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.

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.

How have the development and redevelopment of China's cities since the early 1950s transformed the settlements and fortunes of a fifth of the world's population? Rapid urbanization since the 1980s has changed the nation from a rural society to an urban one, marking it as one of the most significant transformations in history. As a country with severe land scarcity, land resources are intensively contested for during urbanization under the new regime of marketization. This book focuses on the impact of the institution of land rights that have transitioned from private ownership to socialist state ownership, and subsequently to public land leasing in the urban domain, and to collective ownership in rural areas. In the context of defining the relationship between the state and the market, the gradualist transition of land rights gives rise to intriguing processes of place-making. The elaboration of these processes will engage several revealing conceptual notions: land as a means of production, land commodification, ambiguous land rights, incomplete land rights, trading land use rights for land development rights, institutional uncertainty, land rent seeking and dissipating, local developmental state, danwei-enterprises, and more. The newly created landed interests are embedded intricately within the urban spatial structure. This book would especially be of interest to scholars interested in developmental economics, urban planning, geography, public policies, public management, and sociology, and also practitioners focusing on development and planning.

This book hopes to stimulate discussion about how entrepreneurship and innovation contribute to growing inequalities in territories. This will help bridge the gap between research and practice on the role of territory dynamics and regional development. The book begins by examining the growing inequality in regions, which has resulted in lagging economic development. The need to shift current economic policy towards spatial inequality through harnessing the innovative capabilities of regions is examined. The book puts forth a case for reversing the inequality that is evident in lagging regions as a way to reinvigorate territories. The book should appeal to researchers, policy makers, business leaders and the general public interested in territorial dynamics and development.

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.

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.

Issues surrounding business complexity plague organizations throughout the world. This situation is particularly true of the numerous complex projects and programs upon which organizations embark on a regular basis. Current project management processes and standards are based on Newtonian/Cartesian principles, such as linearity, reductionism, and single source problem causation. However, complex projects exhibit both Newtonian/Cartesian characteristics and complex systems characteristics, such as emergence, self-organization, non-linearity, non-reductionism, and multi-source problem causation. To conduct successful projects, complementary ways of approaching projects are required, and new competencies for those who manage projects and for those on project teams are required as well. There are a number of books available to help project managers and teams address the issue of systems behavior. However, there are none that approach complex projects from a neuroscience-based approach to human behavior and ambiguity. This book does exactly that in order to reduce project complexity and thereby increase the probability of project success. Cognitive Readiness in Project Teams looks to the concept of cognitive readiness (CR), first developed by the United States Department of Defense to better prepare and manage teams of individuals in complex battlefield situations. Its intent is to make project managers and teams more focused, responsive, resilient and adaptive through self-mastery and the mastering of interpersonal relationships. It introduces a CR framework for project managers and teams. This framework has neuroscience fundamentals and theorems as the foundation for the three pillars of CR: mindfulness, emotional intelligence, and social intelligence. The book is a compendium of chapters written by renowned authors in the fields of project management, neuroscience, mindfulness, and emotional and social intelligence.

Medical practice and research are inconceivable today without electronic computing and communication tools. Digital machines do many tasks orders-of-magnitude better, faster and more accurately than humans. Still, there are functions critical to the healthcare endeavor that people do much better than machines, things like: understanding and using natural language; perceiving what is unexpressed; taking into account values, culture, ethics, and human relationships; touching and healing. For the foreseeable future, the "smartest" computers will be no match for human beings when it comes to performing these most anthropic functions. American healthcare is at a critical juncture. Providers and patients are increasingly frustrated by degradation of the human relationships that lie at the core of the medical practice. Technologies, such as the computerized medical record, get much of the blame for intrusion into the patient-provider relationship. However, it is not technology itself that is to blame. The fault lies with how systems are conceived, designed, and deployed. This book analyzes how to organize the work of healthcare in a way that uses machines to do what they do best, thereby freeing humans to do what we do best. Smart use of electronic technology is crucial to the success of any bid to fulfill the Institute for Healthcare Improvement's triple aim to make healthcare more effective, efficient, and humane.

The CMIO Survival Guide is the handbook for the new Chief Medical Information Officer, as well as for those recruiting or planning to recruit a CMIO. This quick reference is organized by real-world topics that CMIOs need to know, as well as the criteria that the CIO, CMO or CEO should consider in identifying excellence in a CMIO candidate. It is written by pioneering physicians and AMDIS faculty with a wealth of experience in medical informatics who provide guidance, advice and lessons learned for those interested in this relatively new role in healthcare. This second edition updates every chapter in the original work and adds new chapters to address the changes in healthcare delivery, the role of the physician executive, technology, medical education, small and rural hospitals.

This book reveals and describes the leadership and culture change required to remove waste from healthcare processes and eliminate the root cause of soaring costs, poor quality and safety, and limited access. The book's delivery strategy revolves around personal and organizational stories and case studies told by physician and administrative leaders, all students of the Toyota Production System. This revised edition uniquely blends updated case studies with practical theory to describe how the healthcare value proposition can be changed by reducing waste, variation and complexity in healthcare. New to the book are chapters on clinical standard work and integration of lean and safety.

Winner of a 2016 Shingo Research and Professional Publication Award! A recent article published in the Journal of Patient Safety estimated that more than 400,000 lives are lost each year due to preventable patient events in American hospitals. Preventable patient safety events are the third leading cause of death in the United States. While most health care organizations know they need to improve patient safety, most lack an understanding of the steps required to develop and implement an effective patient safety program. Baylor Scott & White Health has successfully created a strong culture of patient safety. In 2013, Baylor Health Care System published the book Achieving STEEEP Health Care, which describes its quality improvement journey via the STEEEP framework of delivering care that is Safe, Timely, Effective, Efficient, Equitable, and Patient-centered. This book provides a detailed overview of the Baylor Scott & White Health approach to the delivery of safe care, the leading aim of the STEEEP quality and patient safety framework. It presents real-life examples, practical approaches, and tools for improving patient safety. The book is structured around some of the key components of patient safety such as the importance of strategic efforts in categories of culture, processes, and technology. Maintaining a focus on human factors in patient safety and health care, the book explains the need for advanced analytics along with long-term learning and corporate resources. This book describes how to develop appropriate goals, formulate strategies to meet those goals, and implement techniques to improve patient safety based on the experience of Baylor Scott & White Health.

While many health care organizations need to improve health care quality and lower costs, most lack specific strategies and tactics for implementing these changes. Baylor Scott & White Health has established and continues to develop an accountable care organization (ACO) called the Baylor Scott & White Quality Alliance (BSWQA) to improve the quality of care and decrease health care costs through clinical integration. Accountable: The Baylor Scott & White Quality Alliance Accountable Care Journey tells the story of the BSWQA and its clinical network and payers who are committed to delivering accountable, value-based patient care. It describes the need for ACOs in today's health care environment and details the framework and requirements needed to establish one. The book provides readers with essential background information about accountable care, including the Triple Aim and population health management. It outlines the infrastructure and governance framework needed to establish a successful ACO and supplies real-world examples from the ACO owned by Baylor Scott & White Health, the largest not-for-profit health care system in Texas. The book explores the concept of accountability for all stakeholders in today's complex care systems, as well as the role of personal and organizational accountability in managing patient populations. It also includes detailed outlines to guide you in developing your own accountable care organization-from step-by-step details of legal requirements to an outline of the role of payers in this model.

As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models. Population Health: An Implementation Guide to Improve Outcomes and Lower Costs covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today's value- and population-oriented healthcare environment. Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve. The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.

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

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.

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.

Healthcare IT is a complex and rapidly evolving field. Success in this arena requires the ability to create a vision, set a strategy, foster collaboration, develop a plan and execute flawlessly every day. This book provides a clear, concise roadmap for professionals who currently manage, direct or oversee healthcare IT. Through case studies and examples, the author includes highly relevant topics such as delivering and communicating HIT values, managing information security, and connectivity challenges, as well as organizational strategy, alignment and vision of HIT, risk management, performance management and process improvement using Lean methodologies.

* Includes 10 medically focused examples with answers. * Provides a simple, clear explanation of the mathematics. * Includes comprehensive tables and curves to equip the reader. * Is a short, concise course in statistics and probability analysis techniques to assist healthcare professionals in making useful interpretations from numerical data.

University branding has increased substantially, due to demands on universities to enrol greater numbers of students, rising tuition fees, the proliferation of courses, the growing 'internationalization' of universities, financial pressures, and reliance on income from foreign students. As higher education continues to grow, increased competition places more pressure on institutions to market their programs. Technological, social, and economic changes have necessitated a customer-oriented marketing system and a focus on developing the university brand. This book is unique in providing a composite overview of strategy, planning, and measurement informed by ground-breaking research and the experiences of academics. It combines theoretical and methodological aspects of branding with the views of leading exponents of branding in different contexts and across a range of higher education institutions. Expert contributors from research and practice provide relevant and varying perspectives allowing readers to access information on international trends, theory, and practices about branding in higher education. Readers are exposed to the critical elements of strategic brand management, gain insights into the planning process of higher education branding, and gain a solid understanding of the emerging research area of branding concepts in higher education. Advanced students, and researchers will find this book a unique resource and it will also be of interest to brand practitioners in both education and public sector markets.

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.

The complex challenges facing healthcare require innovative solutions that can make patient care more effective, easily available, and affordable. One such solution is the digital reconstruction of medicine that transitions much of patient care from hospitals, clinics, and offices to a variety of virtual settings. This reconstruction involves telemedicine, hospital-at-home services, mobile apps, remote sensing devices, clinical data analytics, and other cutting-edge technologies. The Digital Reconstruction of Healthcare: Transitioning from Brick and Mortar to Virtual Care takes a deep dive into these tools and how they can transform medicine to meet the unique needs of patients across the globe. This book enables readers to peer into the very near future and prepare them for the opportunities afforded by the digital shift in healthcare. It is also a wake-up call to readers who are less than enthusiastic about these digital tools and helps them to realize the cost of ignoring these tools. It is written for a wide range of medical professionals including: Physicians, nurses, and entrepreneurs who want to understand how to use or develop digital products and services IT managers who need to fold these tools into existing computer networks at hospitals, clinics, and medical offices Healthcare executives who decide how to invest in these platforms and products Insurers who need to stay current on the latest trends and the evidence to support their cost effectiveness Filled with insights from international experts, this book also features Dr. John Halamka's lessons learned from years of international consulting with government officials on digital health. It also taps into senior research analyst Paul Cerrato's expertise in AI, data analytics, and machine learning. Combining these lessons learned with an in-depth analysis of clinical informatics research, this book aims to separate hyped AI "solutions" from evidence-based digital tools. Together, these two pillars support the contention that these technologies can, in fact, help solve many of the seemingly intractable problems facing healthcare providers and patients.

This book takes an in-depth look at the emerging technologies that are transforming the way clinicians manage patients, while at the same time emphasizing that the best practitioners use both artificial and human intelligence to make decisions. AI and machine learning are explored at length, with plain clinical English explanations of convolutional neural networks, back propagation, and digital image analysis. Real-world examples of how these tools are being employed are also discussed, including their value in diagnosing diabetic retinopathy, melanoma, breast cancer, cancer metastasis, and colorectal cancer, as well as in managing severe sepsis. With all the enthusiasm about AI and machine learning, it was also necessary to outline some of criticisms, obstacles, and limitations of these new tools. Among the criticisms discussed: the relative lack of hard scientific evidence supporting some of the latest algorithms and the so-called black box problem. A chapter on data analytics takes a deep dive into new ways to conduct subgroup analysis and how it's forcing healthcare executives to rethink the way they apply the results of large clinical trials to everyday medical practice. This re-evaluation is slowly affecting the way diabetes, heart disease, hypertension, and cancer are treated. The research discussed also suggests that data analytics will impact emergency medicine, medication management, and healthcare costs. An examination of the diagnostic reasoning process itself looks at how diagnostic errors are measured, what technological and cognitive errors are to blame, and what solutions are most likely to improve the process. It explores Type 1 and Type 2 reasoning methods; cognitive mistakes like availability bias, affective bias, and anchoring; and potential solutions such as the Human Diagnosis Project. Finally, the book explores the role of systems biology and precision medicine in clinical decision support and provides several case studies of how next generation AI is transforming patient care.

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.