Anna McGlynn, Éidín Ní Shé, Paul Bennett, Siaw-Teng Liaw, Tony Jackson and Ben Harris-Roxas
HealthPathways is an online decision support portal, primarily aimed at General Practitioners (GPs), that provides easy to access and up to date clinical, referral and resource…
Abstract
Purpose
HealthPathways is an online decision support portal, primarily aimed at General Practitioners (GPs), that provides easy to access and up to date clinical, referral and resource pathways. It is free to access, with the intent of providing the right care, at the right place, at the right time. This case study focuses on the experience and learnings of a HealthPathways program in metropolitan Sydney during the COVID-19 pandemic. It reviews the team's program management responses and looks at key factors that have facilitated the spread and scale of HealthPathways.
Design/methodology/approach
Available data and experiences of two HealthPathways program managers were used to recount events and aspects influencing spread and scale.
Findings
The key factors for successful spread and scale are a coordinated response, the maturity of the HealthPathways program, having a single source of truth, high level governance, leadership, collaboration, flexible funding and ability to make local changes where required.
Originality/value
There are limited published articles on HealthPathways. The focus of spread and scale of HealthPathways during COVID-19 is unique.
Details
Keywords
Anna Westerlund, Rickard Garvare, Elisabet Höög and Monica Elisabeth Nyström
The purpose of this paper was to investigate the role of an intra-organizational change facilitating function (CFF) in relation to a multi-level development initiative in a health…
Abstract
Purpose
The purpose of this paper was to investigate the role of an intra-organizational change facilitating function (CFF) in relation to a multi-level development initiative in a health care organization. Involved actors’ views on factors in need of attention and how the CFF related to these factors were studied.
Design/methodology/approach
A longitudinal case study design was used, combining data from questionnaires, process diaries and interviews with employees at the CFF, managers and clinic staff.
Findings
Factors on micro, meso and macro levels, crucial to attend to, were highlighted by respondents at staff and managerial levels. The CFF related to some of these factors by acting upon them, or by developing plans to handle them, while other factors were unattended to. The CFF activities also had indirect influence on other factors. The CFF role and responsibilities were not clearly defined beforehand, and a need to clarify a division of roles and responsibilities is highlighted.
Research limitations/implications
Our study contributes to current knowledge on facilitation of change by relating it to an organizational dimension of implementation.
Practical implications
The description of important factors to handle during a large organizational change process and issues a CFF can encounter may aid others involved in designing and managing large organizational development initiatives.
Originality/value
The study elaborates on less studied functions and roles of an intra-organizational CFF in relation to factors of vital importance for organizational change and development in health-care organizations.
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Keywords
Sheila Riddell, Lyn Tett, Hazel Christie, Rachael King and Sofia Shan