Management and Marketing - Theses
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ItemRedesigning hospital care, an innovation implementation process( 2012)It is well observed that healthcare in Australia continues to face financial, operational, efficiency, reputation and quality challenges. The establishment of the Redesigning Hospital Care Program (RHCP) by the Department of Health Victoria (Department) in 2008 was commissioned to create a focus on improvements in efficiency, access and service quality innovations, to identify replicable, scalable and transferrable models which could be commissioned across the Victorian health system. Participating HCOs were assisted to assess their readiness for redesign, using a redesign readiness tool, and to inform a return on investment (ROI) discussion. Using a healthcare based total quality management (TQM) framework as a theoretical lens, this study uses multiple cross case analysis to research the success of the RHCP to date, including what has worked effectively and where there are opportunities for project improvement. A semi structured interview process was used for case analysis which followed a disciplined reference to the case protocol. This process was used due to the subject matter and richness and diversity of the case data. Thematic coding based on case interviews, field notes as well as organisational annual quality reports facilitated intra and inter - case / cross case analysis. The analysis of the qualitative data was conducted concurrently with data gathering and triangulated with case participant documents. The study also explores those HCO characteristics identified in the literature, with respect to innovation implementation and change management capacity. The case study organisations represented in this report have been nominated by the Department as exemplars of HCOs that have had varying degrees of success with respect to RHCP implementation to date. Finally, the study describes key elements identified throughout the case analyses, of critical success factors informing the profile of a redesign ready organisation. These findings include a focus on leadership, a commitment to improvement capability and systems, striking a manageable balance between innovation implementation and risk management, and having a clear focus on results through all levels of the organisation. It also identifies recommendations for further study.
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ItemEncoding and decoding aspiration information for improved performance: a competitive dynamics perspective( 2011)The study investigates the impact of competition on firms’ aspiration setting and adjustment. Two related mechanisms in firm cognitive frameworks are considered here: making sense of (i.e. decoding) and giving sense of (i.e. encoding) aspiration information. Grounded in the competitive dynamics literature, a theoretical model is developed to further explore the closed-loop system of encoding and decoding mechanisms. Formal modeling is then applied to operationalize the theoretical model and verify the proposed hypotheses. The simulation experiment results show that the competitive dynamics perspective completes the conventional wisdoms. The analysis derives three new managerial insights: 1) the firm with high aspirations may not decode information comprehensively, which is detrimental to its performance in competition; 2) the firm can act aggressively to diminish the dysfunction of high aspirations; and 3) the firm is able to deliberately encode public signals to manipulate rivals’ understanding on competitive pressure, seducing them to take inappropriate actions in pursuit of its improved performance.