The Experts below are selected from a list of 135 Experts worldwide ranked by ideXlab platform
Gregory A Aarons - One of the best experts on this subject based on the ideXlab platform.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
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mixed method study of a conceptual model of evidence based intervention sustainment across multiple Public Sector Service settings
Implementation Science, 2014Co-Authors: Gregory A Aarons, Cathleen E Willging, Amy E Green, Mark G Ehrhart, Scott C Roesch, Debra Hecht, Mark ChaffinAbstract:Background: This study examines sustainment of an EBI implemented in 11 United States Service systems across two states, and delivered in 87 counties. The aims are to 1) determine the impact of state and county policies and contracting on EBI provision and sustainment; 2) investigate the role of Public, private, and academic relationships and collaboration in long-term EBI sustainment; 3) assess organizational and provider factors that affect EBI reach/penetration, fidelity, and organizational sustainment climate; and 4) integrate findings through a collaborative process involving the investigative team, consultants, and system and community-based organization (CBO) stakeholders in order to further develop and refine a conceptual model of sustainment to guide future research and provide a resource for Service systems to prepare for sustainment as the ultimate goal of the implementation process. Methods: A mixed-method prospective and retrospective design will be used. Semi-structured individual and group interviews will be used to collect information regarding influences on EBI sustainment including policies, attitudes, and practices; organizational factors and external policies affecting model implementation; involvement of or collaboration with other stakeholders; and outer- and inner-contextual supports that facilitate ongoing EBI sustainment. Document review (e.g., legislation, executive orders, regulations, monitoring data, annual reports, agendas and meeting minutes) will be used to examine the roles of state, county, and local policies in EBI sustainment. Quantitative measures will be collected via administrative data and web surveys to assess EBI reach/penetration, staff turnover, EBI model fidelity, organizational culture and climate, work attitudes, implementation leadership, sustainment climate, attitudes toward EBIs, program sustainment, and level of institutionalization. Hierarchical linear modeling will be used for quantitative analyses. Qualitative analyses will be tailored to each of the qualitative methods (e.g., document review, interviews). Qualitative and quantitative approaches will be integrated through an inclusive process that values stakeholder perspectives. Discussion: The study of sustainment is critical to capitalizing on and benefiting from the time and fiscal investments in EBI implementation. Sustainment is also critical to realizing broad Public health impact of EBI implementation. The present study takes a comprehensive mixed-method approach to understanding sustainment and refining a conceptual model of sustainment.
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dynamic adaptation process to implement an evidence based child maltreatment intervention
Implementation Science, 2012Co-Authors: Gregory A Aarons, Amy E Green, Lawrence A Palinkas, Shannon Selfbrown, Daniel J Whitaker, John R Lutzker, Jane F SilovskyAbstract:Background: Adaptations are often made to evidence-based practices (EBPs) by systems, organizations, and/or Service providers in the implementation process. The degree to which core elements of an EBP can be maintained while allowing for local adaptation is unclear. In addition, adaptations may also be needed at the system, policy, or organizational levels to facilitate EBP implementation and sustainment. This paper describes a study of the feasibility and acceptability of an implementation approach, the Dynamic Adaptation Process (DAP), designed to allow for EBP adaptation and system and organizational adaptations in a planned and considered, rather than ad hoc, way. The DAP involves identifying core elements and adaptable characteristics of an EBP, then supporting implementation with specific training on allowable adaptations to the model, fidelity monitoring and support, and identifying the need for and solutions to system and organizational adaptations. In addition, this study addresses a secondary concern, that of improving EBP model fidelity assessment and feedback in real-world settings. Methods: This project examines the feasibility, acceptability, and utility of the DAP; tests the degree to which fidelity can be maintained using the DAP compared to implementation as usual (IAU); and examines the feasibility of using automated phone or internet-enabled, computer-based technology to assess intervention fidelity and client satisfaction. The study design incorporates mixed methods in order to describe processes and factors associated with variations in both how the DAP itself is implemented and how the DAP impacts fidelity, drift, and adaptation. The DAP model is to be examined by assigning six regions in California (USA) to either the DAP (n=3) or IAU (n=3) to implement an EBP to prevent child neglect. Discussion: The DAP represents a data-informed, collaborative, multiple stakeholder approach to maintain intervention fidelity during the implementation of EBPs in the field by providing support for intervention, system, and organizational adaptation and intervention fidelity to meet local needs. This study is designed to address the real-world implications of EBP implementation in Public Sector Service systems and is relevant for national, state, and local Service systems and organizations.
David N Figlio - One of the best experts on this subject based on the ideXlab platform.
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do tax and expenditure limits provide a free lunch evidence on the link between limits and Public Sector Service quality
National Tax Journal, 1999Co-Authors: Thomas A Downes, David N FiglioAbstract:We summarize research addressing the validity of the argument that constitutional constraints such as Proposition 13 could reduce the size of local governments while having little effect on the quality of Public Services provided. A growing body of re- search is producing a consistent conclusion; imposition of tax and expenditure limits results in long-run reductions in the performance of Public school students. We provide evidence that reconciles these reductions with the dominant result of the education production literature: dollars matter little. Whether limits are good Public policy remains an open question, because work remains on the quantifica- tion of their costs and benefits.
Deneen M. Hatmaker - One of the best experts on this subject based on the ideXlab platform.
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Network management reconsidered: An inquiry into management of network structures in Public Sector Service provision
Journal of Public Administration Research and Theory, 2008Co-Authors: R. Karl Rethemeyer, Deneen M. HatmakerAbstract:Although policy and collaborative networks have been studied since the 1970s and 1980s, only recently has the management of these entities come under greater scrutiny. Studies of “network management” are designed to better understand the unique challenges of operating in a context where bureaucracy no longer provides the primary tool for “social steering.” These studies typically make three assumptions about networks, Public managers, and the tasks of network management that empirical evidence from our casework in “Newstatia” suggests are suspect at best. If so, then network management theory needs to be reconsidered. The second half of this article begins this process. We have organized this article into six sections. The first defines policy and collaborative networks and discusses why analyzing them and their management independently is probably flawed. The second presents our data and justifications for believing the assumptions outlined above are oversimplifications. The third section reviews three perspectives and two partial models of network management and points out how the perspectives and models need integration. The fourth section develops a resource dependence framework for network management that can encompass the existing models and our new data on the environment in which network management occurs. The final section outlines a series of propositions that flow from our reconsideration of network management.
Cathleen E Willging - One of the best experts on this subject based on the ideXlab platform.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
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mixed method study of a conceptual model of evidence based intervention sustainment across multiple Public Sector Service settings
Implementation Science, 2014Co-Authors: Gregory A Aarons, Cathleen E Willging, Amy E Green, Mark G Ehrhart, Scott C Roesch, Debra Hecht, Mark ChaffinAbstract:Background: This study examines sustainment of an EBI implemented in 11 United States Service systems across two states, and delivered in 87 counties. The aims are to 1) determine the impact of state and county policies and contracting on EBI provision and sustainment; 2) investigate the role of Public, private, and academic relationships and collaboration in long-term EBI sustainment; 3) assess organizational and provider factors that affect EBI reach/penetration, fidelity, and organizational sustainment climate; and 4) integrate findings through a collaborative process involving the investigative team, consultants, and system and community-based organization (CBO) stakeholders in order to further develop and refine a conceptual model of sustainment to guide future research and provide a resource for Service systems to prepare for sustainment as the ultimate goal of the implementation process. Methods: A mixed-method prospective and retrospective design will be used. Semi-structured individual and group interviews will be used to collect information regarding influences on EBI sustainment including policies, attitudes, and practices; organizational factors and external policies affecting model implementation; involvement of or collaboration with other stakeholders; and outer- and inner-contextual supports that facilitate ongoing EBI sustainment. Document review (e.g., legislation, executive orders, regulations, monitoring data, annual reports, agendas and meeting minutes) will be used to examine the roles of state, county, and local policies in EBI sustainment. Quantitative measures will be collected via administrative data and web surveys to assess EBI reach/penetration, staff turnover, EBI model fidelity, organizational culture and climate, work attitudes, implementation leadership, sustainment climate, attitudes toward EBIs, program sustainment, and level of institutionalization. Hierarchical linear modeling will be used for quantitative analyses. Qualitative analyses will be tailored to each of the qualitative methods (e.g., document review, interviews). Qualitative and quantitative approaches will be integrated through an inclusive process that values stakeholder perspectives. Discussion: The study of sustainment is critical to capitalizing on and benefiting from the time and fiscal investments in EBI implementation. Sustainment is also critical to realizing broad Public health impact of EBI implementation. The present study takes a comprehensive mixed-method approach to understanding sustainment and refining a conceptual model of sustainment.
Rebecca Lengnickhall - One of the best experts on this subject based on the ideXlab platform.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
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contracting as a bridging factor linking outer and inner contexts during ebp implementation and sustainment a prospective study across multiple u s Public Sector Service systems
Implementation Science, 2020Co-Authors: Rebecca Lengnickhall, Cathleen E Willging, Michael S Hurlburt, Karissa Fenwick, Gregory A AaronsAbstract:Bridging factors are relational ties (e.g. partnerships), formal arrangements (e.g. contracts or polices) and processes (e.g. data sharing agreements) linking outer and inner contexts and are a recent evolution of the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. Bridging factor research can elucidate ways that Service systems may influence and/or be influenced by organizations providing health Services. This study used the EPIS framework and open systems and resource dependence theoretical approaches to examine contracting arrangements in U.S. Public Sector systems. Contracting arrangements function as bridging factors through which systems communicate, interact, and exchange resources with the organizations operating within them. The sample included 17 community-based organizations in eight Service systems. Longitudinal data is derived from 113 contract documents and 88 qualitative interviews and focus groups involving system and organizational stakeholders. Analyses consisted of a document review using content analysis and focused coding of transcripts from the interviews and focus groups. A multiple case study analysis was conducted to identify patterns across Service systems and organizations. The dataset represented Service systems that had sustained the same EBP for between 2 and 10 years, which allowed for observation of bridging factors and outer-inner context interactions over time. Service systems and organizations influenced each other in a number of ways through contracting arrangements. Service systems influenced organizations when contracting arrangements resulted in changes to organizational functioning, required organizational responses to insufficient funding, and altered interorganizational network relationships. Organizations influenced Service systems when contract arrangements prompted organization-driven contract negotiation/tailoring, changes to system-level processes, and interorganizational collaboration. Service systems and organizations were dependent on each other as implementation progressed. Resources beyond funding emerged, including adequate numbers of eligible clients, expertise in the evidence-based practice, and training and coaching capacity. This study advances implementation science by expanding the range and definition of bridging factors and illustrating specific bi-directional influences between outer context Service systems and inner context organizations. This study also identifies bi-directional dependencies over the course of implementation and sustainment. An analysis of influence, dependencies, and resources exchanged through bridging factors has direct implications for selecting and tailoring implementation strategies, especially those that require system-level coordination and change.
