Understanding Organizational Transformation via the Patient-centered Medical Home: Institutional Logics, Core Functions, and Maturity

• In Event: 413 - Section on Organizations, Occupations and Work Refereed Roundtable Session. Table 01. Culture and Organizations
  In Refereed Roundtable 100min: Table 08. Institutional Encounters

Abstract

This paper builds on earlier work on organizational transformation in health care by examining whether effective transformation can be characterized as a configurational fit of three elements: (1) transforming a clinic’s institutional logics to be consistent with a "Patient-Centered Medical Home's" (PCMH’s) structures and processes; (2) implementing core PCMH functions; and (3) implementing measurement and management processes to become a mature learning organization. The paper uses a literature review to guide the development of an interview instrument, administers the interview instrument in clinics eligible to be PCMHs, analyses and reports the results of the interviews. The goal of the paper is to improve the empirical understanding PCMH transformation as well as theoretical understanding of organizational transformation, and to present hypotheses for future studies of organizational transformation and to provide ideas that may guide the continued development of PCMHs and related organizations.

Authors

• Douglas R. Wholey, University of Minnesota

• Brittin Wagner, University of Minnesota

• Katie White, University of Minnesota