The Challenge Of Change

There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.

A cohesive, multi-level approach for sustainable educational reform! This completely revised edition of The Challenge of School Change addresses the concerns behind the school change movement, examines theories and implementation strategies, and analyzes a new framework for change. Designed for educational leaders, this collection: Focuses on tri-level reform—school, district, and state/national levels working together to build and strengthen capacity for change Features notable experts, including Richard F. Elmore, Andy Hargreaves, Elizabeth A. City, Pedro A. Noguera, Carmel Crévola, Jim Knight, and Kenneth Leithwood Provides practical implementation examples for tri-level reform Looks at the essential role that hope and emotion play

Pioneering participatory, social change-oriented media, the program had a national and international impact on documentary film-making, yet this is the first comprehensive history and analysis of its work. The volume's contributors study dozens of films produced by the program, their themes, aesthetics, and politics, and evaluate their legacy and the program's place in Canadian, Québécois, and world cinema. An informative and nuanced look at a cinematic movement, Challenge for Change reemphasizes not just the importance of the NFB and its programs but also the role documentaries can play in improving the world.

In an era of increased global competition, of business takeovers, downsizing, restructuring, and even outright failure, intelligent organizational change is the most difficult challenge facing American business. The authors present a comprehensive overview which will be essential for managers.

Choice Outstanding Academic Title Florida Book Awards, Bronze Medal for General Nonfiction ?The scope of the book is impressive. [Benowitz] covers every major rightist issue, including the Vietnam War and the Equal Rights Amendment. . . . Highly recommended.??Choice ?Each chapter deals with a separate set of issues, from progressive education and the teaching of sex education, to mental health issues, patriotism, the Vietnam War, the New Left, and conservative opposition to the equal rights amendment. . . . A synthesis of material found nowhere else in a single book.??Journal of American History ?Offers a cohesive picture of the issues and the people who pushed the Right?s agenda, and how both changed over time. . . . Enhances our understanding of how and why the new Right cultivated support in the late 1970s and early 1980s.??Journal of Southern History ?Maintains the wild complexity of right-wing activism. . . . Benowitz manages to incorporate this many-headed activism without simplifying it or compartmentalizing it.??History of Education Quarterly ?An important contribution to the study of this moment of political change, and shows just how significant a role women in the grassroots have played and continue to play.??Indiana Magazine of History In the mid-twentieth century, a grassroots movement of women sought to shape the ideologies of the baby boomer youth. Foremothers of twenty-first century activists such as Sarah Palin and Ann Coulter, these rightist women deeply influenced the path of U.S. politics after World War II. In Challenge and Change, June Benowitz draws on activists? letters to presidents, editors, and one another, allowing these women to speak for themselves. Benowitz examines the issues that stirred them to action?education, health, desegregation, moral corruption, war, patriotism, and the Equal Rights Amendment?and explores the growth of the right-wing women?s movement.

This edited volume addresses how the state system, the organizing political institution in world politics, copes with challenges of rapid change, unanticipated crises, and general turmoil in the twenty-first century. These disruptions are occurring against the background of declining US influence and the rising power of countries in Asia, Africa, and Latin America. Traditional inter-state security concerns coexist with new security preoccupations, such as rivalries likely to erupt over the resources of the global commons, the threat of cyber warfare, the ever-present threat of terrorism, and the economic and social repercussions of globalization. The contributors explore these key themes and the challenges posed by rapid change.

The Challenge of Change is a fascinating behind-the-scenes account of a major transition period in Ireland's health system. Brendan Drumm records his experiences as chief executive of the Health Service Executive (2005–2010) and recounts his vision for Ireland's health service. While acknowledging the problems with and criticisms of the HSE, Drumm's vision has been and still is one of reform. The Challenge of Change: Discusses how the foundations for an integrated healthcare system were laid in Drumm's five years in the HSE.Highlights the obstacles to an integrated healthcare system and healthcare reform in Ireland, including the political and public service system, and the challenge of bringing doctors, nurses and other clinicians along with change.Discusses all the major issues that Drumm dealt with in his role and that the HSE is still dealing with, including the National Children's Hospital, developing primary care teams, the new consultants' contract and major adverse events.Gives an insider's view on the challenges to reform in a public sector context, which feeds into the wider problem of consensus in Ireland's governance structures – in anything from the banks to the political system. "He provides a rare insight into the machinations of health services delivery often threading a fine balancing act between political masters, the aspirations of a general public with parochial interests, and an unyielding bureaucracy long accustomed to doing things its own way." Tom Brett, Director of General Practice and Primary Health Care Research, School of Medicine, The University of Notre Dame, Australia, British Journal of General Practice, July 2012