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A management control approach to monitor large-scale change : an illustration in the context of reconfiguration

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Spurgeon, Peter, Mazelan, P. and Barwell, Frederick (2011) A management control approach to monitor large-scale change : an illustration in the context of reconfiguration. Health Services Management Research, 24 (1). pp. 19-28. doi:10.1258/hsmr.2010.010010 ISSN 0951-4848.

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Official URL: http://dx.doi.org/10.1258/hsmr.2010.010010

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Abstract

The paper describes how Hospital Episode Statistics (HES) data can be retrospectively analysed over a number of years to evaluate and monitor organizational change in National Health Service (NHS) trusts. A methodology based on joinpoint regression analysis and management control theory has been developed which is able to represent in a framework (called an 'activity map') the complexity of HES data in a more user-friendly way than the unwieldy and often overwhelming tables or spreadsheets that are typically utilized. The 'activity map' has been designed to provide a common frame of reference for health professionals from different backgrounds to visualize and interpret the actual patterns of hospital activity changes that have occurred over the years. The aim is to facilitate a more effective, faster and more intuitive exploration of very large and unwieldy HES data-sets to assist health-care staff in monitoring planned and unplanned activity changes. It is hoped that making HES data more easily assimilated will encourage a greater sense of meaningful engagement in creatively contributing to service innovation.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Health services administration, Great Britain. National Health Service -- Management, Great Britain. National Health Service -- Evaluation, Medical care -- Great Britain -- Evaluation, Organizational change -- Evaluation
Journal or Publication Title: Health Services Management Research
Publisher: Sage
ISSN: 0951-4848
Official Date: February 2011
Dates:
DateEvent
February 2011Published
Volume: 24
Number: 1
Page Range: pp. 19-28
DOI: 10.1258/hsmr.2010.010010
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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