246915 NIATx200: Organizational Attributes Related to Participation

Tuesday, November 1, 2011: 12:50 PM

Kyle Grazier, PhD , Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI
James Ford II, PhD , University of Wisconsin - Madison, Madison, WI
Andrew Quanbeck, MSIE , Center for Health Enhancement Systems Studies, University of Wisconsin - Madison, Madison, WI
James Robinson, PhD, FSA, MAAA , Center for Health Services Research and Analysis, University of Wisconsin - Madison, Madison, WI
John Oruongo , Center for Health Enhancement Systems Studies, University of Wisconsin - Madison, Madison, WI
The third NIATx200 session presentation provides the opportunity to understand characteristics that explain organizational willingness to participate in quality improvement. Depending on the results of randomization, change activities may require considerable staff time and resources. We will present results on organizations' willingness to enroll in the study and be randomized; and once enrolled, the level of commitment to these efforts, as measured by staff participation hours. A two-part demand model first describes features of the 648 eligible sites in five states (MA, MI, NY, OR, WA), and 201 participating and randomized sites and then estimates the probability that eligible organizations agreed to enroll in the study. The second part of the model explores organizational characteristics that predicted level of participation within each study arm. Findings show that agencies with higher annual admissions and with specific service and client characteristics were more likely to agree to be randomized. Among those randomized, state location and management support for change as measured by the Organizational Change Manager influenced baseline participation. The presentation will further explore the influence of organizational characteristics on participation over the course of the study. One preliminary implication of these findings is that it may be difficult for smaller organizations to engage in organized quality improvement efforts. The importance of state-specific features in understanding firm behavior is consistent with the regulatory environments of substance abuse service delivery systems. The findings are consistent with the organizational behavior and systems change literature, but warrant future research on determinants of successful organizational change.

Learning Areas:
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Examine the representativeness of organizations participating in the NIATx 200 study (compared to agencies that were eligible but declined to enroll) Evaluate the likelihood of participation given organizational characteristics. Discuss the generalizability of the study results

Keywords: Quality Improvement, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I contributed to the design and analysis of this research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.