10,191 research outputs found

    Does marketing and sales integration always pay off? evidence from a social capital perspective

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    Building on social capital theory, the authors view the marketing and sales interface as a set of inter-group ties and investigate how firms (1) generate value from inter-group relationships and (2) develop the social capital embedded in these relationships. Their findings suggest that social capital enhances, but can also limit, a firm’s performance depending on the characteristics of its customers. Their results also demonstrate that managing the marketing and sales interface at different levels of customer concentration is critical to the success of a firm’s performance.Marketing organization; sales organization; interface; social capital theory.

    Implementation and Outcome Evaluation of the Intensive Aftercare Program: Final Report

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    This Report presents the findings from a 5-year, multisite evaluation of the implementation and outcomes of the Intensive Aftercare Program (IAP), which was sponsored by the Office of Juvenile Justice and Delinquency Prevention (OJJDP). IAP was a major initiative in aftercare programming during the 1990s and has received considerable national attention. It addresses a critical problem facing the nation's juvenile justice system: how to effectively intervene with high-risk, incarcerated juvenile offenders who have demonstrated high recidivism rates and continue to offend as adults

    Hospital-hospice partnerships in palliative care: creating a continuum of service

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    42 pages.Reports on the cooperation of hospitals with hospices to provide palliative care

    Inductive Discovery Of Criminal Group Structure Using Spectral Embedding

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    Social network analysis has often been applied to criminal groups to understand their internal structure and dynamics. While the content of communications is often restricted by constitutional and procedural constraints, data about communications is often more readily accessible. This article applies advanced network analysis techniques based on spectral embedding to such traffic data. Spectral embedding facilitates deeper analysis by embedding the graph representing a social network in a geometric space such that Euclidean distance reflects pairwise node dissimilarity. This enables visualizing a network in ways that accurately reflect the structure of the underlying group, and computing properties directly from the embedding. We illustrate spectral approaches for two ‘Ndrangheta drug-smuggling networks, and extend them to a) examine triad structure (through the identification of the Simmelian backbone), which elicits key members, and b) to display temporal properties, which illustrates changing group structure. Although the two groups have the same purpose and come from the same criminal milieu, they have substantially different internal structure which was not detectable using conventional social-network approaches. The techniques presented in this study may support law enforcement in the early stages of an investigation

    Radio Frequency Allocation in the Public Interest: Federal Government and Civilian Use

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    It has long been recognized that the radio frequency spectrum is a vital natural resource requiring government allocation and regulation.\u27 The resource is a fixed or finite one, and has many claimants for its use. Moreover, as the Communications Satellite Program demonstrates, the problem of physical limitation is an accelerating one, as new uses increase the saturation of available spectrum space. Indeed, President Truman\u27s statement of fifteen years ago would appear particularly appropriate today

    The Influence of Medicare Insurance Type – Traditional Fee-For-Service v. Medicare Advantage – on Rehospitalizations for Patients with Heart Failure in Skilled Nursing Facilities

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    Heart failure (HF) is a leading cause of rehospitalizations for Medicare beneficiaries from skilled nursing facilities (SNFs). This research sought to determine if HF patients’ insurance type (Medicare Fee-for-Service (FFS) vs. Medicare Advantage (MA)) influences their risk for readmission within 30 days of hospital discharge to a SNF. This research is particularly timely in light of new penalties under the Protecting Access to Medicare Act SNF Value-Based Purchasing (SNF-VBP) program directed at SNFs for 30-day rehospitalizations. Previous literature finds FFS beneficiaries with HF in SNF at greater risk for rehospitalization compared to MA members. This research contributes to the literature by using a mixed methods approach. The quantitative portion of this research relied on several modeling approaches to determine if insurance type has an effect on risk for rehospitalization. The qualitative portion of this research used semi-structured interviews to describe the relationship between MA plans and SNFs from the perspective of key decision-makers in SNFs. Research questions were guided by a conceptual framework derived from Resource Dependence Theory and Principal-Agent Theory. In the quantitative results, insurance type was not a significant predictor of risk for rehospitalization. However, all of the analyses pointed to MA beneficiaries having slightly less risk for rehospitalization compared to FFS beneficiaries. Patients with a shorter length of SNF stay and two or more hospitalizations in the previous 12 months were at a greater risk for rehospitalization. SNFs with fewer contracted MA plans, lower health inspection rating and higher quality of resident care star rating were associated with a greater risk for 30-day rehospitalizations. Interviewees described case management and length of SNF stay as key mechanisms of control used by MA plans to influence the care of their members. The qualitative results also indicated that SNFs prefer to provide care for FFS beneficiaries over MA members due to the higher reimbursement rate and perception of more autonomy in the decision-making process compared to feelings of constraint under MA plans. This research contributes to our understanding of how insurance type may influence the risk for rehospitalization by providing a mixed methodological perspective and directs future policies and research

    Information sharing in interteam responses to disaster

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    Research demonstrates that information sharing is facilitated by familiarity, and having a common understanding of problems, use of lexicon, and semantic meaning. These factors can be difficult to develop within extreme environments such as disasters as members of the multi‐agency system that responds often have limited experience of working together. Public inquiries repeatedly highlight the impact of information sharing difficulties on public safety, but limited academic research has focused on identifying concrete behaviours that facilitate interteam information sharing within such environments. This paper presents a case study of a national disaster response exercise involving 1,000 emergency responders. Data consist of structured observations, recordings of interteam meetings, and interviews with emergency responders. Results of mixed‐method analysis indicate that interteam information sharing is delayed by limited situation awareness and poor articulation. Conversely, adopting behaviours that promote common frames for understanding interteam capabilities and information requirements improves information sharing and potentially reduces cognitive effort required to process information. Findings contribute to interteam communication theory by highlighting that in complex, time‐constrained environments, having a shared understanding of responsibilities and information requirement is important for minimizing redundant deliberation and improving relevance and speed

    Information Outlook, March 1999

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    Volume 3, Issue 3https://scholarworks.sjsu.edu/sla_io_1999/1002/thumbnail.jp

    Hourly Rounding: A Fall Prevention Strategy in Long-Term Care

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    Falls and injuries related to falls are some of the most common and costly incidents that occur in the long-term care environment. Purposeful hourly rounding is a proactive way for nursing staff to identify patient needs and demonstrate positive fall prevention outcomes. This project examined a process improvement endeavor of a long-term care unit that experienced an increase in the number of falls over 3 months. The purpose was to evaluate whether staff education and implementation of an evidence-based hourly rounding program would affect the number of patient falls. The Johns Hopkins nursing evidence-based conceptual model, Kurt Lewin\u27s change model, and the Shewhart cycle process improvement model were used to implement the change process as well as the Studer Group best practice hourly rounding tools. A sample of 40 residents was included in a quantitative descriptive design describing the implementation of hourly rounding. Staff were educated 30 days prior to implementation. Pre and post project fall rates were retrieved from the VA fall data management system and revealed a 55% decrease over 3 months post staff education. The use of evidence-based hourly rounding measures increased over the same time period. Nurse leaders must ensure rounding programs are evidence-based, clearly defined in policies, and include robust education plans. There are limited studies on the relationship between education and hourly rounding; therefore, future studies should focus on outcomes of initial and ongoing education for program success and sustainability. Falls are a healthcare concern nurses must address at any point-of-care to promote public safety through prevention and to facilitate positive social change by providing a safe hospital environment
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