The emergence of a value transformation strategic initiative in the healthcare context.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2023-11-01 Epub Date: 2023-01-11 DOI:10.1177/09514848231151819
A Erin Bass, Ivana Milosevic, Mary Uhl-Bien, Meagan Millier
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Abstract

How do strategic initiatives emerge? Despite rich tradition in the emergent strategy literature-focused on significant organizational change-surprisingly little insight exists on the dynamics of a new initiative's emergence. This is particularly relevant in healthcare because of the increasing pressure to implement value transformation models focused on maximizing value at the point of care. The value transformation model prioritizes the decisions of the frontline providers and thus requires their expertise and commitment for the model's implementation and success. In our case study of a dental organization, "OptiPlex," we trace the emergence of a value transformation strategic initiative from its origination at the point of care to its formalization into the organization's strategic plan. Using qualitative methods, we identify three phases in the emergence of the value transformation strategic initiative, each embodying different championing behaviors necessary for the initiative's emergence. In doing so, we explicate the nature of these behaviors and how they link up across the organizational hierarchy to drive the value transformation strategic initiative's emergence and implementation.

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医疗保健背景下价值转型战略举措的出现。
战略举措是如何产生的?尽管新兴战略文献中有着丰富的传统,专注于重大的组织变革,但令人惊讶的是,对新举措出现的动态却几乎没有什么见解。这在医疗保健中尤其重要,因为实施专注于在护理点实现价值最大化的价值转换模型的压力越来越大。价值转换模式优先考虑一线供应商的决策,因此需要他们的专业知识和承诺来实现该模式并取得成功。在我们对牙科组织“OptiPlex”的案例研究中,我们追溯了价值转型战略举措的出现,从其在护理点的起源到其正式成为组织的战略计划。使用定性方法,我们确定了价值转换战略倡议出现的三个阶段,每个阶段都体现了倡议出现所需的不同支持行为。在这样做的过程中,我们解释了这些行为的性质,以及它们如何在组织层级中联系起来,以推动价值转型战略举措的出现和实施。
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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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