John R Kimberly

• University of Pennsylvania

Introduction: People with serious mental illness (SMI) are more likely to smoke and less likely to receive tobacco treatment. Implementation strategies may address clinician and organizational barriers to treating tobacco in mental healthcare. Methods: A cluster-randomized trial (Clinic N=13, Client N=610, Staff N=222) tested two models to promo...

Background The implementation of evidence-based practices in critical care faces specific challenges, including intense time pressure and patient acuity. These challenges result in evidence-to-practice gaps that diminish the impact of proven-effective interventions for patients requiring intensive care unit support. Research is needed to understand...

The decommissioning of a health‐care service is invariably a highly complex and contentious process which faces many implementation challenges. There has been little specific theorisation of this phenomena, although insights can be transferred from wider literatures on policy implementation and change processes. In this paper, we present findings f...

Background Tobacco use disorder (TUD) rates are 2–3 times higher among people with serious mental illness (SMI) than the general population. Clinicians working in outpatient community mental health clinics are well positioned to provide TUD treatment to this group, but rates of treatment provision are very low. Understanding factors associated with...

This study examines how the introduction of TeachTown:Basics, a computer-assisted intervention for students with autism spectrum disorder, influenced teachers’ use of other evidence-based practices. In a randomized controlled trial that enrolled 73 teachers nested within 58 schools, we used three-level hierarchical linear models to evaluate changes...

In May 2019, scholars in management and organization of health care organizations and systems met. The opening plenary was a moderated discussion with five distinguished scholars who have exemplified pushing the frontier of organizational theory and practice throughout their careers: Ann Barry Flood of Dartmouth College, John Kimberly of the Univer...

Introduction: Individuals with serious mental illness (SMI) smoke at rates 2-3 times greater than the general population but are less likely to receive treatment. Increasing our understanding of correlates of smoking cessation behaviors in this group can guide intervention development. Methods: Baseline data from an ongoing trial involving smoke...

Introduction: People with mental illness are more likely to smoke and less likely to receive tobacco treatment than the general population. The Addressing Tobacco Through Organizational Change (ATTOC) approach supports organizational change to increase tobacco treatment in this population. We describe preliminary study feasibility and baseline beh...

Between 2003 and 2010, the College of Arts and Letters of the University of Notre Dame had two rival economics departments, one that was resolutely mainstream and the other that was just as resolutely heterodox. This unusual organizational arrangement was an effort to accommodate a paradigmatic conflict about the kind of economic scholarship needed...

Background The number of children diagnosed with autism has rapidly outpaced the capacities of many public school systems to serve them, especially under-resourced, urban school districts. The intensive nature of evidence-based autism interventions, which rely heavily on one-to-one delivery, has caused schools to turn to computer-assisted intervent...

The world of health care is changing dramatically, as reflected in the number, magnitude, and scope of innovative new approaches-to how illness is treated and how better health is promoted-that are being implemented around the globe. The changes triggered by these initiatives affect both how care is organized, managed, and paid for and the kinds of...

Fermetures de MBAs, fusions entre ecoles, concurrents inedits, denigrements dans la presse... le piedestal des business schools se fissure. Si quelques-unes jouissant de marques puissantes pourront continuer a prosperer, les autres devront se reinventer.

Over the past three decades, several industries including newspapers, broadcasting, book publishing and selling, music, movie, travel, financial services, and now the automobile industry have been disrupted by entrepreneurs using innovative business models based on lean and customizable technologies. Business schools have celebrated and promoted th...

Organizations that provide health services are increasingly in need of systems and approaches that will enable them to be more responsive to the needs and wishes of their clients. Two recent trends, namely, patient-centered care (PCC) and personalized medicine, are first steps in the customization of care. PCC shifts the focus away from the disease...

Les dirigeants peuvent être amenés à faire des actes transgressifs pour provoquer le changement. Parce qu’ils violent du sacré, ils sont objets de représailles. Ceux qui réussissent survivent à ces représailles et construisent un sacré nouveau.

As of July 1, 2010, the College of Humanities and Social Sciences at the University of the Holy Spirit (UHS) has a single Department of Economics. However, in the seven prior years, there were two economics departments, one that was resolutely mainstream and the other that was just as resolutely heterodox. What accounts for this unusual organizatio...

We draw on various threads of scholarship and writing about transgression to shed light on a particular category of revolutionary leaders who are expected to abide by sacred organizational norms but deliberately transgress them in the name of their understanding of the common good of the organization. We investigate 1) the circumstances in which le...

There is increased recognition of both glaring disparities in the health of populations among countries around the globe and startling differences in per capita spending on 'health' among these same countries. This awareness raises disturbing questions about the relationship between global health and business opportunity. Historically, business opp...

When trying to pull off a successful deal many senior executives focus their attention on economic synergies (1+1>2) and ignore that psychological synergies (1+1=1) are required to reap the financial benefits of mergers and acquisitions. The authors discuss common mistakes firms make in the management of identity issues and offer four approaches th...

The introduction of evidence-based programs and practices into healthcare settings has been the subject of an increasing amount of research in recent years. While a number of studies have examined initial implementation efforts, less research has been conducted to determine what happens beyond that point. There is increasing recognition that the ex...

Articles Included in the Review [37,54,98-220].

In a world that is rapidly changing, what are the challenges for which leaders in public health in the future need to be prepared, what are the qualities and skills they will need for success, and where will they get the training they require? Addressing each of these questions in succession, this article contends that success in a flatter, more di...

The pressure is on to measure performance and to increase accountability in health care in general and in addiction treatment in particular. The pressure in the world of addiction treatment comes in large measure from the limited resources that are available in relation to the very large numbers of potential patients. Using data on 161 clinics in t...

We consider firms in the context of their business ecosystems and explore how governance choices with respect to complementors and distributors shape their competitive behavior—i.e., investments in new technologies. We argue that, in addition to creating differences in incentives, governance choices play an important role in the firm's ability to c...

Résumé Les auteurs de The Soul of the Corporation ont écrit ce livre pour sensibiliser les dirigeants d?entreprise aux questions identitaires, mais ils poursuivent leur recherche, car quand il s?agit de l'identité, rien n?est jamais définitivement acquis !

The relationship between culture and innovation has intrigued researchers for generations. After much research and experimentation, what we know about the relationship is that innovation both shapes and is shaped by culture, and that both culture and innovation can be conceptualized as operating at multiple levels - national, regional, and organiza...

Addiction treatment providers face serious problems in delivering consistent, high-quality services over time. Among those providers with multiple treatment sites, there is also intersite variability. This is a serious problem in the addiction field, likely to be made worse as new technologies are introduced and/or as there is industry consolidatio...

This paper presents a brief review of organizational measures related to implementation of new practices and technologies in sectors other than mental health, and discusses potential application of these measures to mental health implementation research. A few standardized organizational measures are presented along with considerations regarding th...

“As Emerson said that an institution is the 'extended shadow' of a person, Bouchikhi and Kimberly fluidly blend the personal and enterprise-wide perspectives of professional identity to yield both powerful insights and priceless practical tools. Most management books look at the decision maker or at the decision making context. This important book...

Introduction The previous chapters have presented summaries of the adoption of patient classification systems (PCS) in fifteen countries around the globe, starting with the US in 1983 and continuing through to Germany in 2005. The purpose of this final chapter is to stand back from the details of each country's experience with patient classificatio...

In 1983, the first patient classification system to be used on a national basis, the Diagnosis Related Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them...

The previous chapters have presented summaries of the adoption of patient classification systems (PCS) in fifteen countries around the globe, starting with the US in 1983 and continuing through to Germany in 2005. The purpose of this final chapter is to stand back from the details of each country's experience with patient classification systems and...

Innovations in health care account for some of the most dramatic improvements in population health outcomes in the developed world as well as for a nontrivial proportion of growth in expenditures. Provider organizations are the adopters of many of these innovations, and understanding the factors that inhibit or facilitate their diffusion to and pos...

This article offers a lively and spirited debate on the pros and cons of relating research to practice. The authors' goal is to illuminate fundamental issues in the debate in detail, consider a variety of prescriptions, and then come to a mindful conclusion about a course of action. The article begins with a point—counterpoint debate to make sure t...

Research on forced CEO succession has focused on determinants of exit, impact on the organization, or implications for the incoming CEO. Generally unexamined is what happens to the ousted CEO. Using a sample of 60 forced exits from the Business Week 1000 from 1988 to 1992, this study seeks to identify factors which influence the career outcomes for...

The social and economic costs of addiction are substantial and of great concern to society. Research in the past decade has led to promising therapies that appear to be highly effective but not widely diffused. This leads one to wonder if there is something about the structure, dynamics, or structure and dynamics of the addiction treatment industry...

Drawing on experiences in other industries, this article argues that the business of addiction treatment is likely to be transformed by the advent of a period of consolidation, in which a number of small independent programs will be acquired by larger, better capitalized, and managerially more sophisticated enterprises. Consolidation will be driven...

Abstract The addiction treatment industry is searching for a consensus on ways to measure how clinics perform. This is driven in part by the limited resources available compared to the sizeable number of potential patients. This study applies Data Envelopment Analysis (DEA), a methodology particularly apt to identify the most efficient units in con...

We present a description and analysis of the current reforms in the French system of “assurance maladie”, or its health insurance system, particularly as they bear on quality at the hospital level. The measurement and management of quality play a significant role in the reform, thus providing a particularly timely example for health care policy mak...

Previous chapters in this book have addressed particular challenges that firms face as they globalize, such as governance or branding or supply chain management. Or they have addressed themes in globalization such as the cross-border funding of entrepreneurial ventures or government responses to globalization issues. This chapter addresses the many...

While our focus in this volume, as stated at the outset, has been to aid managers in understanding and improving the process of globalizing their companies, we must recognize that there is a much broader context in which these decisions are made. World political structures are changing rapidly and often unpredictably in the post-Cold War era. The r...

While debates about globalization rage in the media, at international conferences, and in the streets, managers still have work to do. They need to create profitable businesses and generate returns for investors by entering global markets, compete against international rivals, make investments, and find opportunities in the shifting tableau of a wo...

As the phenomenon of globalization continues to spark dynamic and controversial debates, managerial agendas around the world are being shaped. Businesses are pressed to respond to the challenges of globalizing competitors. They must enhance profits and generate returns for investors and do so by entering global markets, competing against internatio...

Organizations, like people, have essential natures ¿ defined by their formative experiences, their beliefs, their knowledge bases and their core competences ¿ which may remain tacit and unquestioned until some event, such as a new strategy or a radical shift in the environment, makes an old identity obsolete. A disruption in a strongly anchored ide...

Groom your executives to leave-enhance the skills that make them attractive in the marketplace-and they'll remain committed to their jobs. This counterintuitive finding, based on a study of 400 midlevel executives, has an important corollary: Fall short on your promises to develop executives' employability, and loyalty will diminish.

In the recent past, a number of managerial innovations--including product line management, total quality management, and reengineering--have swept through the hospital industry. Given their pervasiveness and their cost, understanding the mix of factors that influences their adoption is of theoretical interest and practical relevance. The research r...

It is widely recognized that corporations need to beinnovative in order to survive and this need has supported a "mini-industry" of management research and consulting on the topic ofinnovation. However, because the fields of management research and businesseducation have themselves become rigid and lost their ability to innovate, their survival is...

To examine the effect of reengineering on the competitive position of hospitals. Although many promises have been made regarding outcomes of process reengineering, little or no research has examined this issue. This article provides an initial exploration of the direct effects of reengineering on the competitive cost position of hospitals and the m...

The emergence of the issue of quality of health care systems of developed countries can be interpreted as the result of a growing pressure from payors and regulators on providers for increased accountability. As such, the form that this emergence takes is specific to each country's cultural, economic, and institutional context A brief description o...

Current estimates suggest that over sixty percent of all U.S. hospitals are involved in reengineering initiatives. The level of investment is staggering; literally billions of dollars are being spent in the name of reengineering. Surprisingly little research has been reported, however, aimed at clarifying how this money is being spent (i.e., the co...

This article examines the alleged benefits and actual outcomes of vertical integration in the health sector and compares them to those observed in other sectors of the economy. This article concludes that the organizational models on which these arrangements are based may be poorly adapted to the current environment in health care.

This study examines hospital motivations to acquire new medical technology, an issue of considerable policy relevance: in this case, whether, when, and why hospitals acquire a new capital-intensive medical technology, magnetic resonance imaging equipment (MRI). We review three common explanations for medical technology adoption: profit maximization...

Organization theory is, as the title of this special issue suggests, at a crossroads. At a time when the world of and around organizations is changing very fast, and when the need to invent new approaches to organizations and their management is apparent, organization theory is challenged either to encompass these changes and contribute to their el...

This study examines the realized strategies of all domestic manufacturers in a growing, high technology, industrial market characterized by high levels of regulatory, demand, and technological uncertainty. These manufacturers have behaved quite differently and experienced varying levels of success in the market. A typology of entry strategies groun...

Little is known about how information diffuses to clinicians and influences their purchase and use of new technology. This is especially true about the role of the scientific literature. As a case study, we examined the literature for magnetic resonance imaging (MRI) during the years preceding and the first five years following its clinical introdu...

John R. Kimberly, Laura R. Renshaw, Scott D. Ramsey, Alan L. Hillman, J. Sanford Schwartz: DRGs and the diffusion of health technology in the USA: the case of MRI. The context of the emergence of MRI in the USA has been one of strong uncertainties. First, there was uncertainty on the level of payment of this new technology with DRGs. Payment by ca...

Precious research has been unable to establish a clear association between "full service" management contracts and improvements in hospital performance, but it has shown that hospital board members are highly satisfied with the arrangement. Presented here are findings from a recent survey of board members in contract-managed hospitals that confirm...

Answers to the question of what makes an organization effective have proved elusive despite more than 20 years of intensive theorizing and research. Yet the search for answers, which gained momentum with Lawrence and Lorsch's (1969) Organization and Environment , clearly has had salutary effects on students of organizations and their work. This pap...

The title of this volume is misleading. It should be subtitled A Public Health Perspective. Anyone familiar with the long and distinguished career of Milton Roemer would have a good idea of what to expect in an introductory overview such as this, irrespective of the title. The book is designed for students in public health and health services admin...

Current conceptualizations of organizational design context and process are examined, with the focus on a design/implement/evaluate approach. A case study of the developmental history of an educational service center, the Joint Access Cooperative System, is used to illustrate the ways in which current concepts are deficient and incomplete. Modifica...

In 1980, ASMT-CMU students and alumni established the John C. Lang Memorial Trustee Award for Administration and Management to "recognize outstanding performance in the communication of ideas and information in administration and laboratory management and to encourage individuals to disseminate their information to the profession." Winners of this...

One has only to travel from Hong Kong to New York or from Buenos Aires to Moscow to appreciate the power of technology as. a force for standardization in contemporary life. Similarities in architecture, in mass transit facilities, and in department store wares are visible reminders that technology transcends political ideology. Public discussions o...

One of the bright spots in the sometimes black picture that is painted of our national health care system is HMOs. Health maintenance organizations provide health services to an enrolled group of patients for a fixed, prepaid fee. This arrangement induces HMOs to try to keep patients healthy for a competitive rate. Because of its special nature, ho...

Public policy controversies about the cost-containing potential of HMOs and the failures of many plans should not overshadow the fact that HMOs will be forces in the health care sector in the 1980s, largely as the result of increasing private investment. There is a large, stable segment of the prepaid industry that developed as a result of private...

Stimulated by a variety of external pressures, managerial innovation is likely to become more common in health care organizations. Relatively little is known, however, about the phenomenon. This paper develops a framework for the analysis of managerial innovation in health care organizations, based on the premise that control is at the heart of eff...

This article focusses on an important but often overlooked dimension of aggregation in organizational research, the temporal dimension. As more researchers begin to appreciate the dynamic quality of their subject matter, longitudinal studies will become more common. Lacking fully developed research paradigms, however, such studies are likely to enc...

Kimberly presents a case study of the birth and early development of an innovative medical school. When the school opened in 1971, the existing 86 medical schools all offered similar programs: two years of basic science training in lecture halls and laboratories, followed by two years of direct contact with patients in clinical settings. In the new...