1st Edition

The Sustainability and Spread of Organizational Change Modernizing Healthcare

Edited By David A. Buchanan, Louise Fitzgerald, Diane Ketley Copyright 2007
336 Pages 7 B/W Illustrations
by Routledge

368 Pages 7 B/W Illustrations
by Routledge

336 Pages 7 B/W Illustrations
by Routledge

This important book examines issues affecting the sustainability and spread of new working practices. The question of why good ideas do not spread, ‘the best practices puzzle’, has been widely recognized. But the ‘improvement evaporation effect’, where successful changes are discontinued, has attracted less attention. Keeping things the way they are has been seen as an organizational problem to... Read more

 Part 1: Context  1. Changing by Numbers  2. Improvement Evaporation: Why Do Successful Changes Decay?  3. The Best Practices Puzzle: Why are New Methods Contained and not Spread?  Part 2: Experience  4. View from the Top: Opening the Box on Spread and Sustainability  5. Shades of Resistance: Understanding and Addressing Scepticism  6. Tracking Sustainability: Lessons from the Patient Booking Timeline  7. Spreading and Sustaining Change: The Patient Booking Case Experience  8. Layers of Leadership: Hidden Influencers of Healthcare Improvement  9. Spreading and Sustaining Change: The Cancer Collaborative Case Experience  10. High Impact: Key Changes in Cancer Care  11. Spreading can be Easy: The ‘See and Treat’ Experiment  Part 3: Implications  12. The Sustainability and Spread Story: Contributions to Theory  13. Sustaining Change and Avoiding Containment: Practice and Policy  14. Researching Major Change: Issues and Dilemmas

 

Biography

David A. Buchanan, Louise Fitzgerald, Diane Ketley

'This book is a must for those planning and implementing change. Its key message is that sustainability and spread are intimately linked and it helpfully outlines the complex mediators of such challenging social processes. For those researching health care settings, the book offers significant insights into relevant theory and signposts valuable scholarship in this area.'

Sue Dopson, Rhodes Trust University Reader in Organisational Behaviour, Saïd Business School, University of Oxford

'The NHS Modernisation Agency supported a wide-ranging attempt to reform a major public service. Drawing on case studies from five years of that experience, this volume brings a rare combination of intellectual rigour and practical insight to two of the central challenges that confront such programmes of change. It will prove a valuable resource to managers, practitioners, students and researchers in healthcare and beyond.'

Edward Peck, Professor of Public Services Development and Director, Health Services Management Centre and School of Public Policy, University of Birmingham