The Embedded Health Management Academic: A Boundary Spanning Role for Enabling Knowledge Translation; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

Document Type : Commentary

Authors

Australian Institute of Health Service Management (AIHSM), University of Tasmania, Sydney, NSW, Australia

Abstract

Healthcare organisations are looking at strategies and activities to improve patient outcomes, beyond clinical interventions. Increasingly, health organisations are investing significant resources in leadership, management and team work training to optimise professional collaboration, shared decision-making and, by extension, high quality services. Embedded clinical academics are a norm in, and considered a strength of, healthcare organisations and universities. Their role contributes, formally and informally, to clinical teaching, knowledge sharing and research. An equivalent, but significantly less common role, addressing the management of healthcare organisations, is the embedded health management academic (EHMA). A stimulus encouraging this intertwined embedded academic role, in both clinical and managerial fields, is the demand for the translation of knowledge between academic and industry contexts. In this essay, we describe the EHMA role, its value, impact and potential for enabling healthcare organisation improvement. Focusing on the business of healthcare, the EHMA is a conduit between sectors, stakeholders and activities, enabling different organisations and experts to co-create, share and embed knowledge. The value and impact achieved is significant and ongoing, through the nurturing of an evidence-based management culture that promotes ongoing continuous improvement and research activities.

Keywords

Main Subjects

References

  1. 2019 Global Health Care Outlook: Shaping the future. Deloitte website. https://www2.deloitte.com/global/en/pages/life-sciences-and-healthcare/articles/global-health-care-sector-outlook.html.  Accessed July 2, 2019.
  2. Mery G, Majumder S, Brown A, Dobrow MJ. What do we mean when we talk about the Triple Aim? a systematic review of evolving definitions and adaptations of the framework at the health system level. Health Policy. 2017;121(6):629-636. doi:10.1016/j.healthpol.2017.03.014
  3. Sfantou DF, Laliotis A, Patelarou AE, Sifaki-Pistolla D, Matalliotakis M, Patelarou E. Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare (Basel). 2017;5(4). doi:10.3390/healthcare5040073
  4. Hansson J, Höög E, Nyström M. Action research for multi-level facilitation of improvement in health and social care: development of a change facilitation approach for a local R&D unit. Action Res. 2017;15(4):339-356. doi:10.1177/1476750316650928
  5. Crowe D, Garman AN, Li CC, Helton J, Anderson MM, Butler P. Leadership development practices and hospital financial outcomes. Health Serv Manage Res. 2017;30(3):140-147. doi:10.1177/0951484817702564
  6. Tate K, Hewko S, McLane P, et al. Learning to lead: a review and synthesis of literature examining health care managers' use of knowledge. J Health Serv Res Policy. 2019;24(1):57-70. doi:10.1177/1355819618786764
  7. Lacerenza CN, Reyes DL, Marlow SL, Joseph DL, Salas E. Leadership training design, delivery, and implementation: a meta-analysis. J Appl Psychol. 2017;102(12):1686-1718. doi:10.1037/apl0000241
  8. Kitson A, Brook A, Harvey G, et al. Using complexity and network concepts to inform healthcare knowledge translation. Int J Health Policy Manag. 2018;7(3):231-243. doi:10.15171/ijhpm.2017.79
  9. Cassidy CE, Burgess S, Graham ID. It's all about the IKT approach: three perspectives on an embedded research fellowship: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system." Int J Health Policy Manag. 2019;8(7):455-458. doi:10.15171/ijhpm.2019.31
  10. Evans S, Scarbrough H. Supporting knowledge translation through collaborative translational research initiatives: 'bridging' versus 'blurring' boundary-spanning approaches in the UK CLAHRC initiative. Soc Sci Med. 2014;106:119-127. doi:10.1016/j.socscimed.2014.01.025
  11. Rowley E, Morriss R, Currie G, Schneider J. Research into practice: collaboration for leadership in applied health research and care (CLAHRC) for Nottinghamshire, Derbyshire, Lincolnshire (NDL). Implement Sci. 2012;7:40. doi:10.1186/1748-5908-7-40
  12. Kolars JC, Fang W, Zheng K, et al. Collaboration platforms in China for translational and clinical research: the partnership between Peking University Health Science Center and the University of Michigan Medical School. Acad Med. 2017;92(3):370-373. doi:10.1097/acm.0000000000001202
  13. Dickinson H, Ledger J. Accelerating Research Translation in Healthcare: The Australian Approach. In: McDermott A, Kitchener M, Exworthy M, eds. Managing Improvement in Healthcare. Springer; 2018:201-216.
  14. Long JC, Cunningham FC, Braithwaite J. Bridges, brokers and boundary spanners in collaborative networks: a systematic review. BMC Health Serv Res. 2013;13:158. doi:10.1186/1472-6963-13-158
  15. Westwood G, Richardson A, Latter S, Macleod Clark J, Fader M. Building clinical academic leadership capacity: sustainability through partnership. J Res Nurs. 2018;23(4):346-357. doi:10.1177/1744987117748348
  16. Marshall M, Pagel C, French C, et al. Moving improvement research closer to practice: the Researcher-in-Residence model. BMJ Qual Saf. 2014;23(10):801-805. doi:10.1136/bmjqs-2013-002779
  17. Vindrola-Padros C, Pape T, Utley M, Fulop NJ. The role of embedded research in quality improvement: a narrative review. BMJ Qual Saf. 2017;26(1):70-80. doi:10.1136/bmjqs-2015-004877
  18. Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10:53. doi:10.1186/s13012-015-0242-0
  19. Sim SM, Lai J, Aubrecht K, et al. CIHR health system impact fellows: reflections on “driving change” within the health system. Int J Health Policy Manag. 2019;8(6):325-328. doi:10.15171/ijhpm.2018.124
  20. McMahon M, Tamblyn R. The health system impact fellowship: perspectives from the program leads: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system." Int J Health Policy Manag. 2019;8(10):623-626. doi:10.15171/ijhpm.2019.59
  21. Hunter DJ. Meeting the challenge of the "Know-Do" gap: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system." Int J Health Policy Manag. 2019;8(8):498-500. doi:10.15171/ijhpm.2019.37
  22. McKee M. Bridging the gap between research and policy and practice: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system." Int J Health Policy Manag. 2019;8(9):557-559. doi:10.15171/ijhpm.2019.46
  23. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci. 2012;7:50. doi:10.1186/1748-5908-7-50
  24. Translational Research Grants Scheme. NSW Health. 2019. https://www.medicalresearch.nsw.gov.au/translational-research-grants-scheme/.  Accessed July 2, 2019.
  25. Sharper incentives for university-industry engagement through streamlining university research block grants. Australian Government Department of Education; 2019. https://www.education.gov.au/sharper-incentives-university-industry-engagement-through-streamlining-university-research-block.  Accessed July 2, 2019.
  26. Bevc CA, Retrum JH, Varda DM. New perspectives on the "silo effect": initial comparisons of network structures across public health collaboratives. Am J Public Health. 2015;105 Suppl 2:S230-235. doi:10.2105/ajph.2014.302256
  27. Fayard AL, Van Maanen J. Making culture visible: reflections on corporate ethnography. Journal of Organizational Ethnography. 2015;4(1):4-27. doi:10.1108/JOE-12-2014-0040
  28. Kislov R, Waterman H, Harvey G, Boaden R. Rethinking capacity building for knowledge mobilisation: developing multilevel capabilities in healthcare organisations. Implement Sci. 2014;9:166. doi:10.1186/s13012-014-0166-0
  29. Alley S, Jackson SF, Shakya YB. Reflexivity: a methodological tool in the knowledge translation process? Health Promot Pract. 2015;16(3):426-431. doi:10.1177/1524839914568344
  30. Eljiz K, Greenfield D, Molineux J, Sloan T. How to improve healthcare? Identify, nurture and embed individuals and teams with "deep smarts." J Health Organ Manag. 2018;32(1):135-143. doi:10.1108/jhom-09-2017-0244
  31. Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co‐creation in community‐based health services: literature review and case study. Milbank Q. 2016;94(2):392-429. doi:10.1111/1468-0009.12197
  32. Barratt H, Shaw J, Simpson L, Bhatia S, Fulop N. Health services research: building capacity to meet the needs of the health care system. J Health Serv Res Policy. 2017;22(4):243-249. doi:10.1177/1355819617714815
  33. Lewis S, Russell A. Being embedded: a way forward for ethnographic research. Ethnography. 2011;12(3):398-416. doi:10.1177/1466138110393786
  34. Parker J, Crona B. On being all things to all people: boundary organizations and the contemporary research university. Soc Stud Sci. 2012;42(2):262-289. doi:10.1177/0306312711435833
  35. Marshall M, de Silva D, Cruickshank L, Shand J, Wei L, Anderson J. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2017;26(7):578-582. doi:10.1136/bmjqs-2016-006143
International Journal of Health Policy and Management
Volume 9, Issue 4
April 2020
Pages 170-174

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History

  • Receive Date: 24 September 2019
  • Revise Date: 28 October 2019
  • Accept Date: 30 October 2019
  • First Publish Date: 01 April 2020

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