This book connects political economy perspectives with scenario planning for mapping out future trajectories of digital ecosystems. The focus is purposefully on digital ecosystems as it encompasses economic, political and social contexts on a global, national and local level. The diversity of political economy approaches allows the author to explore alternative meanings of digital ecosystem development, which is particularly useful for envisioning alternative futures. Often visions about the future of digital ecosystems suffer from a lack of imagination and confirmation bias which is favorable to the extrapolation of current trends. A wide range of political economy perspectives applied through positivist theorizing in this book shows different interpretations of developments in digital ecosystems. Scenario planning teams around the world have applied a collective imagination to show how future trajectories can be radically different from the current trends. The book outlines meta-scenarios for alternative futures of the political economy of digital ecosystems by reviewing and synthesizing the work of foresight teams. These meta-scenarios served as insights for developing four scenarios for European digital ecosystems through the workshops with high-level executives and experts. The scenarios identified the nature of EU cooperation and the development of digital infrastructure as key drivers. These four scenarios developed in the workshops are further operationalized in a specific context by exploring the implications for Estonia as well as for Chinese investments in European platforms. This exercise shows how scenarios of digital ecosystems can be used for stress-testing decisions and strategies. Decision-makers, students, scholars and other stakeholders in a wide range of industries ranging from academia to ride-sharing can use the scenarios for reframing different development trajectories and future-proofing their strategies. The scenarios can be further developed and modified for specific purposes and contexts as they are not written in stone.

* The first book to profile social enterprises in Asia specifically. * Provides the honest stories of the ups and downs of setting up and running ten social enterprises in Asia. * Edited by two leading experts in the field.

Since adapting the principles of the Toyota Production System to health care in 2002, Virginia Mason Health System has made enormous leaps forward in quality, safety, patient experience of care, and affordability. It has achieved world-class levels of patient satisfaction and has been honored as one of the safest hospitals in the country. A Leadership Journey in Health Care: Virginia Mason's Story supplies an inside look at process improvement from the world leader in applying Lean methods to health care. It presents key lessons learned as well as the best practices developed at Virginia Mason during its 12-year process improvement journey. Just as important, Virginia Mason's culture of leadership at all levels sets it apart from others in the health care universe. Describing why it's critical for leadership to be actively involved in any process improvement initiative, the book illustrates exactly what leadership looks like at all levels within Virginia Mason. In the book, bestselling author Charles Kenney introduces breakthrough new work at Virginia Mason that most health care audiences have yet to read about. He details the reasons why governance has played such a big role in Virginia Mason's success and discusses a game-changing initiative concerning respect for people. After reading this book, you will better understand the active leadership style that has propelled Virginia Mason's success. By following the best practices and lessons learned, you will be prepared to teach, coach, and encourage your team to achieve streamlined and standardized work, sustained improvements, and increased patient satisfaction. Foreword by Carolyn Corvi, Virginia Mason Health System/Virginia Mason Medical Center Boards of Directors; Retired Vice President and General Manager, Boeing Commercial Airplanes

A multiplicity of factors converging together suggest the long term/post-acute care (LTPAC) provider community (e.g. nursing homes, behavioral health facilities, home health agencies, etc.) will accelerate in importance within the healthcare ecosystem during the next few years. The challenge for many LTPAC providers in this emerging environment will be to advance their clinical health information technologies (health IT) capabilities in order to "play" with other providers in the healthcare "sandbox." This book is designed to assist LTPAC leaders in identifying and exploring the array of critical issues one needs to consider in order to operate within an advanced clinical health IT ecosystem. This book surveys key issues surrounding the use of clinical health IT in LTPAC settings, to include providing readers with a suggested strategic plan and roadmap for selecting and installing digital health technologies in LTPAC organizations. Though the focus of the book primarily centers on the U.S. LTPAC provider's experience, the authors also spend time addressing global and future LTPAC considerations.

This title includes a number of Open Access chapters. In the last several decades, international traffic volume has significantly increased, raising the risk of infectious diseases and their spread. In this important volume, the impact of health issues is explored in connection with travel. Not only does the book explore the risk of diseases such as H1N1 (otherwise known as swine flu), malaria, salmonella, and Legionellosis, it also addresses health regulations for travel to foreign countries, alcohol use and hospitality-related health problems and issues, medical tourism (patients seeking less expensive medical procedures in countries other than their own), and much more.

This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks. This book provides EHR designers, developers, implementers, users, and policymakers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their electronic health records EHR implementations. The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters focus on the underlying informatics concepts, key research activities, and methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future and the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system. Taken together, the information provided in this book should help any organization, whether large or small, implement its EHR program and improve the safety and effectiveness of its existing EHR-enabled healthcare systems. This volume will be extremely valuable to small, ambulatory physician practices and larger outpatient settings as well as for hospitals and professors and instructors charged with teaching safe and effective implementation and use of EHRs. It will also be highly useful for health information technology professionals responsible for maintaining a safe and effective EHR and for clinical and administrative staff working in EHR-enabled healthcare systems.

Museums must change to illuminate the histories, cultures, and social issues that matter to their local population. Based on a unique longitudinal ethnographic study, Transforming Museum Management illustrates how a traditional art museum attempted to transform into a more inclusive and community-based institution. Using open systems theory and the Buddhist concept of mutual causality, it examines the museum's internal management structure and culture, programs and exhibitions, and mental models of museum workers. In providing both theoretical and practical foundations to transform management structures, this accessible volume will benefit stakeholders by proposing a new culture and structure to arts institutions, to change practice to be more relevant, diverse, and inclusive. This book will be an invaluable resource for researchers and advanced students of museum studies, cultural management, arts administration, non-profit management, and organizational studies.

This book looks at the state of governance in countries of Developing Asia, ie, the poorer countries in the region and those with inadequate creditworthiness and with risk of debt stress. It assesses the state of public sector management and their attempts at governance reforms in these countries. It further considers the space for these countries to initiate and sustain reforms in a few key areas of public policy, including (i) generating more resources domestically; (ii) reforming the state-owned enterprises so that primarily governments do not lose a lot of resources in the form of subsidies; (iii) strengthening local governments so that services can be provided more effectively; and (iv) strengthening the agencies of government such that public sector functions, such as service delivery, are better and more effectively delivered. The book's main conclusion is that while countries in Developing Asia have had difficulties in instituting governance and public sector reforms, the scope for doing so has never been better.

Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.

How can the public manager create and co-create value in the digital economy? While there is much exciting work being done, there is a pressing need to recontextualize public value theory (PVT), specifically in terms of its theoretical precepts, in the fluid and dynamic environment that the digital economy has produced. Much of the theoretical undergirding of PVT predates the full onset of today's digital economy, leaving aside phenomena including citizen-driven innovations, decentralized digital structures, and the algorithmic foundations of new economic life. This is why a conceptually driven exercise in contemporizing PVT would be of great value to public administration's theoreticians seeking to lead the theory in catching up to the praxis. This book seeks to answer the question of creating and co-creating public managerial value by developing chapters that revisit categories central to the functions of public managers in relation to other value-creating agents under PVT. It introduces new and important lenses to PVT that are grounded in the praxis of the digital economy, raising new questions about old problems in PVT and generating newer formulations that push PVT forward and make its debates salient to the futures that lay before the modern public manager. The book therefore constitutes an important effort to take PVT forward by shedding new light on the potency of the public manager in confronting and constructing the digital economy through co-creation with the other agents of public value. It will be of interest to researchers, academics, and policy makers in the fields of public and nonprofit management, public administration and policy, and PVT.

A productive society is dependent upon high-performing government. This third edition of The Public Performance and Productivity Handbook includes chapters from leading scholars, consultants, and practitioners to explore all of the core elements of improvement. Completely revised and focused on best practice, the handbook comprehensively explores managing for high performance, measurement and analysis, costs and finances, human resources, and cutting-edge organizational tools. Its coverage of new and systematic management approaches and well-defined measurement systems provides guidance for organizations of all sizes to improve productivity and performance. The contributors discuss such topics as accountability, organizational effectiveness after budget cuts, the complementary roles of human capital and "big data," and how to teach performance management in the classroom and in public organizations. The handbook is accompanied by an online companion volume providing examples of performance measurement and improvement manuals across a wide variety of public organizations. The Public Performance and Productivity Handbook, Third Edition, is required reading for all public administration practitioners, as well as for students and scholars interested in the state of the public performance and productivity field.

The US political system has come to depend upon money too much. The US health care industry spends the most on political lobbying among all the 13 industrial sectors in the US economy. The government regulatory agencies at both federal and state levels have been "captured" by the health industry interest groups meaning that the regulatory agencies respond to the interests of the industry but not those of citizens. This book employs a broad theoretical framework of crony capitalism to understand US health care system dysfunction. This framework has not been applied before in any serious manner to understand the shortcomings in the US health care system. Specifically, the book examines the role of seven key players using this framework - politicians/interest groups, pharmaceutical companies, private health insurers, hospitals/hospital networks, physicians, medical device manufacturers, and the American public. Crony capitalism is a destructive force and is rampant in US health care system, causing much waste, inefficiencies, and malaise in the system. Current efforts and initiatives, such as patient-centered medical homes and precision medicine, for improving/reforming the system are of mere academic interest and tantamount to taking aspirin to treat cancer. They do not even pretend to address the root cause of the problem, namely, crony capitalism. Offering prescriptions to fix the U.S. health care system based on a comprehensive diagnosis of the dysfunction, this book will be of interest to researchers, academics, policymakers, and students in the fields of health care management, public and non-profit management, health policy, administration, and economics, and political science.

This book builds on research in translation studies of change in organizations and demonstrates the implications and application of these findings for managing innovation and change. When implementing ideas into practice in order to carry out innovative change, translation is key. From strategic and leadership changes to policy and health management decisions, abstract ideas such as 'LEAN', 'CSR', 'Sustainability', 'Public-Private Partnerships', 'Clinical Pathways' and 'AI' are introduced to improve organizational processes. However, in any company and organization, miscommunication and misinterpretation can lead to these ideas being modified, added to and appropriated in ways that make them unsuccessful. This book presents a case for change ideas in organizations being translated rather than "implemented" and offers a profound understanding of the translation processes needed in order for this to succeed. This vital study is a must-read for researchers, students and practitioners including change agents, general and health care managers, public servants as well as strategic managers and policy decision-makers.

Universities are important public institutions and are seen as key drivers for a country's economic and intellectual development. Their ability to deliver relevant research and education at the highest level have an impact on growth and progress in society, and governments attempt to control and govern the development of the universities. It is no longer left to the individual researcher or the institution to determine the role of the university. Universities have traditionally had a special role in society with a high degree of autonomy and independence. They have been described as a self-governing Republic of Science and their internal organization is characterized as "academic tribes". However, universities can also be viewed as institutions with somewhat similar characteristics as other public institutions with highly professionalized staff. Governing the Reformed University is a coherent volume based on a unique data set. The aim of the book is to quantitatively and qualitatively understand and explain how reforms and management instruments are implemented and how it influences different levels of the organization from the top management level to the employees within universities. It contributes to the knowledge of reform and reform impact in higher education. It also adds to our understanding of management and governance at universities and through which mechanisms management works at universities. This book builds on and adds to the knowledge of studies of reform and governance at universities. The data used in the book consists of a number of data sets and is collected as part of a comprehensive research project. Academics and policy makers alike in the fields of public administration, public management, public policy, educational studies and accountancy will find this of high interest.

Although collaborations for local and regional economic development have been popular in recent years, it is not yet wholly clear when or how such efforts bring successful outcomes. Using an integrative conceptual framework for collaborative governance, this innovative collection provides a systematic and interdisciplinary analysis of real-world collaborative networks for local and regional economic development. Focusing on a wide range collaborative economic development in diverse cities and regions in USA, Canada, Germany, India, Italy, and South Korea, the chapters explore what forces motivate the emergence of collaborative economic development efforts. Each chapter explores the factors which contribute to or hinder collaborative governance efforts for economic development and identifies lessons for overcoming challenges to creating communities that are economically resilient, environmentally sustainable and politically engaged in the era of globalization. By focusing on collaborative governance and its implications for the ability of policies to meet the challenges of the 21st century, it provides lessons for researchers in public management, urban planning/development, public policy, and political science, as well as practitioners interested in promoting local economic development.

Public and private sector workforces in the U.S. look very different today than they did even 25 years ago. The changes are having a significant effect on how organizations manage their workforces. The old styles of managing heterogeneous workforces are proving to be ineffectual, and so management strategies aimed at embracing diversity and inclusion are essential. These strategies can have positive implications for worker satisfaction, morale and - ultimately - the delivery of public services to the American people. Managing Diversity in Public Sector Workforces, Second Edition examines demographic changes to the U.S. labor force and workplace and the ways in which government employers are managing the diverse populations that now fill public sector jobs. Addressing specific management strategies and initiatives relied on by public sector employers, as well as the implications of effectively managing variegated workforces for the overall governance of American society, this book demonstrates the importance of ensuring that programs to promote inclusiveness and diversity that appear on paper are carried through to practice through implementation. The book begins with a review of equal employment opportunity and affirmative action and the extent to which EEO and AA are still relied upon in the workplace. It then examines law and other public policy issues surrounding EEO, AA and diversity management. The remainder of the book focuses on the core of managing diversity in the public sector, exploring the initiatives, strategies, and programs that government employers either do or might rely on to ensure that the demographic mosaic embodied by their workforces is prepared to meet the needs and interests of the American citizenry of the 21st century. Data are provided on the demographics of the federal, state and local government workforces. Separate chapters address each of the following aspects of diversity: race, ethnicity, gender, LGBTQ employment, physical ability, and the intersection of these constructs. Managing Diversity in Public Sector Workforces, Second Edition will be of interest to students of public administration and public personnel management, and it is essential reading for all those involved in managing public organizations.

Founders and Organizational Development: The Etiology and Theory of Founder's Syndrome is designed to help today's researchers, faculty, students and practitioners become familiar with the etiology and dynamics of Founder's Syndrome as an organizational condition challenging nonprofit/nongovernmental, social enterprise, and for-profit and publicly traded organizations. The book uses applied social and psychological theories and concepts to peel away the layers of an organizational enigma, revealing three causes of Founder's Syndrome and insight into the power and privileges assumed by founders who engage in undesirable and self-destructive behaviors leading to their termination; going from hero status to antihero. Researchers, instructors, students, and practitioners will find thought-provoking case studies from the real world of organization development practice. Segments from interviews during interventions reveal the type of emotional turmoil experienced in organizations where founder's syndrome is present. Insight is provided into accounts of well-known founders who were terminated or forced to resign. The unique features of this book include: integrating theory into practice, describing a new theory about the psychological reaction of founder's syndrome victims, prevention ideas when designing new organizations, strategies for intervention, using content based on research and organization development consultation experiences, and, integrating feedback from students who have launched organizations.

Coping with complexities is an everyday reality for private, public and third sectors that face intricate, overlapping, obscuring and ever-changing challenges. Developments in technology and systems of value creation are driving a new need to understand, facilitate and manage complexity. The book proposes design and design research as a solution to respond to the complexities associated with the intensifying and rapid changes in societies, technological fields and environments. A four-step design process for managing complexities is introduced in the four parts of this book, spanning from design research in the field to practice-based contexts. This publication collates high-level research and the latest scholarship on this topic, while many of the case studies described herein draw on rich experiences and applications in practice. The ways designers work to overcome complexities through design, and the methods and frameworks presented in the chapters, provide critical insights and form an important scholarly contribution in this subject area.

Public and private sector workforces in the U.S. look very different today than they did even 25 years ago. The changes are having a significant effect on how organizations manage their workforces. The old styles of managing heterogeneous workforces are proving to be ineffectual, and so management strategies aimed at embracing diversity and inclusion are essential. These strategies can have positive implications for worker satisfaction, morale and - ultimately - the delivery of public services to the American people. Managing Diversity in Public Sector Workforces, Second Edition examines demographic changes to the U.S. labor force and workplace and the ways in which government employers are managing the diverse populations that now fill public sector jobs. Addressing specific management strategies and initiatives relied on by public sector employers, as well as the implications of effectively managing variegated workforces for the overall governance of American society, this book demonstrates the importance of ensuring that programs to promote inclusiveness and diversity that appear on paper are carried through to practice through implementation. The book begins with a review of equal employment opportunity and affirmative action and the extent to which EEO and AA are still relied upon in the workplace. It then examines law and other public policy issues surrounding EEO, AA and diversity management. The remainder of the book focuses on the core of managing diversity in the public sector, exploring the initiatives, strategies, and programs that government employers either do or might rely on to ensure that the demographic mosaic embodied by their workforces is prepared to meet the needs and interests of the American citizenry of the 21st century. Data are provided on the demographics of the federal, state and local government workforces. Separate chapters address each of the following aspects of diversity: race, ethnicity, gender, LGBTQ employment, physical ability, and the intersection of these constructs. Managing Diversity in Public Sector Workforces, Second Edition will be of interest to students of public administration and public personnel management, and it is essential reading for all those involved in managing public organizations.

This book looks at what drives effective management of public-private partnerships (PPPs). It examines widely cited Singaporean cases pertaining to successful PPPs as well as those in failure (and subsequently contracted back in the public-sector provision) in diverse areas of public service, such as water services, educational services, trade and logistical data services, residential services, acquisition and maintenance of military systems, research and development services, infrastructure, and sport services. The book begins each case with an overview (e.g., project goals (motivators), types of PPPs, stakeholders, time period, assigned budget, and capital planning) and then specifically discusses critical success factors and/or risk factors pertaining to the decisions to proceed with ongoing PPPs or to return to self-operation (in-house public production) of services later, respectively. The book concludes with a discussion of lessons learned from Singaporean cases and contexts of PPPs and suggests more feasible strategies and conditions toward successful collaborative governance between public agencies and private counterparts for the new century. This book will appeal especially to public policymakers.

In recent years, nonprofit and voluntary organisations have faced challenges and unanticipated pressures as a result of increased competition for funding, technological advancements, the need to comply with government regulations, and increased social and community expectations regarding greater accountability and transparency. Cost accounting and cost management tools are considered to be a means of providing adequate and quality information for management control for all sorts of organisations, including nonprofits. Using empirical evidence from the Australian nonprofit sector, this research monograph offers insight into how nonprofit and voluntary organisations control and manage the costs of their operations and projects through cost accounting and cost management tools. The book will be of benefit to a range of stakeholders in the sector, including financial and management accountants, professional accounting bodies, the government, policymakers, academics, consultants and operational managers.

Through a series of studies, the overarching aim of this book is to investigate if and how the digitalization/digital transformation process affects various welfare services provided by the public sector, and the ensuing implications thereof. Ultimately, this book seeks to understand if it is conceivable for digital advancement to result in the creation of private/non-governmental alternatives to welfare services, possibly in a manner that transcends national boundaries. This study also investigates the possible ramifications of technological development for the public sector and the Western welfare society at large. This book takes its point of departure from the 2016 Organization for Economic Co-operation and Development (OECD) report that targets specific public service areas in which government needs to adopt new strategies not to fall behind. Specifically, this report emphasizes the focus on digitalization of health care/social care, education, and protection services, including the use of assistive technologies referred to as "digital welfare." Hence, this book explores the factors potentially leading to whether state actors could be overrun by other non-governmental actors, disrupting the current status quo of welfare services. The book seeks to provide an innovative, enriching, and controversial take on society at large and how various aspects of the public sector can be, and are, affected by the ongoing digitalization process in a way that is not covered by extant literature on the market. This book takes its point of departure in Sweden given the fact that Sweden is one of the most digitalized countries in Europe, according to the Digital Economy and Society Index (DESI), making it a pertinent research case. However, as digitalization transcends national borders, large parts of the subject matter take on an international angle. This includes cases from several other countries around Europe as well as the United States.

This book reframes theoretical, methodological and practical approaches to public administration by drawing on complexity theory concepts. It aims to provide alternative perspectives on the theory, research and practice of public administration, avoiding assumptions of traditional theory-building. The contributors explain both how ongoing non-linear interactions result in macro patterns becoming established in a complexity-informed world view, and the implications of these dynamics. Complexity theory explains the way in which many repeated non-linear interactions among elements within a whole can result in processes and patterns emerging without design or direction, thus necessitating a reconsideration of the predictability and controllability of many aspects of public administration. As well as illustrating how complexity theory informs new research methods for studying this field, the book also shines a light on the different practices required of public administrators to cope with the complexity encountered in the public policy and public management fields. This book was originally published as a special issue of the Public Management Review journal.

This book explores two contradictory aspects of the Korean culture: competitiveness and collectivism. These two major concepts describe the dynamics of Korean public organizations, which explain the Hangang River Economic Miracle and political democratization. However, not many studies have focused on how competition within the central government, that is, competition among different agencies, has led to an overall competitive government. This book attempts to do so and explains how competition contributed to the rapid economic growth of Korea.

Public Management: A Research Overview provides a structured survey of the state of the art of public management research. Looking at the enduring themes of bureaucracy, autonomy, markets and collaboration, each chapter introduces key foundational studies before reviewing contemporary research. Although originally intended to maximise efficiency, work on bureaucracy points to the problems of red tape, contested accountabilities, performance management, merit and public service motivation. Autonomy research asks whether reforms intended to free subservient agencies from red tape and political interference have delivered the goods. Are autonomous service managers more focused on the needs of citizen-consumers and more entrepreneurial in their appetite for innovation? Marketisation reforms take a further step away from bureaucratic forms of control by exposing public services to market forces of one form or another. Competitive contracting and privatisation put public services into real markets while quasi-markets and yardstick competition try to recreate these pressures without private ownership. Perhaps reacting to the fragmentation unleashed by unbundling and marketisation, collaboration promises to deliver improvement through voluntary processes of negotiation and exchange. Vertical forms of collaboration between different levels of government, or between governments and citizens, promise a better match between policies and problems. Lateral collaboration between agencies working at the same level are intended to tackle the so-called wicked issues that fall between jurisdictions or else to share services and unlock economies of scale. The book concludes by considering the new challenges facing public management from global warming to the rise of populism and affective polarisation. Drawing on evidence from across the world, the book will speak to all those studying and practising public management.