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During years 2014-2016, Veterans Health Administration National Surgery Office conducted a surgical flow improvement initiative (SFII) to assist low-performing surgery programs to improve their operating room efficiency (ORE). The initiative was co-sponsored by VHA National Surgery Office and VHA Office of Systems Redesign and Improvement. The paper aims to discuss this issue.

An SFII algorithm, based on first-time-start (FTS), cancellation rate (CR), lag time (LT) and OR utilization, assigned an ORE performance Level (1-low to 4-high) to each VA Medical Center (VAMC). In total, 15 VAMCs with low-performance surgery programs participated in SFII to assess the current state of their surgical flow processes and used redesign methods to focus on improvement objectives.

At the end of the project, 14 VSAs, 40 RPIWs, 45 “90-day projects” and 73 Just-Do-It’s were completed with 65 percent (158/243) improvement actions and 86 percent sites improving/sustaining all four ORE metrics. There was a statistically significant difference in improvement across the three stages (baseline, improvement, sustain) for FTS (45.6-68.7 percent; F=44.74; p<0.000); CR (16.1-9.5 percent; F=34.46; p<0.000); LT (63.1-36.3 percent; F=92.00; p<0.000); OR utilization (43.4-57.7 percent; F=6.92; p<0.001) and VAMC level (1.7-3.65; F=80.11; p<0.000). The majority developed “fair to excellent” sustainment (91 percent) and spread (82 percent) plans. The projected annual estimated return-on-investment was $27,949,966.

The SFII successfully leveraged a small number of faculty, coaches, and industrial engineers to produce significant improvement in ORE across a large national integrated health care network. This strategy can serve healthcare leaders in managing complex healthcare issues in their facilities.

Explains that the National Deaf Children's Society introduced e-learning when a lack of resources made it difficult to support all staff using a traditional training approach.

Considers how executive-board members, many of whom had little or no experience of online learning, were won over to the cause.

Details how two pilot programs were organized and how their results helped to convince board members to introduce online learning throughout the organization.

Furnishes top tips for getting board members to support e-learning.

Highlights how charities, which generally lack the resources for major training initiatives, can benefit from the introduction of online learning.

Provides the inside story of how a small, dedicated team helped to win the support of board members who were initially lukewarm to e-learning, and won a Charity Learning Award prize into the bargain.

What is it about academia anyway? We profess to hate it, spend endless amounts of time complaining about it, and yet we in academia will do practically anything to stay. The pay may be low, job security elusive, and in the end, it's not the glamorous work we envisioned it would be. Yet, it still holds fascination and interest for us. This is an article about American academic fiction. By academic fiction, I mean novels whosemain characters are professors, college students, and those individuals associated with academia. These works reveal many truths about the higher education experience not readily available elsewhere. We learn about ourselves and the university community in which we work.

The law-oriented short stories and novels of lawyer/English professor John William Corrington are receiving increasing attention from legal scholars. However, no one has analyzed the science fiction screenplays he co-wrote with his wife, Joyce, from a legal perspective. This article analyzes two such screenplays and concludes that they are “Socratic” texts whose narrative structures and epistemological processes work in much the same way that the traditional participatory exchange works in law school. My analysis explores the links between law, allegory and science fiction as intersecting methods to imagine the possibilities for the future.

The current review aims to focus on how risk and protective factors for self-harm in secure mental health hospitals are captured in the literature.

Fifty-seven articles were included in a systematic review, drawn from an initial 1,119 articles, post duplicate removal. Databases included Psycinfo, Psycarticles, Psycnet, Web of Science and EBSCO host. A thematic analysis was used, which included a meta-ethnographic approach for considering qualitative papers.

There was a clear focus on risk factors, with eight identified (in order of occurrence): raised emotional reactivity and poor emotion regulation; poor mental health; traumatic experiences; personality disorder diagnosis and associated traits; increased use of outward aggression – dual harm; constraints of a secure environment and lack of control; previous self-harm and suicide attempts; and hopelessness. Protective factors featured less, resulting in only three themes emerging (in order of occurrence): positive social support and communication; positive coping skills; and hope/positive outlook.

This includes a proposal to move focus away from “risk” factors, to incorporate “needs”, in terms of individual and environmental factors. There is also a need for more attention to focus on developing high quality research in this area.

The research captures an area where a synthesis of research has not been comprehensively undertaken, particularly with regards to capturing protective as well as risk factors.

This preliminary study aims to investigate and describe aggression-supportive normative beliefs among patients of a high-secure hospital.

Therapy data from a sample of high-secure forensic hospital patients (N = 11) who had participated in Life Minus Violence-Enhanced, a long-term violence therapy, was examined using interpretative phenomenological analysis (IPA). During therapy, cognitions linked to past incidences of aggression were explored using aggression choice chains.

IPA was applied to data generated through this process to examine the presence and nature of normative beliefs reported, identifying seven themes: rules for aggressive behaviour; use of violence to obtain revenge; processing emotions with violence; surviving in a threatening world; do not become a victim; using violence to maintain status; and prosocial beliefs.

Findings demonstrate that forensic patients have specific aggression-supportive normative beliefs, which may be malleable. Limitations and implications are discussed.

As the Academy for Business in Society considers the theme “Business in Society: Measuring Impact and Creating Change,” one fundamental question emerges and that is how to collaborate with universities to create positive impact and sustainable business models. The purpose of this paper is to address that question and offer one apt illustration for how to collaborate effectively across sectors.

This paper offers a case study of the Honey Bee Initiative (HBI) from George Mason University’s School of Business.

In this case study, the authors discuss the Initiative’s tri-sector domestic and global partnerships, community-driven development approach and innovative solutions as an exemplar of business as a force for good.

This paper provides unique insight into how universities can partner with non-profits, business and policy leaders to effect positive change. As such, the HBI program contributes to the growing body of research on the benefits of tri-sector partnership models as a means of addressing global goals and provides a valuable case study to understand better the necessity of multi-stakeholder partnerships. Moreover, the HBI’s tri-sector partnership model offers important insights into what makes these partnerships successful and serves as a replicable model that can be instituted in other regions around the globe.

This chapter uncovers the destabilizing and transformative dimensions of a legal process commonly described as assimilation. Lawyers working on behalf of a marginalized group often argue that the group merits inclusion in dominant institutions, and they do so by casting the group as like the majority. Scholars have criticized claims of this kind for affirming the status quo and muting significant differences of the excluded group. Yet, this chapter shows how these claims may also disrupt the status quo, transform dominant institutions, and convert distinctive features of the excluded group into more widely shared legal norms. This dynamic is observed in the context of lesbian, gay, bisexual, and transgender (LGBT) rights, and specifically through attention to three phases of LGBT advocacy: (1) claims to parental recognition of unmarried same-sex parents, (2) claims to marriage, and (3) claims regarding the consequences of marriage for same-sex parents. The analysis shows how claims that appeared assimilationist – demanding inclusion in marriage and parenthood by arguing that same-sex couples are similarly situated to their different-sex counterparts – subtly challenged and reshaped legal norms governing parenthood, including marital parenthood. While this chapter focuses on LGBT claims, it uncovers a dynamic that may exist in other settings.

We examine, from an institutional perspective, labor management structures in China's foreign-invested enterprises (FIEs). Focusing on the adoption of two Chinese-style and two Western-style labor structures, we seek to understand the influences of global capitalism vis-à-vis those of China's domestic institutions which themselves are undergoing market-oriented transformations. Our empirical analysis is based on data collected in a national survey of FIEs conducted in 1996. The results show that a significant proportion of FIEs localize their labor practices by adopting Chinese-style structures and that the extent of localization is shaped by both institutional processes and strategic considerations. We also find that the two Chinese-style structures effectively reduce tension and conflict between labor and management, whereas the two Western-style structures do not appear to serve such function. These findings underscore the potency of the Chinese institutional environment and reveal how organizational interest interacts with institutional forces, giving rise to a distinctively “local” mixture of managerial structures and practices in the era of globalization.