicles to drive workforce and systems performance and productivity to benefit patients and communities [28][29][30]. For ease of analysis, where the interview participant recognised a facilitator or a barrier to their decision-making, these were recorded to inform the theming.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Moss¹,

Hartley²,

Ziviani³

et al. 2020

International Journal of Integrated Care

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Introduction: A Queensland project team secured grant funding to pilot Project ECHO ® , a telementor ing model, to drive vertical and horizontal integration across paediatric, education and primary care services. This study sought to understand what influenced healthcare executives' decision-making pro cesses to organisationally commit to and financially invest in the pilot proposal within an organisational context. Theory and Methods: A phenomenological approach methodology was adopted to investigate healthcare executives' conscious decision-making processes. Semi-structured interviews with key stakeholders were conducted alongside project documentation analyses to create a thematic framework. Results: The qualitative thematic analysis identified five key themes that influenced the decision-making processes of healthcare executives to invest in Project ECHO ® as an integrated care pilot. The themes were: (i) personal experiences, (ii) benefits, (iii) risks, (iv) partnerships, and (v) timing. Executives' reflec tions explored how their decision-making processes considered the intrapreneurial project team as an indicator of future sustainability. Discussion: Findings highlighted healthcare intrapreneurs' drive to foster more integrated and peoplecentred approaches to care. Intrapreneurial aims of financial sustainability, ongoing improvement and scalability of the proposal positively influenced investment confidence. Conclusion: Intrapreneurial champions must provide a compelling narrative to convince executive decisionmakers that benefits will outweigh risks, that integration is achievable through strengthened partnerships as well as future sustainability beyond the pilot phase.

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Section: Gp Uptakesupporting

confidence: 54%

Section: Gp Uptakementioning

confidence: 54%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Moss¹,

Hartley²,

Ziviani³

et al. 2020

International Journal of Integrated Care

View full text Add to dashboard Cite

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Implications of Agile Project Management on Performance Management

Mukherjee,

Albrecht

2023

2023 IEEE 12th International Conference on Intelligent Data Acquisition and Advanced Computing Systems: Technology and Applicat

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Integration intrapreneurship: implementing innovation in a public healthcare organization

2022

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Aim As global events impact the way organizations operate and innovate in response to regional, workforce and consumer needs, the concept of intrapreneurism is attracting growing interest from policymakers and executives, particularly within the healthcare sector. The aim of this study was to capture the key learnings from the implementation of a telementoring pilot, to understand how intrapreneurship can embed innovation within an established organization to effect more integrated healthcare. Purpose A qualitative approach was used with a phenomenological lens to explore the key learnings of the Project ECHO® (Extension for Community Healthcare Outcomes) pilot implementation to provide an understanding of what the project team’s strategies and tactics were during the process of embedding a new business innovation. The implementation and piloting of Project ECHO®, a telementoring model, in a large-scale public healthcare organization in Queensland, Australia, was investigated as an exemplar of integration intrapreneurship. Findings Through an inductive approach, this qualitative study found the implementation of the Project ECHO® pilot had specific dimensions and strategies/tactics which were exemplars of intrapreneurism. The organizational context and workforce characteristics described in this study presented new knowledge of how intrapreneurs implemented an innovation to address fragmentation of healthcare service delivery, professional isolation and instances of low-value care. This research contributes to a better understanding of the strategic and tactical approaches to implementing intrapreneurial innovations within a public healthcare organization, with learnings that can be adapted by intrapreneurs in other contexts.

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Managing Under Austerity, Delivering Under Pressure: Performance and Productivity in Public Service

Cited by 3 publications

References 3 publications

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Implications of Agile Project Management on Performance Management

Integration intrapreneurship: implementing innovation in a public healthcare organization

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