Activity-based funding for safety and quality: a policy discussion of issues and directions for nursing-focused health services outcomes research

AIMS: A discussion of the implications and opportunities arising from the Commonwealth of Australia health care reform agenda; linking pricing with quality, with particular reference to directions for nursing‐focused health services outcomes research directed to improve the safety and quality of health care practices. BACKGROUND: National activity‐based funding in Australia is a policy‐focused development. As the relationship between cost and quality becomes apparent, the role of clinicians and their contribution to high quality care has become a pressing issue for leadership, teaching, and research. DESIGN: Discussion paper DATA SOURCES: This paper is based on seven years' experience as a member of a Commonwealth of Australia statutory committee—the Clinical Advisory Committee of the Independent Hospital Pricing Authority—and is supported by relevant literature and theory. IMPLICATIONS FOR NURSING: To date, unravelling the linkage, especially causal relationships, between direct care nursing and patient safety outcomes has not been well established. New activity‐based funding data elements developed for national implementation in Australia provide accessible and meaningful standardised data for measurement of never events, hospital‐acquired complications, and preventable readmissions

Sustainable wine tourism development through the lens of dynamic capabilities and entrepreneurial action: an exploratory four-region perspective

This study contributes to the sustainable wine tourism literature in various ways. First, using a multi-country approach, the study empirically explores the perceived benefits gained from wine tourism, and the ways in which it could be developed sustainably. These dimensions are examined through the lens of the dynamic capabilities approach and entrepreneurial action. Subsequently, a theoretical framework is proposed to enhance understanding of the development of sustainable wine tourism. Unstructured, in-depth, face-to-face interviews were conducted with 56 winery owners and managers. The two theoretical frameworks help understand the various forms in which sensing and seizing can be materialised in opportunities for wine tourism development, and reconfiguring, or moving forward, to identify ways to achieve its sustainability. Stemming from the findings and the adoption of the theoretical contributions, a strategic toolkit is proposed, which provides guidance to various stakeholders in their efforts to develop a sustainable wine tourism industry. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group