Leveraging Organizational Conditions for Innovation: A Typology of Facility Engagement in the Veterans Health Administration Shark Tank-Style Competition.
Leveraging Organizational Conditions for Innovation: A Typology of Facility Engagement in the Veterans Health Administration Shark Tank-Style Competition.
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DOI：
10.7812/tpp/22.154
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发表时间：
2023-06-15
影响因子：
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通讯作者：
Fix GM
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文献类型：
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作者：
Kaitz J;DeLaughter K;Deeney C;Cutrona SL;Hogan TP;Gifford AL;Jackson GL;White B;King H;Reardon C;Nevedal A;Henderson B;Fix GM
创新的发展和传播是医疗保健领域的已知挑战。美国退伍军人健康管理局（VHA）创建了一个“鲨鱼坦克”式的竞争针对一线员工。在这个一年一度的全系统竞赛中，员工向竞赛提交创新成果，获胜的创新成果将获得在其他设施实施的支持。一个多案例研究设计，用于了解设施参与竞争，以及参与和组织条件之间的关系。作者创建了一个类型学来描述竞争中的设施参与和创新的组织条件之间的关系。总体而言，在VHA的竞争中，所有130个设施的参与率都很高。作者确定了7种相互排斥的设施参与类型。正如预期的那样，具有最成熟的创新条件的设施参与竞争最多。此外，其他设施也有各种各样的参与方式。因此，VHA根据组织条件调整他们与设施的合作方式可能会有好处。拥有正在进行的研究和更多资源的大型设施可能更适合开发创新，而较小的设施可能会受益于对采用的关注。这些见解对VHA很有价值，可以被其他医疗保健系统用来定制创新计划，并根据庞大的医疗保健系统的不同需求分配资源。
The development and spread of innovation are known challenges in health care. The US Veterans Health Administration (VHA) created a “Shark Tank”-style competition directed at frontline employees. In this annual, systemwide competition, employees submit innovations to the competition, and winning innovations receive support for implementation in other facilities. A multiple case study design was used to understand facility engagement in the competition, and the relationship between engagement and organizational conditions. The authors created a typology to describe the relationship between facility engagement in the competition and organizational conditions for innovation. Overall, there was high participation in the VHA’s competition across all 130 facilities. The authors identified 7 mutually exclusive types of facility engagement. As expected, facilities with the most established conditions for innovation were the most engaged in the competition. Additionally, other facilities had various ways to be involved. Consequently, there may be benefit to the VHA tailoring how they work with facilities, based on organizational conditions. Larger facilities with ongoing research and more resources may be more suited to develop innovations, whereas smaller facilities could benefit from a focus on adoption. These insights are valuable to the VHA and can be used by other health care systems to tailor innovation programs and allocate resources based on diverse needs across a vast health care system.