Organizational capacity for change in health care: Development and validation of a scale

Aaron Spaulding, Bita A. Kash, Christopher E. Johnson, Larry Gamm

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: We do not have a strong understanding of a health care organization's capacity for attempting and completing multiple and sometimes competing change initiatives. Capacity for change implementation is a critical success factor as the health care industry is faced with ongoing demands for change and transformation because of technological advances, market forces, and regulatory environment. Purpose: The aim of this study was to develop and validate a tool to measure health care organizations' capacity to change by building upon previous conceptualizations of absorptive capacity and organizational readiness for change. Methodology/Approach: A multistep process was used to develop the organizational capacity for change survey. The survey was sent to two populations requesting answers to questions about the organization's leadership, culture, and technologies in use throughout the organization. Exploratory and confirmatory factor analyses were conducted to validate the survey as a measurement tool for organizational capacity for change in the health care setting. Findings: The resulting organizational capacity for change measurement tool proves to be a valid and reliable method of evaluating a hospital's capacity for change through the measurement of the population's perceptions related to leadership, culture, and organizational technologies. Practical Implications: The organizational capacity for change measurement tool can help health care managers and leaders evaluate the capacity of employees, departments, and teams for change before large-scale implementation.

Original languageEnglish (US)
Pages (from-to)151-161
Number of pages11
JournalHealth Care Management Review
Volume42
Issue number2
DOIs
StatePublished - Apr 1 2017

Fingerprint

Organizational Innovation
Delivery of Health Care
Organizations
Organizational Culture
Technology
Health Care Sector
Population
Statistical Factor Analysis
Organizational capacity
Healthcare
Surveys and Questionnaires

Keywords

  • absorptive capacity
  • culture
  • leadership
  • organizational change
  • organizational readiness for change
  • organizational technologies

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management

Cite this

Organizational capacity for change in health care : Development and validation of a scale. / Spaulding, Aaron; Kash, Bita A.; Johnson, Christopher E.; Gamm, Larry.

In: Health Care Management Review, Vol. 42, No. 2, 01.04.2017, p. 151-161.

Research output: Contribution to journalArticle

Spaulding, Aaron ; Kash, Bita A. ; Johnson, Christopher E. ; Gamm, Larry. / Organizational capacity for change in health care : Development and validation of a scale. In: Health Care Management Review. 2017 ; Vol. 42, No. 2. pp. 151-161.
@article{a9d51bf30931409e803091ca69e9f124,
title = "Organizational capacity for change in health care: Development and validation of a scale",
abstract = "Background: We do not have a strong understanding of a health care organization's capacity for attempting and completing multiple and sometimes competing change initiatives. Capacity for change implementation is a critical success factor as the health care industry is faced with ongoing demands for change and transformation because of technological advances, market forces, and regulatory environment. Purpose: The aim of this study was to develop and validate a tool to measure health care organizations' capacity to change by building upon previous conceptualizations of absorptive capacity and organizational readiness for change. Methodology/Approach: A multistep process was used to develop the organizational capacity for change survey. The survey was sent to two populations requesting answers to questions about the organization's leadership, culture, and technologies in use throughout the organization. Exploratory and confirmatory factor analyses were conducted to validate the survey as a measurement tool for organizational capacity for change in the health care setting. Findings: The resulting organizational capacity for change measurement tool proves to be a valid and reliable method of evaluating a hospital's capacity for change through the measurement of the population's perceptions related to leadership, culture, and organizational technologies. Practical Implications: The organizational capacity for change measurement tool can help health care managers and leaders evaluate the capacity of employees, departments, and teams for change before large-scale implementation.",
keywords = "absorptive capacity, culture, leadership, organizational change, organizational readiness for change, organizational technologies",
author = "Aaron Spaulding and Kash, {Bita A.} and Johnson, {Christopher E.} and Larry Gamm",
year = "2017",
month = "4",
day = "1",
doi = "10.1097/HMR.0000000000000096",
language = "English (US)",
volume = "42",
pages = "151--161",
journal = "Health Care Management Review",
issn = "0361-6274",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Organizational capacity for change in health care

T2 - Development and validation of a scale

AU - Spaulding, Aaron

AU - Kash, Bita A.

AU - Johnson, Christopher E.

AU - Gamm, Larry

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Background: We do not have a strong understanding of a health care organization's capacity for attempting and completing multiple and sometimes competing change initiatives. Capacity for change implementation is a critical success factor as the health care industry is faced with ongoing demands for change and transformation because of technological advances, market forces, and regulatory environment. Purpose: The aim of this study was to develop and validate a tool to measure health care organizations' capacity to change by building upon previous conceptualizations of absorptive capacity and organizational readiness for change. Methodology/Approach: A multistep process was used to develop the organizational capacity for change survey. The survey was sent to two populations requesting answers to questions about the organization's leadership, culture, and technologies in use throughout the organization. Exploratory and confirmatory factor analyses were conducted to validate the survey as a measurement tool for organizational capacity for change in the health care setting. Findings: The resulting organizational capacity for change measurement tool proves to be a valid and reliable method of evaluating a hospital's capacity for change through the measurement of the population's perceptions related to leadership, culture, and organizational technologies. Practical Implications: The organizational capacity for change measurement tool can help health care managers and leaders evaluate the capacity of employees, departments, and teams for change before large-scale implementation.

AB - Background: We do not have a strong understanding of a health care organization's capacity for attempting and completing multiple and sometimes competing change initiatives. Capacity for change implementation is a critical success factor as the health care industry is faced with ongoing demands for change and transformation because of technological advances, market forces, and regulatory environment. Purpose: The aim of this study was to develop and validate a tool to measure health care organizations' capacity to change by building upon previous conceptualizations of absorptive capacity and organizational readiness for change. Methodology/Approach: A multistep process was used to develop the organizational capacity for change survey. The survey was sent to two populations requesting answers to questions about the organization's leadership, culture, and technologies in use throughout the organization. Exploratory and confirmatory factor analyses were conducted to validate the survey as a measurement tool for organizational capacity for change in the health care setting. Findings: The resulting organizational capacity for change measurement tool proves to be a valid and reliable method of evaluating a hospital's capacity for change through the measurement of the population's perceptions related to leadership, culture, and organizational technologies. Practical Implications: The organizational capacity for change measurement tool can help health care managers and leaders evaluate the capacity of employees, departments, and teams for change before large-scale implementation.

KW - absorptive capacity

KW - culture

KW - leadership

KW - organizational change

KW - organizational readiness for change

KW - organizational technologies

UR - http://www.scopus.com/inward/record.url?scp=84947760814&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947760814&partnerID=8YFLogxK

U2 - 10.1097/HMR.0000000000000096

DO - 10.1097/HMR.0000000000000096

M3 - Article

C2 - 26587997

AN - SCOPUS:84947760814

VL - 42

SP - 151

EP - 161

JO - Health Care Management Review

JF - Health Care Management Review

SN - 0361-6274

IS - 2

ER -