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This study aims to explore the benefits of participation in a topic-relevant business conference as a learning and professional development apparatus for senior managers of small- and medium-sized enterprises (SMEs). It analyzes the experiences of 12 Australian SME senior managers who participated in a Belt and Road Initiative (BRI) business conference in Hong Kong.

Data were collected through pre- and post-conference attendance interviews. Kirkpatrick and Kirkpatrick’s (2005) four levels framework was used to analyze the effectiveness of business conferences on the participants at four different levels of the framework: reaction, learning, behavior and results.

This study finds that the business conference has shown effectiveness for the participants at the reaction (Level 1), learning (Level 2) and behavior (Level 3), indicating that participation in a topic-relevant business conference is useful for the learning and professional development of SME managers. However, only a moderate level of results (Level 4) was identified from attending the BRI conference, which implies that the content and quality of the business conference may influence the achievement of expected results.

This paper contributes a new understanding of the benefits of topic-relevant business conference participation as a learning and professional development apparatus for SME senior managers.

This study aims to examine the human resources (HR) knowledge and cross-cultural and interpersonal skills needed by HR managers/directors to administer the integrated resort and hotel (IR&H) organizational talent.

This paper uses a qualitative method in the form of extensive interviews.

The labor-intensive nature of the IR&Hs have forced these organizations to be innovative in terms of retaining their top talents and to look overseas for foreign workers to ensure smooth operations.

The research is limited to two Asian geographies and the high regulatory nature of the industry correspondingly limits the number of HR executives in operation within IR&Hs.

This paper provides insights for current and future Asian-based IR&Hs policy planners and HR managers.

The paper provides an understanding of national and organizational skills shortages and their impact upon work and workers.

No previous comparative research in relation to Singapore and Macau has been conducted.

This preliminary study aims to examine the use of a co-designed immersive virtual reality intervention programme in improving access to health care for people with intellectual disability.

A co-production approach was used to design a virtual reality intervention in collaboration with people with intellectual disability, their families and carers. A mixed-method single sample pre-test-post-test design examined using a virtual reality intervention simulating health-care environments to improve access of attending health-care appointments. Qualitative feedback was used to understand participants’ experience and opinions of using the digital technology.

The study found that the intervention did help people access health-care appointment and reduced their fear. Improvements were also found in quality-of-life post intervention. Positive feedback was provided from participants on using digital technologies indicating the novelty of the approach and potential further applications.

To the best of the authors’ knowledge, this is the first study which has used virtual reality to support people with intellectual disability access health care.

This paper aims to present the case for a new integrated resort business model. It does so by integrating the notion of a smart tourism ecosystem into the concept of dynamic capabilities so as to guide integrated resort theory and practice in an evolving landscape.

The theoretical model is derived from synthesising the gaps surrounding literature that contextualises business models and the relatively scarce body of knowledge related to integrated resort business models.

Integrated resorts are characterised by strategies using a follower mentality. Destinations seeking to create new integrated resorts largely emulate existing product or service points of differentiation, though such attempts are often quickly eroded by competition. By integrating the smart tourism ecosystem to the theoretical framework, this conceptual paper elucidates how an information-rich environment can help to better realise sustainable competitive advantages.

This conceptual paper will require empirical data to validate the theoretical model. Implications stemming from the research will hasten greater social networks that need to be incorporated to foster timely and necessary circulation of information to attain optimal outcomes generated by the dynamic capability effect.

This paper re-conceptualises the business model for integrated resorts. By integrating the notion of smart tourism ecosystems to business model literature, the paper illuminates how integrated resorts can be better positioned in adapting to the changing operating environments.

Purpose – Medicaid funding for long-term services and supports (LTSS) is a key avenue for community access for people with disabilities and others. Between 1997 and 2009, the boundaries of community access were redrawn and redefined with the introduction of a series of 13 bills to change how Medicaid requires states to fund LTSS. Although they did not successfully pass into law, their presence is felt in the language of the Community First Choice (CFC) Option, part of the Patient Protection and Affordable Care Act (PPACA) of 2010. This chapter documents and analyzes the changes in the concept of community access as reflected across these bills and the CFC.

Methodology – The text of these 13 bills and the CFC were compared with attention to structure, order, and meaning. Documents were hand coded and electronically searched. Codes were entered into atlas.ti for comparison and analysis.

Findings – Four significant changes in the conceptualization of community access emerged: (1) who deserves access to community, (2) what community access entails, (3) why people deserve access to community, and (4) how community access should be organized. With the exception of the reasons why people deserve access to community, the expanded concept of community access illustrated across these bills is reflected in the text of CFC.

Originality/value of the chapter – This chapter contributes to the limited literature that documents and analyzes the historical development of community access across policy documents. In addition, it highlights the relevance of incremental analysis to understanding social change through the legislative process.

Daylight plays a crucial role in the attainment of building energy savings. Harnessing daylight in building designs will require the need for daylight illuminance data. However, daylight illuminance data are scarce due to few measuring stations. Aside from being sparse, illuminance measuring stations can be expensive to set up, thus making the luminous efficacy model a better alternative. Hence, this study attempted to model horizontal luminous efficacies under the 15 Commission internationale de l'éclairage (CIE) standard skies. Therefrom, daylight illuminance was estimated from a proposed vertical luminous efficacy model.

Measured solar irradiance, daylight illuminance and luminance distribution data were gathered from the local measuring station in Hong Kong. The luminance distribution data were used to classify the skies into the 15 CIE standard skies. Next, the solar irradiance and daylight data were used to derive the horizontal luminous efficacies under each standard sky. Furthermore, a vertical luminous efficacy model developed using the measured data was described, and this was used to predict vertical illuminance.

It was observed that Skies 1, 8 and 13 seem to be predominant in Hong Kong. Also, the result showed that constant luminous efficacies could be used for deriving illuminance data. Furthermore, horizontal luminous efficacy ranged from 40 to 190lm/W, indicating that daylight can provide sufficient visibility during working hours. The vertical luminous efficacy model proves to offer reasonable estimations of vertical illuminance data.

Further work needs to be done with more measured data to cover for spring seasons. The described model still needs to be fitted with different world climates to ascertain its universal applicability. The evaluations need to be done under obstructed sky conditions to cater for dense and clustered urban centres.

The discussed luminous efficacy model could be used to derive illuminance data in the absence of measured daylight illuminance data, especially in the subtropical region. Also, the comparative advantage of daylight over artificial lighting was highlighted in this study.

Unlike previous studies, this paper discusses the luminous efficacies of global, direct and diffuse components under the 15 CIE standard skies. Furthermore, the described luminous efficacy analysis provides an approach for deriving vertical and horizontal illuminance data. Such vertical data will be required for analysing building lighting requirements, sensible heat from electric lighting, and energy savings from daylighting controls. Also, the information on horizontal luminous efficacies will help evaluate solar roof and skylight designs.

Medicaid home and community-based services (HCBS) support community living for three million disabled people in the United States. As a state-federal partnership, these programs are highly variable across states. Because eligibility determination and services differ from state to state, this Medicaid structure becomes a barrier for those HCBS users whose desired futures include cross-state moves.

I examine narratives of citizenship and personhood for Medicaid HCBS users circulating within policy arenas and explore tensions between these and the stories Medicaid HCBS users tell of their own lives. Specifically, I explore the degree to which narratives about Medicaid HCBS users include an affirmation of the right to cross-state movement. My analysis includes data from public statements from policy makers, legislative texts, organizational framings of Medicaid policy, and 18 semi-structured interviews with Medicaid PCA users who desired or pursued cross-state moves.

I conclude that institutional narratives of Medicaid HCBS users are an inadequate representation of the stories told by those who rely on this program and, in consequence, programs stemming from policy fail to offer services that would allow service recipients to pursue their objectives.

Medicaid HCBS policy is part of a broader story of disability rights progress over the last four decades, making its role as an obstacle to cross-state movement a bit of a paradox. This paradox points to the value of narrative analysis in calling attention to invisible contradictions and the need for institutional and organizational change.

People with intellectual disability die prematurely and from avoidable causes. Innovative solutions and proactive strategies have been limited in addressing this disparity. This paper aims to detail the process of developing a risk stratification tool to identify those individuals who are higher risk of premature mortality.

This study used population health management principles to conceptualise a risk stratification tool for avoidable deaths in people with intellectual disability. A review of the literature examined the existing evidence of causes of death in people with intellectual disability. A qualitative methodology using focused groups of specialist clinicians was used to understand the factors that contributed towards avoidable deaths in people with intellectual disability. Delphi groups were used for consensus on the variables for inclusion in the risk stratification tool (Decision Support Tool for Physical Health).

A pilot of the Decision Support Tool for Physical Health within specialist intellectual disability service demonstrated effective utility and acceptability in clinical practice. The tool has also demonstrated good face and construct validity. A further study is currently being completed to examine concurrent and predictive validity of the tool.

To the best of the authors’ knowledge, this is the only study that has used a systematic approach to designing a risk stratification tool for identifying premature mortality in people with intellectual disability. The Decision Support Tool for Physical Health in clinical practice aims to guide clinical responses and prioritise those identified as at higher risk of avoidable deaths.