This article provides State-level data on the Medicaid 1915(c) home and community-based services (HCBS) waivers program. Medicaid 1915(c) waiver participants were 32 percent of the Medicaid participants in institutional care in 1997. These data document wide interstate variation in organizational oversight and program policies for the waivers. Many structural barriers to HCBS waiver growth exis...

This paper presents a framework designed to assist enterprises in implementing a forensic readiness capability for information privacy incidents. In particular, the framework provides guidance for specifying high-level policies, business processes and organizational functions, and for determining the device-level forensic procedures, standards and processes required to handle information privac...

BACKGROUND Shared decision-making (SDM) is poorly implemented in routine care, despite being promoted by health policies. No reviews have solely focused on an in-depth synthesis of the literature around organizational- and system-level characteristics (i.e., characteristics of healthcare organizations and of healthcare systems) that may affect SDM implementation. A synthesis would allow explora...

Enterprise Information Technology (IT) has become critical in supporting business sustainability and growth. Emerging Web 2.0 technologies contribute significantly to the fulfillment of key organizational goals and objectives in the public sector. Web 2.0 assist organizations improve employee’s productivity, increase communications, information sharing, and improve business processes. The perva...

Successful enforcement of information security requires an understanding of a complex interplay of social and technological forces. We focus on organizational security policies, and on power in organizations, drawing on socio-technical literature to develop an analytical framework. We present three case studies from a large empirical study in an international company including 55 interviews wit...

Despite of the importance of records management (RM) in helping law firms manage legal, financial and organizational risk, many firms currently lack effective RM policies and systems. The rise of e-mail and other electronic content has led to the emergence of separate content silos and duplicative RM processes, increasing cost and complexity. Cumbersome, out-of-date systems challenge compliance...

Local and state health departments are well-positioned to serve as catalysts for the institutional and community changes needed to increase physical activity across the population. Efforts should focus on evidence-based strategies, including promotion of high-quality physical education in schools, social support networks and structured programs for physical activity in communities, and organiza...

In this paper, we introduce EB3SEC. This language is used to express access control policies in information systems. Permissions and prohibitions are expressed with a class diagram. EB3SEC also includes a process algebra. This process algebra allows one to express specific constraints over permissions and prohibitions. Organizational constraints such as obligation and separation of duty are als...

To increase the value of data as a business asset, companies and government organizations need to establish standards, policies, and processes for the usage, development, and management of data, to create the right organizational structure, and to develop the supporting technology infrastructure. As a practice with roots in corporate and information technology (IT) governance, data governance e...

This paper shows how e-government can, or might even have to, be considered as a public policy transformation. In the process of merging authorities into new organisations public policies on egovernment appeared as a key activity. The case study presented in the paper is the formation of the new Swedish Transport Agency formed out of several formerly independent authorities. The Swedish case st...