, Chasan-Taber, S. , & Epstein, A.M. (, Bach, P.B. , Kinneman, M.T. The results of this review indicate that a preponderance of studies are conducted at the hospital level of analysis and are predominantly focused on the organizational structure—quality outcome relationship. Various theories are based on different disciplines such as classical, neoclassical, contingency, systems and bureaucratic theory. , Shortell, S.M. This research classifies management theories and proposes a "Beaufort-type" scale to measure organizational impact. , Bates, D.W. , & Kaushal, R. (, Poulose, B.K. , Lindley, M.C. 3.4 Assessing how organizational ethical practices impact on motivational levels: Organizational ethical practices are one of the important motivators that influence performance of employees. (, Birbeck, G.L. , & Basu, J. (, Alexander, J.A. The Impact of Accountable Care Hospital Involvement with Accountable Care Organizations MAY 2015 Support ... are taking toward the “second curve” of value-based care delivery.1 The last section, ... organizational level and not necessarily at the level Members of _ can log in with their society credentials below, Larry R. Hearld, Jeffrey A. Alexander, Irene Fraser, and H. Joanna Jiang, University of Michigan School of Public Health, Ann Arbor, Agency for Healthcare Research and Quality, Rockville, Maryland, First Published Online: December 18, 2007. , Alexander, J.A. (, Ginsburg, L. , Norton, P.G. , Weiner, B.J. , Fine, J.M. , & Smith, D.G. , Fox, M.A. , Geppert, J.J. , Davies, S. , Miller, M.R. The review uses Donabedian's structure—process—outcome and level of analysis frameworks to organize the literature. The impact of organizational culture in health-care setting and performance has been studied but though no conclusive evidence has been presented so far on this topic. A culture of engagement and accountability is essential for health systems to succeed in an era of population health management and accountable care. Part of organizational psychology attempts to address cultures within organizations, and how they form and change. , Roumanis, S.A. , Radford, M.J. , & Krumholz, H.M. (, Brennan, T.A. For more information view the SAGE Journals Article Sharing page. Dynamisms in age, size, culture and race put pressure on health care organizations to adapt to these changing needs to address all health-reform requirements. , et al. Introduction Planning is one of the fundamentals of modern life. , Cummings, G.G. Theories of organizational culture attempt to explain the phenomena that occur in and around individuals. profit entities. , Sorofman, B. , Tripp-Reimer, T. , et al. A systematic review of accreditation literature highlighted inconsistent findings, with conflicting evidence around organizational impact, financial impact, quality measures and program assessment . The health care sector also includes regulators, some voluntary and others governmental. Sharing links are not available for this article. March, 2006 (. , & Lake, E.T. (, Lin, L. , Isla, R. , Doniz, K. , Harkness, H. , Vicente, K.J. Although these various individuals and organizations are generally referred to collectively as “the health care delivery system,” the phrase suggests an order, integration, and accountability that do not exist. , Cui, X. , & Vickrey, B.G. A challenge facing researchers, practitioners, and policy makers is identifying ways to improve care by improving the organizations that provide this care, given the complexity of health care organizations and the role organizations play in influencing systems of care. 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