INTRODUCTION Recent regulatory pressures and certification requirements have heightened the need for payer organizations to abide by specific standards regarding medical management operations. Payer organizations that are making medical-necessity determinations regarding reimbursement for health care services, as well as risk-bearing provider groups to whom some of these functions have been del...

Management of risks that emanate from offshore IT-enabled services outsourcing is a key challenge in the IT management area in current times. These new risks need to be addressed through the development of new risk management frameworks and methods. This paper proposes a risk management approach for offshore business process outsourcing based on the principles of high reliability organizations ...

concurrently, organizations must respond effectively to social expectations and moral law and to achieve success in all areas and by respecting professional ethics adopt an appropriate procedure to achieve these expectations align with organizational goals to facilitates promotion of social accountability and realization of higher goals. in this study, we have formulated a framework by reviewin...

the main purpose of this study was to investigate the level of agricultural extension entrepreneurship in the process of sustainable agricultural development. the statistical population of the study was composed of agricultural extension experts (n=2882). the method of sampling was a systematic random sampling one. questionnaire was the means employed for data collection. questionnaire validati...

Health care clinicians successfully apply proven medical evidence in common acute, chronic, or preventive care processes less than 80 percent of the time. This low level of reliability at the basic process level means that health care's efforts to improve reliability start from a different baseline from most other industries, and therefore may require a different approach. This paper describes ...

“The test of a first-class mind is the ability to hold two opposing views...at the same time and still retain the ability to function.” (F. Scott Fitzgerald) In distributed, complex socio-technical systems, risks increasingly originate from multiple sources, affect multiple agents in diverse ways, and thus become systemic. The traditional linear causal model of risk control and an individual de...

The test of a first-class mind is the ability to hold two opposing views… at the same time and still retain the ability to function." (F. Scott Fitzgerald) In distributed complex socio-technical systems, risks increasingly originate from multiple sources, affect multiple agents with divergent perspectives and thus become systemic. The traditional simple causal model of risk control and an ind...