Understanding Variation in Processes and Outcomes of Operational Implementations: A Case Study from Healthcare

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atmire.migration.oldid2873
dc.contributor.advisorBischak, Diane
dc.contributor.advisorWoiceshyn, Jaana
dc.contributor.authorAsamoah-Barnieh, Raymond
dc.date.accessioned2015-01-21T21:37:44Z
dc.date.available2015-02-23T08:00:39Z
dc.date.issued2015-01-21
dc.date.submitted2015en
dc.description.abstractOperational excellence is a dimension of performance conferring competitive advantage to those organizations that sustainably achieve it. However, Operational Implementations (OIs) that are expected to confer such operational excellence to organizations, exhibit variation in their implementation processes and outcomes. Operations Management Practice Contingency Research (OM PCR) has been established in order to understand this. Working within the field of OM PCR, my dissertation focuses on healthcare as an industry and Advanced Access (AA) as an OI for research. I conduct a multiple case study where ten implementation teams represent AA implementations in 23 clinic sites. From this study, I select five cases as my core analytic sample for rigorous investigation. My dissertation contains the results of compiling research documents, interviews with 52 individuals related to healthcare and AA, and a qualitative analysis of the data. The main factors responsible for the variation of implementation processes and outcomes are: • a phenomenon I refer to as task ambulation, which stems from complexity and occurs as a result of movement of the task domain, • lack of appropriate prior technology, • the culture of the implementing clinic prior to implementation, • a phenomenon I refer to as institutional managerial apathy, which manifests as a lack of concern and systematization of a healthcare system, • workload, and related phenomena. I interpret these factors through Contingency Theory, Institutional Theory, and a new theory I developed - the Effort Satisficing Theory (EST). I also propose and elaborate on Task Ambulation Contingency to enhance outcomes of operational implementations. Though this research contributes to a deeper understanding of both AA implementations and OIs in general for both academics and practitioners, the most important contribution of this research to new management and economic theory is the Effort Satisficing Theory, and the establishment of the foundations of this theory. Effort Satisficing Theory is a behavioral theory that can be translated into different fields of management and economics, with potential for advancing the performance of organizations and economies, thus establishing this dissertation a valuable contribution to 21st century Economics.en_US
dc.identifier.citationAsamoah-Barnieh, R. (2015). Understanding Variation in Processes and Outcomes of Operational Implementations: A Case Study from Healthcare (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/28578en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/28578
dc.identifier.urihttp://hdl.handle.net/11023/2010
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.facultyHaskayne School of Business
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectBusiness Administration--Management
dc.subjectEconomics--Theory
dc.subjectHealth Care Management
dc.subject.classificationAdvanced Access Implementationen_US
dc.subject.classificationEffort Satisficing Theory (EST)en_US
dc.subject.classificationOperations Management Theoryen_US
dc.subject.classificationContingency Theoryen_US
dc.subject.classificationInstitutional Theoryen_US
dc.subject.classificationMultiple Case Studyen_US
dc.subject.classificationQualitative Researchen_US
dc.subject.classificationTask Ambulation Contingencyen_US
dc.subject.classificationOperational Implementations (OIs)en_US
dc.subject.classificationOperations Management Practice Contingency Research (OM PCR)en_US
dc.subject.classificationOpen Access Implementationen_US
dc.subject.classificationAdvanced Open Access Implementationen_US
dc.subject.classificationNew Management Theoryen_US
dc.subject.classificationBehavioral Theoryen_US
dc.subject.classificationOperations Strategy Theoryen_US
dc.subject.classificationStrategic Management Theoryen_US
dc.subject.classification21st Century Economicsen_US
dc.subject.classificationMacroeconomic Theoryen_US
dc.titleUnderstanding Variation in Processes and Outcomes of Operational Implementations: A Case Study from Healthcare
dc.typedoctoral thesis
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameDoctor of Philosophy (PhD)
ucalgary.item.requestcopytrue
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