Organizational Innovation: The Influence of Individual, Organizational, and Contextual Factors on Hospital Adoption of Technological and Administrative Innovations

Kimberly, John R.; Evanisko, Michael J.

doi:10.5465/256170

Cited by 387 publications

(401 citation statements)

References 21 publications

Supporting

Mentioning

296

Contrasting

Unclassified

Order By: Relevance

“…With any administrative policy requiring a change in practice structure and work flow, the degree of adoption is influenced by several organizational factors, including size and culture, and not merely the amount of time elapsed since implementation. 15,16 A greater understanding is needed of the organizational factors influencing a practice's degree of PCMH adoption, including the awareness and commitment not only of practice leadership and primary care providers, but of all employees. [17][18][19] A second potential reason for the lack of perception among respondents of structural changes intended to benefit them is the targeted population.…”

Section: Discussionmentioning

confidence: 99%

Asking the Patient About Patient-Centered Medical Homes: A Qualitative Analysis

et al. 2015

View full text Add to dashboard Cite

BACKGROUND: What patients perceive and experience within a patient-centered medical home (PCMH) is an understudied area, and to date, the patient perspective has not been an integral component of existing PCMH measurement standards. However, upcoming guidelines necessitate the use of patient-reported experiences and satisfaction in evaluations of practice and provider performance. OBJECTIVE: To characterize patients' experiences with care after PCMH adoption and their understanding and perceptions of the PCMH model and its key components, and to compare responses by degree of practice-level PCMH adoption and patient race/ethnicity. DESIGN: Qualitative study. PARTICIPANTS: Adult patients with diabetes and/or hypertension (n=48). APPROACH: We surveyed and ranked all PCMH adult primary care practices affiliated with one academic medical center with at least three providers (n=23), using an instrument quantifying the degree of PCMH adoption. We purposively sampled minority and non-minority patients from the four highest-ranked and four lowest-ranked PCMH-adopting practices to determine whether responses varied by degree of PCMH adoption or patient race/ethnicity. We conducted semi-structured telephone interviews with patients about their experiences with care and their perceptions and understanding of key PCMH domains. Interviews were recorded, transcribed, and imported into NVivo 10 for coding and analysis, using a modified grounded theory approach. KEY RESULTS: We found that patients uniformly lacked awareness of the PCMH concept, and the vast majority perceived no PCMH-related structural changes, regardless of the degree of practice-reported PCMH adoption or the patient's race/ethnicity. Despite this lack of awareness, patients overwhelmingly reported positive relationships with their provider and positive overall experiences. CONCLUSIONS: As we continue to redesign primary care delivery with an emphasis on patient experience measures as performance metrics, we need to better understand what, if any, aspects of practice structure relate to patient experience and satisfaction with care.

show abstract

Section: Discussionmentioning

confidence: 99%

Asking the Patient About Patient-Centered Medical Homes: A Qualitative Analysis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…For every device, more than a quarter of the sample reported that none of the appropriate units were using the device. (17) 28 (6) 57 (12) 137 (28) 4 (1) Safety vacuum tube holders 158 (32) 102 (21) 25 (5) 42 (9) 164 (33) 3 (1) IV delivery systems Needleless 137 (28) 44 (9) 8 (2) 42 (9) 259 (52) 4 (1) Protected needle 201 (41) 79 (16) 18 (4) 33 (7) 159 (32) 4 (1) Hypodermic syringes Safety feature in syringe 249 (50) 53 (11) 37 (7) 45 (9) 106 (21) 4 (1) Safety feature part of needle 312 (63) 75 (15) 20 (4) 23 (5) 60 (12) 4 (1) Safety IV catheters 195 (39) 49 (10) 23 (5) 49 (10) 174 (35) 4 (1) Winged (butterfly) steel needles 206 (42) 101 (20) 57 (12) 36 (7) 90 (18) 4 (1) IV = intravenous NOTE: Row percentages may add up to 99 or 101 because of rounding off.…”

Section: Hospital Esip Adoption and Needlestick Injury Surveillancementioning

confidence: 99%

“…These are the same types of factors that influence the rate of adoption of a variety of workplace innovations. [31][32][33] …”

Section: Introductionmentioning

confidence: 99%

Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey

Sinclair¹,

Maxfield²,

Marks³

et al. 2002

Public Health Reports

View full text Add to dashboard Cite

“…An organization adopting an innovation is a more complex process than an individual adopting an innovation [16][17][18], and a type of innovation may also influence the adoption process [19]. Many ways of differentiating types of innovations have been offered since Schumpeter's original classification [20].…”

Section: Introductionmentioning

confidence: 99%

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations

Johnson

Quanbeck

Maus

et al. 2015

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

Understanding influence networks among substance abuse treatment clinics may speed the diffusion of innovations. The purpose of this study was to describe influence networks in Massachusetts, Michigan, New York, Oregon, and Washington and test two expectations, using social network analysis: (1) Social network measures can identify influential clinics; and (2) Within a network, some weakly connected clinics access out-ofnetwork sources of innovative evidence-based practices and can spread these innovations through the network. A survey of 201 clinics in a parent study on quality improvement provided the data. Network measures and sociograms were obtained from adjacency matrixes created by UCINet. We used regression analysis to determine whether network status relates to clinics' adopting innovations. Findings suggest that influential clinics can be identified and that loosely linked clinics were likely to join the study sooner than more influential clinics but were not more likely to have improved outcomes than other organizations. Findings identify the structure of influence networks for SUD treatment organizations and have mixed results on how those structures impacted diffusion of the intervention under study. Further study is necessary to test whether use of knowledge of the network structure will have an effect on the pace and breadth of dissemination of innovations.

show abstract

Organizational Innovation: The Influence of Individual, Organizational, and Contextual Factors on Hospital Adoption of Technological and Administrative Innovations

Cited by 387 publications

References 21 publications

Asking the Patient About Patient-Centered Medical Homes: A Qualitative Analysis

Asking the Patient About Patient-Centered Medical Homes: A Qualitative Analysis

Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations

Contact Info

Product

Resources

About