A framework for an enterprise-wide strategic stakeholder approach to sales ethics is developed to address ethical sales performance. Stakeholder orientation goes beyond market orientation and customer orientation and provides the foundation for an organizational ethical culture and an ethical sales subculture. Organizational values and norms can dictate modes of behavior and help balance stakeh...

Dr. Slosar is director, ethics, Ascension Health, St. Louis. I t is sometimes said that health care ethics as a profession is in an early stage of its maturation process. If this is true, it can also be said that organizational ethics in health care is just now beginning to emerge from its earliest stage of development. In its infancy, organizational ethics was generally viewed as synonymous wi...

We analyze the incentive effects of organizational forms using data from Florida’s Non-Emergency Medicaid Transportation (NEMT) programs. These programs differ in the extent to which their brokers are directly involved in providing transit services. Based on a simple model of moral hazard, we predict that the number of users and the number of claims per user of the program increase, but cost pe...

Synopsis. Organizations are too complex to “solve”. Consequently, corporate improvement programs are as likely to be deleterious as beneficial. Evolutionary mechanisms offer an alternative approach to organizational improvement. Organizational policies correspond to biological genes; policy innovation corresponds to genetic mutation; and learning corresponds to genetic recombination. These corr...

This paper presents solutions and best practices for mitigating challenges and successfully deploying such initiatives. Based on our experience assisting Fortune 1000 clients with large IT organizational performance and process improvement programs, we believe there are 10 key implementation imperatives: 1. Obtain senior leadership commitment to initiating and managing IT organizational perform...

PURPOSE To identify facilitators and barriers among early adopters of Enhance(®)Fitness (EF), in Young Men's Christian Association-affiliated (Y-affiliated) sites from the perspective of program staff. EF is an evidence-based group exercise program for seniors. METHODS This qualitative study used semi-structured phone interviews with 15 staff members representing 14 Y-affiliated sites. Interv...

OBJECTIVE To investigate the institutionalization of quality improvement (QI) programs in Korean hospitals, in which organizational efforts to improve the quality of care have been made only recently. DESIGN A cross-sectional study based upon an initial telephone contact and follow-up mail survey. STUDY PARTICIPANTS All hospitals with 400 beds or more, 100 as of 1997, were contacted in the ...

Innovate and adapt are watchwords for substance abuse treatment programs in today's environment of legislative mandates, effective new interventions, and competition. Organizations are having to evolve - ready or not - and those that are ready have superior chances for success and survival. The Texas Christian University Organizational Readiness for Change (ORC) survey is a free instrument, wit...

This article explores the impact of organizational attributes on client engagement within substance abuse treatment. Previous research has identified organizational features, including small size, accreditation, and workplace practices, that impact client engagement (K. M. Broome, P. M. Flynn, D. K. Knight, & D. D. Simpson, 2007). This study sought to explore how aspects of the work environment...