The role of causation, effectuation and bricolage in new service development processes

This thesis examines the role of different types of entrepreneurial cognitive logics—namely causation, effectuation, and bricolage (CEB)—in new service development (NSD) processes within a new venture. To understand how entrepreneurial cognitive logics are used in the NSD process, I adopt a process research approach to study how service comes to be within a new venture in the healthcare industry. My research employs a range of methods between 2013 and 2017, including observation, interviews, and document analysis. Within current NSD models, means are not considered as part of processes which lead to new services; instead, the NSD process is assumed to start with a conscious intent to create a new service. My research has identified that NSD processes are often means driven and that the service developers ask themselves means-driven questions considered to represent effectuation logic. Hence, I shift the attention of NSD research from stable and resource-rich environments to dynamic and resource-constrained ones. As a result, I suggest that effectuation and bricolage are key perspectives in understanding NSD in uncertain and resource-scarce environments. In doing so, I challenge the predominantly causation-based formal and linear NSD stage model typically proposed in existing research. The findings show how CEB logics interplay and shift in a complex manner over time. Situational triggers, resource position, and unanticipated consequences, along with actor-dependent responses to internal and external influences, add to the complexity of how CEB logics interplay and shift over time. Furthermore, researching CEB logics on individual, team, and organisational levels reveals that the different logics may also cause conflict, thus leading not only to positive outcomes but also to frustration and tensions within the new venture

Taming the RHINo:Interorganizational Implementation Issues ofRegional Health Information Networks

Mounting pressures for health care reform are driving a variety of changes in the health care industry. The traditional model of isolated health care entities is giving way to the formation of integrated health care delivery systems (Peters, 1994). The success of these systems rests in part on their ability to tie together geographically dispersed players and integrate operations to provide economic incentives for all participants. In this evolving health care environment, information provides the power to control and manage patient care and to substantially reduce health care delivery costs. Movement away from traditional, extensive paper processes to electronic, interactive systems is expected to generate significant savings and overall improvement in care due to improved availability and timeliness of information (Marcoux, 1994). Unfortunately, broadly-based information systems to support the administrative and clinical information needs of integrated delivery systems are rarely found. Regional health information networks (RHINs), also referred to as community health information networks, are an emergent form of interorganizational information system (IOS) currently under development as one answer to the information needs of the changing health care industry (Bergman, 1994). A RHIN is an integrated collection of computer and telecommunications capabilities that transport patient clinical and financial information among health care entities within a specific geographic area. RHINs provide the capability for data access and sharing across a widespectrum of health care industry participants. This paper presents an exploratory study of one of the first RHINs to be developed and implemented in the United States. The purpose of the study was to identify the current status of the network in terms of user information satisfaction and utilization, and to identify key implementation issues of the RHIN. Prior research on the development/implementation of interorganizational systems and the adoption of innovations formed the basis for interpretation of thestudy finding

A model of service design elements to understand innovative service processes

This paper aims to provide an understanding of innovative service design processes by comparing service design logic with the entrepreneurial logics of causation, effectuation and bricolage (CEB). The paper draws upon empirical data to show how both service design logic and entrepreneurship logics may help us to create more innovative service design outcomes. In this process, we hope to understand how the creation of value enters into the service innovation process through co-creation between customers, organisations, ecosystem members and society. Data used within this paper includes deep qualitative interviews with key stakeholders, written documents and participative observation. From our analysis, we develop a model of service innovation design that shows how design logics and entrepreneurial logics influence the development of new and innovative services

Bricolage - a mindset of resourcefulness: stories as a vehicle for mediating means into resources

This study builds on the notion of viewing bricolage as a mindset of resourcefulness rather than seeing it only as a resource integration or resource scarcity. Particularly, we study service innovation processes to shed light on how entrepreneurs use stories of their experience and interactions as a vehicle for mediating means into resources. In order to understand how particular stories contribute to service innovation processes we adopt a process-based methodology (Langley, 1999; Van de Ven & Huber, 1990). Our study shows how a certain knowledge base and a worldview enabled the entrepreneur to understand the power of his own experiences, turn them into opportunities and utilise them as a source for stories of entrepreneurial outcomes. These stories then in turn mediated the available means into resources in various ways

Summary of the CMS Discovery Potential for the MSSM SUSY Higgses

This work summarises the present understanding of the expected MSSM SUSY Higgs reach for CMS. Many of the studies presented here result from detailed detector simulations incorporating final CMS detector design and response. With 30 fb-1 the h -> gamma,gamma and h -> bb channels allow to cover most of the MSSM parameter space. For the massive A,H,H+ MSSM Higgs states the channels A,H -> tau,tau and H+ -> tau,nu turn out to be the most profitable ones in terms of mass reach and parameter space coverage. Consequently CMS has made a big effort to trigger efficiently on taus. Provided neutralinos and sleptons are not too heavy, there is an interesting complementarity in the reaches for A,H -> tau,tau and A,H -> chi,chi.Comment: 19 pages, 27 figure

Taming the RHINo:Interorganizational Implementation Issues ofRegional Health Information Networks

Mounting pressures for health care reform are driving a variety of changes in the health care industry. The traditional model of isolated health care entities is giving way to the formation of integrated health care delivery systems (Peters, 1994). The success of these systems rests in part on their ability to tie together geographically dispersed players and integrate operations to provide economic incentives for all participants. In this evolving health care environment, information provides the power to control and manage patient care and to substantially reduce health care delivery costs. Movement away from traditional, extensive paper processes to electronic, interactive systems is expected to generate significant savings and overall improvement in care due to improved availability and timeliness of information (Marcoux, 1994). Unfortunately, broadly-based information systems to support the administrative and clinical information needs of integrated delivery systems are rarely found. Regional health information networks (RHINs), also referred to as community health information networks, are an emergent form of interorganizational information system (IOS) currently under development as one answer to the information needs of the changing health care industry (Bergman, 1994). A RHIN is an integrated collection of computer and telecommunications capabilities that transport patient clinical and financial information among health care entities within a specific geographic area. RHINs provide the capability for data access and sharing across a widespectrum of health care industry participants. This paper presents an exploratory study of one of the first RHINs to be developed and implemented in the United States. The purpose of the study was to identify the current status of the network in terms of user information satisfaction and utilization, and to identify key implementation issues of the RHIN. Prior research on the development/implementation of interorganizational systems and the adoption of innovations formed the basis for interpretation of thestudy findings

Close the Deal and Deliver the System: Sales Training for IS Developers

The communication gap between IS developers and end users poses a key problem in IS development efforts. While a variety of tactics have been suggested to bring developers and users together to enhance communication and create a positive impact on system development efforts, the gap still remains. This paper proposes the implementation of an IS developer training program based on the fundamental principles of sales and sales training programs. The sales model is compared to models of change which closely represent the IS implementation process. Parallels are drawn between the roles of the IS developer and the sales agent, and the roles of the user and the sales customer. The sales training program is adapted to the environment of the IS developer, and recommendations are offered for the implementation of the program. Potential impacts of the training program for IS development efforts are also discussed

Population‐specific modelling of between/within‐subject flow variability in the carotid arteries of the elderly

Computational fluid dynamics models are increasingly proposed for assisting the diagnosis and management of vascular diseases. Ideally, patient‐specific flow measurements are used to impose flow boundary conditions. When patient‐specific flow measurements are unavailable, mean values of flow measurements across small cohorts are used as normative values. In reality, both the between‐subjects and within‐subject flow variabilities are large. Consequently, neither one‐shot flow measurements nor mean values across a cohort are truly indicative of the flow regime in a given person. We develop models for both the between‐subjects and within‐subject variability of internal carotid flow. A log‐linear mixed effects model is combined with a Gaussian process to model the between‐subjects flow variability, while a lumped parameter model of cerebral autoregulation is used to model the within‐subject flow variability in response to heart rate and blood pressure changes. The model parameters are identified from carotid ultrasound measurements in a cohort of 103 elderly volunteers. We use the models to study intracranial aneurysm flow in 54 subjects under rest and exercise and conclude that OSI, a common wall shear‐stress derived quantity in vascular CFD studies, may be too sensitive to flow fluctuations to be a reliable biomarker

Fiber-reinforced Composite for Chairside Replacement of Anterior Teeth: A Case Report

A variety of therapeutic modalities, from implant to conventional Maryland prosthesis, can be used for the replacement of a missing anterior tooth. Whenever a minimal tooth reduction is preferred, a fiber reinforced composite (FRC) prosthesis could be a good alternative to conventional prosthetic techniques, chiefly as temporary restoration before making a final decision on the treatment. The purpose of this case report is to describe the clinical procedure of fabricating anterior chairside FRC prosthesis with pre-impregnated unidirectional E-glass fibers and veneered particulate filler composite. Fiber-reinforced composite in combination with adhesive technology appears to be a promising treatment option for replacing missing teeth. However, further and long-term clinical investigation will be required to provide additional information on the survival of directly-bonded anterior fixed prosthesis made with FRC systems