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Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape


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Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape
Table of Contents
Abstract
Acknowledgments.
Table of Contents
List of Tables
List of Figures
List of Abbreviations
1 Introduction
1.1 Research Objective and Contributions
2 Theory and Literature
2.1 The Hospital Industry
2.1.1 The Unique Nature of Teaching Hospitals
2.1.2 Reimbursement Methods for Health Care Providers
2.1.2.1 Changing Reimbursement Systems
2.1.3 Value Based Purchasing
2.1.4 How Hospitals Have Changed in the Past
2.1.5 Emerging Trends
2.2 Organizational Change
2.2.1 Teleological Change
2.2.2 Evolutionary Change
2.2.3 Dialectical Change
2.2.4 Life-Cycle Change
2.2.5 Blending Change Perspectives
2.2.5.1 Common Elements of Organizational Change Models
2.3 A Model of Organizational Change
2.3.1 Research Question and Research Objective
2.3.2 Interview Questions
3 Research Methods
3.1 Population and Sampling Procedure
3.1.1 Value Based Purchasing as a Proxy for Quality
3.1.2 Data Envelopment Analysis
3.1.2.1 The DEA Model
3.1.2.2 Input Variables
3.1.2.3 Output Variables
3.1.2.4 Control Variables
3.2 The Final Sample
3.2.1 DEA Model Results
3.2.2 Sampling Data Reduction
3.3 Interview Data Collection
3.3.1 Selection of Interviewees
3.3.2 The Interview Process and Gaining Access
3.3.3 Titles of the Final Interview Participants
3.4 Data Analysis
3.4.1 Identification of Concepts and Themes
3.4.2 Ensuring Quality Standards
3.5 Analysis Techniques Employed
4 Findings
4.1 Initial Observations
4.2 Overall Themes in Relation to Model of Organizational Change
4.3 Description of Overall Themes
4.3.1 Leadership
4.3.2 Strategy
4.3.3 Drivers for Change
4.3.4 Gap Analysis
4.3.5 Action Planning
4.3.6 Implementation
4.3.7 Monitoring
4.4 Key Takeaways
4.5 Final Thought
5 Contributions, Implications, Limitations, and Future Research
5.1 Contributions
5.2 Implications
5.3 Limitations
5.4 Future Research
References
A Adult Research Subject Informed Consent Form
B Initial Hospital CEO Contact Letter 
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