scholarly journals The ethnographer as health service leader: An insider's view of organisational change

2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Bie Nio Ong
Keyword(s):  
Health Service ◽  
Organisational Change ◽  
Service Leader

scholarly journals Reviewing the learning organisation model in a child and adolescent mental health service

2006 ◽  
Vol 30 (2) ◽  
pp. 181 ◽  
Author(s):  
Peter Birleson ◽  
Peter Brann
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Organisational Change ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Learning Organisation ◽  
Evaluation Activity ◽  
External Data ◽  
Adolescent Mental Health Service

From 1995 onwards, a child and adolescent mental health service (CAMHS) applied Senge?s learning organisation model. This review compared service performance with that of peer services 5 years later and explored whether any differences were associated with the application of this model. The comparison methodology used quantitative analysis of external data from the Department of Human Services, together with qualitative analysis of material including interviews with CAMHS directors and service managers. Results showed high evaluation activity and high quality, efficiency and efficacy of care compared with other services. Several restraints to the optimal application of the model were identified, including inadequate training of new managers, service overload, major external organisational change and limited investment in information systems. Other outcomes are discussed.

The entrepreneur: a new breed of health service leader?

2008 ◽  
Vol 22 (3) ◽  
pp. 208-222 ◽  
Author(s):  
Rosemary Exton
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Power Structures ◽  
Content Type ◽  
Working Lives ◽  
Service Leader ◽  
Private And Public ◽  
Uk National Health Service ◽  
The Uk

PurposeThis paper aims to critically examine the notion of entrepreneurship in the UK National Health Service (NHS), promoted by government ministers and senior civil servants as part of the rhetoric of the modernisation agenda.Design/methodology/approachThe paper explores literature on entrepreneurship in the private and public sector and qualitative case study evidence on the emergence (and non‐emergence) of “entrepreneurs” who led the improving working lives (IWL) initiative in the UK National Health Service and discusses the issues involved.FindingsThe rhetoric serves an essentially ideological function, obscuring the real difficulty of securing effective and sustainable change, in organisations with deeply engrained power structures and as complex and intransient as the NHS in particular and health services more generally.Practical implicationsA “new breed of entrepreneurial leaders” may eventually appear but they face the challenge of surviving in the hierarchical NHS culture and in a climate of turbulent change created by the volatility of government policy.Originality/valueThe paper shows that efforts to pursue entrepreneurship in the UK NHS have to overcome obstacles involving the interplay of power, gender and language.

Using Action Research to Facilitate Organisational Change in Mental Health Service Delivery

1997 ◽  
Vol 31 (5) ◽  
pp. 739-743 ◽  
Author(s):  
Margaret Tobin ◽  
Tash Dakos ◽  
Amanda Urbane
Keyword(s):  
Mental Health ◽  
Action Research ◽  
Mental Health Service ◽  
Health Service ◽  
Clinical Care ◽  
Organisational Change ◽  
Health Service Delivery ◽  
Health Staff ◽  
Mental Health Staff ◽  
Mental Health Service Delivery

Objective: To report how well a particular mental health service was responding to National and State mental health policies by emphasising community-based clinical care for patients. Method: The method involved analysis and action in response to information obtained from a consecutive sample of 100 people admitted to a psychiatric hospital ward from a geographical catchment area. Results: It was found that community mental health staff were working without adequate support and were not able to effectively implement early intervention and relapse prevention strategies. Concern about these findings led to organisational change using action research methodology and some of these changes are discussed. Conclusions: Such methodology was a useful tool to identlfy and achieve organisational change in psychiatric services.

The Youth Stream: evaluating the transition to a new model of care at a regional health service

2019 ◽  
Vol 27 (6) ◽  
pp. 611-614
Author(s):  
Mathew Coleman ◽  
Kelly Ridley
Keyword(s):  
Health Service ◽  
Descriptive Analysis ◽  
Data Entry ◽  
Organisational Change ◽  
Community Mental Health Service ◽  
Care Model ◽  
Care Needs ◽  
Traditional Care ◽  
Key Aspects ◽  
Stream Model

Objective: To determine what benefits and challenges are associated with a cost-neutral organisational change within a rural Community Mental Health Service from a Traditional Care model to a Youth Stream model. Method: Retrospective descriptive analysis of the last 18 months of the Traditional Care model and first 18 months of the Youth Stream model. Results: There was a 17% increase in the number of referrals once the service moved to a Youth Stream model. The increased referral numbers did not lead to a proportionate increase in the number of service contacts, but rather more single assessments were performed. The increased engagement was not reflected across all demographics, with vulnerable youth groups continuing to have below average engagement. Key aspects of data that would allow for further analysis by diagnosis and illness severity were missing from the dataset. Conclusions Cost-neutral changes to services can create change, if that change is based on need identified within the service. As much care needs to be taken with data entry and evaluation if the service is aiming to perform a retrospective analysis.

Dysphagia Services in Schools: Applying Special Education Requirements to a Health Service

2009 ◽  
Vol 18 (3) ◽  
pp. 86-90 ◽  
Author(s):  
Lissa Power-deFur
Keyword(s):  
Special Education ◽  
Health Service ◽  
Due Process ◽  
Due Process Hearings ◽  
Related Services ◽  
Eligibility Determination ◽  
Legal Provisions ◽  
Provision Of Services ◽  
Related Service ◽  
Specially Designed Instruction

Abstract School speech-language pathologists and districts frequently need guidance regarding how the legal provisions of special education affect the needs of children with dysphagia. This article reviews key principles of special education that guide eligibility determination and provision of services to all children. In the eligibility process, the school team would determine if the child's disability has an adverse effect on his/her education program and if the child needed special education (specially designed instruction) and related services. Dysphagia services would be considered a related service, a health service needed for the child to benefit from specially designed instruction. The article concludes with recommendations for practice that stem from a review of due process hearings and court cases for children with disabilities that include swallowing.

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